Silensor SL Kit – Mandibular Advancement Device by Erkodent 120 mm
Référence: 596012
Silensor SL Kit – Erkodent
Silensor SL is a mandibular advancement splint designed to reduce snoring and certain forms of mild to moderate obstructive sleep apnoea.
- It functions by maintaining the mandible in a protruded position to increase the volume of the upper airway.
- The kit enables the laboratory to fabricate a custom-made appliance that is lightweight, stable and comfortable for the patient.
- The system is based on two thermoformed splints connected by flexible, interchangeable lateral connectors.
Silensor SL concept and clinical objectives
Snoring is caused by a narrowing of the upper airway, which increases airflow velocity and induces vibration of the pharyngeal soft tissues.
- Silensor SL maintains the mandible in slight protrusion to increase pharyngeal airway calibre and reduce these vibrations.
- By advancing the mandible, the appliance decreases the risk of soft tissue collapse and reduces the frequency of hypopnoeic events and mild apnoeas.
- Mandibular advancement splints can significantly reduce snoring and lower the apnoea index in many patients.
- Silensor SL is indicated for primary snoring and mild to moderate obstructive sleep apnoea under specialist medical supervision.
In suspected severe sleep apnoea, a full sleep laboratory assessment is mandatory before prescribing an oral appliance.
Clinical overview in three key points
Silensor SL – Effect on the airway
The mandibular protrusion achieved with Silensor SL opens the upper airway during sleep.
- Airflow becomes smoother and the turbulence responsible for snoring noise is markedly reduced.
- Patients frequently report easier breathing and much more stable, restorative sleep after the initial adaptation period.
- The dual-splint design distributes functional forces across the full arch to limit local dental loading.
Silensor SL video
Patient comfort and compliance
The flexible connectors allow small mandibular movements, improving nocturnal comfort.
- The overall bulk of the appliance is reduced to limit tongue interference and promote long-term acceptance.
- Silensor SL allows gradual titration of mandibular advancement to balance clinical efficacy and muscular comfort.
- This guided titration improves patient compliance and facilitates long-term follow-up.
Silensor SL kit contents and accessories
The Silensor SL kit includes all components required to fabricate a complete appliance for one patient.
It comprises the lateral connectors, anchoring components and accessories for recording mandibular protrusion.
The kit is designed to facilitate the workflow in both the dental practice and the laboratory and to ensure a reproducible protocol.
| Component | Description |
|---|---|
| Silensor SL connectors | Set of lateral connectors in various lengths to adjust mandibular protrusion. |
| Protrusion gauge | Registration tool to define the target mandibular position based on the patient’s maximum protrusion. |
| Anchors and screws | Fixation elements for securing the connectors to the maxillary and mandibular splints for a reliable coupling. |
| Technical documentation | Detailed instructions for the practice and the laboratory covering fabrication, adjustment and follow-up. |
Materials, indications and follow-up in four blocks
Recommended materials and thermoforming
Silensor SL is typically fabricated using Erkodent thermoforming discs chosen according to the laboratory technique.
Rigid materials such as Erkodur are often selected for the mandibular splint to ensure optimal retention.
- Bi-layer materials such as Erkoloc-pro can be used to enhance comfort on teeth and soft tissues.
- Including all available teeth in the splints is recommended to distribute functional forces and limit dental migration.
- Occlusal contacts are then balanced by selective grinding or addition of resin to ensure stable support in the mouth.
- Thermoforming must be carried out on accurate models derived from high-quality impressions or correctly calibrated digital files.
Protrusion registration and progressive titration
The protrusion gauge is used to define the target mandibular position based on the patient’s maximal protrusion.
- As a rule, the appliance is set to approximately half of the maximum protrusion or to a position already proven clinically effective.
- This strategy reduces joint loading while maintaining a high potential efficacy on snoring and mild obstructive events.
- The connector length is selected according to the gauge measurement and Erkodent recommendations.
- Subsequent titration involves progressively modifying connector length to fine-tune protrusion according to clinical outcomes.
- Each adjustment should be accompanied by clinical assessment of muscular comfort, sleep quality and partner feedback.
Indications, contraindications and limitations
Silensor SL is indicated for primary snoring and certain forms of obstructive sleep apnoea of mild to moderate severity.
The indication must always be established by a physician or sleep specialist following appropriate clinical and diagnostic assessment.
- It can be proposed to patients who cannot tolerate nocturnal positive airway pressure when an oral appliance is deemed appropriate.
- The appliance is not suitable for completely edentulous patients because adequate retention cannot be achieved on the arches (Except in the case of full-arch fixed implant-supported restorations.).
- Caution is required in advanced periodontal disease, marked tooth mobility or significant temporomandibular joint pathology.
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In severe sleep apnoea, Silensor SL does not replace first-line therapies and should only be considered as a potential adjunctive option.
Potential side effects and recommended follow-up
As with any mandibular advancement device, Silensor SL may cause transient muscular or joint discomfort at the start of treatment.
Increased salivation, dry mouth or a temporary change in occlusal perception on waking are commonly reported.
- Most of these signs resolve rapidly after the adaptation phase, provided that mandibular advancement remains physiologically acceptable.
- Over the long term, dental migration or occlusal changes may occur in the absence of structured follow-up.
- Regular reviews are required to monitor the condition of the dentition, periodontium and temporomandibular joints.
- In the event of persistent pain, marked joint noises or new symptoms, prompt reassessment of the indication is recommended.
Wearing instructions and maintenance for the patient
Silensor SL must be worn every night as prescribed in order to maintain its effectiveness over time.
Insertion is usually performed by first placing the maxillary splint, then the mandibular splint and finally engaging the connectors.
- The patient removes the appliance in the morning and chews gently for a few moments to regain habitual occlusal perception.
- For hygiene, the splints should be cleaned with lukewarm water and a soft brush without abrasive toothpaste.
- Specific cleansing tablets can be used regularly to remove deposits and minimise discolouration.
- The appliance should be stored in a ventilated storage box when not in use to avoid shocks and distortion.
Technical summary of the Silensor SL kit
| Device type | Dual-splint mandibular advancement device for snoring and mild to moderate obstructive sleep apnoea. |
|---|---|
| Brand | Erkodent. |
| Kit contents | Kit with connectors, anchors, protrusion gauge and documentation for fabrication of one appliance. |
| Mechanism | Controlled mandibular advancement to open the upper airway and reduce snoring. |
| Connectors | Several lengths available to titrate mandibular protrusion during follow-up visits. |
| Recommended materials | Erkodent thermoforming discs such as Erkodur or Erkoloc-pro, according to the chosen retention and comfort strategy. |
| Disc diameter | 120 mm. |
| Price incl. VAT | €75.95. |
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Delivery
Silensor SL kits – 120 mm diameter – for one complete patient case.
Silensor SL – FAQ
Is Silensor SL effective for all types of snoring?
Silensor SL is primarily designed to treat simple snoring and certain forms of mild to moderate obstructive sleep apnoea.
Its effectiveness is based on increasing airway volume through controlled mandibular advancement.
In many patients, a clear reduction in snoring intensity and frequency is observed within the first few weeks of regular use.
However, success depends on the underlying cause of snoring, individual airway anatomy and the quality of appliance adaptation.
Silensor SL is not intended to replace gold-standard therapies in severe sleep apnoea, which often require specific positive airway pressure treatment.
Prior to appliance delivery, medical evaluation is essential to confirm the indication and rule out high-risk situations.
Regular follow-up allows protrusion to be adjusted using connectors of different lengths and optimises clinical efficacy over time.
Can the appliance cause pain or damage the teeth?
Transient muscular or joint discomfort is common during the first nights of Silensor SL use and is part of the adaptation phase.
This discomfort tends to decrease progressively as the muscles and temporomandibular joints adapt to the new mandibular position.
When the appliance is properly fabricated with sufficient arch coverage, force distribution limits overloading of individual teeth.
Localised pain or sensitivity may nevertheless occur in cases of excessive retention or poorly positioned pressure points on the splints.
In such cases, clinical or laboratory adjustment of the internal fit or connector length usually restores comfort.
In the long term, regular clinical follow-up remains essential to monitor periodontal status, occlusal stability and the absence of significant dental migration.
What are the best practices for Silensor SL maintenance?
Rigorous maintenance of Silensor SL is crucial to ensure appliance longevity and microbiological safety for the patient.
The device should be rinsed with lukewarm water after each night and carefully brushed with a dedicated soft brush to remove plaque and deposits.
The use of abrasive toothpastes is not recommended, as they can scratch the splint surface and promote bacterial retention.
Specific cleansing tablets for thermoformed splints can be used regularly for additional deep cleaning.
After drying, the appliance should be stored in a ventilated container to protect it from impacts and heat or deformation sources.
Patients must be advised to report any persistent odour, abnormal staining or unpleasant taste, which justifies examination of the appliance condition.