Abstract: An ankle brace is configured with a lateral anterior talofibular (ATF) strap and an inversion control strap affixed to a non-rigid brace body coupled to a semi-rigid orthotic arch support. The brace may be quickly donned and doffed by a wearer, and provides prophylactic or post-injury support to the ATF ligament without unduly restricting the wearer's motion. As a result, the wearer may participate in physical activity without significant impairment in range of motion.

Abstract: A method of performing at least one surgical procedure is disclosed. The method includes: preparing a patient for a first surgical procedure; making a first incision through the skin of the patient in accordance with the first surgical procedure; exposing a target area for the first surgical procedure through the first incision; performing a step of the first surgical procedure on the target area for the first surgical procedure; placing a protective pad with a fluid pocket between a vulnerable anatomical part and the target area for the first surgical procedure; and closing the first incision in accordance with the first surgical procedure with the protective pad between the vulnerable anatomical part and the target area. A protective system for facilitating revision surgery is also disclosed.

Abstract: A device for prevention of snoring in the form of a neck collar (1) with a middle section (2) for placement under the chin of a user, side sections (3, 4) connecting to said middle section and end parts (5, 6), optionally connectable to each other, consisting of a core of foam plastic contained in a covering. The foam plastic is a soft foam plastic, an opening (7) is formed in said middle section (2) and resilient means (14; 15; 27; 28) for adjustment of the height of the opening (7) and thereby the height of the middle section (2) are arranged in said opening (7).

Abstract: A hip orthosis, provided with a trunk engaging part and an upper leg engaging part which are intercoupled by coupling means, wherein the coupling comprise at least one resilient element for operatively preventing an adducting movement of an upper leg engaged by the upper leg engaging part by means of spring force.

Abstract: A device for protecting an area of skin of a human body includes a plate. The plate includes a first face covered by an external layer and a second face opposite the external layer. The second face is configured to be applied onto an area of skin to be protected. The plate also includes a protective part made of a polymer gel and at least one adhesive part made of a polymer gel. The protective part is configured to ensure mechanical protection of the area to be protected and the adhesive part is configured to come into contact with the skin. The adhesive part has an adhesive power greater than an adhesive power of the protective layer to hold the plate on the area to be protected.

Abstract: A TemporoMandibular Joint (TMJ) balancing appliance and a method for using the same are provided, in which a first base portion accommodates incisor teeth, a second base portion is extended from a left side of the first base portion and accommodates left molar teeth, and a third base portion is extended from a right side of the first base portion and accommodates right molar teeth. The first base portion includes an upper part for accommodating upper incisor teeth and a lower part for accommodating lower incisor teeth and has a center for accommodating the upper and lower incisor teeth higher than the left and right sides.

Abstract: A medical wrap configured to be secured about a body or torso of a patient, or around a limb or other portion of the patient. The wrap comprises a main body of stretchable fabric. The wrap has a first fastener. The wrap has an opening formed in the main body. The opening has a flap and a second fastener selectively securing the flap to the main body.

Abstract: A joint drive type link mechanism provided with a link including a joint portion at an intermediary thereof, and a driving source for the joint portion, wherein a link member configuring the link is mounted with the driving source and electric components used for the control of the driving source, in which the link is prevented from being heated by the heat of the electric components is provided. The link member includes an interior space in which the electric components are arranged and has the driving source is arranged thereon with an air inlet connecting to the interior space and an exhaust outlet for exhausting the air passing through the interior space. Further, the interior space is provided with fans as well as a heat sink for cooling the air after air-cooling the electric components.

Abstract: TENS can be applied to the TMJ of an athlete for a period of time to deprogram muscles. After TENS, a desired position of the lower jaw relative to the upper jaw can be determined and recorded. The desired position can be a physiological resting position, or a performance position in which the lower jaw is positioned anteriorly relative to the physiological resting position. A mouthpiece can be prepared including bite portions configured to substantially space apart and position the jaws according to the desired position, and substantially prevent movement of the lower jaw relative to the upper jaw. A connecting portion connects the bite portions within the mouth, and may extend labially along the anterior teeth and associated gum region of the lower jaw, and may be sized and shaped to substantially lie out of the way so as to not impede speech of the athlete.

Abstract: A spacing member can be positioned between teeth of the athlete to obtain a desired position between the upper and lower jaw. At least one bite registration can be recorded while the lower jaw is in the desired position. The desired position can range from the physiological resting position, to a performance position, in which the lower jaw is positioned anteriorly in relation to the physiological resting position. The mouthpiece can be formed to include a pair of bite portions configured to substantially space apart and position the jaws generally according to the desired position, and a connecting portion can connect the bite portions within the mouth. The connecting portion may extend labially along the anterior teeth and associated gum region of the lower jaw, and may be sized and shaped to substantially lie out of the way so as to not impede speech of the athlete.

Abstract: A joint having two-axis construction having a distal member and a main member joined in co-linear pivotal relation that provides enhanced joint strength and compactness. Hydraulics further provide variable extension assist and an infinite number of flexion stops for controlled flexion flow, and two gears provide a functional gear ratio that also promotes compact construction by reducing the amount of hydraulic piston travel required for maximum joint extension. A drive gear associated with the main member is positioned between the distal end of the piston and a transfer gear partially press-fit into a cut-out in the distal member, to provide needed radial hydraulic force transfer. Although it is contemplated for joint use to be primarily in orthotic devices that assist the movement of an inadequately functioning body limb, any application for which the mechanical joint's compact configuration would provide assistance or technical advantage is considered to be within its scope.

Abstract: A finger support system comprising a wedge shaped finger support member, narrow at one end and wider at another end, with concave sides to form fit the finger support member between an injured and an adjacent finger, the finger support member being taped or otherwise removable attached between the injured and adjacent fingers with the narrow end fitting snugly at the juncture of the two fingers and the wider end separating the fingers, and extending past the middle knuckle but not to the knuckle near the finger tips so that, when the finger support member is taped in place, the hand will have greater use in basketball or other ball-handling sports.

Abstract: A protective device for protecting a tender area proximate an implanted medical device, such as implanted venous access ports, stints, and shunts. In one embodiment the device has a cushion layer with an opening dimensioned to receive at least a portion of skin that protrudes outwardly due to an implanted medical device. For example, the cushion layer may be formed from a material configured to dampen a force applied to the protruding area. The device includes an adhesive layer for attaching the cushion layer to the skin. Typically, the cushion layer has a thickness that is greater than a distance that the protruding area extends outwardly due to the implanted medical device.

Abstract: System for the prevention and treatment of pressure ulcers are described in which a portable support assembly may be worn by a bed-stricken individual around particular regions of the body where pressure ulcers tend to form. The portable support assembly may generally include one or more individual spring assemblies which are enclosed entirely within an inner fluid and/or outer fluid pad which extends over the entire assembly. Each of the spring assemblies may be secured to an outer shell which is relatively stiffer than the fluid layers.

Abstract: An orthopedic boot has two leg supports connected adjustably to a foot support via two joint assemblies. Each joint assembly has a securing panel, a connecting panel, a guide panel, two limiting members and two holding members. The securing panel is mounted securely on the foot support and has two engaging grooves each having engaging cavities. The connecting panel is mounted securely to one leg support and is pivotally connected to the securing panel. The limiting members has a resilient segment, an engaging pin and a locking tab. The engaging pin is mounted slidably in one of the engaging grooves, engages one of the engaging cavities and selectively abuts the connecting panel. The locking tab is spaced from a periphery of the guide panel to define a locking gap. The holding members are held respectively in the locking gaps and abut respectively against the locking tabs.

Abstract: The subject devices and methods retain surgical instruments and sterile portions of any accompanying cables within sterile surgical fields. One such surgical device includes a surgical instrument for performing surgical procedures within a sterile field. A cable is attached to the surgical instrument for connecting the surgical instrument located within the sterile field to support equipment located outside the sterile field. A self-retracting coil is operatively connected to the surgical instrument. The self-retracting coil is adapted and configured to be anchored within the sterile field to ensure that the surgical instrument and the sterile portion of the cable remain within the sterile field during performance of the surgical procedure.

Abstract: A multipurpose site guard for use at all peripheral and central venipuncture infusion sites, sensitive areas, and for pediatric and adult patients. The guard is a hollow plastic member with a base and a sidewall that forms a cover over the site. Improvements to this invention include holding the guard in place with a fabric connector having closure means, cushioning the guard's base with a soft material, and a hole disposed in the hollow member for providing access to the site.

Abstract: Systems and methods are disclosed for providing supplemental support to the arm and/or elbow region of an individual. In one exemplary implementation, a brace for a user's arm is provided comprising a rigid element including arm-engaging portions and a strap of flexible material configured to encircle the arm. Moreover, the exemplary rigid element and strap may be further characterized in that the strap comprises an elastic nature or portion that provides a force (such as a compressive or constraining force) to the user's arm, the arm-engaging portions include muscle/tendon-engaging regions that each engage the user's arm along a leading face/edge, with various leading faces/edges corresponding to the muscle/tendon-engaging regions being positioned in relationship with each other to apply a desired pressure or force to the user's arm.

Abstract: A compression wrap for providing pressure to an injured portion of a joint of a limb is provided. The compression wrap includes a pocket portion for receiving compression insert. The compression wrap further includes a strap connected to the pocket portion and adjustably securing the compression wrap to the limb. A buckle loop connected to the opposite side of the pocket portion as the strap adjustably receives the strap to adjust the size of the strap. Further, the strap portion and the pocket portion are configured such that when the compression wrap is attached to the limb of a person having an injury proximate the joint, the pocket portion is positionable to apply a load to the location of the injury while the strap portion is spaced away from the crease of the joint.

Abstract: The invention comprises a semi-vertical patient positioning, alignment, and/or control method and apparatus used in conjunction with charged particle or proton beam radiation therapy of cancerous tumors. Patient positioning constraints are used to maintain the patient in a treatment position, including one or more of: a seat support, a back support, a head support, an arm support, a knee support, and a foot support. One or more of the positioning constraints are movable and/or under computer control for rapid positioning and/or immobilization of the patient. The system optionally uses an X-ray beam that lies in substantially the same path as a proton beam path of a particle beam cancer therapy system. The generated image is usable for: fine tuning body alignment relative to the proton beam path, to control the proton beam path to accurately and precisely target the tumor, and/or in system verification and validation.

Abstract: An earplug insertion device can include a housing that is configured to hold a first earplug and a second earplug. The device can also include an ejection mechanism that can be configured to respond to a first user force by ejecting the first earplug from the device in a first ejection motion. The ejection mechanism can also being configured to respond to a second user force by ejecting the second earplug from the device in a second ejection motion.

Abstract: A pad is disclosed that may be sewn into women's undergarments to provide support and protection during physical activity. The pad may include a ridge that is configured to support the labia. In one embodiment, the pad is comprised of a flexible laminated foam. According to some embodiments, the pad may prevent an embarrassing appearance for the wearer.

Abstract: The invention provides, in various embodiments, braces that are capable of stabilizing an injured limb, particularly an injured wrist. An exemplary brace fits across the injury in contact with the user's limb and has an adjustable casing and compressible material.

Abstract: An arm elevation device for lymphedema patients suffering from upper limb swelling. The arm elevation device includes a first and a second base, either of which can be selected by the user for elevating the arm in the proper manner depending on the position of the user's body. A top channel includes a concave and arcuate surface for accommodating the arm of a user. The top channel is straight in order to maintain the arm in a straight orientation and without any bends at the elbow and with minimal bending at the armpit. The arm elevation device includes a foam core surrounded by a fabric cover.

Abstract: Magnetic structures develop a magnetic force between a tongue and a posterior pharyngeal wall to stabilize an orientation of the tongue.

Abstract: To provide an impact-absorbing pad fully satisfying impact absorbability for preventing femoral neck fractures, wearing comfort and breathability not to cause discomfort for all-day use, a small thickness not to impair external appearance, and flexibility in a surface direction not to cause uncomfortable feeling at the time of putting on and taking off, which are required for the impact-absorbing pad used in a hip protector, clothing furnished with the impact-absorbing pad, and a method for preventing femoral fractures. A pad main body having impact absorbability includes an impact-deflecting part having a through hole or concavity with a maximum length of 80 mm or less and an area of 600 mm2 or more and 5,000 mm2 or less, and the pad main body is disposed so as to apply the impact-deflecting part onto the greater trochanter of the femur, thereby preventing femoral fractures.

Abstract: In order to improve a support (2) for supporting a patient, particularly for surgical procedures in the shoulder region, said support comprising a substantially flat body part (4) and a bowl-shaped head part, said body part (4) comprising a back part (6) and a thorax part (8) tapered in relation thereto, the head part (10) being disposed on said thorax part by means of a transitional region, with the thorax part (8) and the transitional region sloping upwards such that the head part (10) is higher than the back part (6), and with said head part being adapted to the human profile and comprising a removable, inflatable support for adapting the position of the patient to the current positional or treatment requirements, the invention proposes that the transitional region be designed as neck part (12) and also be adapted to the human profile, comprising a removable, inflatable support for adapting the position of the patient to the current positional or treatment requirements.

Abstract: Systems and methods for detecting an obstructive sleep apnea event are disclosed herein. The systems and methods may use an electrical output generating ionic polymer metal composite sensor attached to a region in an airway passage in an oral cavity. The electrical output may be wirelessly transmitted as a signal for indication of an obstructive sleep apnea event. The signal may be further processed by a smart mandibular repositioning system for treatment of the obstructive sleep apnea event.

Abstract: An implant for treating obstructive sleep apnea includes an elongated body having a central region, a first end, and a second end opposite the first end. The central region of the elongated body engages inframandibular musculature that extends between a mandible and a hyoid bone. The first and second ends of the elongated body are optionally anchored to the mandible. The elongated body is under tension for urging the inframandibular musculature in an inferior direction, which, in turn, pulls the hyoid bone anteriorly for minimizing the likelihood of occurrence of obstructive sleep apnea episodes.

Abstract: Described herein are exemplary embodiments of improved surgical positioners that not only help position a patient during surgery, but also help maintain the patient's body temperature during surgery. Some exemplary surgical positioning devices disclosed herein comprise a flexible shell defining a deflatable air-tight internal region partially filled with beads and an electrical warming fabric coupled to an internal surface of the shell that is adjacent to the patient. The warming fabric is configured to convert electrical current into heat for warming the patient during surgery.

Abstract: A protective pillow for post-surgical use has a pliable yet firm inner incision pad and a stiff outer board. The outer board has handles on one side and is attached on the other side to the incision pad by use of hook-and-pile fasteners. The incision pad is soft yet pliable. The pad has one side with a cushioned surface. The cushioned surface has a long groove cut out from the inner part of the pad. The other side of the pad is attached to the outer board by hook-and-pile fasteners. The fasteners allow the post-surgical patient to orient the incision groove in any direction desirable so as to align the groove with the actual incision. The handles on the outer board always remain essentially horizontal while the incision pad is oriented in the same direction as the incision. The pad and board may be removed for easy cleaning or replacement.

Abstract: A system and method for stabilizing an incontinent cervix during pregnancy are described. A system may include a nesting portion designed to surround the cervix without applying pressure to the cervix, while supporting the uterus in opposition to the weight of the developing fetus to prevent untimely effacement and dilatation of the cervix; thereby reducing the risk of premature birth and its consequence.

Abstract: In the assist device, the output of an actuator is adjusted so that it becomes lower as a state of charge of a battery exceeds a first threshold value, and also so that it becomes lower as the state of charge of the battery becomes lower. The output of the actuator is controlled on the basis of the state of charge of the battery, so that it is possible to make the agent recognize the change in the state of charge of the battery by changing the output of the actuator, and as a result, to avoid the situation where the agent feels strange with respect to stopping the operation of the assist device following thereto.

Abstract: An orthotic foot brace for a person wearing a footwear includes: a lower leg holder; a lower leg strut extending downwardly towards the footwear; a foot strut having a rear section secured to the vertical strut, at least one of a median section and a lateral section located on a respective side of the footwear and extending outwardly thereof, and a front section securable to an instep section of the footwear; and a brace retaining member secured to the foot strut juxtaposed to the footwear, and extending from the median side of the footwear to the lateral side of the footwear, outwardly thereof, and restraining a rearwardly pivotal movement of the brace.

Abstract: An orthopedic brace having length adjustable supports is provided. The brace comprises upper and lower supports rotatably connected by a hinge. Each of the supports comprises an elongate portion having a channel along part of its length, and a sliding upright nesting within the channel. The upright is longitudinally translatable within the channel so that the support length is adjustable. Flanges are provided along edges of the channel to prevent lateral separation of the upright from the channel. A spring-biased button protrudes from a surface of the channel. The button cooperates with one of a plurality of holes in the upright, providing a positive lock to retain the upright in one of a number of predetermined positions. The upright is also completely removable from the channel. Removal of the upright shortens the brace. Straps cooperate with brackets on the supports and/or uprights to secure the brace to a patient's leg.

Abstract: An attractive wrist saver device with an elastomeric body and an adjustable strap is provided for decreasing stress and strain of a user's wrist joint by elevating a heel of a user's hand and lessening the amount and degree of an extension of a user's wrist so as to comfort and cushion the user's wrist and substantially prevent the user's wrist from being positioned at a 90 degree right angle and perpendicular to the user's forearm and hand when the user is performing yoga, pushups, hand stands, dips or other upper body weight bearing exercises.

Abstract: A protective shield. The protective shield is provided in a generally cupped structure sized to accommodate and shaped with sufficient volume to receive therein adult human female genitalia. The protective vaginal shield includes a soft, flexible outer lip that is generally configured in the shape of an arcuate section made through an ovoid shape substantially along the longitudinal axis thereof. Extending inwardly and downwardly from the outer lip are outer sloping sidewalls. A longitudinally extending nose portion is provided. Inner sloping sidewalls extend from the outer sloping sidewalls to the longitudinally running nose portion. In one embodiment, the inner sloping sidewalls comprise a pair of opposing concave shaped structures, to provide a secure handle grip. In an embodiment, the protective shield may be provided in a disposable material.

Abstract: A dental device has a U-shaped carrier with at least one channel for embracing an arch of teeth. The carrier has recessed insets in the channel. Discrete inserts carrying a beneficial agent can fit into the insets and release the agent gradually. The device may be used in a therapeutic application and as an athletic mouthguard. Temporary blanks may be initially fitted in the insets while a portion of the mouthguard is softened before an arch of teeth is pressed into the channel to make a custom impression. The inserts possess different physical properties than the carrier and may be positioned and shaped to mechanically buffer teeth of the arch from mechanical shocks as well as release beneficial agents. The inserts may be replaced or refreshed to maintain the beneficial agent. A dental device having a core carrying a beneficial agent inside a liquid-permeable shell functions as an infant's teething device.

Abstract: A male chastity apparatus, system and method are disclosed. The apparatus, in one embodiment, includes a housing, a protrusion, and a lock. The housing is configured to contain a shaft of a penis of a user. The housing, in certain embodiments, is made of a substantially rigid material that prevents the user from stimulating the shaft of the user's penis. The protrusion is configured to engage a piercing in the user's penis. The protrusion, in certain embodiments, is also made of a substantially rigid material. The lock is configured to engage the protrusion and to attach the protrusion to the housing.

Abstract: The invention relates to a variable tension chest support for use by patients having undergone thoracic surgery. The chest support may be worn directly on the skin of a patient and comprises a band of stretchable material and one or more grips which are wholly or partially concealed within pockets with which the patient may alter the tension of the chest encircling band. The device allows a patient to modify the level of tension applied to the chest, thus managing the recovery process, while providing a basic level of support at all times the support is in use.

Abstract: A sealing apparatus for an anatomical part comprises a support collar that comprising an annular body. An elastic sealing membrane is positioned within the support collar. The sealing membrane defines an annular sealed chamber having a given inner diameter in a natural state of the elastic material. A port in the sealing apparatus is in fluid communication with the chamber. The port is adapted to be in fluid communication with a device for reducing pressure in the chamber to increase the given inner diameter of the chamber in a collapsed state, so that an anatomical part may be inserted into the sealing apparatus. A sealing apparatus and accessories are also provided, as is a method for sealing an anatomical part in an inner cavity of an accessory.

Abstract: An oral device for use in radiotherapy of the head and neck includes a base member and a bite member or “mouthpiece,” which is selectively positionable relative to the base member. The device provides immobilization of the tongue for accurate reproducible administration of radiation therapy. The device fits within the oral cavity of a patient and is maintained in position by a bite member that fits over the maxillary teeth of the patient. The position of the bite member relative to the base member may be adjustable to accommodate differences in mouth cavities and bite profiles. For example, the base member may include a platform or series of members configured to be removably coupled to the bite member in multiple different positions.

Abstract: Support devices and pods for the head and neck region of patients undergoing radiation therapy are provided herein. The pod generally includes a support shell shaped to generally conform to the shape of the head and neck region of the patient, a foam insert that conforms to the head and neck region of the patient, and an immobilization facemask attached directly to the shell, thereby facilitating close placement of the radiation beam delivery device to the patient and reducing any attenuation and perturbation of radiation doses directed at the patient. The components of the pod are made from materials having properties that reduce any attenuation and perturbation of prescribed radiation doses.

Abstract: An airway positioning device facilitates the maintenance of a patent airway by correctly positioning a patient's head during anesthesia. A flat base supports a supine patient's head. A pair of rails slope downward from a first end of the base to a second end of the base. A track mounts with at least one of the rails. At least one adjustable support arm movably mounts with the track via a locking coupling device at an end of the arm distal to the patient's head. A patient engaging member mounted with an end of the arm proximal to the patient's head supports the patient's head in a desired position during an operation or procedure.

Abstract: Provided are a skin patch sheet including a carrier sheet, an adhesive patch and a release liner laminated in this order, in which (a) the adhesive patch includes two layers, namely, a backing and an adhesive layer having the same shape; (b) the carrier sheet is adjacent to the backing of the adhesive patch; (c) the skin patch sheet includes a grip section and a body section; (d) in the body section or the body section and grip section, the area of the release liner is larger than the area of the adhesive patch; (e) the boundary between the grip section and the body section is a slit line formed by a slit; and (f) the slit extends from the side of the release liner, penetrating into the adhesive patch, up to a depth in the range of greater than or equal to 20% and less than 50% of the thickness on the adhesive patch side of the carrier sheet; a skin patch sheet in which plural sheets of adhesive patches on which carrier sheets are laminated are formed in a parallel arrangement on a release liner; use of the s

Abstract: A retracting eye drape assembly is disclosed for use around a patient's eye to seclude and seal off the operative field during eye surgery. The drape assembly includes a retraction member connected to the drape and configured to engage the patient's eyelid, an extension member connected to the retraction member or to the drape and configured to substantially enclose the patient's eyelid, and a retraction flap configured to secure the patient's eyelid in a substantially retracted position. A method of applying an eye drape assembly is disclosed. After application of the drape to the patient's face, and while the patient's eyelid is closed, the patient's eyelid is engaged by a retraction member connected to the drape and retracted. While retracted, the patient's eyelid is substantially enclosed to seclude the eyelid and eyelashes from the operational area. The secluded eyelid and eyelashes are then secured in a retracted position.

Abstract: The current invention discloses an inexpensive, easy to use medical tape that reduces the chance of needlestick injuries. The medical tape comprises of multiple layers including a first layer made of pressure absorbing materials such as flexible foam, and a needle resistant layer. The medical tape may further comprise a third layer made preferably of non-stick paper and a covering layer made preferably of vinyl. A medical professional making injections or performing an operation may cover his/her body or a patient's body with the medical tape to prevent needlestick injuries. Moreover, the medical tape may come in various shapes and sizes and may be cut into suitable pieces for different procedures.

Abstract: A retracting eye drape assembly is disclosed for use around a patient's eye to seclude and seal off the operative field during eye surgery. The drape assembly includes a retraction member connected to the drape and configured to engage the patient's eyelid, an extension member connected to the retraction member or to the drape and configured to substantially enclose the patient's eyelid, and a retraction flap configured to secure the patient's eyelid in a substantially retracted position. A method of applying an eye drape assembly is disclosed. After application of the drape to the patient's face, and while the patient's eyelid is closed, the patient's eyelid is engaged by a retraction member connected to the drape and retracted. While retracted, the patient's eyelid is substantially enclosed to seclude the eyelid and eyelashes from the operational area. The secluded eyelid and eyelashes are then secured in a retracted position.

Abstract: A neck brace has two legs with a gap between them and the legs extend on either side of the wearer's neck and along the front of his torso. Shoulder protuberances, and chest protuberances extending laterally from each leg, are received underneath the shoulder straps of a harness, in the region of the wearer's shoulders and chest, respectively. A recess is defined on an underside of each leg between the shoulder protuberance and the chest protuberance to form a beam that is elevated above the wearer's chest. Each leg and its associated chest protuberance, define a channel in which one of the shoulder straps of the harness is receivable to be held captive.

Abstract: A dental appliance for maintaining a separation between the occlusal plane surfaces of the posterior teeth in order to avoid or minimize the adverse effects of bruxism, especially while sleeping. The appliance comprises bitepad assemblies, side assemblies for adjustably receiving the bitepad assemblies, and a strap assembly for connecting the side assemblies. Bitepad cores are provided with solid projections and mechanical locks that enhance bonding with associated overmolds for improved durability. Side assembly flanges are divided to achieve independent flexibility and improved conformity for enhanced stability and comfort. A mesial area of the connecting strap assembly is thickened and rigidified to create a flare in the areas of the cuspid roots to minimize irritation and discomfort to the gum tissue.