AIOMEGA® AIO BREATHE®: FDA CLEARED FOR PEDIATRIC & ADULT OBSTRUCTIVE SLEEP APNEA
AIOMEGA® AIO BREATHE®: FDA CLEARED FOR PEDIATRIC & ADULT OBSTRUCTIVE SLEEP APNEA
AIOMEGA® provides clinicians with a structured, fully digital pathway for evaluating, prescribing, and managing a custom intraoral device. The platform integrates clinician‑submitted records, structured prescription parameters, and precision digital fabrication to ensure each device reflects the exact specifications defined by the prescribing clinician. Throughout the process, clinicians maintain full authority over diagnostic interpretation, treatment planning, and therapeutic decisions, while AIOMEGA® supports consistency, clarity, and fabrication accuracy.
AIO devices are manufactured through a dentist‑driven, growth‑responsive workflow that adapts to each stage of craniofacial development in pediatric patients (ages 6–17) while maintaining a unified platform for adults and children.
The following 6‑Step Clinical Workflow outlines how AIOMEGA® fits into clinical practice — from initial evaluation through follow‑up and ongoing support.
During the patient evaluation, the clinician determines whether a prescription oral device is appropriate based on their professional assessment. This evaluation may include:
During the patient evaluation, the clinician determines whether a prescription oral device is appropriate based on their professional assessment. This evaluation may include:
Clinicians may perform pre‑treatment sleep testing to document baseline sleep‑related parameters prior to prescribing an oral device. These baseline measurements help the clinician understand the patient’s starting point and guide treatment planning.
After the device is delivered and used as prescribed, clinicians may also perform post‑treatment sleep testing to assess physiological changes and evaluate treatment efficacy based on their clinical judgment. The timing, type, and interpretation of sleep testing remain entirely at the discretion of the prescribing clinician.
All diagnostic interpretation, treatment planning, and assessment of treatment response remain solely under clinician authority.
All decisions regarding candidacy, diagnostic interpretation, and treatment planning are made solely by the licensed clinician.
During the records and prescription phase, the clinician provides the information required to fabricate the custom device. These records may include:
Clinicians may
During the records and prescription phase, the clinician provides the information required to fabricate the custom device. These records may include:
Clinicians may also use the AIO‑Rx™ SMART‑Rx™ system to organize and document the prescription parameters they select. This tool supports clear, clinician‑directed decision‑making and ensures all required inputs are captured before fabrication.
In addition to mandibular position and vertical dimension, the clinician also prescribes:
These parameters directly influence the device’s structural configuration and are incorporated into the digital design exactly as prescribed.
The clinician’s selected mandibular position, vertical dimension, device thickness, and mandibular plateau specifications form the foundation of the device’s digital model. AIOMEGA® fabricates the device according to these clinician‑defined parameters.
All prescription decisions — including mandibular position, vertical dimension, device thickness, and plateau height — remain solely under clinician authority.
During the custom fabrication phase, AIOMEGA® constructs the device using the exact records and prescription parameters submitted by the clinician. Each device is produced through a Precision Digital Custom Fabrication workflow that includes:
During the custom fabrication phase, AIOMEGA® constructs the device using the exact records and prescription parameters submitted by the clinician. Each device is produced through a Precision Digital Custom Fabrication workflow that includes:
In addition to mandibular position and vertical dimension, AIOMEGA® incorporates the clinician‑prescribed device thickness (tooth‑covering portion) and the clinician‑prescribed mandibular plateau height and geometry. These structural parameters directly influence the device’s engineered configuration and are integrated exactly as specified.
AIOMEGA® uses digital robotic‑precision customization to fabricate the device to exacting manufacturing standards based on the clinician’s prescribed specifications. Advancement measurements in 1/10th‑millimeter increments are incorporated into the manufacturing process, supporting consistency, structural integrity, and reproducibility.
Every device is made specifically for the individual patient according to the clinician’s instructions. All therapeutic decisions — including candidacy, mandibular position, vertical dimension, device thickness, and plateau height — remain solely under clinician authority.
During the delivery and fitting appointment, the clinician evaluates how the AIOMEGA® device seats, adapts, and functions intraorally. This visit ensures that the device reflects the clinician’s prescribed parameters and is comfortable for the patient. The fitting process may include:
During the delivery and fitting appointment, the clinician evaluates how the AIOMEGA® device seats, adapts, and functions intraorally. This visit ensures that the device reflects the clinician’s prescribed parameters and is comfortable for the patient. The fitting process may include:
The clinician may make chairside adjustments to optimize comfort or refine the seating characteristics of the device. These adjustments remain within the clinician’s professional judgment and do not alter the underlying prescribed parameters unless the clinician elects to modify them.
All fitting decisions — including comfort optimization, seating evaluation, and any adjustments — remain solely under clinician authority.
After the device is delivered, clinicians monitor patient progress and determine whether adjustments or additional evaluations are needed. Follow‑up visits allow the clinician to assess comfort, function, and the patient’s response to therapy. This may include:
After the device is delivered, clinicians monitor patient progress and determine whether adjustments or additional evaluations are needed. Follow‑up visits allow the clinician to assess comfort, function, and the patient’s response to therapy. This may include:
Clinicians may also perform post‑treatment sleep testing to assess physiological changes and evaluate treatment efficacy based on their clinical judgment. The timing, type, and interpretation of sleep testing remain entirely at the discretion of the prescribing clinician.
If the clinician elects to modify the mandibular position, vertical dimension, device thickness, or plateau height, these adjustments are made according to the clinician’s prescription and professional assessment.
All follow‑up decisions — including adjustment strategy, timing of reassessment, and interpretation of post‑treatment testing — remain solely under clinician authority.
Clinicians have access to a comprehensive set of professional resources designed to support every stage of prescribing, delivering, and managing an AIOMEGA® device. These resources help ensure clarity, consistency, and confidence throughout the clinical workflow. Support may include:
Clinicians have access to a comprehensive set of professional resources designed to support every stage of prescribing, delivering, and managing an AIOMEGA® device. These resources help ensure clarity, consistency, and confidence throughout the clinical workflow. Support may include:
These resources are designed to complement — not replace — the clinician’s professional judgment. All diagnostic interpretation, treatment planning, and therapeutic decisions remain solely under clinician authority.
The IFU states: “Take an intra‑oral scan, impressions, or dental models… and send the prescription, scans, and patient information to AIOMEGA.”
Clinicians provide:
This is the core of pediatric therapy — because it is monitoring growth, not modifying growth.
The IFU states: “When used with patients who may experience growth or changing dental alignment… it is important to take intraoral scans at regular intervals and submit each new scan to ensure timely fabrication of a new device.”
Clinicians monitor:
As growth occurs, the device must be updated to maintain proper fit.
The IFU states: “If the device no longer fits properly due to growth or dental changes, order a new device to ensure safe and effective treatment.”
Common triggers for a new device:
Routine follow‑ups allow clinicians to:
Parents play a central role in pediatric therapy.
Clinicians reinforce:
As the child enters adolescence:
The AIO Breathe® PDS pediatric oral appliance is indicated for the treatment of:
Use of the AIO Breathe® PDS device requires evaluation and ongoing supervision by a licensed dentist, in coordination with a sleep physician or ENT, consistent with pediatric standards of care.
The Adult AIO Breathe® adult oral appliance is indicated for the treatment of:
Use of the AIO Breathe® device should be based on a physician’s diagnosis of sleep‑disordered breathing and delivered under the supervision of a licensed dentist trained in oral appliance therapy.
Clinicians should evaluate the following when determining whether an adult patient is appropriate for treatment with AIO Breathe®:
Clinicians should evaluate the following when determining whether an adult patient is appropriate for treatment with AIO Breathe®:
Contra-indications: The device is contraindicated for patients who: 1. have central sleep apnea. 2. have severe respiratory disorders. 3. have loose teeth or advanced periodontal disease. 4. are under the age of 6 years.
Warnings: Use of AIO BREATHE may cause: • Tooth movement or changes in dental occlusion. • Gingival or dental soreness. • Pain or soreness of the temporomandibular joint. • Excessive salivation. • Obstruction of oral breathing.
When AIO Breathe is used by patients who may experience growth or changing dental alignment or bite, such as pediatric or adolescent patient, it is important to take intraoral scans, impressions or models at regular intervals and submit each new scan, impressions or models to AIOMEGA to ensure timely fabrication of a new device and maintain therapeutic safety and effectiveness. Scans (or models) taken with braces or for sequential/transitional aligners may be submitted, provided they meet the specifications for AIO Breathe fabrication as described in section on ‘Directions for ordering AIO BREATHE’.
Precautions: Dentists should consider the medical history of their patients, including history of asthma, breathing, or respiratory disorders, or other relevant health problems, and refer the patient to the appropriate healthcare provider before prescribing the device. Patients should be evaluated for central sleep apnea which is an important contraindication for use of this device.
Contraindications: AIO BREATHE should not be used by people who: • have central sleep apnea. • have severe respiratory disorders. • have loose teeth or advanced periodontal disease. • are under 18 years of age.
Warnings: Use of AIO BREATHE may cause: • Tooth movement or changes in dental occlusion. • Gingival or dental soreness. • Pain or soreness of the temporomandibular joint. • Excessive salivation. • Obstruction of oral breathing. If you notice any of the above conditions, please consult your dentist or healthcare professional immediately. If you experience pain or discomfort in the jaw joint area, stop wearing the device and talk to your Dentist.

AIOMEGA® integrates a fully digital workflow with precision fabrication systems to support clinicians in prescribing and managing a custom intraoral device. The platform is built around clinician‑defined parameters, ensuring that every device reflects the exact specifications submitted in the prescription.
The technology ecosystem includes:
AIOMEGA® technology is designed to support the clinician’s workflow — not replace clinical judgment. All diagnostic interpretation, treatment planning, and therapeutic decisions remain solely under clinician authority.

Fabrication
Each AIOMEGA® device is digitally designed and fabricated using a controlled CAD/CAM workflow. Clinician‑submitted records are translated into a precision digital model that preserves the intended mandibular relationship throughout the design process. The Vertical Flange, Protrusive Flange, and Mandibular Plateau geometries are maintained with strict dimensional tolerances to ensure predictable mandibular tracking. The digital design is converted into a production‑ready file and manufactured using high‑resolution additive or subtractive processes depending on the selected Material. The fabrication workflow is engineered to minimize distortion, maintain consistent thickness profiles, and ensure that the prescribed mandibular position is accurately reproduced in the Final device.
Final Inspection
Every device undergoes a structured, multi‑point quality inspection to verify dimensional accuracy, surface finish, and geometric fidelity. Critical features — including the Vertical Flange, Protrusive Flange, Mandibular Plateau, and overall thickness profiles — are checked against the digital prescription. This ensures that the delivered device matches the intended design specifications and maintains the engineered mandibular relationship selected by the clinician.

AIOMEGA® devices are fabricated using biocompatible, medical‑grade polymers selected for durability, dimensional stability, and intraoral comfort. All materials meet applicable ISO 10993 biocompatibility standards for mucosal contact. Material selection varies by device type and may include rigid SLA‑printed polymers or flexible thermo‑elastic components depending on the clinician’s prescription.
Each device is manufactured to the clinician’s prescribed mandibular and vertical settings. Prior to delivery, every appliance undergoes a final inspection to verify geometry, surface finish, and mechanical features. Clinicians should instruct patients on proper insertion, removal, cleaning, and storage to maintain device integrity and hygiene.
Vertical Flange (VF)
The Vertical Flange establishes the device’s vertical dimension and guides the mandible along a defined inferior trajectory during voluntary mouth opening. It maintains consistent vertical separation and provides a stable interface for the Protrusive Flange.
Protrusive Flange (PF)
The Protrusive Flange interfaces with the Vertical Flange to guide the mandible along a controlled anteroposterior pathway. It defines the initial mandibular position and supports incremental anterior movement during mouth opening.
Mandibular Plateau (MP)
The Mandibular Plateau provides a smooth, contoured surface that stabilizes mandibular tracking. Its curvature supports lateral freedom of movement and maintains predictable mandibular orientation across dynamic movements.
Resting Anterior Position (RAP)
RAP defines the baseline anteroposterior mandibular position when the device is fully seated. It establishes the starting point for the CONNECTED‑ARC‑OF‑MOTION®.
Resting Vertical Position (RVP)
RVP defines the baseline vertical separation between arches and is calculated as: RVP = MP + 2 × TCT This reflects the combined contribution of the Mandibular Plateau and the tooth‑covering thickness of both trays.
Tray Thickness (TCT)
TCT contributes directly to RVP and influences the inferior component of the mandibular pathway. It is a fabrication parameter.
Voluntary Mouth Opening (VMO)
VMO describes the degree of voluntary mouth opening performed while the device is worn. The AIOMEGA® design couples VMO to predictable anterior and inferior mandibular displacement through the VF–PF–MP interaction.
AIO Breathe® devices support a stable mandibular posture. Mandibular posture is clinically relevant to several anatomical regions of the upper airway, which are commonly evaluated when assessing multi‑segment narrowing in obstructive sleep apnea (OSA).
The following regions represent natural anatomical segments where narrowing may occur.
Key anatomical regions include:
These anatomical levels reflect the multi‑segment structure of the upper airway and provide context for clinicians when evaluating airway imaging or planning treatment.
This section describes anatomy only and does not imply device performance or mechanical effects.
The AIOMEGA® Clinical Guidance System is a structured, clinician‑directed framework that supports the selection of a predictable, geometry‑aligned starting point for mandibular positioning. It does not automate decisions or replace clinician judgment. Instead, it provides high‑level guidance that aligns patient‑specific considerations with the engineered biomechanics of the AIOMEGA® device family.
A clinical guidance system is a structured set of tools that helps clinicians organize patient‑specific information and map it to device‑specific geometry. It does not diagnose, predict outcomes, or automate treatment decisions.
Instead, it provides:
SMART‑Rx™ and AIO‑Rx™ together form the AIOMEGA® Clinical Guidance System.
SMART‑Rx™ provides a structured framework for clinicians to consistently organize and interpret airway‑related findings — the clinician performs the evaluation, not the software. Built on the engineered biomechanics of the AIOMEGA® device family, SMART‑Rx™ incorporates:
SMART‑Rx™ provides a structured, geometry‑aligned starting point for mandibular positioning. It supports — not replaces — clinician judgment.
AIO‑Rx™ provides a structured framework that allows clinicians to convert the SMART‑Rx™ assessment into a prescription‑ready mandibular position aligned with the VF–PF–MP interaction and the CONNECTED‑ARC‑OF‑MOTION® geometry. It defines the key geometric elements clinicians reference when writing an AIO Breathe prescription:
AIO‑Rx™ provides a clear, reproducible, geometry‑aligned starting prescription consistent with the device’s engineered biomechanics — supporting, not replacing, clinician judgment.
SMART‑Rx™ and AIO‑Rx™ are built directly on the engineering principles of the AIOMEGA® system, including:
This ensures that the clinician’s starting point is:
SMART‑Rx™ and AIO‑Rx™ integrate seamlessly into the AIOMEGA® workflow:
This structure ensures every clinician begins with a consistent, geometry‑aligned starting point.
The internal logic, decision pathways, and computational rules used by SMART‑Rx™ and AIO‑Rx™ are proprietary and not disclosed; clinicians interact only with the high‑level guidance outputs. Upon request, clinicians may review the conceptual basis of the system as described in AIOMEGA’s issued patents, without revealing the proprietary internal algorithms.
To onboard the AIOMEGA® Portal and submit cases, please contact us through the Contact Us or Partner with Us page and provide:
Our team will create your portal access and guide you through the onboarding process.
Clinicians can submit a digital scan and prescription to begin fabrication of an AIOMEGA® device at AIO PORTALS or SUBMIT A CASE (Above). AIOMEGA® builds devices based solely on the clinician’s anatomical and physiological assessment.
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AIOMEGA® — Advanced Intraoral Medical Devices
Information on this site does not replace professional medical advice.
Use of all devices must follow FDA-cleared labeling and clinician supervision.
Prescription-only medical devices. See FDA-cleared labeling for full safety information.

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