Patient Instructions
We're here to help you get the most from your appliance. This resource provides easy access to fitting guidance, care and cleaning instructions, troubleshooting advice, and helpful information about your appliance.
To make finding information simple, all guidance has been organised by appliance type. Select your appliance below to access the information and support relevant to you.
Sleepwell
Product information
The Sleepwell appliance is designed to help reduce airway obstruction during sleep by holding the lower jaw in a forward position, this keeps the airway open and unobstructed during sleep to help prevent the snoring from occurring
How to use Sleepwell
Taking your device, place the hook component over the top teeth and the shelf component over the lower. Bring your lower jaw forward to allow the hook on the upper part to locate under the metal plate on the lower, for the first two weeks, wear without advancing the lower jaw screw.
- Place Sleepwell with the component (shown as part A) over the top teeth
- Press into place
- Place the Sleepwell with the shelf (shown as part B) over the bottom teeth
- Press into place
- To engage Sleepwell move lower jaw forward and close mouth
- Sleepwell is now in place. It is important that you get used to wearing Sleepwell so for the first two weeks just wear Sleepwell and do not try to advance your jaw. The objective is for Sleepwell to hold your lower jaw in a slightly forward position which in turn opens your airway to revent snoring. After getting used to wearing Sleepwell you should gradually adjust Sleepwell over a few weeks to find the optimum setting.
Adjustment
Once you are comfortable wearing your Sleepwell device, you can use the adjustment key to advance your lower jaw position as advised by your dentist.
Turn the key clockwise to move the device forward.
Turn the key anticlockwise to move the device backward.
We recommend advancing the device by maximum of one full turn each week until your snoring has stopped. Adjustments should only be made when the Sleepwell device is not being worn.
If you feel resistance when making an adjustment, do not force the mechanism. Check that there is no visible obstruction and that the adjustment hook has not reached the end of its permitted travel. If you are unable to adjust the appliance normally, contact your dentist. Do not attempt to dismantle, bend or repair the appliance yourself.
If the hook has reached the maximum permitted adjustment, please contact your dentist for further advice.
Guarantee
Your Sleepwell device is covered by a 12-month guarantee from the date of manufacture against mechanical or material defects.
This guarantee does not cover damage caused by accident, improper use, or misuse of the device.
Looking after your Sleepwell
Clean daily using a soft toothbrush, mild hand soap and cold water. We recommend disinfecting your device twice a week with Puradent.
IMPORTANT: If you observe any cracks, material separation or increased play in the adjusting mechanism, stop using immediately and contact your dentist
Puradent
We recommend Puradent tablets. Some cleaning products may damage or reduce the lifespan of the appliance materials. Always follow the cleaning instructions provided.
You can order directly at www.puradent.co.uk
Side Effects
During the first few weeks, you may experience the following. These are normal and should disappear with device wear
- Slight tooth discomfort
- Slight jaw discomfort after each advancement
- Temporary alteration in bite first thing in a morning
- Excess salivation. This will pass in time
Warning
Do not use if you suffer nausea or vomiting from another condition. The device should not be used by patients with: Central Sleep Apnoea, severe respiratory disorders, loose teeth/ advanced periodontal disease, if you are under 18 years of age.
The device may cause tooth movement or changes in occlusion, gingival/dental soreness, TMJ pain, obstruction of oral breathing. In this event, stop wear and see your dentist.
SCI
Product information
The SCI is designed to reduce the side effects of tooth clenching and grinding and should only be used as directed by your dentist.
Fitting
Carefully insert the device into your mouth and press down until it fits securely over your teeth, in accordance with the instructions provided by your dentist
Looking after your SCI
Clean daily using a soft toothbrush, mild hand soap and cold water. We recommend disinfecting your device twice a week with Puradent. If you observe any cracks, material separation, or if it can be dislodged from your teeth with your tongue and/ or lip. Stop using and contact your dentist.
Puradent
We recommend Puradent tablets. Some cleaning products may damage or reduce the lifespan of the appliance materials. Always follow the cleaning instructions provided.
You can order directly at www.puradent.co.uk
Side Effects
During the first few weeks, you may experience: slight tooth discomfort, jaw pain on awakening, or temporary change in bite. These side effects are normal and should disappear the more you wear your device.
Warning
Do not use if you suffer nausea or vomiting from another condition. Discontinue use if you are ill, have a cold, flu or other illness which could cause dislodgment of the device .
If the SCI device becomes loose or you can remove it with your tongue, discontinue use immediately and call your dentist for a refit.
Under no circumstances should you attempt to alter the device yourself. Do not attempt to insert or use the device if you are intoxicated, taking prescription drugs, or drugs which induce drowsiness that could impair you from inserting the device correctly. If taking any of the above, consult your doctor before using the SCI.
Bite Raising Appliances (Soft, Hard and Dual Laminate)
Product information
The bite raising appliance is a custom plastic device used to prevent teeth grinding, relax jaw muscles, and protect worn teeth. It works by slightly separating the upper and lower teeth when the mouth closes
Fitting
Carefully insert the device into your mouth and press down until it fits securely over your teeth, in accordance with the instructions provided by your dentist
Looking after your guards
Clean daily using a soft toothbrush, mild hand soap and cold water. We recommend disinfecting your device twice a week with Puradent. If you observe any cracks, material separation stop using and contact your dentist.
Puradent
We recommend Puradent tablets. Some cleaning products may damage or reduce the lifespan of the appliance materials. Always follow the cleaning instructions provided.
You can order directly at www.puradent.co.uk
Side Effects
excess saliva, jaw muscle soreness, and temporary bite changes. Most of these issues are mild and fade within a few weeks as your mouth gets used to the device
Warning
Teeth shifting or changes in bite alignment, increased jaw muscle tension or pain, and damage from improper cleaning
Fixed Appliances
Product information
A fixed appliance in orthodontics is a non-removable device, commonly known as braces, made of brackets and wires that gently push teeth into the right place. It consists of small metal or ceramic pieces glued to the teeth, linked by a thin archwire
Looking after your Fixed Appliances
Clean daily as you normally would, advised by your dentist. We would recommend using interdental brushes or water floss around the appliance. Speak to your dentist for guidance.
Side Effects
excess saliva, jaw muscle soreness, and temporary bite changes. Most of these issues are mild and fade within a few weeks as your mouth gets used to the device
Warning
Teeth shifting or changes in bite alignment, increased jaw muscle tension or pain, and damage from improper cleaning, please avoid sticky food like toffees and chewing gum as these could get entangled in the wires and bend them.
Michigan/Tanner
Product information
A Michigan/Tanner splint is a custom-made, hard acrylic mouth guard used to treat teeth grinding, jaw clenching, and jaw joint pain. It fits over the upper teeth to relax the jaw muscles, protect teeth from wear, and ease strain on the jaw
Fitting
Carefully insert the device into your mouth and press down until it fits securely over your teeth, in accordance with the instructions provided by your dentist
Looking after your Michigan or Tanner
Clean daily using a soft toothbrush, mild hand soap and cold water. We recommend disinfecting your device twice a week with Puradent. If you observe any cracks, material separation stop using and contact your dentist.
Puradent
We recommend Puradent tablets. Some cleaning products may damage or reduce the lifespan of the appliance materials. Always follow the cleaning instructions provided.
You can order directly at www.puradent.co.uk
Side Effects
excess saliva, temporary tooth or jaw discomfort, and bite changes or increased muscle pain if the device is poorly fitted
Warning
Wearing a Michigan splint carries risks of increased jaw pain, bite changes, and worsened sleep apnea. Stop use and consult your dentist if you experience sharp pain, increased clenching, or breathing difficulties
Vitalisse / Whitening Trays
Product information
Our Ultra-seal trays and armadillos whitening trays are designed to ensure maximum gel retention when used with our vitalisse whitening gel.
Fitting
Carefully insert the tray into your mouth and press down until it is snug over your teeth. Wipe away excess gel from your gums.
Looking after your Whitening Trays
Clean daily using a soft toothbrush, mild hand soap and cold water. We recommend disinfecting your device twice a week with Puradent. If you observe any cracks, material separation, stop using and contact your dentist.
How to use gel
Application: Apply the gel directly into the dosing dots of your trays.
Vitalisse Day Gels should be worn for a maximum of 1 hour and 30 minutes.
Vitalisse Night Gels should be worn for a maximum of 8 hours.
How to use sensitive serum
Preparation: Begin with clean, dry teeth for optimal application
Application: Apply the serum directly into the dosing dot(s) of your Ultra-seal tray(s) in the affected area(s). There should be a small amount of overspill to ensure the affected tooth surface(s) are fully covered.
Activation: Take 15-30 minutes
Maximise Effectiveness: Spit out any excess serum. Avoid rinsing teeth, eating or drinking for 30 minutes after application to allow the serum to be fully absorbed.
Frequency: Use twice daily until the sensitivity diminishes, or as advised by your dental professional.
Puradent
We recommend Puradent tablets. Some cleaning products may damage or reduce the lifespan of the appliance materials. Always follow the cleaning instructions provided.
You can order directly at www.puradent.co.uk
Side Effects
During treatment, teeth can become more porours. Limiting drinks, such as tea, coffee, and red wine throughout the whitening period is recommended.
Some patients may experience temporary tooth sensitivity or discomfort during whitening treatment. This is a common and typically, mild side effect, though it may be more noticeable in certain individuals.
Symptoms generally resolve within 1–3 days. Whitening treatment may sometimes cause irritation to the gums, lips, or inner cheeks, Irritation is usually temporary and should settle within a few days
Warning
Do not use Vitalisse Professional Teeth Whitening gels or serums if you are pregnant or if you are allergic to any of the ingredients. Not suitable for children. If irritation occurs, stop use and consult your dental professional. Instructions are general; your dental professional may provide specific advice for your oral health needs.
Removable Retainers
Product information
A dental removable retainer is a clear plastic tray used to keep teeth straight, protect them from grinding, or replace a missing tooth. It is custom-made to fit tightly over your teeth
Fitting
Carefully insert the device into your mouth and press down until it fits securely over your teeth, in accordance with the instructions provided by your dentist
Looking after your Retainers
Clean daily using a soft toothbrush, mild hand soap and cold water. We recommend disinfecting your device twice a week with Puradent. If you observe any cracks, material separation stop using and contact your dentist.
Puradent
We recommend Puradent tablets. Some cleaning products may damage or reduce the lifespan of the appliance materials. Always follow the cleaning instructions provided.
You can order directly at www.puradent.co.uk
Side Effects
can cause temporary discomfort, increased plaque buildup, and slight speech changes. The key side effects include tooth and gum soreness, trapped bacteria leading to decay risk, and temporary bite shifts
Warning
Wearing Essix retainers carries risks of tooth decay, gum disease, and orthodontic relapse. Key warnings include trapping bacteria and sugar against teeth, warping from heat, and teeth shifting if not worn consistently .
Removable Orthodontic Devices
Product information
A dental ortho removable appliance is a custom plastic and wire device used to perform simple tooth movements, widen the dental arch, or hold teeth in place
Fitting
Carefully insert the device into your mouth and press down until it fits securely over your teeth, in accordance with the instructions provided by your dentist
Looking after your Removable Orthodontics Devices
Clean daily using a soft toothbrush, mild hand soap and cold water. We recommend disinfecting your device twice a week with Puradent. If you observe any cracks, material separation stop using and contact your dentist.
Puradent
We recommend Puradent tablets. Some cleaning products may damage or reduce the lifespan of the appliance materials. Always follow the cleaning instructions provided.
You can order directly at www.puradent.co.uk
Side Effects
can cause temporary discomfort, increased plaque buildup, and slight speech changes. The key side effects include tooth and gum soreness, trapped bacteria leading to decay risk, and temporary bite shifts. Temporary speech changes, increased saliva flow, and mouth irritation or sore spots
Warning
Wearing removable orthodontic appliances carries specific warnings regarding tooth damage, appliance loss, and initial discomfort. Key issues include decay risks from trapped food, accidental loss or breakage, and speech changes. please avoid sticky food like toffees and chewing gum as these could get entangled in the wires and bend them.
