Diagnosed OSA
Oral appliance therapy
A custom mandibular advancement device, built from a digital scan and titrated over follow-up visits until a repeat sleep test confirms it is working.
Start with an evaluationCanton, Michigan · 5730 N Lilley Rd
Most nights, you never get below the surface.
Sleep has depth. Obstructive sleep apnea keeps pulling you back up to the top of it, over and over, until morning arrives and nothing has been repaired. A custom oral appliance keeps the airway open so the night can go deep.
Scroll to descend
Four layers you are missing
Each layer of sleep does a different job. Apnea takes them from the bottom up — the deepest ones go first.
Surface
Awake, briefly, again
Every obstruction ends in a micro-arousal. You will not remember a single one of them, but the night is spent on them.
Shallow
Light sleep, on repeat
The night restarts instead of progressing. This is why you can be in bed nine hours and feel like you slept for two.
Deep
Slow-wave repair
Blood pressure drops, tissue rebuilds, growth hormone releases. Apnea reaches this layer least often.
Deepest
REM, where mood lives
Memory consolidates and emotional regulation resets. It is the layer patients notice returning first after treatment.
What we do here
One therapy, done thoroughly, for three kinds of patient.
No diagnosis
Snoring assessment
Not all snoring is apnea, and not all apnea snores. We evaluate the airway and tell you honestly whether a sleep test is warranted before selling you anything.
Book an assessment
CPAP intolerance
Switching from CPAP
We coordinate with your sleep physician, document the intolerance properly for your insurer, and move you to appliance or combination therapy.
Talk it through
Customized equipment, in the literal sense
The practice is enumerated for durable medical equipment because that is what the appliance is: a prescribed device, made for one airway, adjusted against how that person actually sleeps.
- Intraoral scan — no impression trays
- Appliance delivered and seated at visit two
- Advancement titrated in small increments you control
- Efficacy confirmed by a follow-up sleep test
- Annual review of fit, bite and wear
Patients
I had the machine four years and used it maybe twenty nights. The appliance I have never once taken out mid-night.
Daniel R.Plymouth, MIThey checked my benefits and handed me a printed number before anything was ordered. That alone was worth the drive.
Priya S.Canton, MII sleep in a truck cab. There is no outlet, no water, no room. This fits in a case the size of a sandwich.
Marcus T.Westland, MIQuestions
For apnea, yes. An appliance is prescribed against a diagnosis, so we need a study interpreted by a physician — a home test is usually sufficient. If you have never been tested and only know that you snore, come in and we will tell you whether testing is worth arranging.
As medical, not dental. Oral appliance therapy for diagnosed obstructive sleep apnea is a covered medical benefit under most plans. We verify your benefits and give you the out-of-pocket figure in writing before the appliance is ordered.
CPAP is more effective per hour worn. Appliances are worn far more consistently. For mild and moderate apnea the real-world outcomes are close, which is why appliance therapy is a recognised first-line option — and why we confirm your result with a repeat sleep test rather than assuming it.
Small changes in how the teeth meet are the most common long-term effect. We record your bite at baseline, check it at every visit and use a morning repositioner. If changes become significant we adjust the appliance or change approach.
Roughly two weeks from scan to delivery, then adjustment visits across two to three months, then annual checks.
Request a visit
Send this and the practice calls you back within one business day. For anything urgent, phone instead.
- Address5730 N Lilley Rd, Suite D
Canton, MI 48187 - Phone734-679-8898
- HoursMon–Thu 8:00–5:00 · Fri 8:00–1:00
- ClinicianHaley Lawrence-Pummill, DDS
Great Lakes front deskTreatment, cost, visits and directions