Sleep apnea treatment using a dental oral appliance (dental mouthpiece) is an alternative to CPAP. Oral appliances have been registered by the FDA and may be used to treat sleep apnea when administered by a qualified dentist trained in Dental Sleep Therapy.

As a pioneer in the field of Dental Sleep Medicine, Dr. Martin Denbar has used Oral Appliance Therapy to treat sleep disordered breathing for over 23 years. He has treated thousands of patients. These cases have ranged from straightforward to exceptionally complex, involving combination therapies. Dr. Denbar has been a Diplomate of the American Board of Dental Sleep Medicine since 1999, and he has completed thousands of hours of continuing education. He has lectured and published on a regional and national stage and presently trains other dentists in this field.

What is Oral Appliance Therapy?

Could it free you from the head straps, chin strap, hose and CPAP mask?

Sleep Apnea Treatment

Oral Appliance Therapy uses FDA approved oral appliances which can be the answer to treating your snoring or Obstructive Sleep Apnea. Snoring can diminish the quality of life for you and your loved ones. Obstructive sleep apnea affects your overall health and you should seek treatment from qualified doctors with extensive experience in treating this condition. If you can not tolerate CPAP or had surgery which has failed to fully treat the situation, oral appliances can be your answer.

How do Oral Appliances Work?

dental sleep apnea device

If you have ever worn a custom orthodontic retainer, orthotic for nighttime teeth grinding or an athletic mouth guard, you have an idea what it is like to wear one of these oral appliances. Oral appliances can vary in design as there are over 100 FDA approved appliances. All of them, in one way or another, advance the lower jaw to open your airway.

The principle behind oral appliance therapy is not new. During the 1930s, the first oral appliance to keep the lower jaw forward and assist in keeping the airway open was used. In the 1970s, the surgical procedure to move the lower jaw forward was developed. In the 1980s, the Tongue Retaining Device was developed and is still used on selected cases today. Only recently have the adjustable mandibular advancing oral appliances been developed and utilized. Although there are a number of mandibular advancing devices, they all are striving to do essentially the same thing. That is:

  1. Move the lower jaw, tongue, soft palate, and hyoid bone into a position to help create a more open airway.
  2. Help to prevent airway closure during sleep by stabilizing the tongue, mandible, and hyoid bone.
  3. The appliance gives the tongue muscles an artificial muscle tone. This increased muscle tone makes the tongue less likely to relax and cover the airway during sleep.

Multiple peer review studies in prestigious medical journals have shown that oral appliances are better tolerated by patients than CPAP therapy.

Sleep Apnea Treatment

Excerpts from the Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015
"In recent years, oral appliances (OAs) have become an increasingly common treatment modality for OSA and snoring. Although positive airway pressure (PAP) remains the most common and most efficacious treatment for sleep disordered breathing, OAs offer effective therapy for many patients with OSA. These devices offer advantages over PAP in that they do not require a source of electricity and are less cumbersome, especially with travel. Oral appliances are well tolerated in most patients, and therapeutic adherence may be better than CPAP. The improvement in quality of life produced by custom, titratable OAs is not inferior to that reported with CPAP therapy. The overall improvement in physiologic sleep parameters with the use of OAs in adult patients with OSA should result in an improvement in daily function and quality of life."

Oral Appliance Therapy has developed into a fully recognized form of therapy for snoring, Upper Airway Resistance Syndrome and Obstructive Sleep Apnea. This treatment works hand-in-hand with current medical therapy and therefore your treating dentist is an integral part of the medical team treating your medical problem. The dentist must also be familiar with all of the types of therapy to treat snoring and sleep apnea. This includes surgery, cpap, oral appliance therapy, and any combination of these treatments. Standards of care now dictate that some form of follow-up testing be performed to verify a patient's treatment success or failure. Symptoms alone are not an accurate indicator that your airway is open. That is why it is so important for you to be re-evaluated by your physician after our treatment is finished.

Once a patient has an oral appliance and their problem is controlled, it must be understood that they are only managing their problem, not curing it. For this reason, all patients are seen once a year to make sure there are no problems with the appliances, their bite, muscles, TMJ.

For those patients who require more treatment than an oral appliance, we now can provide Combination Therapy. Combination Therapy allows us to use an Interface to attach a CPAP machine to the oral appliance without the need for the normal head and chin straps and with lower air pressures. This equates to more comfort and therefore better compliance. Read more here ...

Austin Sleep Apnea and Snoring Therapy provides an alternative to CPAP therapy for snoring and mild to severe sleep apnea.

Insurance Assignments Accepted:

Our dentist, Dr. Denbar, is a Medicare and medical insurance in-network provider for most major medical insurance carriers.

Advanced Dental Sleep Business Seminar

Dr. Denbar is teaching an advanced billing and clinical seminar in Dental Sleep Medicine. This Dental Sleep Continuing Education (CE) Seminar focuses on medical insurance reimbursement, business principles and the clinical aspects of this field. This course picks up where most clinical courses end and guides you through the practical business aspect of dental sleep medicine while illuminating the medical-legal implications.

Learn more about this seminar