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ANTI-SNORING
DENTAL'D'


Silensor Anti-Snoring Device

 
  1. The Problem
  2. How does the SILENSOR help?
  3. Suitability of the SILENSOR
  4. YOU CAN DOWNLOAD A .pdf FLYER and QUESTIONNAIRE HERE.

 

 

The Problem

  Snoring is a severe problem because
 
  • many people suffer from snoring (studies have shown, that app. 40% of the population in industrialized countries do snore, with males aged over 60 years it is even 60% (1))
  • snorers do have a poor sleep
  • partners of snorers are disturbed in their sleep because of the noise
  • snorers are often tired and un-concentrated during the day, what can lead to accidents
  • snoring promotes heart and blood circulation problems
  • snoring can be the major symptom for the obstructive sleep apnea (see note below re:Respirtory arrest)
   
  When your throat muscles relax in sleep, and the muscle tone in the neck and pharynx decreases, so they are less effective in holding your breathing passages open. The soft sides of the airway tend to close (pharyngeal space) in, and the air has to move faster through a smaller space. This causes vibrations of the soft tissues which generate the noise of snoring as a higher volume of air must be inspired at a higher velocity and noisy vibration (snoring) of soft tissues, such as the velum palatinum (soft palate).

   
  Respiratory arrest during sleep (sleep apnea): Sleep apnea is, at a certain level of severity, a serious disease that may cause not only sleepiness during the day but also serious vascular diseases.
This form of respiratory arrest lasts at least 10 seconds, before the patient resumes breathing in an explosionlike and noise-generating event.
Obstructive sleep apnea (OSA) is defined as a respiratory arrest caused by restriction of the airways. Hypopnea is a reduction in respiratory volumes during sleep. Wearing a Silensor anti snoring device may not have any effect on this condition.
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How does the SILENSOR help?

 
Silensor
   
 

The SILENSOR makes sure, that night is quiet and sleep is refreshing.

 
  • The SILENSOR widens the respiratory tract by anteriorization (moving forward) of the lower jaw. The velocity of the inspired air decreases.
  • Noise-generating vibrations of soft tissue (snoring) is decreased or prevented completely by the SILENSOR.
  • SILENSOR is a custom-made device for your patient.
  • The SILENSOR is a comfortable device due to its filigree design.
  • Movement of the lower jaw still is possible with the SILENSOR.
  • The SILENSOR does not inhibit breathing through the mouth.
  • With the SILENSOR no further (appartus-) noise emerges (as with other devices).
  • With the SILENSOR there is no need for operation/surgery.
   
  The SILENSOR consists of two transparent splints, one each for the upper and the lower jaw. The lower jaw is held in a predetermined position by 2 connectors that are fixed laterally to the splint causing the pharyngeal space to open up.
   
  Clinical tests have shown that the anteriorization of the lower jaw reduces snoring at 90% and may reduce the apnea index at up to 50% (2) (3) (4) (5).
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Suitability of the SILENSOR

  The SILENSOR can be expected to be very successful since in almost all cases the noise involved in snoring is caused by constriction of the airways.
Similarly, when breathing through the nose is difficult or blocked, e.g. by polyps, the use of the SILENSOR is in no way precluded.
Because of its compact design the device does not inhibit breathing through the mouth.
  Major obesity and/or major alcohol intake impair the efficacy of the device.
The SILENSOR cannot be used with edentulous patients and should only be fixed to a partial denture which has adequate retention. It is up to the dentist to assess whether or not residual teeth provide enough retention.
   
 

Literature:

 
  • (1) Yuong T, Palta M et al, The occurrence of sleep disordered breathing among middle-aged adults. New England Journal Of Medicine 328 (17): pp.1230-5, 1993
  • (2) American Sleep Disorders Association. The International Classification of Sleep Disorders. Rochester, MN, 1990
  • (3) Schmidt-Nowara W, Lowe A et al, Oral Appliances for treatment of snoring and obstructive sleep apnea: a review. Sleep 18(6): pp. 501-10, 1995
  • (4) Lowe A, Dental appliances for the treatment of snoring and obstructive sleep apnea. In: Kyger M, Roth T and Dement W, eds, Principles and Practice of Sleep Medicine, 2nd ed. WB Saunders Co, pp. 722-35, 1994
  • (5) Clark GT, Arand D et al, The effect of anterior mandibular positioning on obstructive sleep apnea. American Review Respiratory Distress 147: pp. 624-9, 199
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To contact the Laboratory, by internet, send mail to
cdl@cotswolddentallab.co.uk

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© Martyn R Young
Cotswold Dental Laboratory Ltd
Last Updated:

1998 Cotswold Dental Laboratory Ltd