FREQUENTLY ASKED QUESTIONS

ARE THE MOSES APPLIANCES CLEARED BY THE FDA?

Yes.  All Moses appliances are cleared for the treatment of snoring and sleep apnea.  They are for presciption use only.  Not for retail, over the counter.

HOW DO I ORDER OR PURCHASE THE DEVICES?

All the custom appliances are order through our manufacturing partner, Modern Dental Laboratory USA.   

The pre-fabricated devices can be ordered directly from this web site.  

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CAN I ORDER AN MOSES UPDATE ONLY?

Dental Clients must first order and seat a custom Moses appliance.  The Moses, Moses Elite or Moses Alpha all qualify.

After the inital device has been seated, you can order as many Moses Updates as needed. 

DO YOU ACCEPT DIGITAL IMPRESSION?

Yes.  MDL USA accepts almost all systems.  Including Carestream, iTero, 3 Shape Trios, 3M and Cerec.  

Modern also now offers the new Medit i500, if you don't currently have a digital scanner.  

WHAT TYPE OF IMPRESSION MATERIAL SHOULD I USE?

For accuracy and stability, we require Polyvinyl Siloxane (PVS). Please do not send models.

HOW DO I ADJUST THE MOSES OR MOSES ELITE?

The jaw relationship established by your bite registration will be the exact jaw position used in the fabrication of The Moses® appliance.  You cannot wind the screw back from the starting position, so be conservative when taking your protrusive bite registration.  You are able to titrate the device by activating the screw mechanism with the key provided (1 turn = 1/8th of a mm).  The screw has a 6 mm thread.

ON  THE MOSES OR MOSES ELITE, WHAT ARE THE SIDE SCREWS FOR?  IS A SPECIAL TOOL NEEDED?

The side screws are to be used by the doctor (or patient if instructed accordingly) for mandible advancement (titration) in order to establish the optimum position for patient efficacy.  A conservative starting point is an advantage and comfortable for the patient. Also, occasionally the midline may need unilateral advancement of the screw on the side where the patient is experiencing pain.  A small “key” is sent to you with each appliance.

MUST THE PATIENT WEAR THE MAXILLARY TRAY?

Yes, the patient must wear the flexible maxillary component in order to prevent tooth movement, increase stability, and help with alignment.  The mandible is being held in protrusive position and exerts pressure to retrude. If the upper component is not worn, teeth may move from both tongue and mandibular pressure.  The upper retainer splints all maxillary teeth and holds the mandible forward.

WILL THE LOWER ANTERIOR TEETH FLARE FORWARD AS THEY HAVE NO INCISAL ACRYLIC COVERAGE?

No, they will not. This is due to the design of the appliance and the bite registration protocol. It encourages good lip seal which will in turn prevent the lower anteriors from flaring forward, in addition to providing room for the tongue to sit in an anterior position and out of the airway.

WHAT IF THE PATIENT COMPLAINS THAT THEIR BITE FEELS "STRANGE" IN THE MORNING?

If it is difficult for your patient’s back teeth to touch after being awake for 1 hour, instruct them to chew a piece of sugarless gum until their back teeth touch. This usually takes only a few minutes.