Dental Sleep Medicine Insider April 2016 | Page 7

RESPIRE: Breathing New Life INTO OAT Whole You Sleep Appliance Respire Blue EF The Respire Pink Micro is a new innovation in oral appliance therapy design. Originally conceived as a solution for the patient with a small mouth and constricted intraoral space, the Respire Pink Micro is, in fact, a dental sleep device that can be used to treat a broad spectrum of patients. The Respire Pink Micro is a Herbst device that employs smaller Herbst arms on each side. It utilizes telescopic hardware allowing for lateral and vertical movement of the mandible making it suitable for bruxers. The mechanism of adjustment gives the practitioner 6 mm of horizontal advancement 7 with the use of 2 screw insert positioned in the upper maxillary component, one slightly more anterior than the other. The arm has a 3 mm adjustment capability in its preset position, and then, if necessary, can be moved to the more anterior screw position to advance another 3 mm. In addition, the device can be thinned on the lingual aspects to provide maximum comfort and extra intraoral space for the tongue. An anterior opening allows for further forward movement of the tongue to stop snoring and aid in the opening of the oro-pharynx at the base of the tongue and epiglottis. Clinical experience has shown that the normal length Herbst arms ending at the screw DR. BARRY CHASE Barry N. Chase, DDS is a Diplomate to the American Board of Dental Sleep Medicine and a Diplomate to the Academy of Clinical Sleep Discorded Disciplines. He is also an Adjunct Professor in Dental Sleep Medicine and a consultant to the Respire Medical Oral Appliance Manufacturing Company, a division of Whole You, Mitsui International, Tokyo, Japan. Dr. Chase practices dental sleep medicine at the