
Panthera Appliances
Panthera Sleep Apnea Devices
Panthera Mandibular Advancement Devices (MADs) are precision-crafted oral appliances that are the modern choice for treating mild to moderate obstructive sleep apnea and snoring. The design leads to a more comfortable fit, better compliance, and effective results, without the bulk of traditional CPAP machines. At Midtown Orthodontics, Drs. Freeman, Caro, and Lands will help you find the right approach for your sleep apnea treatment. We'll walk you through every step of the process with the same care and clarity we bring to every patient (younger or older).



What Are Panthera MADs
Panthera mandibular advancement devices provide a modern standard of treatment for mild to moderate obstructive sleep apnea and snoring. The device gently repositions the lower jaw forward during sleep, keeping the airway open.
Panthera's streamlined design makes treatment more comfortable and consistent.
What Are The Benefits of Panthera MADs
Discreet and compact – A low-profile appliance that fits comfortably in your mouth without intrusive equipment.
Custom fit – Digitally designed and precision-milled for an exact fit to your teeth and jaw.
Adjustable advancement – Allows for fine-tuned positioning to find your optimal therapeutic range.
Durable and lightweight – Made from high-strength nylon that resists wear and maintains its shape.
Travel-friendly – Portable and easy to maintain, making consistent use simple wherever you are.
Who Can Wear Panthera Devices
Panthera devices are suitable for patients diagnosed with mild to moderate obstructive sleep apnea, as well as those experiencing chronic snoring. They're ideal for those who:
Have been diagnosed with mild to moderate obstructive sleep apnea
Cannot tolerate or prefer an alternative to CPAP therapy
Want a discreet, custom-fitted sleep appliance
See if a Panthera MAD is right for you by scheduling a consultation with our team.
Reviews After Treatment
See what people have to say about our orthodontic treatments.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.
"Excellent team of orthodontists."
Excellent team of orthodontists who are not only skilled and knowledgeable, but provide care that feels more personalized and attentive. They take the time to explain things, and appointments are on time. Highly recommended!
"Highly recommend!"
Dr. Lands custom made and fit my husband with a mouth guard that much improved his sleep and stopped his snoring. Highly recommend! Thanks Dr. Brad, you saved my marriage!
"Highly recommend to anyone needing braces!"
We’ve had an excellent experience with Dr. Caro and Dr. Lands. From the very first consultation, their diagnostics were thorough and clearly explained, and the entire team has been professional, warm, and attentive every step of the way. They truly take a personal interest in their patients, always checking in, making my children feel comfortable, and explaining each stage of their treatment. The office runs smoothly, appointments are on time, and the results already speak for themselves. Highly recommend to anyone looking for exceptional orthodontic care!
"Great experience and excellent care."
Great experience and excellent care from Drs. Lands, Freeman and Caro, all of whom looked after me throughout my journey. Also great assistants and office staff. From my first visit, it was evident why this office was the top-rated orthodontist office in Toronto. Professional, highly skilled, caring, and yes, fun! I have enjoyed every visit. And I was thrilled with the results when my braces came off two months ago. No more closed-mouth smiles for me! I highly recommend Freeman, Caro & Lands Orthodontics, whether you're an adult like me who always wondered whether your smile could be improved, or the parent of a child who needs braces. I got the results I was hoping for, and so will you.


Book Your Appointment
Schedule your consultation with Drs. Freeman, Caro, and Lands to discuss your goals and explore your options. From your first visit to your final result, you'll receive the personalized attention you deserve.


Book Your Appointment
Schedule your consultation with Drs. Freeman, Caro, and Lands to discuss your goals and explore your options. From your first visit to your final result, you'll receive the personalized attention you deserve.


Book Your Appointment
Schedule your consultation with Drs. Freeman, Caro, and Lands to discuss your goals and explore your options. From your first visit to your final result, you'll receive the personalized attention you deserve.