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Hours
Mon: Closed
Tues: 9:00AM-5:00PM
Wed: 7:00AM-5:00PM
Thurs: 9:00AM-5:00PM
Fri: 8:00AM-4:00PM
Sat: 8:00AM-3:00PM
Obstructive sleep apnea interrupts breathing repeatedly through the night, and most people have no memory of it. What they notice is waking unrefreshed, daytime tiredness, morning headaches, or a partner who has moved to another room because of the snoring.
Many people who have been diagnosed are prescribed CPAP and find they cannot tolerate the mask. Others snore heavily without apnea and are told there is nothing to be done. In both situations a dental appliance is worth asking about - it is small, quiet, needs no power, and travels in a case the size of a retainer.
The appliance looks similar to a sports guard in two parts, upper and lower, joined so that the lower jaw is held slightly forward while you sleep. That forward position keeps the tongue and soft tissues from collapsing back into the airway, which is what causes the obstruction.
An important boundary: we do not diagnose sleep apnea. Diagnosis comes from a physician, usually after a sleep study. If you have not been tested and your symptoms suggest apnea, we will say so and help you get referred - treating snoring with an appliance while an undiagnosed apnea goes unaddressed would be the wrong order.
Once you have a diagnosis and your physician agrees an oral appliance is suitable, we take impressions, fit the device, and adjust the amount of advancement over several visits until it is both effective and comfortable. We also check the fit and your bite at recall visits, because these appliances need monitoring over time.
The American Academy of Sleep Medicine recognizes oral appliance therapy as a treatment option for adults with obstructive sleep apnea who cannot tolerate CPAP - which is a large share of the people prescribed it.
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For many diagnosed patients, the mask is the obstacle rather than the treatment. An appliance is small, silent and needs no power supply.
The device is made from impressions of your own mouth and adjusted over several visits, so it fits precisely rather than approximately.
It fits in a case the size of a retainer, needs no electricity, hose or distilled water, and will not disturb anyone else in the room.
We confirm you have a diagnosis from your physician, usually following a sleep study. If you do not have one yet, we help you get referred before anything is made.
We take detailed impressions and have the appliance made to fit your teeth. At the fitting we set the starting position and show you how to insert, remove and clean it.
Over the following visits we fine-tune how far the jaw is advanced, balancing effectiveness against comfort, and check that your bite and jaw joints remain healthy.
It can, over years of use, which is exactly why we review the fit and check your bite and jaw joints at recall visits. Monitoring is part of the treatment, not an optional extra.
There is an adjustment period. Extra saliva, mild jaw tightness or teeth that feel odd for a short time in the morning are common early on and usually settle. We advance the device gradually rather than all at once for that reason.
It often does, because the mechanism is similar. We would still want you assessed first, since snoring can be the audible part of an apnea that has not been diagnosed yet.
CPAP is generally more effective, particularly in severe cases. Oral appliances are recognized as an option for mild to moderate obstructive sleep apnea, and for patients who cannot tolerate CPAP - and an appliance that is worn every night may do more good than a machine that is not.
No. Diagnosis is a medical matter and comes from a physician, usually after a sleep study. We provide the oral appliance once you have been diagnosed and your physician agrees it is an appropriate treatment for you.
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