Fitting and Adjusting a Mandibular Advancement Device (MAD)

The process of fitting and adjusting a MAD typically involves several steps:

1. Consultation and Evaluation:

The first step is a consultation with a qualified dentist or orthodontist. They will discuss your medical history, sleep habits, and symptoms of OSA. They will also perform a physical exam and may request additional tests, such as a sleep study, to confirm the diagnosis of OSA and determine the severity of your condition.

2. Taking Measurements:

Once it is confirmed that you are likely to benefit from using a MAD, the next step is to take impressions of your teeth. These impressions will be used to create a custom-made MAD that fits your mouth comfortably and effectively. Many dentists and orthodontists use a digital oral scanner rather than impression trays.

3. Device Fabrication:

The impressions are sent to a specialist dental lab, where your MAD will be fabricated. The MAD is typically made of durable plastic or acrylic and is designed to fit snugly over your upper and lower teeth. Different appliances use different materials

4. Initial Fitting and Adjustment:

When your MAD is ready, you will return to your dentist or orthodontist for the initial fitting. They will check the fit of the device and make any necessary adjustments to ensure comfort and proper function. They will also instruct you on how to insert and remove the device, clean it, and wear it at night.

5. Follow-up Appointments:

After the initial fitting, you will need to schedule follow-up appointments to monitor your progress and make further adjustments to the MAD as needed. The frequency of these appointments will vary depending on your individual needs.

6. Long-Term Care:

Once you have been using the MAD for a while, you may need to have it checked and adjusted. It is important to follow the instructions of your dentist or orthodontist and to attend all follow-up appointments to ensure the continued effectiveness of the MAD.

Additional Considerations:

The fitting and adjustment process may take several weeks to complete.

It may take some time to get used to wearing the MAD, and you may experience some mild side effects, such as jaw discomfort or excessive salivation. These side effects usually subside within a few weeks.

It is important to be compliant with MAD therapy and to wear the device as prescribed.

If you have any concerns or problems with the MAD, you should contact your dentist or orthodontist for advice.

Note: This information is for general knowledge and does not substitute for medical advice. Please consult a dentist, orthodontist, or other healthcare professional for any health concerns or before making any decisions related to your health or treatment.