Allow 7-10 days for your delivery.
____________________________________________________________________________________________
Immediate, precision-fit oral appliance for snoring and mild to moderate
obstructive sleep apnea (OSA)
The myTAP® is a low cost, temporary treatment for snoring and sleep apnea that is based on
the TAP® oral appliance, which has been clinically proven in over 45 independent peer reviewed
studies to treat snoring, Obstructive Sleep Apnea (OSA), and in some cases severe sleep
apnea. The myTAP works by advancing and stabilizing the lower jaw so that the soft tissues of
the throat and tongue do not collapse into the airway.
The myTAP trays are made from an innovative plastic that, when heated, becomes soft and can
be accurately molded to the teeth at the time of fitting. The trays are thin and low profile, and if
reheated, they will return to their original shape. This means that the myTAP can be refitted as
many times as needed in order to achieve the perfect fit. The all-plastic adjustment hardware
allows the patient to be in control of the treatment position by adjusting how far forward the
lower jaw is advanced.
How It Works
The Adjustment Mechanism attached to the Lower Tray is threaded through the Adjustment
Post of the Upper Tray. The Adjustment Dial is screwed onto the end of the Adjustment
Mechanism allowing the patient to adjust the advancement of the lower jaw.
Intended Use
The myTAP is intended to be used by individuals who have been prescribed Oral Appliance
therapy for snoring or mild to moderate sleep apnea. The myTAP is intended for single patient
use in the home, hospital or other clinical setting.
This device is not advisable for patients with loose teeth, loose dental work, dentures, or other
oral conditions, which would be adversely affected by wearing an oral appliance. In addition, the
appliance is contraindicated in patients who have central sleep apnea, severe respiratory
disorders or are under 18 years of age.
Do not use if any of the following apply:
∙You are under active dental treatment.
∙You have removable dentures or bridges.
∙You have temporary crowns.
∙You have loose teeth, loose crowns, or loose fillings.
∙You have braces.
∙You have less than 8 natural, healthy teeth in each arch.
∙You have not seen a dentist within the last 12 months.
∙You have a history of TMD, temporomandibular disorder.
∙You have received dental implants in the past year.
When to seek dental consultation
In most cases you can fit the myTAP for most patients. However, seek consultation from a
dentist if the following apply before or during treatment:
∙You have pre-existing jaw issues.
∙You experience continued jaw joint pain after use.
∙You experience tooth movement.
∙You notice bite change.
Use of the AM Aligner after EACH use will significantly reduce the risk of
bite change and tooth movement.
Possible Side Effects
There are possible side effects associated with the use of the myTAP:
∙Sligh tooth or gingival discomfort due to pressure of the appliance.
∙Excessive salivation initially. This should improve as the patient becomes accustomed to
wearing the myTAP.
∙Slight jaw soreness or tightness, initially and with adjustments.
∙Pain in the jaw joint.
∙Temporary bite change. This may subside approximately 30 minutes after the myTAP is
∙Movement of teeth.
∙Permanent bite change.
∙Gagging and claustrophobia. This will improve as the patient becomes accustomed to
wearing the myTAP.
∙Unconsciously taking the myTAP out at night.
∙Obstruction of oral breathing (possible with any oral appliance in the mouth).
When to contact your prescriber
∙If symptoms of breathing difficulties or other respiratory disorders exist or persist, with or
without the use of the device, contact the prescriber immediately.
∙You may experience soreness or discomfort in your jaw or teeth. If discomfort persists,
contact the prescriber.
∙In the morning, you may sense a change in your bite. These changes should subside
after the AM Aligner is used and as the day progresses. If the bite change continues,
contact the prescriber.
∙You should return to the prescriber at least yearly, or as often as necessary for re-
evaluation. If the appliance becomes loose, damaged, or does not fit properly, contact
the prescriber.
What’s Included in the myTAP Package?
1.myTAP oral appliance
2.Container
3.Mouth Shield
4.AM Aligner
5.Instruction for use
What is the AM Aligner®?
The AM Aligner is a morning repositioner that comes with every myTAP. The purpose of the AM
Aligner is to reposition the patient’s jaw after each use of the myTAP. It is made of a unique
thermoplastic material and is used to take a registration of the patient’s normal, comfortable
occlusion before the patient begins to use the myTAP. When fitting the AM Aligner, be sure the
patient bites hard enough to cause translucency in contact areas when the Aligner is held up to
a light.
Mandibular protrusion can move jaws forward permanently over a period of time if the patient
doesn’t make sure that normal occlusion is reestablished each day.
How does the AM Aligner work?
When the patient wakes up in the morning, their jaw will have been in an unnatural position all
night so the bite will be off. The front teeth may hit together excessively and the back teeth may
not hit at all. It is important for the patient to understand that this may become a permanent
issue and getting their teeth back into proper occlusion is the patient’s responsibility. The AM
Aligner is for getting the jaw back to the proper position, and is used each morning after removal
of the myTAP.
Daily use of the AM Aligner
When the myTAP is removed in the morning, first stretch your jaw aggressively. There may be
pops and snaps from the jaw repositioning itself. After this exercise, the muscles will have
relaxed somewhat and the jaw will begin to normalize.
The AM Aligner should be then placed in the mouth, at least 15 to 30 minutes after the myTAP
has been taken out. You should place the AM Aligner (previously fitted BEFORE initiation of
therapy with the myTAP) in your mouth and bite into it, flexing the jaw a few times. This will
force the jaw back, which may be uncomfortable if tried too soon after myTAP removal. As you
wear the device, you will feel the muscles relaxing and very soon will notice that there is no
stress in the jaw, with the teeth back in a comfortable, proper position. Some patients wear the
AM Aligner while taking a shower or driving to work or reading emails. It is left to the discretion
of the patient as to how long the aligner is worn and how often it is used. It is different for every
patient. Some patients will find that they have no need for the aligner after a few weeks of
wearing it because the muscles have learned to reposition the jaw on their own. If this is the
case, the patient should keep the AM Aligner and check their bite periodically for as long as they
are using the myTAP.
How to fit the AM Aligner
What is the Mouth Shield?
A Mouth Shield comes with every myTAP. Patients using oral appliance therapy may complain
of dry mouth or excess saliva. The myTAP Mouth Shield is designed to alleviate these side
effects by sealing the mouth, providing greater comfort. While comfort is the primary intended
use, an secondary benefit to sealing the mouth is the promotion of nasal breathing. Research
shows this is the best natural way to breathe.
What Are Vertical Shims?
Vertical shims are an optional myTAP add-on that can be purchased separately to increase
vertical opening. The myTAP available with three vertical shims allows an additional 6*mm,
9*mm, and 12*mm (*approximate) vertical opening. In the studies by both Hoekema and the
Army, the “size of the box” of the oral cavity correlated to successful outcomes. Further studies
have shown that the size of the tongue is dependent on weight, and it affects the severity of
OSA. To compensate for tongue size, a larger vertical opening is necessary.
Benefits of the vertical shims are:
∙Combining vertical, incremental titration with protrusion fine tunes treatment position
∙Provides more tongue space to positively impact treatment
∙May reduce excessive protrusion
∙Provides long term guidance for custom oral appliance therapy
With these accessories, the myTAP is able to provide a wide range of vertical adjustment in
order to effectively treat more patients.