Michael S. Pagano, DDS, shares a case report with Dental Products Report about the technologies he used to design a custom SomnoDent Avant oral appliance for a patient with severe sleep apnea. A MATRx plus theranostic study from Zephyr Sleep Technologies and Medit i500 intraoral scanner were part of his workflow.

In July 2019, a 65-year-old man presented to our clinic with a chief complaint of chronic snoring. His body mass index was 32.8 and neck circumference measured 17.8 inches. He takes omeprazole as needed for gastroesophageal reflux disease and was recently diagnosed with type 2 diabetes, for which his primary care physician prescribed metformin. The patient reported that he has snored for as long as he can remember and has felt tired “for decades.” The patient did not wear any oral device or nightguard during sleep.