Dental Sleep Medicine
is a focus of dentistry where dentists and physicians work together to help patients with sleep disordered breathing. This is accomplished by using oral appliances that are designed and approved for treatment of sleep disordered breathing. Primarily these oral appliances reposition the mandible slightly down and forward to help open the airway.
Establishing the ideal mandibular position for each patient is essential for the success of the oral appliance as an effective treatment method. With the best position established an accurate, reproducible bite registration is maintained for the lab to reproduce a precise construction of the chosen appliance.
is an area of orthodontics that focuses on properly developing maxillary and mandibular arches, proper alignment of the mandible in relationship to the maxilla and alignment of teeth. The alignment of all three components is essential to success. An accurate, reproducible bite registration is crucial to accomplishing this. The Andra Gauge™ is the best vehicle to deliver this bite registration; it will easily lock in place the desired anterior-posterior, vertical and sagittal positions.
TMD refers to temporomandibular joint disorder. This is a common disorder that occurs when there is dysfunction in the temporomandibular joint, muscles of mastication and associated muscles or a person's bite. TMD presents itself with a myriad of symptoms from headaches, earaches, and facial pain to clicking, popping or locking of the temporomandibular joint. Dentists who treat TMD work to achieve proper function in a person's TMJ, muscles and bite. The Andra Gauge™ is a useful vehicle to assist these dentists in capturing the best bite registration of the mandible in relationship to the maxilla that would aid in the treatment of this disorder.
Is a focus of dentistry that establishes a precise bite relationship for a patient creating proper muscle function and a healthy functioning temporomandibular joint. This is achieved through the use of various diagnostic tools. The dentist who provides neuromuscular dentistry would benefit from the use of the Andra Gauge™ by being able to accurately capture a reproducible bite registration that replicates the best bite found to create the harmony between: how the teeth come together, proper muscle function and healthy joint function.
In dentistry occlusion refers to how the teeth come together when the mouth is closed. Any area of dentistry that establishes occlusion would benefit from using a bite registration gauge that helps translate the desired position of where the teeth should come together. The Andra Gauge™ provides this help; with stability, accuracy, and reproducibility, allowing the dentist to dial in and lock in place an anterior-posterior, vertical and sagittal position of the mandible in relationship to the maxilla. The Andra Gauge™ allows for a bite registration that translates the desired position the occlusion should embody.
Athletic Performance Mouthguards
Dentistry has expanded to provide measurable benefits to Athletes. Aside from protecting teeth and preventing concussions, dentistry now has the technology and science behind it to provide athletes with performance enhancing mouthguards. This improves athletic performance through neuromuscular alignment of the mandible in relationship to the maxilla. The Andra Gauge™ assists in the ability to obtain and replicate the best bite registration. This position can now be reproduced in the lab to ensure accuracy for the performance mouthguard.
Obtain the BEST Bite Registration
The Andra Gauge™ is a disposable bite registration device that allows the practitioner to easily control a patient's mandibular position in a relationship to the maxilla to accurately obtain the best bite registration. Any focus area of dentistry that obtains a bite registration relationship between the mandible and maxilla will benefit from the use of the Andra Gauge™.
The Andra Gauge™ is the only bite registration device that can hold the position of the mandible in relation to the maxilla in 3 dimensions. The ability to dial in and lock in place the anterior-posterior and vertical positions while providing a precise positioning of the sagittal movement makes it the ideal vehicle for capturing the best bite registration that is precise, accurate and reproducible.
Obtaining the best bite registration the first time is now simple, accurate and reproducible with the Andra Gauge™
3 Axies Of Movement
Many of the dental gauges on the market either work only in protrusion or the use of plastic shims or other such mechanical features are being used in the best attempt to hold a patient’s mandible position. In some instances capturing techniques require the patient to hold a fixed position while the bite reregistration material is injected into the patients mouth. When millimeters really mater these techniques do not offer meaning ful metrics.
The anterior/posterior (A/P) movement of the Andra Gauge is 7 millimeters anterior and 5 mm posterior from zero occlusion (definedas edge-to-edge). The Andra Gauge offers the ability to move in any increment and hold that position into place and is not set by predetermined locations.
Protrusion of the mandible has been the current practice for fitting oral appliances or orthodontics for at least a generation. The 75% protrusion rule is used quite often as indicated by 1 Walker-Engstrom (M-L et. al, 2003) and others as a means to set the mandible for OAT. When a protrusion takes place, the mandible naturally wants to drop creating a vertical opening. This vertical opening seems to get ignored in most applications.
The vertical movement of the Andra GaugeTM is 2mm minimal with an additional 7mm of opening. This of course is recording the vertical opening but represents the angular rotation of the temporal mandible joints. Studies have shown that the vertical as well as the A/P are significant in tuning an oral appliance to treat sleep apnea.
1Kyung, et al, 2004, stated in their conclusions that airway enlargement in the lateral dimension(this is vertical using their cepholometric coordinates) may play a role in the mechanism of the oral appliance in reducing Obstructive Sleep Apnea (OSA). This study was limited to only 2 set vertical positions.
The Andra Gauge places the control in the doctor and allows the patent to communicate where a comfortable setting is. The doctor can then lock that position in to place and this relationships creates a reproducible setting.
Centric Occlusion Positioning
he sagittal adjustment of the Andra Gauge is 3 mm’s, right and left of center. We have found that dentists prefer to begin with this adjustment as a starting point in positioning a patient’s mandible. We have also found that this is emphasized very much by many of the dental labs we have worked with to help reduce error in the bite registration procedure. The human body is more asymmetric as one looks at a patient at a macroscopic and smaller scale. Setting of the centric occlusion prior to setting other mandible metrics is performed with ease and critical to obtaining the best of bite registrations.
This additional metric allows for a comfortable Oral Appliance that is positioned to the patient’s anatomical bite.