The Silent Nite with Glidewell Hinge is eligible for Medicare reimbursement under code E0486. This benefit further expands opportunities for dentists to provide therapy to patients suffering from snoring and mild to moderate obstructive sleep apnea.
Silent Nite® Sleep Appliance with Glidewell Hinge™
*Price is per appliance and does not include shipping or applicable taxes.
Please note pricing is only available to dental professionals.
Designed for maximum comfort, the Silent Nite® Sleep Appliance with Glidewell Hinge™ treats sleep-disordered breathing quickly and effectively.
- PDAC (Pricing, Data Analysis and Coding) contractor-verified for Medicare reimbursement: Code E0486
- Micro-adjustable, with up to 10 mm of advancement
- Features telescope-style hinge
- Each case includes an AM Aligner
Stop Snoring. Start Living!
Obstructive sleep apnea is a breathing disorder where the airway completely collapses and airflow is obstructed. People with this condition often wake up gasping for air or choking in the middle of the night. The Silent Nite® Sleep Appliance with Glidewell Hinge™ is designed to gently shift the lower jaw forward in a therapeutic position during sleep, which activates the airway muscles and ligaments to prevent the airway from collapsing. The appliance is flexible, thin and comfortable to wear throughout the night, helping patients achieve a more restful sleep and enhanced quality of life. Each Silent Nite case includes an AM Aligner to aid patients in exercising and realigning the jaw after nighttime mandibular advancement.
PDAC-Approved for Medicare: E0486
AM Aligner is a product of Airway Management Inc.
Oral appliance therapy (OAT) is very effective in treating patients with sleep-disordered breathing, with a compliance rate shown to be as high as 90% over a 2.5-year period.1
OAT is associated with greater patient satisfaction than nasal continuous positive airway pressure (CPAP) therapy.2
In a randomized crossover trial comparing OAT to CPAP in patients with obstructive sleep apnea, about 81% preferred OAT.3
Among patients with obstructive sleep apnea, both continuous positive airway pressure (CPAP) and mandibular advancement devices (MADs) were associated with reductions in blood pressure. Network meta-analysis did not identify a statistically significant difference between the blood pressure outcomes associated with these therapies.4
A mandibular advancement device for obstructive sleep apnea reduces nocturnal blood pressure in women.5
Do you want to learn about providing provisional oral appliance therapy? The legal document “Informed Consent for Silent Nite — Provisional Mandibular Advancement Device” from dentist-attorney Dr. Ken Berley is available for free download, containing important information for both providers and patients.
The Silent Nite Sleep Appliance with Glidewell Hinge is indicated to reduce snoring and mild to moderate obstructive sleep apnea (OSA) in patients 18 years of age or older. The appliance is worn while sleeping to support the lower jaw in a forward position as determined by the dentist. The appliance is removable by the patient.
In-Lab Working Times
Silent Nite with Glidewell Hinge™(PDAC-approved) (buy 1)
Glidewell Clinical Twinpak(buy 2)2
Digital file storage is available for this product. See Scan & Save Services.
Glidewell Clinical Twinpak is valid for two appliances for the same case.
Pricing is subject to change and does not include shipping or applicable taxes.
Policies & Warranty
NO-FAULT REMAKE POLICY: Glidewell is pleased to process all remakes or adjustments at no additional charge if requested within the warranty period and accompanied by the return of the original appliance.
LIMITED WARRANTY/LIMITATION OF LIABILITY. Glidewell (“the lab”) warrants that all dental devices (a “device”) are made according to your specification and approval in the belief that the device will be useful and MAKES NO OTHER WARRANTIES INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Subject to the return of a device that is placed and then fails, the lab will repair or replace the device without charge for the cost of materials and workmanship or refund the original price paid, at the lab’s option, for up to 2 years for the Silent Nite Sleep Appliance with Glidewell Hinge.
- ^Yoshida K. Effects of a mandibular advancement device for the treatment of sleep apnea syndrome and snoring on respiratory function and sleep quality. Cranio. 2000 Apr;18(2):98-105.
- ^Ferguson KA, Ono T, Lowe AA, Keenan SP, Fleetham JA. A randomized crossover study of an oral appliance vs. nasal-continuous positive airway pressure in the treatment of mild-moderate obstructive sleep apnea. Chest. 1996 May;109(5):1269-75.
- ^Tan YK, L’Estrange PR, Luo YM, Smith C, Grant HR, Simonds AK, Spiro SG, Battagel JM. Mandibular advancement splints and continuous positive airway pressure in patients with obstructive sleep apnoea: a randomized cross-over trial. Eur J Orthod. 2002 Jun;24(3):239-49.
- ^Bratton DJ, Gaisl T, Wons AM, Kohler M. CPAP vs. mandibular advancement devices and blood pressure in patients with obstructive sleep apnea: a systematic review and meta-analysis. JAMA. 2015 Dec 1;314(21):2280-93.
- ^Rietz H, Franklin KA, Carlberg B, Sahlin C, Marklund M. Nocturnal blood pressure is reduced by a mandibular advancement device for sleep apnea in women: findings from secondary analyses of a randomized trial. J Am Heart Assoc. 2018 Jun 21;7(13).