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ORAL APPLIANCES

Mandibular Advancement Device (MAD)

Sleep apnea treatment without CPAP

For millions of patients, the cure for sleep apnea is worse than the condition itself. If you hate your CPAP, struggle with a bulky mask, or simply can’t sleep tethered to a machine, there is a proven, FDA-cleared alternative that fits in your pocket.

A woman wearing a light blue eye mask with stars lies on a bed, resting on her side with one arm bent above her head.

Silence the Snore by Freeing the Airway.

Obstructive Sleep Apnea (OSA) occurs when the muscles in your throat relax during sleep, causing the soft tissue to collapse and block your airway. The standard solution—the CPAP machine—uses air pressure to force the airway open. But it only works if you wear it.

The Mandibular Advancement Device (MAD) offers a different approach. It is a custom-fitted oral appliance, similar to a sports mouthguard or retainer, that gently holds your lower jaw in a forward position.

Keeping the jaw forward physically prevents the tongue and soft tissues from collapsing backward. The airway stays open, the snoring stops, and you sleep soundly—without hoses, masks, or noise.

A clinician checks a sleeping patient’s airway while another person observes in the background.

Who Can Benefit from Oral Appliance Therapy?

Oral appliance therapy can be a strong option for adults who want a quieter, more portable alternative to CPAP.

Adults Who Struggle with CPAP

For patients who already have a CPAP machine but find it difficult to sleep with the mask, noise, or hoses. A mandibular advancement device (MAD) offers a silent, cordless option and is often well suited for mild to moderate obstructive sleep apnea.

Adults Who Want a Simpler Sleep Solution

For patients whose snoring is disrupting sleep at home or who travel often and want something easier to manage. A MAD is compact, discreet, and easy to use—without outlets, hoses, or distilled water.

Custom Medical Therapy, Not a Store-Bought Guard

You may have seen “snore guards” at the drugstore, but a mandibular advancement device is a medical appliance designed specifically for diagnosed sleep apnea care.

  • Precision Fit: We use 3D digital scans to create a device made specifically for your teeth and bite.
  • Adjustable Design: The appliance can be titrated over time to help improve airflow while minimizing unnecessary jaw strain.
  • Built to Last: Made from durable, biocompatible materials intended for long-term nightly use.
A white plastic dental mouthpiece with upper and lower trays, shown against a light grey background.

HOW IT WORKS

The Path to Quiet Sleep

01

Scan & Design

We take a digital scan of your teeth (no goopy impressions). We map your bite to ensure the device will be comfortable and effective.

02

Fit & Titrate

When your custom device arrives, we ensure it fits perfectly. We show you how to adjust the advancement settings to find the “sweet spot” that stops your snoring.

03

Sleep Soundly

You wear the device at night just like a retainer. You can still drink water and speak while wearing it.

What to Expect

Comfort

Most patients adjust within a few nights. Because it is custom-made for your mouth, it is significantly less bulky and more comfortable than an over-the-counter boil-and-bite guard.

Bite Reset

Your bite may feel “off” for a few minutes in the morning. We provide a simple morning aligner to help reset your jaw position as soon as you wake.

Coverage

Because oral appliance therapy treats a diagnosed medical condition, many medical insurance plans and Medicare may cover it.

ASK THE EXPERTS

Frequently Asked Questions

Is it uncomfortable?

Most patients adjust within a few nights. Because the device is custom-made for your mouth, it is significantly more comfortable than a boil-and-bite guard. You can still drink water and speak while wearing it.

Will it change my bite?

Your bite may feel “off” for a few minutes in the morning. We provide a simple morning aligner to help reset your jaw position as soon as you wake up.

Does insurance cover it?

Yes. Because this is a medical treatment for a diagnosed condition (Obstructive Sleep Apnea), most medical insurance plans and Medicare cover oral appliance therapy.

OUR LOCATIONS

Serving the Greater Houston and Austin Area

Find the office nearest you and schedule your visit today.

16402 W. Lake Houston Pkwy, Suite 500, Houston, TX 77044

(346) 266-0880

8190 Barker Cypress Road, Suite 200, Cypress, TX 77433

(346) 539-1270

501 S Friendswood Dr, Suite 105, Friendswood, TX 77546

(713) 538-1567

4906 FM 1463 Rd, Suite 100, Katy, TX 77494

(346) 338-9980

18718 University Blvd, Sugar Land, TX 77479

(346) 436-7767

2702 Yale St, Suite 102, Houston, TX 77008

(346) 707-0060

923 Pine Market Ave, Suite 500, Montgomery, TX 77316

(346) 707-0075

3620 Ranch Rd 620 S, Suite 280, Bee Cave, TX 78738

(737) 394-5250

Dental Insurance Accepted

Unsure about your coverage? Let us do the heavy lifting. We accept most major PPO plans and will verify your benefits for you before your first visit.

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Thinking About a CPAP Alternative?

We can help you understand whether oral appliance therapy is the right next step for your sleep.