The Thornton Adjustable Positioner (TAP®) is an oral device intended to reduce or alleviate nighttime snoring and obstructive sleep apnea (OSA). The TAP® I device consists of an Upper Tray that fits over the upper teeth and a Lower Tray that fits over the lower teeth. A hook mechanism attached to the Upper Tray hooks around a bar attached to the Lower Tray and positions the lower jaw forward, preventing the soft tissue of the throat from collapsing and obstructing the airway. The front assembly on the TAP® I permits the patient to adjust the protrusion of his/her lower jaw to the most effective and comfortable positions.
The Thornton Adjustable Positioner (TAP®) is intended to reduce or alleviate nighttime snoring and obstructive sleep apnea (OSA). The appliance is for adult patients to be used when sleeping at home or in sleep laboratories and is for single patient use.
This device is contraindicated for patients with advanced periodontal disease, loose teeth, loose dental work, dentures, or other oral conditions which would be adversely affected by wearing dental appliances. In addition, the appliance is contraindicated for patients who have central sleep apnea, severe respiratory disorders, or are under 18 years of age.
• This device is intended to reduce or alleviate nighttime snoring and obstructive sleep apnea (OSA). If symptoms of breathing difficulties or other respiratory disorders exist or persist, with or without the use of the device, the patient should contact the prescriber immediately.
• The patient may experience soreness or discomfort in the temporomandibular joint (TMJ), jaw, or teeth. If discomfort persists, the patient should contact the prescriber.
• In the morning, some patients may sense a change in their bite. This sensation should disappear within one hour. If it continues for more than four hours, the patient should contact the prescriber.
• The patient may experience obstruction of oral breathing with any oral appliance in the mouth.
• The patient should return to the prescriber at least yearly, or as often as necessary, for re-evaluation. If the TAP® I is lined with ThermAcryl® , the lining will need to be replaced yearly. If the appliance becomes loose, damaged, or does not fit properly, the patient should contact the prescriber.
• Allergic reactions may be encountered in people who are sensitive to nickel or self-curing acrylic.
Possible Side Effects
There are possible side effects associated with using the TAP® 1 appliance. These side effects are not uncommon. If the patient experiences any of the following side effects, instruct him/her to contact you, the prescriber.
• Slight tooth or gingival is comfort due to pressure of the appliance.
• Excess salivation initially. This will improve as the patient becomes accustomed to wearing the TAP® 1.
• Slight jaw soreness or tightness, initially and with adjustments.
• Temporary bite change. This will subside approximately 30 minutes after the TAP® 1 is taken out of the mouth in the morning and the AM Aligner is used.
• Unconsciously taking the TAP® 1 out of his/her mouth at night.
• Orthodontic movement of the teeth.
• Pain or dysfunction of the temporomandibular joint and associated muscles.
• Permanent bite change.