Nasal PAP Fusion dotMAD™

• Patients for whom the Oral Appliance has not provided normal sleep physiology by follow up objective sleep study. 
• MAD patients that must sleep supine for orthopedic reasons and as a result have incomplete airway management 
• Adequate nasal airway function is usually necessary. Therapies may include medication, nasal lavage and topical therapy, orthotic dilators, surgical procedures, or other therapies. 
• PAP patients with intolerably high titrated pressure requirements 
• PAP patients who unconsciously remove strapped masks 
• Dentally supported interfaces are “pillow friendly”, generally allowing fewer leak arousals than conventional strapped interfaces. For many patients, this allowance for side sleep posture can also reduce the overall pressure delivered from AutoPAP flow generators. 
• Patients with unstable TMD - Use a conventional TMD appliance for PAP attachment 
• Patients who are not adaptable to MAD - Use Maxillary stabilization splint for attachment 
• Patients with unstable dental occlusion - Use Maxillary stabilization splint for attachment 
• Patients with defeating PAP side-effects, e.g. claustrophobia, skin sensitivities to mask materials, strap induced headaches, mouth leak when jaw drops, TMD and others. 
• Note that the fully adjustable interface positions the interface for total comfort.  

*Clinical and technical support available at Comfort Acrylics, Inc. Laboratory or Visit www.comfortacrylics.com  

*Contact Dr. Richard Moore, DDS, ABDSM at Comfort Acrylics, Inc., digital division Ph: 360-834-9218

*Patents and trademarks are pending at the USPTO and owned by dotMAD, LLC. All rights reserved.