Dr Bradley Eli DMD, MS discusses the top 5 appliances that he uses in his sleep apnea dental practice. Dr Eli set out 20 years ago to build a facility that can manage sleep disordered breathing, sleep apnea and snoring using all non surgical methods. These treatments include CPAP and all CPAP related supplies as well as oral appliances, weight loss and sleep behavior consultation. Sleep Treatment specialists have a team of respiratory therapists on staff managing breathing disorders. The patient care team at sleep treatment specialists are well trained and are certified to provide therapy according to AASM standards.

1. D R B R A D L E Y E L I D M D , M S
S L E E P T R E A T M E N T S P E C I A L I S T S . C O M
Alternatives to CPAP, 5 Examples
of Successful Sleep Apnea
Treatments

2. Sleep Herbst
The Sleep Herbst
appliance, is one of the
first oral appliances
proven to treat snoring
and obstructive sleep
apnea sufferers. This
appliance allows patients
unrestricted jaw
movement without
disengaging the appliance.
The Herbst Appliance is a
mandibular repositioner
that has been in use many
years for orthodontic and
TMJ therapy prior to its
introduction for sleep
treatment. The greatest
advantage of the Herbst
appliance is that it allows
for very quick, easy and
accurate adjustability.

3. Elastic Mandibular Advancement
(EMA®)
The EMA Custom
appliance is an oral
appliance created for
noninvasive treatment of
snoring and OSA. The
primary treatment
mechanism of opening the
bite and gently moving the
mandible forward is
achieved with the use of
interchangeable elastic
straps that offer varying
degrees of mandibular
advancement. The
flexibility of these elastic
straps provides lateral
movement and overall
TMJ comfort. The Elastic
Mandibular Advancement
(EMA®) appliance uses
elastic force to advance
the mandible.

4. The Tap Elite
The Tap Elite The
Thornton Adjustable
Positioner (TAP) is a
custom-made two piece
adjustable appliance
that is worn while
sleeping. The trays of the
appliance snap over the
upper and lower teeth
and hook together. The
TAP holds the lower jaw
in a forward position so
that it does not shift nor
fall open during sleep.
This prevents the airway
from collapsing. The
TAP is the only
mandibular
advancement device that
can be adjusted easily by
practitioner while in the
mouth.

5. Dorsal Style Appliances
The Dorsal Appliances
(pictured is the Respire)
are a family of oral
appliances for the
treatment of sleep
disordered breathing.
They work well and can
be titrated or adjusted
easily in the Dr’s office
to achieve a balance of
forward jaw position and
comfortable sleeping
position.

6. Narval CC by Resmed
Narval by San Diego based
CPAP manufacturer
Resmed is currently the
only fully CNC milled
device. It maintains lower
jaw position utilizing vinyl
pre sized interchangeable
arms that allow for
multiple jaw positions. It
is one of the lightest oral
appliances available. It is
milled from a lightweight,
flexible and metal free
material and is designed
to provide all the
flexibility of the Sleep
Herbst in a much smaller
lighter package. There are
many reports that this
design is very effective