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Dental sleep appliances

TAP 3 and DreamTAP

Two TAP appliances, both titrated at one point at the front with a key the patient can turn at home. The TAP 3’s hook and socket sit lingually, which helps the lips close; the DreamTAP sets its hardware on the outside of the trays for more tongue room and a 15 mm range. We build both in Phoenix from scans or impressions and a construction bite.

The two TAP appliances

  • TAP 3 with clear trays on white models, side view of the hook and socket at the front

    TAP 3

    • Construction: Two custom trays, hook on the upper and socket on the lower
    • Adjustment: One central point, turned with a key by the patient or the dentist
    • Range: 7 mm on one hook
    Learn more
  • DreamTAP clear trays with the adjustment hardware on the outside at the front

    DreamTAP

    • Construction: Two custom trays, hardware on the outside
    • Adjustment: Key, 0.25 mm per 180-degree turn, by the patient or the dentist
    • Range: 15 mm across three hook sizes
    Learn more

Hook and socket at the front, one central adjustment.

TAP 3

The TAP 3 is two custom trays joined at the front. A hook on the upper tray seats in a socket on the lower tray, and that connection holds the mandible forward. The joint works as a fixed hinge, so the trays stay connected while the patient sleeps.

Advancement is set at a single point on the midline with an adjustment key. With one central adjustment there is no left and right to set separately: both sides advance together, which avoids the irregular bite that uneven adjustment can leave.

The patient, or you, turns the key with the appliance in the mouth, following the titration you prescribe. One hook gives 7 mm of advancement. The stainless steel parts sit lingually, which helps the lips close over the appliance, and the design leaves room for the tongue.

TAP 3 prescription options
Construction
Two trays, hook on the upper and socket on the lower
Adjustment
One central point, turned with a key
Range
7 mm on one hook
Hardware
Stainless steel, set lingually

Hardware on the outside of the trays, 15 mm of range.

DreamTAP

On the DreamTAP the advancement hardware is set facially, on the outside of the trays at the front. With the parts outside, the tongue has more room than on the TAP 3.

Three hook sizes cover 15 mm of advancement, against 7 mm on the TAP 3.

Each 180-degree turn of the adjustment key moves the mandible 0.25 mm. Because every step is the same, the patient can count turns to set the position precisely, so the treatment position can be held and still changed as symptoms change. The hardware is chromium-cobalt and stainless steel.

DreamTAP prescription options
Construction
Two trays, hardware on the outside
Adjustment
Key, 0.25 mm per 180-degree turn
Range
15 mm across three hook sizes
Hardware
Chromium-cobalt and stainless steel, set facially

TAP 3 or DreamTAP

Both are adjusted at the front with a key. The main differences are where the hardware sits and how far it can take the mandible.

TAP 3 and DreamTAP compared
FeatureTAP 3DreamTAP
Where the hardware sitsAt the front, set linguallyAt the front, on the outside of the trays
Advancement range7 mm on one hook15 mm across three hook sizes
AdjustmentKey at one central pointKey at one central point
Who adjustsPatient or dentistPatient or dentist
MetalStainless steelChromium-cobalt and stainless steel
Trays we buildHard acrylic, or hard with a soft linerHard acrylic, or hard with a soft liner

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

Sending a TAP case

What we need from you

Diagnosis stays with the patient’s physician; you prescribe the appliance and direct titration. As with any mandibular advancement device, long-term wear can change the bite, so plan for follow-up.

Scans or impressions
Upper and lower. Either is fine.
Construction bite
Taken at the starting advancement and vertical opening you want the appliance built to.
On the prescription
TAP 3 or DreamTAP, hard acrylic or soft liner, and the starting advancement and titration range.

TAP, TAP 3 and DreamTAP are trademarks of Airway Management. All trademarks are the property of their respective owners.