The reduction of the acrylic bulk in Respire’s new Blue+’s design just makes everything better about the device. In particular, in the lingual and the distal buccal areas the patients do not feel like it’s pressing against their cheeks and this makes it easier for their mouth to close. It also helps to promote more tongue space and the patient doesn’t feel overwhelmed in the confines of their mouth.

I love the 80 degree wings. Number one, its improved angulation aids in the patient opening their mouth easily. Number two, it aids in the mouth staying closed overnight. The reduced size of the dorsal fin wing has greatly improved and I feel it has led to having more strength and durability when the patients advance the device. With metal bars removed from the sides, patients can put the device in their mouth far more comfortably than they were before. The lower profile on the sides prevents the patient’s muscles and tongue from fighting against it, helping them to relax and allows them to have improved lip seal throughout the night.

Respire Blue+’s enhanced design has really broadened the range of applications in patients! Since the new design, Respire Blue+ is a more durable and a far more comfortable device, I would have no hesitation in any application other than a heavy lateral bruxer. Patients with a very small mouth are far more comfortable in the Respire Blue+ as compared to the previous design. Lastly, another improved clinical application, patients who are missing multiple posterior and or anterior teeth where you would be concerned about a herbst arm possibly pulling off the lower device, the new Respire Blue+ is an excellent option for these patients. It assures that the device has good retention in the edentulous areas and doesn’t overwhelm the patient.

Overall, I recommend the Respire Blue+. Not only have I been impressed with the improvements in design but also the positive feedback from patients and far less adjustment appointments due to the patient comfort and better compliance.