Panthera oral appliance for snoring and sleep apnea
A premium oral appliance, backed by Shalvina’s expertise.
The Panthera appliance is worn at night to treat snoring and obstructive sleep apnea in adults, when this treatment is indicated. At Shalvina, its custom manufacture comes with a careful dental assessment, personalised adjustments and follow-up of the result.
The first dental assessment is free of charge on presentation of a letter from your doctor recommending mandibular advancement device therapy.
- AMAR registration — Israeli Ministry of Health
- CE marking
- FDA 510(k) clearance
- 3-year manufacturer’s warranty1
A recognised treatment that can fit into your daily life
Mandibular advancement devices (MADs) are among the recommended treatments for snoring and obstructive sleep apnea. In patients for whom they are suitable, they can reduce apneas, snoring and sleepiness, and improve quality of life.3
They may be considered in particular when CPAP is poorly tolerated or another option is preferred. The choice depends on your medical assessment, your dental situation and your expectations.
CPAP remains the preferred treatment for severe sleep apnea. The Panthera instructions for use provide for second-line use after refusal, failure or intolerance of CPAP, in line with applicable national recommendations. The decision requires an individual medical assessment and a check of the result.
How does the appliance work?
It holds the lower jaw in a forward position to help keep the airway open during sleep. The advancement is adjusted gradually according to your comfort and your response to treatment.
Discreet · No mask · No power supply · Easy to travel with
Why we chose Panthera
Made in Canada and used in North America and Europe, Panthera appliances bring together the qualities we look for in your treatment.
A slim, lightweight design
The low bulk in the mouth and the space left for the tongue are designed to make the appliance easier to wear at night.
A durable, metal-free medical material
Polyamide 12 is a biocompatible medical-grade nylon, light and strong. The metal-free design and simple cleaning make daily use easier.
Custom digital manufacturing
Digital impressions are used to design your appliance, which is then 3D-printed. With more than 300 customisation options, its configuration is adapted to your dental situation.
Fine, gradual adjustments
Mandibular advancement can be adjusted over the course of treatment to find the right balance between effectiveness and comfort.
Panthera Classic and Panthera X3
We offer Panthera Classic, with interchangeable connectors and adjustments in 0.5 mm steps, and Panthera X3, with a tool-free clip system. Dr Riahi-Boukhris will guide you towards the model and configuration that suit your situation.
Panthera Classic
Interchangeable connectors · adjustments in 0.5 mm steps
Manufacturer illustration
Panthera X3
Tool-free clip system
Manufacturer photograph, on a dental modelCare led by Dr Chira Riahi-Boukhris
Dentist — Dental management of snoring and sleep apnea
Head of oral appliance therapy at Shalvina
Member of the American Academy of Dental Sleep Medicine.
With clinical experience in France and Israel in oral appliances and dental sleep medicine, she supports you throughout treatment, in coordination with the doctors involved.
Assessing your situation and planning treatment
Your doctor’s letter recommending the appliance and your test results are reviewed. Examination of the teeth, gums and jaw joints establishes whether treatment is feasible. The expected benefits, precautions and terms of care are explained to you.
Taking your digital impressions
If the treatment is chosen and your situation allows, impressions are taken at the first appointment and sent to the manufacturer the same day.
Supporting you at fitting
Your appliance is delivered with a personalised starting position. Dr Riahi-Boukhris checks the fit and explains how to wear, handle and clean it.
Adjusting treatment and monitoring progress
In-person follow-up visits are planned at around one month and six months after fitting, with a schedule adapted to your progress. Appointments are booked in advance. The Shalvina team supports your adaptation with gradual adjustments tailored to your comfort and to the treatment result, while monitoring your dental health.
Checking effectiveness is part of follow-up
For sleep apnea, a follow-up sleep test with the appliance in place is used to assess the treatment result.3
The results are reviewed with you, in coordination with your doctor, to guide the next steps.
Where relevant, nasal breathing, weight and sleep position are also taken into account as part of comprehensive care.
Your questions
My doctor has already referred me for an oral appliance: can I book directly?
Yes. You can book the dental assessment directly with Dr Riahi-Boukhris, without a further routine consultation with Dr Marc Boukhris.
If your choice of treatment still needs a medical assessment, you can see your own doctor or book our snoring and sleep apnea consultation.
Is the appliance comfortable?
Its slim profile, light weight and custom fit are designed to make it easier to wear. An adaptation period may be needed. The Shalvina team supports you with gradual, personalised adjustments that take account of your comfort and the treatment result.
How can I tell whether my appliance is working?
Less snoring and better sleep are useful signs, but they are not enough to confirm that sleep apnea is controlled. A sleep test with the appliance in place assesses its effectiveness, after the adaptation and adjustment phase. Its timing depends on your situation. The results are reviewed with you, in coordination with your doctor, to guide the next steps.
How long does it take?
About two weeks from the impressions to the fitting of your appliance (indicative timeframe).
What does the package include?
The package includes the initial dental assessment, digital impressions, the appliance, fitting and adaptation, adjustments and in-person follow-up visits at around one month and six months after fitting. The schedule is adapted to your progress. Fees and any treatment not included are explained before you commit.
Can private insurance contribute to the cost?
Some private insurers may contribute to the cost of a mandibular advancement device. This depends on your policy and your insurer’s terms. Check your cover and any required steps with your insurer before starting treatment.
What warranty does my appliance have?
Your Panthera appliance has a three-year manufacturer’s warranty covering breakage of the device, under the manufacturer’s terms. Loss and damage caused by pets are not covered. Repair or replacement arrangements are explained before treatment begins.
What is the relationship between Shalvina and Panthera?
Shalvina’s founders are also involved in distributing Panthera devices in Israel. The choice of treatment is based on an individual medical and dental assessment.
Booking your assessment in Netanya
Plan your treatment with Dr Chira Riahi-Boukhris. Appointments can be requested by phone, WhatsApp or email.
Phone and WhatsApp: 058-7177550
Email: contact@shalvina.co.il
Bring the letter from your doctor recommending oral appliance therapy and the reports of your sleep tests. Please also bring any previous dental assessments and panoramic X-rays, if you have them.
Address: 28 Ha-Orzim St, Yahalom 2 building, 2nd floor, Netanya.
Sources and notes
- Three-year manufacturer’s warranty covering breakage of the device, under its terms. It is separate from clinical follow-up; see the warranty question above.
- Gagnadoux et al. Panthera D-SAD, interim results of a multicentre observational study. J Dent Sleep Med. 2025;12(2), abstract no. 013. The figure refers to self-reported satisfaction at one-year follow-up. Study funded by Panthera Dental. View the scientific source.
- Ramar et al., joint AASM/AADSM guideline on oral appliance therapy, 2015; Levine et al., updated AADSM standards, 2025. AASM/AADSM guideline · AADSM standards 2025.