How to Order an LM Activator BioTrainer in the USA for Airway and Myo – Early Interceptive Ortho
I. Introduction
Dr. Amanda from StraightSmile Solutions introduces the LM Activator, a European bio‑trainer now available in the US.
She is familiar with other systems (Healthy Start, MRC, Myobrace, U Concept) but emphasizes there is no single “right way” – use what works for your practice.
She has not used the LM Activator personally but has researched it thoroughly, including European CE courses.

II. Where to Order in the US
US doctors must order from Salish Medical and Dental Supply (Montana‑based distributor).
Website: https://smdsupply.com/– navigate to the LM Activator product page.
Orders are processed within 2 business days, shipped via UPS Ground (1‑4 business days delivery). USPS is used occasionally.
Customer receives email tracking.

III. Pricing and Ordering Process
Cost per appliance: $71
Shipping: $15 flat fee (may increase seasonally)
No special course or buy‑in required – add to cart and check out.
For uncertain sizing, Dr. Amanda recommends buying both likely sizes and trying them in person (appliances cannot be sterilized, so no patient‑to‑patient reuse).

IV. Sizing and Selection Features
Unlike many competitors that use only age, LM offers narrow and wide options within each size, allowing a two‑step width progression.
Short vs Long: Short = only first molars erupted; Long = second molars are in.
Low vs High angle: Low angle (short face) and High angle (long face) – matches the patient’s vertical facial pattern.
For crowding, choose a larger/wider size; for spacing, choose a smaller/more constricted size.
Stages: Primary dentition (Stage 1), mixed dentition (Stage 2 and 3).

V. Trainers vs Activators
Trainers focus on myofunctional therapy (tongue posture, habits, nasal breathing).
Activators focus on orthodontic alignment after myo issues are controlled.
Start with a trainer, then progress to an activator.

VI. Additional Features
Reinforcement – metal insert in the incisor area to aid intrusion.
Optimized lingual channel – creates tongue space, reduces gag reflex.
Lightweight, less bulky design with lower cheek irritation.
Made of BPA‑free silicone; manufacturer claims boiling water disinfection is safe (unlike Healthy Start – verify).

VII. Clinical Philosophy
Dr. Amanda advocates “medicalization” of early orthodontics for ages 2‑5 – focusing on airway, habits, and myofunctional coaching, not insurance‑driven treatment.
The $71 price is low‑risk. Widespread early use could greatly reduce the need for major orthodontics later.
Free webinars and resources are available; no prerequisite courses.

VIII. The Bottom Line
The LM Activator is an affordable, customizable bio‑trainer easily ordered in the US.
Its sizing logic (narrow/wide, short/long, low/high) is intuitive and more granular than many competitors.
Ideal for young children to encourage nasal breathing and proper tongue posture.
Dr. Amanda would standardize its use if she restarted her practice.