TAP vs EMA vs SomnoDent: Comparing the Top Three MAD Designs

TAP (Airway Management): Anterior hook-bar, 0.5mm/turn precision, 15mm range. Most clinical studies. Forces on maxillary anteriors. Best for precise titration. EMA (Glidewell): Bilateral elastic straps, 36 combinations. Highest lateral freedom. TMJ-friendly. Straps replaced every 3-6 months. Best for TMJ-sensitive patients and bruxers. SomnoDent (SomnoMed): Avant 3D-printed with anterior straps; Flex acrylic with wing screws. Passive mouth-closing promotes nasal breathing. 88% compliance, 3-year warranty. Best for digital workflow and nasal breathing promotion. Cost comparison (lab fee): TAP $250-400, EMA $180-300, SomnoDent Avant $300-500.