Dental Sleep Medicine Insider December 2015 | Page 30

KELLER’S CLEARDREAM CLEAR IMPROVEMENTS ON AN OLD DESIGN In recent years, the dental sleep medicine community has seen myriad new appliances enter the market, often claiming to revolutionize how you approach oral appliance therapy (OAT). These claims are almost always unfounded and can lead to uncertainty among clinicians about what’s real and what is mere hype. That’s why I was skeptical about Keller’s newest product, the ClearDream, from the outset. I mean, a dorsal is a dorsal, right? Whether it’s blue or pink or green, who cares. However, with little hype or baseless claims, the ClearDream speaks for itself by taking the familiar, proven concepts and adding several significant improvements. I found there to be three key differentiators when compared with other similar devices. “the device won’t absorb stain and odor, nor will the fins break...” Just by looking at the ClearDream, the first difference is immediately apparent. It is made using a clear material, not colored acrylics like all other dorsals. This is important, not for esthetic purposes but because the device is fabricated using Keller’s proprietary clear, clinically unbreakable, non-porous Crystal Clear 450 material. As a result, the device won’t absorb stain and odor, nor will the fins break as can occur with many other appliances. Constant repairs or remakes eat into profits quickly, so durability is paramount. I know this claim about durability is true because it’s the same material they use for NTI Plus splints. “Repairs or remakes eat into profits quickly, so durability is paramount.” Another benefit of the Crystal Clear material is its highly retentive nature, avoiding the need for ball clasps in all but the most extreme situations. This means I don’t incur a bunch of charges for additional ball clasps just to ensure the trays don’t dislodge. At the other end of the spectrum, there is an option for a heatactivated Thermofit liner for patients with deep undercuts or for additional comfort. When I’ve used this option, they drop right in and usually require zero adjust Y[