 
FAQ (Frequently Asked Questions)
How does the appliance work to help manage snoring/sleep
apnea?
An oral appliance is a plastic device worn over the
upper and lower teeth, similar to an orthodontic retainer
or mouth guard. Worn during sleep, oral appliances
prevent the soft tissues of the throat from collapsing
and obstructing the airway. The appliance moves the
lower jaw slightly forward bringing the base of the
tongue with it, opening the airway to allow improved
breathing, reduced snoring and fewer apneas during
sleep.
What percentage of people find the appliance to be
effective?
If the problem is snoring only, the appliance is approximately
85% effective. When treating apnea, the appliance is
65-70% effective, depending on the severity of the
apnea, The appliance tends to be more effective for
mild to moderate obstructive sleep apnea than for severe.
How long do these appliances last?
We are telling our patients 3-5 years, although we
expect many will last much longer. Patients with heavy
bruxing (tooth-grinding) activity may wear them out
somewhat faster.
How much does treatment with an appliance cost?
The fee for the initial examination and consultation
is approximately $50.00. We use appliances that are
custom-made for each patient’s situation and are adjustable,
allowing us to achieve the best jaw position for maximum
effect with optimal comfort. The fees for making, adjusting,
and placing the appliance are $1000-$1800. This includes
all follow-up care and adjustments in the 3 month period
following initial delivery. After that each patient
needs to be seen on a semi-annual basis; these office
visit charges are usually $75.
Does my insurance cover appliance treatment?
Most insurance contracts have coverage for treatment
of obstructive sleep apnea with an oral appliance,
especially if you have had a sleep study. Most do not
have coverage for treatment of snoring only. Coverage
is usually through medical insurance, not dental insurance.
We encourage you to call and check with your insurance
company. We will be happy to send information to your
insurance company regarding your situation to request
a determination of benefits.
How long does it take to adapt to the appliance? Will
it hurt my teeth?
95% of patients will adapt to the appliance within
2-7 days. It takes a few days to get used to having
a device in your mouth during sleep. We tell our patients
to expect some initial tooth and/or muscle soreness,
not lasting past an hour after awakening. First follow-up
visits are within 1-2 weeks, sooner if needed; to immediately
address any discomfort issues. The appliances are easily
adjustable for your comfort.
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Oral Appliances
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