Rock Dental
General Dentistry

Sleep Apnea Oral Appliances in New York, NY

Oral appliance therapy is a dental option for some adults with diagnosed sleep apnea, using a custom mouthpiece worn at night to help keep the airway open.

About Sleep Apnea at Rock Dental

People who have sleep apnea never get the rest that they deserve. They have trouble breathing which constantly wakes them up throughout the night. Many people who have sleep apnea have multiple health problems. They are always exhausted. Being tired can affect people at home and at work. They may be miserable and have trouble concentrating. Sleep apnea can also affect their blood pressure, making them more likely to have strokes. There is a big risk with anesthesia since they have trouble breathing.

Why Treating Sleep Apnea Takes a Team

Obstructive sleep apnea happens when the soft tissues at the back of the throat relax during sleep and narrow or block the airway. Breathing pauses, the brain briefly wakes the body to restart it, and the cycle can repeat many times a night. Loud snoring, gasping, morning headaches and daytime sleepiness are common signs. Only a physician or sleep specialist can diagnose the condition, usually with a sleep study done at home or in a sleep lab.

Once you have a diagnosis, your physician will recommend treatment based on how severe it is. For some people, that includes an oral appliance made by a dentist. The appliance gently holds the lower jaw forward to help keep the airway open while you sleep. Dr. Nancy Coughlin's practice includes sleep apnea management with dental appliances when indicated. Our team works alongside your medical provider, so the plan fits your overall care.

What to Expect With Oral Appliance Therapy

Your first visit is a conversation and an exam. Bring any sleep study results or notes from your physician if you have them. If you have not been tested yet, we will advise you to see a physician or sleep specialist first. Your dentist will check your teeth, gums and jaw joints to see whether an appliance is a suitable option. If it is, impressions or scans of your teeth are taken so the appliance can be custom made.

At the fitting visit, your dentist adjusts the appliance and shows you how to wear and clean it. It is common to notice extra saliva, mild tooth tenderness or jaw stiffness in the morning during the first weeks, and this typically eases. Small adjustments are often made over time. Your physician may order a follow-up sleep test to confirm the appliance is working. Regular dental checkups help us watch your bite, your comfort and the fit.

Sleep Apnea

Common Questions

Can a dentist diagnose sleep apnea?
No. Sleep apnea is a medical condition, and the diagnosis comes from a physician or sleep specialist, typically after a sleep study. A dentist may notice signs that suggest you should be evaluated, such as worn teeth, and can provide an oral appliance once a diagnosis has been made and the appliance is indicated.
Is an oral appliance an alternative to CPAP?
It can be for some people. Oral appliances are most often recommended for mild to moderate obstructive sleep apnea, or for people who cannot tolerate CPAP. Your physician decides which treatment suits your diagnosis. Do not stop using a prescribed CPAP machine without speaking with your physician first.
What does a sleep apnea mouthpiece feel like?
It looks similar to a sports mouthguard or retainer and fits over your upper and lower teeth. Most people need a short adjustment period. Some jaw stiffness or tooth tenderness in the morning is common early on and usually fades. Tell your dentist if discomfort continues, since the fit can be adjusted.
I snore loudly. Do I have sleep apnea?
Not necessarily. Many people snore without having sleep apnea, and some people with sleep apnea do not snore much. Because untreated sleep apnea can affect your health, it is worth being checked. Talk with your physician about a sleep evaluation. If an oral appliance is recommended afterward, our team can help.
How much does a sleep apnea appliance cost?
Cost depends on your treatment plan and the type of appliance your dentist recommends. Our team will go over it with you before treatment begins. To ask questions or request a consultation, call (212) 332-1020 or use the appointment form on this site, and a staff member will confirm by phone.
Glossary

Terms You May Hear

Obstructive sleep apnea
A condition in which the airway repeatedly narrows or closes during sleep, interrupting breathing.
Oral appliance
A custom mouthpiece worn at night that positions the lower jaw to help keep the airway open.
Sleep study
An overnight test ordered by a physician that measures breathing, oxygen levels and sleep patterns.
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