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In this chapter (6 of 9) I focus on improving your success rate. This chapter includes how to get the 'Bite' right, fitting and adjusting an MRD, titration protocols and your Duty of Care.

Chapter 6 Learning Objectives

• Learn how to register/record the ‘bite’ for MRD construction
• Understand that this initial protrusive position is a balance of acceptance, comfort and desire for ‘instant’ success
• Comprehend that the initial protrusion from centric is a physiological variable.
• Get a good idea of the many ways to record the protrusive position.
• Introduction and demonstration of the George Gauge.
• Introduction to the concept of ‘Duty of Care’ for sleep-trained dentists.

Chapter 6 Educational Outcomes

On completion of this Chapter you will be able to:

• Understand the importance of and how to get the ‘Bite’ (protrusive position) right.
• Get a good idea of what is required to fit and adjust MRDs. Appreciate that practice with a ‘tame’ patient is a wise idea!
• Comprehend that the Follow up & Titration protocol differ for benign snorers and those with obstructive sleep apnoea.
• Fully appreciate the ‘Duty of Care’ that sleep-trained dentists must identify when to refer for further investigation and to recognise when MRD users are no longer effectively treated.

The entire Academy has been peer-reviewed by Dr Shouresh Charkhandeh DDS.

Last updated March 2018. Next review March 2021.