How does mandibular advancement work?

The mechanics rely on the relationship between mandibular position and the genioglossus muscle. When the mandible advances, the tongue and suprahyoid musculature are pulled anteriorly, preventing posterior collapse of the airway. Most MAD designs allow incremental titration in 0.5-1.0 mm steps so the clinician can dial in the therapeutic position over several weeks. Getting the starting position right depends on accurate bite registration at the intended protrusion percentage.

For dentists prescribing MADs, fit and retention are the two variables that determine patient compliance. A poorly fitting device worn inconsistently produces no measurable AHI reduction. That is why the impression or digital scan quality matters before any milling happens. A lab working from a precise intraoral scan can fabricate a device that seats accurately and maintains its repositioning geometry across months of nightly use without distortion.

Dani Dental fabricates MADs from the digital scan file through to delivery. Turnaround is typically 5-7 business days. The technician on the case reviews the bite registration and protrusion measurement before milling, flagging anything that would compromise the therapeutic range. Dentists receive a direct line to that technician, not a generic support queue, if a patient returns for titration adjustments or a remake.