Dental Sleep Medicine Insider March 2016 | Page 14

INNOVATION SPOTLIGHT: BY DAVID KUHNS, PhD MICRO SLEEP & SNORE DEVICE 2 T he MicrO2 is the first CAD/ CAM milled Sleep device, designed for patient comfort and compliance. The MicrO2 has many unique features. Doctors asked the MicrO2 design team for a simple, metal free, and comfortable appliance. The lingual-less design of the MicrO2 offers a high level of comfort, and the controlled cured PMMA enables a strong yet smaller device. The MicrO2 does not use common titration mechanisms such as the Jack Screw or Herbst, and thus has no metal or need for tools that patients need to learn to use. The MicrO2 uses an innovative titration method, combining pairs of upper/lower arches to create stepped protrusion settings. The digital design and CAD/ CAM workflow enables precise replication of the body of the oral appliance splint. The innovative placement of the posts on each arch creates protrusion by combinations of the upper and lower arches with the posts in offset positions. In the Series A, four arches are supplied (Fig. 1). The Lower arch zero (L0) and the Upper arch zero (U0) shown together on the model, and 2 additional adjustment arches shown next to the model. (Fig. 2) shows the MicrO2 in exactly the sleep bite position (zero position) taken by the doctor (U0/L0). This is the starting point for the patient’s treatment journey. (Fig. 3) shows the all the possible combinations of the Series A, as shown on the back of the MicrO2 Rx. Figure 1 (Series A with 4 arches) Figure 2 (L0 + U0 Sleep bite) out to 6 mm or more with 0.5 mm to 1.0 mm increments as prescribed by the doctor. (Figs. 5 and 6) show close ups of the embossed markings on the posts that denote, in (Fig. 5) the Upper arch zero (U0) and in (Fig. 6) the Lower arch zero (L0). Figure 5 (Close up of U0) Figure 6 (Close up of L0) Figure 3 (Series combinations) A arch Figure 4 (L1+U2 = 3mm protrusion) (Fig. 4) shows the MicrO2 with the L1 arch and U2 arch together, creating 3 mm of protrusion (L1+U2 = 3 mm). The Series A is the most commonly ordered of the MicrO2 Series, and many patients are fully treated with the Series A. Other MicrO2 Series are available The MicrO2 is the first CAD/CAM milled sleep device, designed by doctors for patients. The MicrO2 has a 3 year warranty and a 7 day in-lab time. Hear more about the MicrO2 from dentists and physicians presenting at the MicrO2 Users Conference April 21-24 in Austin, TX. Register at http://www.micro2sleepdevice.com DAVID KUHNS, PhD Sr. Director of Product Develop & Technical Sales for the MicrO2 Sleep Division at MicroDental Labs, Dublin California 14