The EMA is an easy to use, patient-friendly appliance. The appliance uses pressure-formed materials to construct upper and lower trays with elastic straps on each side. This innovative design offers lateral movements and gradual advancements of the mandible until they receive the desired results. The flexibility of straps allows for quick and easy adjustments, and are positioned in such a way to let the palate be free from obstruction. The design reduces the occurrence of TMJ. The FDA and ADA have approved it in the treatment of OSA. With accurate sleep apnea diagnosis, this appliance has the potential to prevent snoring by allowing for a less restrictive airflow, which results in deeper, more restful sleep.

To provide this type of appliance, Burbank Dental Lab will need an upper and lower model with pencil marks identifying any crowns, implants, or overly sensitive dentition. The bite should be opened 8mm incisally with the hinge open from centric.