Medley Elastomeric Sleep Appliance

Item Number
CMES
  • Exclusive Great Lakes Item

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To view prices, please create an account. The photograph shows our standard design. We can customize many of our appliances for your patient's specific needs. Please see our auxiliaries, color chart, and list of commonly requested additions for more information.

The Medley Elastomeric Sleep Appliance utilizes a mandibular “pulling” force.  The subtle stretching characteristic of the elastomeric (EMA) straps allows maximum comfort during advancement.

  • This option is ideal for a patient with tender temporomandibular joints or loose teeth. 


The Medley Elastomeric can also serve as a transition appliance prior to introducing a more rigid approach to jaw positioning. The Medley Elastomeric Straps can be simply and efficiently replaced (utilizing the same platform) with the Rigid Nylon Links to provide a more firm advancement. 

More Information
Medicare Accepted No
Indications Snoring/Mild to Moderate OSA
Contraindications Under 18 Years of Age
Removable Yes
Banded No
Bite Required Protrusive

Mail Traditional Models

Step 1 - Download Prescription

Medley Elastomeric Sleep Appliance Rx

Step 2 - Print a Shipping Label

Step 3 - Mail it in!


Upload Digital Models

Option 1

Select your scanner to view easy instructions on how to submit a digital model.

Great Lakes also supports DDX, and Planmeca. If you need assistance, please contact us.

Option 2

Upload your digital models to the Great Lakes Digital Portal. It's a simple and secure way that accepts STL files from any scanner. Click here for instructions.

Appliance Specific

Bite Registration

5mm minimal vertical incisal clearance and 60% mandibular protrusion recommended. The laboratory may need to open the bite depending on curve of Spee or in deep bite cases.

General Requirements

Impressions:

  • Accurate impressions with any type of impression material are acceptable
  • Impressions must adequately reflect all relevant anatomy
  • Impression material must not be separating from the impression tray
  • Consider pouring your models right away if your impressions are moisture, temperature, or time sensitive
  • Impressions sensitive to moisture content should be wrapped in a damp paper towel and placed in a sealed plastic bag if models are not poured immediately
  • Only metal impression trays and those with VPS impression material will be returned
  • The nature of impression materials currently on the market may contribute to common model problems encountered in the laboratory. Have you encountered porosity (bubbles, voids) or poor surface quality? Plaster or stone mixes are water based and they interact with impression surfaces in a water-like manner. Liquids placed on solid surfaces will be either attracted to, or repelled from that surface in varying degrees. Please be aware when selecting impression material if it is hydrophilic or hydrophobic.

Hydrophilic: is attracted to, or can be wetted by water.
Hydrophobic: is when liquid is repelled or fails to bond with liquids.
Vinyl poly siloxane (VPS) options can be hydrophilic or hydrophobic. Alginate is hydrophilic.

  • There are advantages and disadvantages to these impression options but there are products on the market to help reduce the disadvantages. Surfactants and debubblizer sprays can be used to lower surface tension between surfaces making the impression material more hydrophilic and assure a better impression result.
  • Great Lakes carries ACU-flow™ a VPS impression material which is hydrophilic and requires NO surfactant spray for surface tension reduction, eliminating bubble formation. Surfactants must be used properly and excess surfactant should not be allowed to pool in the cusp tips. This can cause loose, sandy-like cusp tips. Excess surfactant needs to be blown out leaving a wet look only before pouring. 

Learn how to take a reliable impression

Models:

  • Plaster or stone models are acceptable. Generally, the durability of stone is preferred.
  • Models should be reasonably trimmed, yet sufficiently thick for strength considerations.
  • No horseshoe-shaped models; Models should have a base of at least 7mm in the thinnest area.
  • Bases will be added as necessary (for an additional fee) to models without bases or those lacking adequate base thickness or strength.
  • Please indicate if your model must be duplicated as work models may get damaged during the appliance fabrication process.

Bite Records:

  • Please package bite registrations carefully.
  • Bite records must not be left between models for shipment to the lab.
  • Dedicated packaging should be considered for brittle materials such as Delar wax.
  • Please identify the nature and the intent of each bite record, if more than one is being supplied.
  • Please consider mounting the maxillary model, before sending it to the lab, for those cases requiring mounting. Sending items such as facebows, bite forks, and mounting jigs through the mail often results in unreliable mountings.

Articulators:

We use the following articulators and their accessories in our laboratory:

  • SAM® 1, SAM® 2, SAM® 3 
  • Denar®
  • Panadent
  • Whip Mix
  • Hanau™
  • Stratos 200
  • Artex®
  • Kavo

Wear Instructions


Care Instructions


Wear Times

Nighttime
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