Oral appliance therapy
A custom mandibular advancement device for mild to moderate apnea, and for severe apnea where CPAP has been abandoned.
In obstructive sleep apnea, the airway closes and your body wakes up to reopen it — hundreds of times a night. We hold it open with a custom oral appliance instead of a machine.
Scroll through the cycle. Every obstruction ends the same way — with an arousal you will never remember.
Throat muscles relax as you fall asleep. In some people the passage behind the tongue narrows to nothing.
Breathing effort continues but no air moves. Blood oxygen drops and carbon dioxide climbs.
A micro-arousal fires, muscle tone returns and the airway reopens with a gasp or a snort. Sleep resets to the shallowest stage.
Nine hours in bed, almost no deep or REM sleep, and no memory of a single interruption. That is the tiredness.
A custom mandibular advancement device for mild to moderate apnea, and for severe apnea where CPAP has been abandoned.
We look at the airway, tell you whether a sleep test is warranted, and treat the snoring once we know what is behind it.
Documented properly for your insurer, coordinated with your sleep physician, and switched to appliance or combination therapy.
Airway and bite exam, review of your sleep study, and a written cost after we verify your benefits.
Ten minutes, no impression trays. Your appliance is fabricated from it.
Fitted, checked and taught. You advance it yourself in small increments you can tolerate.
A follow-up sleep test proves the appliance is treating the apnea, not just quieting it.
Four years of owning a CPAP and about twenty nights of wearing it. I have worn the appliance every night since delivery.
Benefits checked, cost printed, nothing ordered until I said yes. Then a retest to show it actually worked.
Sleeper cab, no outlet, no space. The whole thing lives in a case in the door pocket.
For apnea, yes — the appliance is prescribed against a diagnosis, and a home sleep test interpreted by a physician is usually enough. If you have never been tested and only know you snore, come in and we will tell you whether testing is warranted.
It is billed as a medical benefit rather than a dental one. Most plans cover a substantial share. We verify your specific benefits and put the out-of-pocket figure in writing before anything is fabricated.
Per hour worn, CPAP does more. Per night in real life, appliances get worn far more consistently, which closes much of the gap for mild and moderate apnea. We measure your result with a follow-up sleep test rather than assuming it.
Jaw soreness, extra saliva and tooth tenderness in the first week or two. Longer term, small changes in how the teeth meet — which is why we take baseline bite records and check them at every visit.
Yes. Combination therapy often allows a much lower pressure, and many patients keep the machine at home and travel with the appliance alone.
Snoring usually settles within a week or two. Daytime alertness follows once the advancement is titrated, typically six to twelve weeks in.
Send this and we call you back within one business day. For anything urgent, phone the practice.