Wednesday, November 11, 2009

Should I Use the Thorton Adjustable Positioner?

Ask the Dental Experts
Our philosophy is to help our patients achieve and maintain exceptional dental health. We work hard to make sure that our level of care is deserving of our patients’ respect and confidence. Our tradition of preventive dentistry is the basis for all service and care in our practice. We welcome all questions and comments regarding dentistry in the hope that we increase your dental "IQ" and help you make better dental health decisions.


How many of my own teeth do I need to have in order for me to be able to successfully use the Thornton Adjustable Positioner? I have 20 of my own original teeth, and have both upper and lower partial plates. I need to find out about this as soon as possible so I can either proceed one way or another with being fitted for one of these devices. I appreciate your help with this.

Hi, Robert,

Any of the devices that advance the mandible for airway enhancement do best if there are some solid teeth to anchor to. If your teeth are solid, then you are probably OK as is. These would be made to fit after you take out your partial dentures.


Just for your information, however, it is possible to treat someone who is completely without teeth – we would be looking for adequate bone to place a few implants in key location – that can provide adequate strength for this type of treatment.

The TAP appliance you mention is probably the mostly widely-used appliance for years. Our favorite at the time, however is the SOMNOMED device. You can look it up at this address:
http://www.somnomed.com/Home_USA.aspx

It is shaped differently, but patients like it better. It has been around for a long time also. Since there are over 30 different MAS appliances that have FDA approval for this treatment, there is really no need for you to worry about what brand is used – more important for you to understand the overall goal – to improve airway and oxygenation.
Let me know if we can help you further.

Chuck Campbell, DDS
Dale Brant, DDS
(713) 795-5905

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