Oral Appliance Therapy 101: Types, Fitting, and What to Expect

Oral appliance therapy for sleep apnea is an effective, comfortable alternative to CPAP machines. Instead of wearing a mask or using an air pressure device, patients use a small, custom mouthpiece while they sleep. This appliance helps keep the airway open by gently repositioning the jaw or tongue. Many people find these appliances easier to use and maintain than CPAP devices.

The oral appliance therapy process begins with an initial consultation with our New York sleep therapy team. You might also need to complete a home sleep test to confirm a sleep apnea diagnosis. If our team determines that oral appliance therapy is a good fit for you, our in-house dentist will create a custom mold for comfort and effectiveness.

In some cases, follow-up visits might be necessary to fine-tune the sleep apnea dental device and check your progress. With regular use and proper fit, patients undergoing oral appliance therapy can sleep more soundly and feel more rested, without bulky equipment or the need for constant adjustments.

What Is Oral Appliance Therapy for Sleep Apnea?

Oral appliance therapy treats sleep apnea by improving airflow during sleep. This type of therapy uses a custom oral appliance for sleep apnea that positions the jaw, tongue, and soft tissues to prevent airway collapse. It’s ideal for people with mild to moderate obstructive sleep apnea or for those who cannot tolerate CPAP machines. The goal is to restore normal breathing patterns and reduce symptoms like snoring, fatigue, and morning headaches.

Unlike CPAP therapy, which requires a mask and continuous airflow, oral appliances offer a simpler, quieter solution. The devices are small, travel-friendly, and don’t require electricity or complex cleaning routines. Many patients notice an improvement in their sleep quality within days of consistent use. With regular checkups to maintain device condition, oral appliance therapy can be a practical long-term solution for managing sleep apnea.

Types of Oral Appliances Used for Sleep Apnea

There are several types of oral devices for sleep apnea, each designed to fit comfortably and meet individual needs. The most common option is the mandibular advancement device (MAD), which moves the lower jaw slightly forward to keep the airway open. Devices like the Restbite Blue+ or Silent Nite use this structure while allowing natural jaw movement.

Another popular choice is the Elastic Mandibular Advancement (EMA) appliance, a smaller, flexible design that adjusts easily for comfort. Some EMA appliances use connectors or straps that vary in length to fine-tune the position of the jaw. Each device is custom-made based on a digital or physical impression of the patient’s mouth.

During follow-up visits, our team can make adjustments to improve both comfort and performance. Patients can expect a personalized fit that supports steady airflow, reduces snoring, and promotes consistent, restful sleep throughout the night.

Benefits and Risks of Oral Appliance Therapy

There are many benefits of oral appliance therapy for sleep apnea patients. Most people find these devices more comfortable and easier to use than CPAP machines. They don’t make noise, involve no hoses or electricity, and fit neatly in the mouth for uninterrupted sleep. Oral appliance therapy patients often experience less snoring, better concentration, and higher energy during the day. Oral appliances are also travel-friendly and require minimal maintenance.

However, like any treatment, there are potential drawbacks. Possible risks and side effects of oral appliances include mild jaw discomfort, dry mouth, or tooth movement over time. These issues often improve with adjustments and regular dental checkups. It’s important to have the appliance fitted by a trained dentist and monitored regularly to maintain its effectiveness. When used correctly, oral appliances can provide safe, long-term relief for many people struggling with sleep apnea.

Cost, Insurance, and Effectiveness of Oral Appliance Therapy

The cost of oral appliance therapy depends on the type of device you need and your insurance coverage. Many medical insurance plans, including Medicare and major private providers, cover sleep apnea diagnosis and treatment. Our team can check your coverage before starting treatment and suggest financing options if you don’t have insurance. Oral appliances can be more cost-effective than CPAP therapy over time due to lower maintenance and replacement needs.

The therapy works best when used in conjunction with a proper diagnosis, accurate fitting, and regular use. Studies have shown that custom oral appliances can significantly reduce apnea episodes and improve sleep quality in patients with mild to moderate obstructive sleep apnea. For those who cannot tolerate CPAP therapy, this method can provide real relief and lasting results.

Take the First Step Toward Better Sleep

If sleep apnea is preventing you from feeling rested, it’s time to speak with Silent Night Therapy. Our team can confirm your diagnosis and determine if oral appliance therapy is a suitable treatment option for you. Call us now at (631) 983-2463 or contact us online to begin your initial consultation. Let our sleep team show you how a small, custom oral appliance can enhance your quality of life.