Alpha Update

The Update Protocol

Determine new

position

Demonstrate your clinical skills

The real clinical work for treating OSA with OAT is in the bite - where to position the mandible in relation to the maxilla. Everything else is just taking impressions.

Based on the predominant finding of intercondylar asymmetry,
simply advancing the appliance along a pre-determined plane seems inadequate.

Many tools and techniques are available for DSM clinician.

Moses Bite Shims with Manual muscle testing
Pharyngometer
Testing with Moses Express temp device and a recording oximeter or mini HST.

Register new bite

Analog or Digital Bite registration

Once you believe you have the new position identified, then quickly record the bite.

We recommend Moses bite shims, to insure that lip seal is attained. Remember that mid line will probably shift when protruded. Accept the natural midline for best results.

Analog bite registration is great, but you can also scan and produce a digital bite.

Order new Alpha Update

Keep the original for back-up

Make sure you provide new upper impression and new bite with the retainer in place. Include with the lower arch impression.

Modern Dental will hand build a new custom lower component, which we call the Alpha Update.

The patient gets to keep the original as a back-up and gets a new fresh appliance. Nice touch Doc.