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Credentialed Member
of the
Academy of Dental Sleep Medicine

Answers to Frequently Asked Questions about Snoring/Obstructive Sleep Apnea and Oral Appliance Therapy

How does the appliance work to help manage snoring/sleep apnea?

An oral appliance is a small plastic device that fits over the upper and lower teeth, similar to an orthodontic retainer or mouth guard. The appliance is worn in the mouth during sleep to prevent the soft tissues of the throat from collapsing and obstructing the airway. Oral appliances work by slightly advancing the lower jaw which in turn moves the base of the tongue forward and opens the airway to allow improved breathing and reduced snoring and 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 cases.

How long do these appliances last?

We usually tell our patients that appliances last 2-5 years, but many will last much longer than 5 years.

How much does treatment with an appliance cost?

Since each patient is unique, the treatment with an appliance varies based on the type of appliance prescribed.The fee for the initial examination and consultation is approximately $250 - $360. The appliances that we use are customized to each patient's situation and are adjustable to allow us to gain optimal comfort and adjust the jaw position to achieve maximum success. The fees for fabrication, adjusting, and placing the appliance is $1200 - $2200 (a similar process and fee to making a denture). During the next three-month period, we will see the patient approximately two times for follow-up/adjustment visits (on average $85 per visit). The patient will need to be seen on an annual, or semi-annual basis after this point and these office visit charges are also usually around $85.

Does my insurance cover appliance treatment?

Since insurance plans vary widely we work with all our patients to help them obtain reimbursement from their insurance carrier to the maximum allowed by their plan. Most insurance companies have coverage for treatment of obstructive sleep apnea with an oral appliance. Insurance companies generally do not cover treatment for snoring only. If coverage is available for oral appliances, it would come from the medical insurance carrier. Most dental insurance companies do not cover treatment of obstructive sleep apnea. We encourage you to call and check with your medical insurance company. We will be happy to send information to your insurance company regarding your situation to request a determination of benefits. (See insurance information sheet.)

How many visits are involved with the appliance?

After the initial consult, there may be 2 - 4 appointments within the first 4 months. Thereafter, you will be placed on an annual or semi-annual recall.

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 will take a few days to adapt to having a device in your mouth during sleep. The appliance will not hurt the teeth. If your teeth are sore after initial use, Dr. Parker can easily adjust it for your comfort.

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