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Wearing a night guard (one-sided) should not affect your jaw muscles or positioning. Night guards are mainly used to protect your teeth from clenching or grinding and relax your jaw muscles to alleviate muscle tension, headaches, etc. A night guard will probably not assist with snoring OR sleep apnea, as it will not change your airway opening or provide more oxygen to your body.

Hi The Sleep Apnea Appliance costs $2500 with NO insurance applied. We do, however, file medical insurance for our patients. Some medical insurance will cover 100%, but it varies widely based on your individual policy. We absolutely recommend pre-authorization with medical insurance PRIOR to fabricating the appliance, so every patient knows exactly what they may owe before committing to treatment. The appliance is very effective for almost everyone, however there are many factors that must be evaluated. This is why it is important to seek treatment from a trained professional who can direct your treatment based on your individual symptoms and diagnosis. CPAPs are definitely effective as well, but, like you, most patients don't enjoy it!

@@peninsuladentistry1518 Thank you for that information. I have Medicare , I’m newly retired and have Blue Cross . Do you know if Medicare covers this appliance ? Also , Is there any guarantee that it will work ? I will spend the money happily if it isn’t in vain. Thanks !

@@peninsuladentistry1518 Do you evaluate for the appliance or would I need to see the pulmonologist? Thanks again

@@Grateful4lfe There are definitely Medicare providers who offer the appliance. We are not an in-network provider with Medicare because we primarily deal with dental insurance. If you find an in-network Medicare provider, Medicare should cover 100%, but you would need to get a pre-authorization prior to fabricating the appliance. We are only "In-Network" with Blue Cross Blue Shield due to reimbursement rates in South Carolina. They will generally cover 80% of the cost, but that also depends on deductibles and individual policy differences. That is why we pre-authorize EVERY appliance, so there are no surprises for our patients. Every state will vary in their Medicare reimbursement rates...some are much more beneficial.

@@Grateful4lfe There is no "guarantee" that the appliance will work, but it has proven very effective. The effectiveness is determined by the individual patient's diagnosis and level of sleep apnea. There are some cases that truly require CPAP treatment, but that is based on each individual and their diagnosis. It is important to have a professional sleep test read by a Board Certified Sleep Physician, so your provider knows how to best treat your condition.

100% It treats apnea, but it also works like a dual arch retainer AND nightguard. It replaces both of those items.

Awesome, thanks! I’m in Southern California, and from your area code, I guess you’re in a different state, so I’d have to see another dentist locally.

We are in Charleston, South Carolina. I know you can find someone in your area who offers sleep dentistry. I would start with your general dentist. It's definitely becoming more common!

@@peninsuladentistry1518 Thanks!

My associate here runs the "South Carolina Tongue Tie Center" which is an excellent option for a frenectomy. She uses a laser for the frenectomy and provides excellent home care instructions and follow-up care. If you are not close to us (Charleston, SC), I would search for a provider who offers laser treatment in your area. I know there is an Alabama Tongue Tie Center that is excellent, but I am not familiar with most other areas of the country. Another option would be to ask your dentist, as many also provide frenectomy treatment or refer to a specialist who does.

This is incorrect. The appliance works like a retainer. Your teeth should NOT shift while wearing a full coverage professional appliance. As stated, the appliance does advance your jaw during sleep which can cause an adjustment time after waking to restore your "muscle memory". There are "AM Aligners" to help restore a patient's muscle memory after removing the appliance. Your teeth do not move...your jaw muscles adapt to the positioning during sleep and must re-adapt to normal function after waking. This is why it is important to seek treatment from a professional who will monitor you during treatment. By the way, this is all covered in depth at our complimentary consult visit.✌

hey man, question. a lots people saying this "bottom jaws is held forward" issue. Will this issue also happen to the regular one-side night guard? I am thinking just wearing night guard won't have this issue but also solve snoring

hey man, question. a lots people saying this "bottom jaws is held forward" issue. Will this issue also happen to the regular one-side night guard? I am thinking just wearing night guard won't have this issue but also solve snoring

I used a similar device and found exactly what your saying, it loosens teeth like braces, this is a fact buy they fail to acknowledge this,

My partner has worn an appliance for years for snoring and it has definitely corrected his overbite during this time.

Most appliances are made of an acrylic. I'm not sure you could find one (or a CPAP/BiPAP) that did not have rubber, acrylic, or plastic in its construction. The Optisleep appliance is, however, fabricated from a solid block of acrylic rather than mixing a powder and liquid. This eliminates porosities that can harbor bacteria and also limits any "leaching" of chemicals. It is, however, made from a material that may not work for you. The health benefits of treating sleep apnea are very important, but you certainly must weigh your decisions for treatment.

Richard, You are correct. There are circumstances (especially in severe sleep apnea cases) where an oral appliance will be used in conjunction with a CPAP or BiPAP to increase the effectiveness of both. This is definitely alot for patients wear while sleeping, but it is preserving your health! Also, there are aligners that can be worn and/or exercises that can be performed to realign your bite quicker in the morning. Most patients choose not to use them , but they are effective. The appliances (if made well) do not shift your teeth - they actually work as a retainer. BUT...your jaw muscle memory will be different in the morning because of the positioning while sleeping. It is also important, as noted by many, to continue visits to your dentist to ensure proper occlusion and effectiveness of your sleep appliance.

There's a lawsuit against the appliance you talk about Might want to get in on that. There was no science behind it and he destroyed people's mouth.

@@buffysummers74 I agree that you need to be careful choosing the appropriate appliance. The wrong appliance can cause many unwanted consequences. A true dental sleep provider should be using FDA approved appliances (for which there are many studies proving their effectiveness).

The ultimate goal of CPAP or oral appliance therapy is to keep your oxygen levels elevated. This usually prevents the periods when you stop breathing, allows you to remain on deeper stages of sleep, and provides the necessary opportunity for your body to heal rather than deteriorate during sleep. Oxygen levels are the key to all of it.

Exactly, that's what I am doing. Got a brand new machine from Phillips and it's the same scenario. Nose was bleeding after an hour . I'm sick of all this

Our appliances are actually manufactured by a lab in Germany. You should search for a provider in Germany who offers "sleep dentistry". Sleep appliances should be available anywhere if you can find a dentist offering the service!

I was told yes people can and have done that.

Thank you for posting your experience. It has helped my research.

hey man, question. a lots people saying this "bottom jaws is held forward" issue. Will this issue also happen to the regular one-side night guard? I am thinking just wearing night guard won't have this issue but also solve snoring

hey man, question. a lots people saying this "bottom jaws is held forward" issue. Will this issue also happen to the regular one-side night guard? I am thinking just wearing night guard won't have this issue but also solve snoring

I was referring to the size of your airway/trachea...not the size of the CPAP hose. Great that you have a CPAP and love it!! They are definitely effective if comfortable and convenient for you. As long as you are treating your apnea, you are doing the right thing!!

The straw-sized hose he's referring to is your constricted/closed throat! 🙄

@@jamescalabrase2890 exactly

Yes, a specialised dentist can make one for you. Ask your regular doctor.

That is always a complicated question. The total price (today) for our appliance is $2500 (This will vary with every provider). However, it is a medical device (DME) and can be filed to health insurance. It should ALWAYS be pre-authorized prior to fabrication, so the patient knows exactly how much insurance may cover. We have many patients who receive 80% coverage (i.e. $2000) from their insurance company....however, this varies with every insurance policy...hence the need for pre-authorization. The appliance should be FDA approved for treating sleep apnea, and, unfortunately, FDA approval drives the lab costs and overall price.

Hi Robert! It can be used if you don't have teeth. It is a different appliance than the Optisleep, but the concept is the same. It is definitely more difficult to get retention with no teeth (just like traditional dentures), but there are products for our edentulous patients!

Hi Steven! The Oral Sleep Apnea Appliance does not "deliver" air like a CPAP machine. The Oral Appliance actually opens a patient's airway to allow more airflow naturally. I like to use the analogy of trying to drink water through a coffee straw (CPAP/Untreated Apnea Patient) vs, drinking through a garden hose (Oral Appliance Therapy). The CPAP is effective because it "delivers" pressurized air....but it does not open or change the patient's airway. The Oral Appliance Therapy is effective because it open the airway and allows greater airflow/oxygen through normal breathing without hoses and pressure. It also works wonders with snoring cessation!

@@littlewiseowl4405 It pulls the lower jaw forward, which in turn prevents the tongue from resting too far back in the mouth and blocking the airway, which is what happens in many apnea cases. Pulling the lower jaw forward allows the tongue to rest properly in the mouth rather than leaning back in the way of the airway, thus allowing air to flow through freely.

It took many weeks if not months of frustrating nights for me to get comfortable with CPAP about 20 years ago. After several successful years, of my own accord I stopped useing CPAP and started using a different anti snoring dental device than the one in this video. I used it to treat Sleep Apnea for several years. I think it was better than nothing for treatment of sleep Apnea but definitely not as beneficial as CPAP and it changed the position of my teeth. Now my top and bottom front teeth are wearing away at each other and are sharp as knives. I'm now happy to be back on CPAP. I'm waking up a lot less and actually sleeping through the night a few days a week which is AMAZING ! You do you, but anything that puts constant pressure on your teeth for hours at a time will eventually shift your teeth. After all that's how braces and retainers work.

@@johnossendorf9979 Many devices are marketed towards sleep apnea and snoring. I agree that if you use one that is not carefully fabricated, it can cause shifting and pressure. This is why it is important to have a professionally fabricated device and follow up to ensure the device is working effectively and also not causing other side effects (as you mentioned). If fabricated correctly, the device should work like a retainer and prevent shifting of teeth rather than cause it.

@@peninsuladentistry1518 Agreed. You are correct. My mistake was not going back to the Dentist from whom I got it for followup. The device I used was soft, bulb shaped and held the tongue forward by suction, when the tongue was pushed in air was forced out creating suction, the pressure of holding the tongue was supported by the part of the device that was outside the month against the top and bottom lips. It was nothing like a retainer.

@@johnossendorf9979 What you had sounds like a snore appliance that can be effective but not necessarily focused on sleep apnea treatment. Unfortunately, we only made a few of those for snoring because most patients reported the same symptoms you mentioned. Definitely a different device that can cause shifting of teeth and "pressure" as you reported.

@@peninsuladentistry1518 You are spot on 👍!

We cannot provide treatment to patients who are not in our area because it is important to follow your condition. I would, however, recommend that you search for a dentist in the Philippines who practices Dental Sleep Medicine. Hopefully there is someone in your area who can help! We are happy to answer any questions or concerns you may have...even if we can't treat you directly. Thanks for your interest!!

@@peninsuladentistry1518 thank you for your reply Sir. Can you tell me the name of the Mouthpiece Device so that I can see if they have here?

@@amiram8024 The appliance we use most is called an "Optisleep"...however, there are many different appliances that are effective. Your clinician will choose the correct appliance based on your individual needs. You should ask if they provide "Oral Appliance Therapy" for sleep apnea or ask if they provide a "Mandibular Advancement Appliance". If they provide appliance therapy, they will understand those terms.

@@peninsuladentistry1518 ok copy thank you so much for your helpand God Bless...

HAHAHA! 😎😎😎 Is YOU who should sleep on the couch!🤠🤠🤠

i find it ironic that while some people tolerate cpap therapy with no issues, others do not. maybe we live in the world we create in our mind and constantly reminding ourselves we HATE something may actually reinforce preconceived notions? thinking positive may go a long way to help. i mean, a runny nose seems easier to tolerate than life threatening oxygen deprivation which may impair cognitive ability... eventually encouraging dementia? if a runny nose is the worst thing that happens to us... we lead a charmed life :) i wish u good luck

I can't see ur reply. I don't know why this does this.

@@debraschepers9381 We offer an alternative to your CPAP. CPAPs are effective...when used. Unfortunately, many people cannot tolerate their CPAP and would like an alternative. Our Oral Appliance Therapy is an excellent alternative to CPAP therapy - easy to use, less invasive, and much easier to take on your travels. If you have a CPAP that is working for you, I would not recommend switching unless you decide you just won't wear the CPAP on a regular basis.

Ty I have bipap. Iv knew for some time I had sleep apnea but just to vain to do it. Good Lord. It just got the best of me. I'll give the machine more time. Ty again.

Hello Amanda Allen, if I may ask, what type of Dr did you see about your sleep apnea: I think I also have CSA. I am completely stopping breathing at night. It is so scary. It just started to happen so want to try & figure this out. Thank you for any info you can share

@@york3673 How did you get diagnosed? Most are diagnosed with a sleep study. Maybe you can ask around about professional Sleep disorder specialists and/or dentist, and see what they advise you to do.

​@@york3673 generally you will see a pulmonologist,and usually your prayers care physician will refer you

@@york3673how did it feel when your breathing completely stopped ?my mom have the same problem . It takes her time to get the breathing back and very scary

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