SleepMD V9 User manual

Use edge of scissors to lift out inserts from upper
and lower devices. Then store for possible future
use. Try on the lower mouthpiece to see if it needs
to be widened in order to have your molars fit into
the grooves of the lower mouthpiece.
If you device does not have inserts then skip step
If it does not then hold the front end of lower into
boiling water for 10 sec. Adjust the shape to fit over
your back teeth.
Hold the back end of lower mouthpiece into the hot water until the plastic turns
clear. Then cut off the plastic behind each wing and place the lower device on a
non stick surface. (glass, porcelain. or stone)
Molding Instrucons V9
Remove Inserts, check size of lower device
Insert Lower into hot water
Trim backend of Lower

Pour 1 bag of beads into hot water. Stir with fork and remove when
clear. Roll in hands into cigar shape and place on a non stick surface.
Upper Mouthpiece
Place the upper device into the hot water. After 10 seconds, remove it
and tear off a pea size piece of soften plastic and place it behind the
square black plate. Smooth it to fill evenly behind the device. Then place
the remainder of the soften plastic strip into the occlusal groove of the
upper mouthpiece.
The wheel should be positioned all the way back on the device. Then
place the upper, with soften plastic strip into the hot the water. Remove
after 20 seconds. Touch the wheels to check that it is safe to insert.
Then place it over the front teeth and push up over the molars too.
Compress the soften plastic into the teeth cervices and behind the front
teeth. Let it set for 1 minute.
Beads into boiling water
Plastic into upper
Insert Upper into Mouth

Remove by placing index fingers over the wheels and pulling downward
and forward, at a 45 degree angle. Use sharp scissors to excise any ex-
cess material adjacent to areas of teeth impression. If the plastic is too
hard, then dip the edges in hot water for 10 seconds and try again. Place
back in the mouth. It should have a firm grip on your teeth.
Remove and replace 5 times and
then let set in place for two
minutes. During this time, pour
out the bowl of water and replace
with boiling water.
Lower Device
Pour the second bag of beads into the boiling water and stir with a fork.
Remove when they turn clear. Roll in hands into cigar shape. Place on a
non stick surface.
Drop the lower in the water. Remove
after 10 sec. Place the soft plastic
that you just rolled into the groove of
the lower mouthpiece. It is located
on the under surface of the device.
Remove Upper and Trim
On and Off 5 times
Beads in hot water
Lower in hot water 10 sec

Place the lower back in the hot water. Remove after 20 seconds and
then place over your lower teeth. You most have the upper device on
when molding the lower. Push the plastic around teeth and into the cer-
vices. Close your mouth and lightly clench to sink your teeth into the
soft plastic. Use your fingers to pinch in front and behind the front teeth
Close your mouth and move the jaw for-
ward 80% of maximum or less if un-
comfortable. Use your fingers to push
the wings against the upper device and
in front of the wheels. They should be
straight up so as to not irritate the
check.
After 1 minute remove it
by placing thumbs under
the wings and push up.
Lower in hot water—Upper Must Be On
Wings in front of wheels
In Mouth 1 minute
Trim Device as need-
Trim the lower device with sharp scissors as needed.

If the lower device fits firmly on your teeth, then remove and replace it 5
times. If it does not snap on, you can just leave in place. The device
should set in the mouth for 2 minutes. During this time, the lower jaw
should remain forward 80% and the wings should be positioned against
the upper mouthpiece and in front of the wheels.
Place your index finger in your mouth and palpate the distance between
the wheels and the wings. Or you can pull your cheek back while looking
in a mirror to determine the you will need to move the wheel forward to
contact the wings. Then remove both devices. Using the hex key, turn
counter clockwise to loosen the wheel. Move the wheel forward to abut
against the wing and tighten slightly. Over tightening will strip it. Place
back in the mouth, move your lower jaw forward and close your mouth.
Recheck to see how you have done. Adjust, as needed.
Move wheels to meet wings
On and Off 5 times
Next Two Weeks
The device will shrink for two weeks, so run under
hot tap water for 15 sec before using it.

Maintenance
Daily Cleaning
Brush device with soap and warm
water each morning. Let dry and
store on a paper towel. Denture
cleaners can be used if desired.
Trouble Shooting
If in the morning if find that your lower jaw is still advanced and your
teeth don’t close properly, this is caused from clenching at night. What
you need to do is place a tongue depressor between your back molars.
Then lightly clench, alternating sides for 5 minutes. The muscles will reset,
allowing you to close your mouth normally.
Bite change in morning
Tooth or Jaw Pain
If you find that the device feels fine when you first put it on but you
experience tooth or jaw pain in the morning, it is do to teeth clenching .
Adding an anterior step will control it. Let us know and we will show you
how to add this