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For some people with diagnosed sleep apnea, a dental appliance may be an option. Langton patients can learn how appliance therapy works with their physician.
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Obstructive sleep apnea occurs when the airway repeatedly narrows or closes during sleep, interrupting breathing. Loud snoring, gasping, pauses in breathing, morning headaches and daytime sleepiness are common signs. Sleep apnea is a medical condition that must be diagnosed by a physician, usually with a sleep study, before any treatment is chosen.
For Langton patients who have been diagnosed with mild to moderate obstructive sleep apnea, or who cannot tolerate a CPAP machine, a custom oral appliance may be an option. At our Port Dover office, the dentist can assess your teeth and jaw and work alongside your physician to decide whether appliance therapy is appropriate for you.

Diagnosis first
Loud, frequent snoring, pauses in breathing noticed by a partner, waking with a dry mouth or headache, restless sleep and daytime fatigue are common symptoms. Some people fall asleep easily during quiet activities such as reading or driving. High blood pressure and other health problems can be linked with untreated sleep apnea, making a proper diagnosis important.
If you suspect sleep apnea, talk to your family doctor, who may refer you for a sleep study. The study determines whether you have sleep apnea, how severe it is and what type it is. A dentist cannot diagnose sleep apnea, but may notice signs during an exam and suggest you speak with your physician about further assessment.
How appliances work
Mandibular advancement devices are worn over the upper and lower teeth during sleep. They gently hold the lower jaw slightly forward, which helps keep the tongue and soft tissues from collapsing into the airway. Many designs are adjustable, allowing the dentist to fine-tune the position gradually for comfort and effectiveness over several weeks of regular wear.
Oral appliances are often considered for mild to moderate obstructive sleep apnea, or for people with more severe sleep apnea who cannot use CPAP. Suitability depends on the health of your teeth and gums, the number of teeth you have, jaw joint health and your ability to move the jaw forward. The dentist will assess these factors carefully.
Fitting and adjustment
The dentist examines your teeth, gums, jaw joints and bite, and takes impressions or scans to fabricate the appliance. They may also record how far your jaw can comfortably move forward. Existing dental problems may need to be treated before the appliance is made, so it fits well and does not put pressure on weak teeth.
After the appliance is fitted, it is adjusted gradually over several visits to find a position that improves breathing while remaining comfortable. Your physician may recommend a follow-up sleep study to confirm that the appliance is effective. Keep both the dentist and physician informed about how you are sleeping and any side effects you notice.
Long-term use
Some people experience temporary jaw soreness, excess saliva, dry mouth or a feeling that the bite is off in the morning. These often settle with time or adjustment. Over the long term, appliances can cause gradual changes in tooth position or bite. The dentist may provide exercises or a morning repositioner to help minimize these effects.
Clean the appliance daily as instructed and store it in its case. Bring it to dental checkups so the fit and condition can be checked. Report jaw pain, loose teeth or changes in your bite. Continue to follow up with your physician about your sleep apnea, as needs can change with weight, age or other health factors.
Planning your appointment
If you have a sleep apnea diagnosis, book a consultation at our Port Dover office and bring your sleep study results. The dentist will assess whether an oral appliance may be suitable and coordinate with your physician.
If you have not been diagnosed but suspect sleep apnea, speak with your family doctor first about a sleep assessment.
Before you book
Have a question about your situation? Our team can help you plan a visit.
No. Sleep apnea must be diagnosed by a physician, usually through a sleep study. A dentist may notice signs and recommend you speak with your doctor. If you are diagnosed, a dentist can help with oral appliance therapy where appropriate.
CPAP is generally the most effective treatment for many people with sleep apnea. Oral appliances can be effective for mild to moderate cases and for people who cannot tolerate CPAP. Your physician and dentist will help determine the best option.
Over time, some people notice changes in tooth position or bite. The dentist monitors for these changes at regular visits and may recommend exercises or adjustments. Discuss any concerns about long-term effects before starting treatment.
Most oral appliances need enough healthy natural teeth to hold them in place. People with full dentures may not be suitable candidates, though there are exceptions. The dentist will assess your situation and explain your options.
Many people adjust within a few weeks. Initial jaw soreness, extra saliva or a strange bite in the morning are common and often improve. The dentist will adjust the appliance gradually to balance comfort and effectiveness.
A custom oral appliance can reduce snoring for some people. Langton patients can learn why screening for sleep apnea comes first and how appliances are fitted.
A custom night guard can cushion grinding and protect dental work while you sleep. Langton patients can learn how guards are made and maintained in Port Dover.
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