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Superior Quality & Best Solutions

Medical Doctors

For years, the oral appliance industry has operated like a "home craft" sector, with laboratories across the country manufacturing their own custom-made devices.

However, obstructive sleep apnea (OSA) is a serious medical condition, and only the prescription of high-quality devices ensures that patients receive treatment with a clinically proven, effective solution.

Learn more

Medical Doctors

However, obstructive sleep apnea (OSA) is a serious medical condition, and only the prescription of high-quality devices ensures that patients receive treatment with a clinically proven, effective solution.

Learn more
35. COAT4 – kopija

Continuous Open Airway Therapy (COAT)

What is COAT Therapy?

COAT (Continuous Open Airway Therapy) refers to therapeutic methods designed to keep the airway open continuously during sleep. This therapy includes devices like SomnoMed Avant, an advanced intraoral appliance that helps patients with obstructive sleep apnea (OSA).

How Does COAT Work?

COAT therapy uses oral appliances that gently move the lower jaw forward, preventing airway collapse and ensuring uninterrupted airflow. It is an effective alternative for patients with mild to moderate OSA who cannot tolerate CPAP therapy.

Learn more

Normal Airway

Hypopnea

Obstructive Apnea

SomnoDent® - globalni lider u individualnim oralnim uređajima

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  • Zasnovano na dokazima - više od 15 kliničkih istraživanja potvrdilo je učinkovitost ovoga tretmana.
  • Comfort - SomnoDent uređaji izrađeni su od vrhunskih materijala i poznati su po izvrsnom prianjanju izrađenom po mjeri svakog pacijenta.
  • Odobrenje FDA - procijenjeni i odobreni medicinski uređaji od strane Američke agencije za hranu i lijekove (FDA); proizvedeno po ISO standardima.
  • Tehnološki napredni materijali - pridonose udobnosti i funkcionalnosti proizvoda.
  • Prilagođen - svaki uređaj je posebno prilagođen pacijentu i postavlja ga doktor dentalne medicine.

Comfort for Patients

88% of patients confirm they regularly wear their SomnoDent device. Patients can speak freely and open/close their mouths while wearing the device, improving comfort and treatment compliance.

Supporting Sleep Medicine Professionals

  • Connecting sleep medicine doctors with trusted dental professionals for long-term collaboration.
  • Addressing misconceptions about oral appliance therapy.
  • Promoting and conducting clinical research on oral appliances.
  • Establishing oral appliances as a first-line therapy for mild to moderate OSA, and for patients who refuse or discontinue CPAP.
  • Collaboration between medical and dental professionals helps provide better treatment solutions for patients with OSA.

CPAP or Oral Appliances – What Does the Research Say?

For patients with mild OSA, published clinical literature clearly supports made-to-measure oral appliances as a viable treatment option.

Reference:
Phillips CL, Grunstein RR, Darendeliler MA, Mihailidou AS, Srinivasan VK, Yee BJ, Marks GB, Cistulli PA. Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea: a randomized controlled trial. Am J Respir Crit Care Med. 2013 Apr 15;187(8):879-87

Custom vs. Prefabricated Oral Appliances

  • A systematic review of three studies involving 129 patients, published in 2018, examined the differences between custom-made oral appliances and refabricated "Boil and Bite" devices.
  • Made-to-measure oral appliances achieved a significantly greater reduction in AHI compared to prefabricated devices (-3.52 events per hour).
  • Prefabricated devices had a significantly poorer treatment response (defined as partial or complete response).
  • Post-trial daytime sleepiness was higher with prefabricated devices, as measured by the Epworth Sleepiness Scale (ESS).
  • Patient preference was significantly in favor of custom-made devices.
  • Treatment adherence was higher for custom-made devices.
View Study

“Custom-made oral appliances offer clear advantages, demonstrating significant clinical efficacy, patient preference, and better treatment adherence.”

Find Certified SomnoMed® Partners

SomnoMed® near you

Use our interactive map to find the nearest and best dental clinics with SomnoMed® certification.

Trg Johna Fitzgeralda Kennedyja 6B, Zagreb

Riva 16/ V, Rijeka

Liechtensteinov put 3, Dubrovnik

Šamačka 1, 31000 Osijek

Ul. Stjepana Radića 10, 48350, Đurđevac

Radnička cesta 21, 10000, Zagreb

Ljubljanska cesta 6, 51000, Rijeka

FAQ

COAT (Continuous Open Airway Therapy) is a treatment that uses oral appliances to move the lower jaw forward, reducing upper airway collapse and improving airflow. This therapy is an effective alternative to CPAP for patients with mild to moderate obstructive sleep apnea (OSA) and can significantly enhance sleep quality and overall health.

SomnoDent devices are made from advanced materials, providing exceptional comfort and adaptability for each patient. They are FDA-approved and manufactured to ISO standards. They are backed by over 15 clinical studies, confirming their effectiveness in treating obstructive sleep apnea.

Each SomnoDent device is custom-made using precise dental impressions or digital scans. This ensures a perfect fit and maximum comfort, allowing patients to speak freely and open/close their mouths while wearing the device.

Custom oral appliances have been proven to be significantly more effective in reducing the Apnea-Hypopnea Index (AHI) compared to prefabricated devices. Patients prefer custom-made devices due to greater comfort and better treatment outcomes. Therapy adherence is higher with custom appliances, contributing to their overall effectiveness.

COAT is particularly suitable for patients with mild to moderate OSA or those who cannot tolerate CPAP therapy. A qualified dental professional can assess whether this therapy is the right fit for each patient. Additionally, advanced technologies such as remotely controlled mandibular positioning devices can help identify patients who are most likely to respond well to this treatment.

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