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1.5

Major VersionM

by Patrick Tessier

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  1. This is from the perspective of the clinician looking at the patient. To Advance the Protrustion: Turn key counter-clockwise (facing patient).
    • This is from the perspective of the clinician looking at the patient.

    • To Advance the Protrustion:

    • Turn key counter-clockwise (facing patient).

    • 1/2 turn = 0.25 mm advancement

    • Full Turn - 0.5 mm advancement

    • The initial treatment position of the hook should be set by the prescriber according to the following instructions.

    • Instruct the patient to couple the trays together by inserting the hook over the flat area in the bar. Have the patient placed the device in his/her mouth.

    • Dial the adjustment key counter clockwise (facing the patient) to the patient's maximum mechanical protrusion (MMP).

    • The patient will feel a slight stretch in his/her temporal mandibular joints at this point.

    • Remove the trays by pulling on the posterior of the trays.

    • Mark the base plate even with the anterior side of the hook. This is the MMP

    • With the device out of the patients's mouth.

    • Dial the hook clockwise (facing the patient) until the patient's teeth are end to end. This may be the patient's starting position

    • Mark the base plate with the anterior side of the hook. This indicates the patient's starting position.

    • The base plate has marks that are 1 mm apart.

    • Have the patient wear the appliance in this end to end position for 3-4 nights before starting the adjustments.

    • From the starting position, instruct the patient to turn the advancement key a half turn (180 degrees) counter clockwise (facing the patient).

    • Do this every night until the symptoms are alleviated. The patient should leave the hook in the adjusted position to remove the appliance.

    • If any position becomes uncomfortable, the patient should dial the hook clockwise (facing the patient) until the pain subsides.

    • Instruct the patient not to start advancing the hook again until the jaw in comfortable. If the patient's pain does not subside, you may want to schedule a consultation for evaluation.

    • If the patient's mandible needs to be moved further forward, there are different size hooks to increase the amount of protrusion. See "Changing Hooks" guide.

    • Have the patient return to your practice for examination and assessment to ensure the dreamTAPTM is not damaged and is still effectively treating the patient's sleep disordered breathing disorder.

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Patrick Tessier

Member since: 08/09/2017

56 Guides authored

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