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Mastering Mandibular Advancement Device (MAD) Appliance Design: Mitigating Side Effects in Dental Sleep Medicine

Dr. Jonathan Ford

Join Dr. Jonathan Ford, a diplomate of the American Board of Dental Sleep Medicine, in this insightful webinar focused on mitigating the potential side effects of Mandibular Advancement Devices (MADs). If you are treating Obstructive Sleep Apnea (OSA) with oral appliance therapy, this presentation is essential for understanding the biomechanics behind successful, comfortable patient outcomes.

Dr. Ford explores the physics of appliance design, challenging the traditional “splint everything” mindset by explaining how force vectors impact tooth movement, overjet, and overbite. By analyzing different appliance categories, including midline push/pull, bilateral push, bilateral interlocking (dorsal), and bilateral pull. This video breaks down how specific connection points distribute forces across the dental arches. Discover why shifting forces onto stronger teeth (like canines and mandibular molars) rather than weaker incisors can help prevent unwanted occlusal changes and posterior open bites.


The webinar includes a deep dive into the Panthera Classic (D-SAD) and X3 appliances. Dr. Ford explains how adopting a fully digital workflow, using intraoral scanners rather than traditional analog impressions, which virtually eliminates mounting discrepancies and reduces appliance remakes. The presentation also covers:

  • The BioMatch Philosophy: Learn how Panthera’s customized design algorithm relieves pressure on fragile teeth and intentionally avoids wedging materials into interproximal spaces to prevent open contacts.

  • Advanced Nylon Materials: Explore the benefits of 3D-printed, laser-sintered nylon. This material allows appliances to be exceptionally strong while maintaining a thin, 1-2mm profile that maximizes oral volume for the tongue.

  • A Paradigm Shift in Overjet Management: Discover why bilateral pull devices (like the Panthera Classic) may actually increase overjet by labializing maxillary anterior teeth, which is a much more favorable clinical scenario than the decreased overjet and anterior collisions often caused by push devices.

Watch the full webinar to learn how prioritizing the right appliance design can minimize follow-up problem appointments, improve patient compliance, and make your dental sleep practice more profitable and predictable.


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How-toSleep

How to change the Panthera Classic rods

In this short instructional video, Panthera Sleep walks you through the correct way to adjust the titration of your Panthera Classic oral appliance. This tutorial covers each step of the rod replacement process in detail.


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