Sleep Apnea Oral Appliance Therapy in Raleigh, NC
An Alternative for Patients Using CPAP
If you have been diagnosed with obstructive sleep apnea (OSA) by a physician and have difficulty using a CPAP machine, an oral sleep appliance may be an alternative treatment option. These devices are custom-made to help support the airway during sleep, without the use of a mask, hose, or continuous airflow.
This page is intended for patients who already have a confirmed diagnosis of sleep apnea and have discussed treatment needs with a healthcare provider.
What Is an Oral Sleep Appliance?
An oral sleep appliance is a custom-fitted device that is worn during sleep. It is designed to help support the lower jaw in a slightly forward position, which may help reduce airway narrowing associated with obstructive sleep apnea.
These appliances are frequently used when:
- A patient has difficulty tolerating CPAP equipment
- A physician recommends exploring alternative treatment options
- A sleep dentist and medical provider coordinate care together
Who May Be a Candidate
You may be a candidate for an oral appliance if:
- You have a documented sleep apnea diagnosis from a physician
- You were recommended or prescribed CPAP, but are having difficulty using it
- A medical provider advised exploring alternative treatments
- You are seeking a portable or travel-friendly option
Oral appliance therapy is used for mild to moderate obstructive sleep apnea, or as determined appropriate by your medical provider.
It may also be used in combination with other treatment methods.
Our Treatment Approach
The process begins with sleep apnea diagnosis confirmation, where we carefully review your physician’s sleep study and treatment notes to understand the severity of your condition and ensure you are an appropriate candidate for oral appliance therapy. This confirmed diagnosis is required before we move forward with treatment. Next, you will have a consultation where we discuss your symptoms, daily routine, and lifestyle needs so we can recommend an appliance that fits both your medical requirements and your comfort preferences. For your convenience, same-day and next-day appointments are often available.
Once you are ready to proceed, we take digital impressions using precise 3D scans to create your custom appliance, which is a painless and quick process. After the appliance is fabricated, you return for an appliance fitting, where we check the fit, make any necessary adjustments, and ensure you can insert, remove, and wear it comfortably through the night. Finally, your physician may recommend a follow-up sleep study, either at home or in a clinic, to evaluate how well the appliance is working, confirm that your sleep apnea is being effectively managed, and make any additional recommendations for your long-term health and comfort.
Your Oral Appliance Specialist
Dr. Rebecca Fronheiser, DDS
Dr. Rebecca Fronheiser was born in picturesque Upstate New York, where small towns dot the landscape with natural beauty. While attending the University of Rochester, Dr. Fronheiser heard the call to serve and enlisted in the United States …Army Reserves. Dr. Fronheiser continued her higher education, receiving her Doctor of Dental Surgery from the University of Michigan School of Dentistry.
Dr. Fronheiser entered active-duty service after graduating from dental school and completed an Advanced Education in General Dentistry residency with the United States Army. Dr. Fronheiser’s army career was furthered by a deployment to Afghanistan in support of Operation Enduring Freedom. She served in the military for over ten years and is a proud veteran of our armed forces. Dr. Fronheiser, an experienced dental practitioner, continues to broaden her clinical expertise with a Fellowship from the Academy of General Dentistry, which only 6% of general dentists achieve.
Dr. Fronheiser is also a Diplomate of the American Board of Dental Sleep Medicine and holds certification from the Academy of Orofacial Myofunctional Therapy. Dr. Fronheiser embodies a kind and caring spirit for her patients and continues to provide enhanced services for a lifetime of good oral health.
In her free time, Dr. Fronheiser loves to spend her time outdoors with her constant canine companions, Monty and Quinn. They are always by her side when exploring local North Carolina farmer’s markets or hiking some of the incredible North Carolina nature trails.
Oral Appliance Therapy Frequently Asked Questions
What benefits do patients often notice with an oral sleep appliance?
While every experience is unique, patients commonly report that their appliances are small and easy to travel with, custom-fitted for comfort, quiet with no tubing or machine noise, and simple to care for and maintain. Results and comfort can vary based on individual anatomy, sleep apnea severity, and how consistently the appliance is used.
How many appointments will I need?
Most patients complete the process in about 2 to 4 appointments from start to finish. This usually includes the initial consultation, digital impressions, the appliance fitting, and at least one follow-up visit.
Is the process comfortable?
Yes, the steps are designed to be as comfortable as possible. Digital impressions are taken with 3D scanning technology, so there are no messy impression trays. During the fitting visit, we fine-tune the appliance so it feels secure but comfortable to wear throughout the night. Some patients may need minor adjustments over time to keep the appliance working and feeling its best.
Do I need a sleep study before getting an appliance?
Yes. A physician-confirmed diagnosis of obstructive sleep apnea is required before oral appliance therapy can be provided. We rely on your sleep study and the recommendations from your medical provider to ensure that an oral appliance is safe and appropriate for you.
Is an oral sleep appliance covered by insurance?
Coverage varies by plan, but oral appliance therapy may be eligible under medical insurance when certain criteria are met. This often includes a physician-diagnosed sleep apnea, documented CPAP intolerance, and a recommendation that an oral appliance be part of your treatment plan. Our office can review your benefits, explain what your plan may cover, and provide cost estimates before treatment begins. Financing options are also available.
Why Vista Dental Group
- Dental team trained in oral sleep appliance therapy
- Works in coordination with your medical provider
- Uses digital technology for precise and comfortable appliance fitting
- Same-day and next-day consultation availability
If you have a physician-confirmed diagnosis of obstructive sleep apnea and are seeking guidance on an oral appliance as a CPAP alternative, we’re here to help support your treatment plan.