Mandibular Advancement Devices (MADs)
The most common type. Looks like a mouthguard and pushes the lower jaw forward.
- Adjustable positioning.
- Widely used and tested.
- Good for mild-moderate OSA.
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Treatment Options
Oral Appliance Therapy
An effective, comfortable alternative to CPAP for treating obstructive sleep apnea and snoring, using custom-fitted dental devices to maintain an open airway.
Effective
75-80% effective for mild-moderate OSA and snoring.
Comfortable
Higher compliance rates than CPAP due to comfort.
Custom-Made
Professionally fitted to your unique mouth structure.
No Electricity
No machines, hoses, or power sources needed.
What is Oral Appliance Therapy?
Custom-fitted dental devices treating snoring and sleep apnea by repositioning the jaw.
How It Works
Oral appliances gently reposition your lower jaw (mandible) slightly forward during sleep. This helps by:
- Preventing the tongue from blocking the airway.
- Stabilizing the lower jaw.
- Increasing muscle tone in the airway.
These devices are similar to orthodontic retainers but are precision-engineered medical devices.
Did You Know?
Oral appliances are the #1 alternative recommended by sleep physicians for patients who cannot tolerate CPAP.
Types of Appliances
Finding the right device for your specific needs.
Tongue Retaining Devices (TRDs)
Holds the tongue forward using suction. Useful for patients with dentures.
- No jaw repositioning required.
- Good for complex dental issues.
- Less common but effective.
Precision Adjustable Devices
High-end appliances allowing micro-adjustments for maximum comfort.
- Fine-tuning capability.
- Durable materials.
- Highest success rates.
Combination Therapy
Using an oral appliance together with CPAP or positional therapy.
- For severe OSA cases.
- Reduces required CPAP pressure.
- Improves overall effectiveness.
Comparison vs CPAP
Which treatment path is right for you?
| Feature | Oral Appliance | CPAP Therapy |
|---|---|---|
| Mild/Mod OSA | Good (70-80%) | Excellent (90%+) |
| Severe OSA | Limited | Excellent |
| Comfort | High | Variable |
| Portability | Excellent | Bulky |
| Noise | Silent | Low Hum |
The Fitting Process
Your journey to a custom-fit solution.
1
Consultation
Review of sleep study and dental health.
2
Impressions
Digital scans or molds of your teeth.
3
Fabrication
Custom crafting in a specialized lab (2-3 weeks).
4
Fitting
Adjustments for comfort and airway opening.
5
Follow-Up
Sleep study to verify effectiveness.
Benefits
Potential Side Effects
Device Care
Keeping your appliance clean and effective.
Daily
Rinse with cool water. Brush gently with mild soap.
Weekly
Soak in denture cleaner or vinegar solution.
Storage
Keep dry in case. Keep away from pets/heat.
Insurance Coverage
Most plans cover OAT when medically necessary.
Medicare
Covers oral appliances under DME benefit with proper diagnosis.
Private Insurance
Most plans offer coverage. Pre-authorization typically required.
Our team handles verification and pre-authorization for you.
Ideal Candidates
Mild to Moderate OSA
CPAP Intolerant
Primary Snorers
Frequent Travelers
Frequently Asked Questions
With proper care, a custom appliance typically lasts 3-5 years. Most insurance plans cover replacement at that interval.
Minor tooth movement is possible but rare. Regular dental checkups and morning exercises help prevent this.
Yes, depending on the number of remaining teeth. Tongue Retaining Devices are often a good option for full denture wearers.
Is Oral Appliance Therapy Right for You?
Schedule a consultation to find out if you're a candidate.