Custom oral appliance therapy can be a mask-free option for appropriate adults with obstructive sleep apnea. The right answer depends on diagnosis, treatment response, and dental suitability.
Why candidacy matters
Oral appliance therapy is not right for everyone. A medical provider establishes the obstructive sleep apnea diagnosis and treatment recommendation. Dr. Dawson then reviews the sleep study, oral health, bite, jaw joints, and personal goals before selecting a custom, titratable appliance.
If CPAP is difficult to use
A mask, hose, pressure, dryness, or travel can make consistent PAP use challenging. CPAP remains highly effective when used; if you cannot tolerate it or prefer another option, ask your medical provider whether a custom oral appliance fits your treatment plan.
If you remove CPAP during sleep
A treatment only helps during the time you use it. Tell us and your medical provider how much of the night you can actually keep CPAP on. This can guide a discussion of comfort adjustments or another treatment.
If you travel often
A custom oral appliance is compact, quiet, and needs no electricity. Travel convenience alone does not establish candidacy, but it can matter when choosing a treatment you can use consistently. Read our guide to traveling with sleep apnea.
Mild or moderate OSA
Many adults with mild or moderate diagnosed OSA are candidates for oral appliance therapy. The sleep-study results, health risks, oral condition, and preferences still matter.
Severe OSA or unable to use PAP
CPAP often provides greater reduction in breathing events and is especially important to discuss in severe OSA. If PAP cannot be used, a medical provider may consider an oral appliance or another approach with appropriate follow-up testing. Read how oral appliance therapy may fit severe OSA care.
Snoring without a sleep study
Snoring may occur with or without OSA. Contact us even if you have not been tested; we can help you understand the appropriate medical evaluation before treating possible OSA.
Jaw pain, TMJ, or bite concerns
Jaw discomfort or bite changes are possible with oral appliance therapy, especially over time. We assess your teeth, bite, and jaw joints before treatment, provide morning bite-care guidance, and monitor for changes during follow-up so concerns can be addressed early. A current TMJ concern deserves an individual evaluation rather than an automatic yes or no. Read about TMJ problems and oral appliance therapy, and learn how we monitor bite changes.
Not sure what you need?
Tell our team where you are in the process. We can help identify which records and medical steps are needed and whether a dental consultation is appropriate.
Your next step
Already have a sleep study? Bring it to the consultation. Still need testing? Contact us and we will help you understand the appropriate medical pathway.
Need a sleep study? · Learn about the treatment · Read common questions
Clinical guidance: AASM and AADSM oral appliance therapy guideline.