SCHEU TAP Installation and operation manual

TAP®-Booklet
SCHEU-DENTAL GmbH
www.scheu-dental.com
Am Burgberg 20
58642 Iserlohn · Germany
Dental Sleep Medicine
SCHEU
GROUP

DE/GB 3.000/09/20 G 0170.01

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Content:
Introduction ..............................................................................................................4-7
Description TAP®...................................................................................................... 8-9
Instruction Manual TAP®....................................................................................... 10-11
Description TAP®-T / TAP®-T Reverse ................................................................... 12-13
Instruction Manual TAP®-T / TAP®-T Reverse......................................................... 14-15
Protrusion Adjustment TAP®-T / TAP®-T Reverse / dreamTAPTM ............................... 16-17
Description dreamTAPTM ....................................................................................... 18-19
Instruction Manual dreamTAPTM ............................................................................ 20-21
Occlusion trainer / AM Aligner .............................................................................. 22-23
Care Instructions ...................................................................................................... 24
Side Effects ............................................................................................................. 25
Contraindication ....................................................................................................... 26

Introduction
Dear patient,
we are glad that you received your new
TAP®device from your dentist / orthodon-
tist. It will help to improve your problems
with nighttime snoring and obstructive
sleep apnea (OSA).
We understand how serious the effects of
sleep disorder, caused by nighttime snoring
and obstructive sleep apnea (OSA) can be.
We hope that your TAP®device helps you
to return to normal and recreative sleep.
For your comfort we summarized the most
important steps and hints for a comforta-
ble and effective application of the TAP®
device in this brochure. For more detailed
information on your TAP®device, please
ask your dentist.
We would like you to sleep well.
The Thornton Adjustable Positioner (TAP®)
devices are intended to reduce or alleviate
nighttime snoring and obstructive sleep
apnea (OSA). The appliance is for adult
patients to be used when sleeping at home
or in sleep laboratories and is for single
patient use.
www.tap-splint.eu
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CONTRAINDICATIONS
This device is contraindicated for patients
with loose teeth, loose dental work,
dentures or other oral conditions which
would be adversely affected by wearing
dental appliances. In addition, the appli-
ance is contraindicated for patients who
have central sleep apnea, severe respira-
tory disorders or are under 18 years of age.
ADVICE
Before using the TAP® device, please read
these instructions carefully! The Thornton
Adjustable Positioner (TAP® ) may only be
adapted by a dentist / orthodontist or a
physician.
5

Healthy Sleep
The Thornton Adjustable Positioner (TAP®)
devices are intended to reduce or alle-
viate nighttime snoring and obstructive
sleep apnea (OSA). In case you experi-
ence symptoms of breathing difficulties or
other respiratory disorders - with or without
TAP®- you should consult your attending
physician.
There are possible side effects associated
with using the TAP®appliance. You may
initially experience jaw soreness, tightness
or a feeling of bite change These side ef-
fects should disappear within 1 hour after
application. If they continue for more than
4 hours, you should contact the prescriber.
Use of occlusion trainer (see page 23) is
recommended as helpful method.
Return to your prescriber at least yearly for
examination and assessment to ensure the
TAP®is not damaged and is still effectively
treating your sleep disordered breathing.
In case your TAP®device becomes loose
or has been damaged, please contact your
dentist immediately to have it replaced.
Reduction or alleviation
of nighttime snoring
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7

The TAP® Device consists of two parts:
The TAP®device consists of an upper
tray 1that fits over the upper teeth and a
lower tray 2that fits over the lower teeth.
A hook mechanism 3attached to the
upper tray hooks around a bar 4attached
to the lower tray and positions the lower
jaw forward preventing the soft tissue of
the throat from collapsing and obstructing
the airway. The front piece 5on the TAP®
permits you to adjust the protrusion of the
lower jaw to the most effective and com-
fortable position.
Description
TAP®Device
8

Hook
Front piece
(individually adjustable)
Lingual bar
Upper tray
Lower tray
9
1
5
3
4
2

Instruction Manual
Inspect the device prior to each use. Con-
tact the prescriber, if you observe any
material separation, material degradation
or cracks.
Please connect TAP® upper and lower tray
prior to inserting it into the mouth. Place
the hook of the upper tray behind the bar of
the lower tray, letting the hook slide into the
socket through a slight traction movement
and a 90° rotation.
Now place the combined tray on the upper
dental arch. Then move the lower jaw
slightly forward, so that the lower teeth can
slide into the lower tray. You can remove
the TAP®device in reverse order – upper
and lower tray combined.
TAP®Device
WARNING
Do not bite down on the hook because it
may bend or break. If the hook is bent, do
not use the TAP® and return it to your den-
tist for a replacement hook.
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Adjustment of the TAP®should only be
done with the approval of your prescriber.
Note: Operating the front assembly (knob)
is written from the perspective of the
patient with the TAP®in his/her mouth.
1To pull your lower jaw forward with the
appliance in the mouth, turn the knob
counter clockwise (towards your left
ear).
2To return your lower jaw to the starting
position with the appliance in the
mouth, turn the knob clockwise (to-
wards your right ear).
HINT
One 360° turn of the knob is 0.5 mm.
TAP®Device
1
2
11

12
Description
TAP®-T / TAP®-T Reverse
The TAP®-T device consists of an upper
tray that fits over the upper teeth and
a lower tray that fits over the lower
teeth. A hook mechanism attached to the
upper tray hooks around a guiding device
attached to the lower tray and positions
the lower jaw forward preventing the soft
tissue of the throat from collapsing and
obstructing the airway.
The front piece on the TAP®-T permits you
to adjust the protrusion of the lower jaw to
the most effective and comfortable posi-
tion by use an activation key, either inside
or outside your mouth (see instruction on
page 14).

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TAP®-T / TAP®-T Reverse
Lower tray
Lower guiding device
(nickle free CoCr alloy)
Upper protrusion
adjustment device
(titanium alloy)
Upper tray
TAP®-T Reverse with reduced upper
protrusion adjustment device

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Instruction Manual
Inspect the device prior to each use.
Contact the prescriber if you observe any
material separation, material degradation
or cracks.
1Place the upper tray on your upper jaw
first.
2Then place the lower tray on your lower
jaw.
3Now move your lower jaw carefully and
gently forward until the hook slides into
the socket and both trays are engaged.
4In the same manner you can disengage
both trays. First move the lower tray a
bit forward, until the hook slides out of
the lower socket.
TAP®-T / TAP®-T Reverse
1
2

15
Disengage both trays like mentioned above
to remove the upper and the lower tray
seperately at night or in the morning.
Check the lateral movement by gentle
moving your lower jaw to the left and the
right.
HINT
You may also engage the hook of the upper
tray with the socket of the lower tray before
placing the trays in your mouth. To remove
the appliance at night or in the morning, it´s
also possible to take out both trays at once
without disengaging.
3
4

16
Protrusion Adjustment
Adjustment of the device should only be
done with the approval of your prescriber.
Note: Operating the activation key is written
from the perspective of the patient with the
TAP®in his/her mouth.
1To pull your lower jaw forward, insert
the activation key into the opening on
the front of the upper protrusion ad-
justment device. Turn it in the direction
of the „+“ sign according to the laser
marking and verify the movement with
help of the scale.
2To return your lower jaw to the starting
position, turn the activation key in the
direction of the „-“ sign. Again you can
verify the movement with help of the
scale.
HINT:
One 360° turn with the activation key is
0.5 mm.
TAP®-T / dreamTAP™
2
1

17
TAP®-T Reverse TAP®-T / TAP®-T Reverse
2
1
With the TAP®-T Reverse device, ac-
tivation directly in the mouth is not
possible.
In contrast to the TAP®-T device, the acti-
vation bore for the hexagon socket wrench
is located in the palatal area of the upper
protrusion adjustment device, opposite
the hook.
Activation (+/-) can be verified with help of
the laser marked scale.
IMPORTANT
If the hook reaches into the “freerun”
area 1during adjustment, it can be
removed from the thread by turn the
activation key in the opposite direction,
applying only slight pressure 2to have
the hook inserted again in the thread.

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Description
The dreamTAP™ consists of two parts:
an upper tray with integrated reinforce-
ment and guiding wires and a lower tray
with a protrusion adjustment device.
Both trays engage via the hook of the pro-
trusion adjustment device and the guiding
wire in the upper jaw, thus positioning the
lower jaw forward to prevent the soft tissue
of the throat from collapsing and obstruct-
ing the airway.
You may engage upper and lower tray
either outside or inside your mouth.
dreamTAP™

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dreamTAP™
Guiding wire Lower protrusion
adjustment device
Upper tray Lower tray

20
Instruction Manual
Inspect the device prior to each use. Con-
tact the prescriber, if you observe any
material separation, material degradation
or cracks.
(1) Please connect upper and lower tray of
your dreamTAP™ prior to inserting it into
the mouth. Place the hook of the lower tray
onto the guiding wire of the upper tray. The
hook will only fit on the guiding wire at a
designated point.
(2) Now place the combined device on
the upper dental arch. Then move the lo-
wer jaw slightly forward, so that the lower
teeth can slide into the lower tray. You can
remove the dream TAP™ in reverse order
– upper and lower tray combined.
Adjusting the protrusion of dreamTAP™
is similar to adjusting TAP®-T, but with the
adjustment device being located in the lo-
wer jaw.
dreamTAP™