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FAQ

Doctor's Frequently Asked Questions

How do I get a Snore Guard?
How is it fit? Do I need to take impressions and send it off to you?
How far forward do I protrude the mandible?
How does fitting Snore Guard in centric have any effect on snoring?
How effective is Snore Guard?
Does Snore Guard work for Sleep Apnea?
Can Snore Guard be adjusted?
Will Snore Guard cause Temporomandibular Joint Dysfunction (TMJD)?
What about Super Eruption of the posteriors?
Can patients with TMJ Dysfunction or Dentures wear Snore Guard?
Will Snore Guard work for Bruxism?
What if I misfit Snore Guard?
Is Snore Guard one-size-fits-all?
What is the life span?
How does the patient care for Snore  Guard?
Is there a guarantee?
Does insurance cover Snore Guard? Insurance Codes?

Fitting Instructions with image captures from our instructional video. (Free instructional video supplied with starter kit).



How do I get a Snore Guard?

You may order directly from us at 1 (800) 680-9361.

 

How is it fit? Do I need to take impressions and send it off to you?

Snore Guard is easily fit at chair side in 10-15 minutes. No outside lab work!
You boil it for 2-3 minutes.
Let it cool for 30 seconds.
Fit Snore Guard directly to patient's upper teeth.
Guide the mandible into the lower portion, then trim. 

Click here for instructions with images captured from our instructional video. A download is also available in PDF format.

 

How far forward do I protrude the mandible?

You can safely protrude the mandible 4mm if necessary.
In most cases, you can fit in centric occlusion. However, generally in Class II patients you will need to fit edge to edge.

 

How does fitting Snore Guard in centric have any effect on snoring?

While you are upright, your airway passage is open.  It is not until you recline that the lower jaw relaxes, allowing the muscles around the soft palate, uvula and tonsils to relax.  The tongue falls back often obstructing the airway and these relaxed muscles vibrate due to the increased force of air now necessary to breathe to get through the obstructed airway.  By keeping the jaw in the same position it is in during waking periods, you keep the airway open.  Therefore, it is not necessary to protrude the mandible, except in rare cases when the patient's lower teeth will not fit in the lower tray without hitting the hard plastic or with sleep apnea patients.  Generally, in these incidences moving the mandible edge to edge is sufficient.

 

How effective is Snore Guard?

Snore Guard has been proven to be over 95% effective in the treatment of snoring.  This is according to published research documentation.

 

Does Snore Guard work for Sleep Apnea?

Numerous published reports indicate oral appliances are an effective alternative for treating sleep apnea.  One study, published May 1996 specifically compares Snore Guard to the nCPAP (nasal Continuous Positive Airway Pressure).  The study found the Snore Guard to have a 48% success rate for mild to moderate sleep apnea.  (Very successful for a single position appliance...as noted by one of the authors.)  This same study reported 6 of 7 patients prefer Snore Guard to nCPAP.

 

Can Snore Guard be adjusted?

Today's buzzword  in the Industry of snoring and sleep apnea treatment is adjustable.  Just how necessary and safe is an adjustable oral appliance?

Snore Guard's present design accommodates 80% of those patients requiring treatment.  For the remaining 20%, a custom design appliance is better suited for their needs.

The predominant features and benefits of Snore Guard vs. other oral appliances that are made at chair side are as follows:

  1. Snore Guard is already designed to be slightly adjustable.

  2. It can be re-heated up to three times and the mandible can be safely moved forward up to 4mm.

  3. Snore Guard has been on the market  since 1989 with numerous test studies and reports proving its efficacy and safety.

  4. Snore Guard  has years of medical and dental research behind its development.

  5. Snore Guard is small and comfortable.  The less someone has to put in their mouth, the more likely they are to comply.

An appliance that would move the mandible more than 4mm forward should be custom-made through a laboratory and not a chair side procedure.  This patient would need to be closely monitored to assure the snoring was controlled without causing adverse harm to the TMJ.

 

Will Snore Guard cause Temporomandibular Joint Dysfunction (TMJD)?

Snore Guard is fit in centric so as not to put undo strain on TMJ.  Even if fit protrusive, the mouth is open and forward similar to appliances used to correct TMJD.  Snore Guard has been on the market since 1989 with no reported TMJ discomfort.

 

What about Super Eruption of the posteriors?

Super eruption is caused when the back teeth are kept from touching each other over long periods of time.  The Snore Guard is only used during sleep and therefore the teeth are together during long wake periods.  Since most people who snore sleep with their mouths open and do not encounter eruption, there is no indication that Snore Guard will cause super eruption.  There have been no reports of super eruption since Snore Guard's inception in 1989.

 

Can patients with TMJ Dysfunction or Dentures wear Snore Guard?

Snore Guard is not recommended for denture wearers, since they have nothing which the Snore Guard  can adhere unless they choose to keep their dentures in all night.  Treatment for the TMJ patient needs to be evaluated individually.  When fit correctly, there is no indication that the Snore Guard causes TMJ discomfort.  The mouth is kept open 7mm and in most cases is in centric, therefore no additional strain is placed on the TMJ.

 

Will Snore Guard work for Bruxism?

Many dentists report using Snore Guard as a dual appliance for snoring and bruxism.  However, the Snore Guard was specifically designed for snoring and has no specific data backing these claims. 

Bite Guard is our new product that is specifically designed for bruxism.

 

What if I misfit Snore Guard?

Each Snore Guard can be re-heated and re-fit up to three times.

 

Is Snore Guard one-size-fits-all?

85% of patients should easily be fitted with Snore Guard.  Occasionally, a patient's arch is too large or too small to be accommodated by the upper tray.  Minor adjustments may be made with an acrylic burr.

Patients with overbites, crooked, missing, or loose teeth are not candidates for Snore Guard.  (Patient must have at least 10 good teeth to wear Snore Guard.)

 

What is the life span?

On average, Snore Guard lasts a year.  Many patients have reported Snore Guard lasting 3 - 5 years.

 

How does the patient care for Snore  Guard?

Care is simple.  A toothbrush and toothpaste are all that is needed.  Upon removal, the Snore Guard should be brushed, rinsed in cool water, and stored in the container provided.  We do not recommend soaking in mouthwash since it  can leach into the soft plastic and cause gum irritation.

 

Is there a guarantee?

Unfortunately, there is no panacea for snoring.  However, Snore Guard has been proven to be 95% effective for the treatment of snoring.

 

Does insurance cover Snore Guard?

Most insurance companies currently do not recognize snoring as a health problem.  Often, insurance companies do cover oral appliances and sleep apnea treatment.  

If you believe your patient is suffering from Obstructive Sleep Apnea (OSA), they should be referred to a medical physician and/or sleep clinic.  If a sleep clinic or medical physician refers a patient with OSA to you, obtain a written referral to treat this patient and submit the referral along with the claim to the insurance company.  Please contact the patient's individual insurance company to obtain  accurate filing information.

Listed below are some insurance codes that other dentists have submitted.

Dental
5999   Maxifacial Prosthesis
8210   Harmful Habit Appliance
9940   Occlusal Appliance for Bruxism

Medical
CPT21085   Complete Oral Appliance Therapy

Healthcare Common Procedure Coding System
HCPCS code: 
S8260 Oral orthotic for treatment

The following excerpt is from THE ACADEMY OF DENTAL SLEEP MEDICINE, NEWS UPDATE, DECEMBER 2002

FDA Final Rule on Classification of Intraoral Devices

The Food and Drug Administration has announced its final rule that changes the classification of intraoral devices for the treatment of snoring and obstructive sleep apnea to Class II (special controls). This rule is effective December 12, 2002.

Formerly, these appliances remained unclassified as medical devices by the FDA. According to Dr. Susan Runner, of the Center for Devices and Radiological Health, the regulation will help increase the legitimacy of oral appliance therapy for the treatment of sleep disordered breathing. This may also add to the recognition of oral appliances by insurance providers, thus increasing the possibility for reimbursement to practitioners performing these procedures.

Class II refers to medical devices requiring special controls in order to ensure public health and safety, such as intraoral soreness, TMD, obstruction of oral breathing, loosening or flaring of lower teeth, general tooth movement, and others defined by a FDA Guidance Document. Mandating these considerations will add medical validity to the use of these appliances and significantly reduce the number of unmitigated devices.

Dental laboratories expressed concern over the Guidance Document, however labs currently conform to these rules. This ruling will not alter their regulatory requirements. Dr. Harold A. Smith, President of the Academy of Dental Sleep Medicine, states, "The FDA classification of oral devices is a forward step in the future of oral appliance therapy, but more importantly, will ensure the effective treatment and overall health of patients."

For more information regarding the FDA regulation on medical devices, a copy of the FDA Guidance Document, or a list of devices currently cleared by the FDA, please visit the Academy of Dental Sleep Medicine's Web site: www.dentalsleepmed.org.

 


Dental Terms

Maxillary arch Upper teeth
Mandible Lower jaw
Midline Center of upper teeth (between teeth #8 and #9
Anterior Front
Posterior Back
Labial Pertaining to the lips
Glossia Tongue
Freeway space Opening between upper and lower front teeth
Centric Occlusion Normal closure of teeth
Centric Relation Mandible is back farther than normal bite
Protrusive Moving the mandible forward
Super Eruption Teeth grow longer than they are intended
TMJD Temporomandibular Joint Dysfunction.  The TMJ is the joint that connects your jaw bones.  TMJD is any irritation or stress placed on this joint.
Obstructive Sleep Apnea (OSA) Interrupted breathing.  Person actually stops breathing for several seconds at a time.

Add the treatment of snoring with Snore Guard® part of your practice. Contact us today! 

Snore Guard®
5038 Salida Blvd PO Box 939
Salida CA 95368

Toll Free (800) 680-9361

Ph (209) 545-2616 Fax (209) 545-3533  
  info@snoreguard.com   


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