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Great "testing" appliance for patients, fantastic as a trial appliance to test compliance, fit and efficacy.

MDSA is a robust appliance with a large lateral excusion range. Great "heavy duty" appliance , virtually indestructable.

This is the long term version of the EMA appliance, made from long lasting uerethane and polycarbonate hybrid material.

Introducing EMA® First Step, the new 90 day trial appliance  for the treatment of snoring and obstructive sleep apnea (OSA).

You can make this custom fit oral appliance in your own practice in just 15 minutes or have us make it for you.

The EMA First Step is the perfect way for your patients to discover how they can get a better night's sleep.

EMA Kits are available in our online store or call/email to order.

Order now

The EMA® (Elastic Mandibular Advancement) oral appliance is a customized removable appliance created for the noninvasive treatment of snoring and Obstructive Sleep Apnea (OSA).

The appliance is designed to both advance the mandible and open the bite to allow for less restricted airflow during sleep.

EMA devices help promote a deeper, more restful sleep by preventing snoring and relieving the symptoms of OSA. The EMA does not interfere with breathing through the mouth, even in cases of congested nasal passages. It has many options for advancement with nine strap lengths and four different elastic tension options.

Non-restricted lateral/protrusive movement and improved movements of the jaw are possible while wearing the device due to varying elastic bands.


No appliance, closed airway obstructed by soft tissues

Appliance in place, open free fowing airways

The MDSA® concept was designed in conjunction with Australia's leading Dentist's, Sleep Physician's and Dental Technician's to overcome the limitations of all other appliances available to treat the needs of their patients.

Over the last 15 years the MDSA® concept has been subjected to extensive scientific and clinical testing and evaluations.

Manufactured from Intra Oral Scans or impressions using dual laminate hard/soft splinting material ensures the greatest retention, comfort and durability for the wearer.

An appliance manufactured with the MDSA® Components offers easy titration, full lateral and controlled vertical movement and exceptional ease in inserting each night.

The patient can insert the TOP plate (which includes the Adjustor Component), then the BOTTOM plate (which includes the shelf). Push their bottom jaw forward to the full passive protrusion position and up to just engage the the adjuster component in the TOP to adust the appliance if necessary.

* Protrusive bite registration of 60%-80% of maximum protrusion, depending on the patient’s range and if there is TMJ and muscular implications.

* The bite registration should be taken with wax or good quality PVS bite registration material  by George Gauge or similar bite fork device.

* The material needs to be well bonded to the bite fork and extended from anterior to posterior teeth.

* In case of missing posterior teeth (free end saddle), bite should be extended to ensure maximum support.

* Ensure are protrusive position that the skeletal midlines aligned when at protrusive position.

* Ensure adequate vertical opening to accomidate appliance size.

*** Remember the appliance you recieve will be as good as the bite registration you take***

EMA straps will be easier to place on the appliance when warmed in hot (not boiling) water.

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