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Instructions for Use and Care of the TAP III Appliance

Care and Cleaning of the TAP Appliance
  Clean the appliance daily with a non-whitening, non-abrasive toothpaste.
  Once per week, soak the appliance in a commercial denture cleaner (Polident, Efferdent) or Retainer Brite for no more than 20 minutes, then rinse it. You may periodically use a dilute bleach solution (one part bleach to five parts water) for 10 minutes, then rinse the appliance thoroughly!
  When your appliance is not in your mouth, store it dry (not sitting in liquid) in the case provided. (This is especially important if you have a dog. Some people have had their appliances destroyed due to their dogs chewing on them!)

Insertion and Removal of the TAP Appliance
To insert your TAP appliance,
place the upper appliance on the teeth and seat it completely by pressing firmly on the right and left back portions of the appliance. Place the lower appliance on the teeth and seat it in the same manner as the upper. Move the lower jaw forward, to hook the upper portion into the lower one. Close together to be certain that the appliance is seated completely.

To remove your TAP appliance, place your fingers on the upper borders of the upper splint and press firmly downward, “rocking” the appliance from side to side until it releases from the teeth. Then, remove the lower splint by placing your thumbs on both sides of the appliance at the lower borders. Firmly push upwards on one side then the other to “rock” the lower appliance off the teeth. If the appliance is too rigid or retentive, we will need to adjust your appliance at your next office visit to achieve easier removal.

Adjusting the Screw Mechanism
Your TAP III Appliance has been custom-made for you and is designed to provide maximum effectiveness. The front assembly and screw mechanism allow you to advance the lower jaw position, which can increase effectiveness, or you may move your jaw position back in case of related jaw discomfort.

No adjustment of the screw mechanism should be made during the first week after your receive your appliance. It is important to allow your jaw and teeth to become comfortable with the appliance in place at night. Monitor your snoring, daytime sleepiness, and quality of sleep during the first week. If these symptoms are continuing, place the key in the front assembly and turn the key from your right cheek to your left cheek (in a counter-clockwise direction) two turns (which is 360 degrees), to move the lower jaw position forward. Monitor the symptoms for three days. If the symptoms persist, you will again adjust the screw mechanism two turns. This process of monitoring and adjusting the appliance continues every three days until the symptoms are well controlled.

Preventing Changes in the Bite
After you remove your appliance in the morning, it is common for your bite to feel different, because your jaw has been forward all night, and you will need to help it move back to its normal position. You may notice that your front teeth contact heavily and it is difficult to close your back teeth together. In order to prevent permanent changes from occurring in the bite, it is very important for you to do these simple exercises each morning:

Use of the Morning Re-Positioner
  You will be using the morning appliance for approximately 15 minutes. During this 15 minute period, you will place the appliance over your upper teeth, then close your teeth into the indentations in the appliance, hold them for approximately 2 seconds and then release. Repeat this four times per minute for this 15 minute period.
  During the first five minutes, close your teeth gently into the device. After that, you can close and more firmly into the device as time goes by.

After using the device for this 15 minute period, you should note that your bite returns to normal. Some patients report their bite feels almost normal after use of the morning appliance and needs a little chewing (breakfast) in order to get the bite completely back to normal. If the bite doesn’t return, please contact our office.

Care of the Morning Re-Positioner
  Clean the Morning Re-Positioner daily with a non-whitening (non-abrasive) toothpaste and cool water.
  Once per week, clean the device with a commercial denture cleaner in cool water.
  When your appliance is not in your mouth, store it dry in the case provided.

Do not place the Morning Re-Positioner in warm or hot water, or it will warp!!

If you have any jaw pain or lingering tooth discomfort, discontinue use of the TAP III appliance and contact our office.

IMPORTANT: It may be 4-8 weeks to determine the most effective jaw position for managing your apnea and/or snoring condition. We are hopeful that you will notice an immediate improvement in your symptoms. However, it is usually necessary to advance the jaw slowly over a period of time to improve the effectiveness of the appliance and maintain the comfort of your jaw and teeth.

 

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All Patients are Welcome!
Below are some of the communities in the New Orleans area proudly served by the dentists and staff at New Orleans Dental Center :

Eastbank:
New Orleans, Metairie, Kenner, Harahan, River Ridge, Chalmette, Arabi, Meraux and all the communities of Orleans, Jefferson and Saint Bernard Parishes.
Westbank:
Algiers, Avondale, Barataria, Belle Chasse, Boothville, Braithwaite, Bridge City, Buras, Crown Point, Devant, Empire, Gretna, Harvey, Jean Lafitte, Jesuit Bend, Lafitte, Marrero, Nairn, Pilottown, Point A La Hache, Port Sulphur, Terrytown, Waggaman, West Pointe A La Hache, Westwego and all the communities of Orleans and Jefferson Parishes.
River Parishes: Boutte, Des Allemands, Destrahan, Good Hope, Hahnvlle, Luling, New Sarpy, Paradis, St. Rose and all the communities of St. Charles, St. John and Ascension Parishes.

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New Orleans Dental Center
1901 Manhattan Blvd., Suite F-201
Harvey, LA 70058
Phone: (504) 347-6000 ~ Fax: (504) 367-6232


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