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Dental sleep appliances

Panthera sleep appliances, ordered through Gergen’s

The Panthera D-SAD and Panthera X3 are thin, light mandibular advancement devices printed in medical-grade nylon, designed from a scan of your patient’s models or an intraoral scan. Send the case to our sleep lab and we handle the order, answer your questions, and stay on the phone with your office.

  • Panthera D-SAD printed nylon sleep appliance3D printed

    Panthera D-SAD

    • Material: Type 12 polyamide, a resistant, biocompatible nylon
    • Design: CAD design from a 3D scan of the model or an intraoral scan
    • Titration: Replaceable rods, changed by the dentist in 0.5 mm steps
    Learn more
  • Panthera X3 printed nylon sleep appliance on a grey model3D printed

    Panthera X3

    • Material: Printed medical-grade nylon (polyamide 12)
    • Design: Dorsal fin with a clip-on titration system
    • Metal: None
    Learn more

Classic or X3

Both are printed in the same nylon with no metal parts. The difference is the mechanism and how the appliance is retained. As Panthera describes them:

Panthera D-SAD (Classic)Panthera X3
DesignTwo thin splints joined by replaceable rodsA dorsal-fin appliance with a clip-on titration system
TitrationRods changed by the dentist in 0.5 mm stepsClips changed by the dentist, no tools required
MaterialMedical-grade nylon, type 12 polyamideMedical-grade nylon, type 12 polyamide
MetalNone. The rods are the same nylon as the splintsNone
RetentionAnchored on the strongest teeth, no incisor contact by defaultUndercut retention in place of ball clasps

Not sure which suits the case? Call the sleep lab before you take the bite.

How a Panthera case works

  1. 1

    You prescribe

    After the patient's physician has diagnosed, you choose the appliance and take the records.

  2. 2

    You send the records

    Scans of the upper and lower, or impressions, with a bite at the position you want.

  3. 3

    We handle the order

    The sleep lab checks the prescription, calls you if anything is unclear, and places the case.

  4. 4

    It is designed and printed

    Panthera designs each appliance in its own software from your scan and prints it in nylon.

  5. 5

    You seat and titrate

    You deliver the appliance and make the adjustments, with follow-up as you would with any oral appliance.

Before you prescribe

Important information

  • Indication. Panthera states that both appliances are FDA 510(k)-cleared, by prescription, to reduce or alleviate snoring and mild to moderate obstructive sleep apnea in adults.
  • Bite changes. As with any oral appliance, long-term wear can change the bite and tooth position. Panthera itself describes this as expected, so plan for follow-up.
  • Instructions for use. Review the current instructions, contraindications and warnings from Panthera before you prescribe, at pantheradental.com.
  • Scope. Diagnosis stays with the patient’s physician, and the appliance is prescribed and managed by the treating dentist. We build and support the case; we do not diagnose or treat patients.

Panthera, Panthera Classic, D-SAD, Panthera X3 and related names are marks of Panthera Dental. Product details on this page are taken from Panthera’s published materials; see Panthera’s instructions for use for the complete description, indications and warnings.