Fort Worth Periodontal is now Smiles Family Dental. Same Hulen St. office, same phone number, more ways to care for you. What's changing 3509 Hulen St., Suite 205(817) 737-0721
Smiles Family DentalFort Worth · Hulen St.
Dental sleep medicine

Sleep Apnea Treatment in Fort Worth

If CPAP has not worked for you, a custom oral appliance may help keep your airway open at night. We partner with your physician so your care stays safe and coordinated.

Sleep Apnea Treatment at Smiles Family Dental in Fort Worth
Diagnosis by
Physician with sleep study
Treatment type
Custom oral appliance
Best suited for
Mild to moderate OSA
Fitting visits
Usually 2–4 appointments

What happens during obstructive sleep apnea

Obstructive sleep apnea, or OSA, happens when soft tissue in the throat relaxes and blocks the airway during sleep. Breathing slows or stops for short periods, then restarts, often with a gasp or snort. This can happen many times an hour without you knowing.

Over time, untreated sleep apnea is linked with high blood pressure, heart problems, daytime sleepiness, and a higher risk of drowsy driving. It is a medical condition that deserves real attention, and it is more common than many people think.

Snoring is a common sign, but not everyone who snores has sleep apnea, and not everyone with sleep apnea snores loudly. That is why a proper sleep test matters before any treatment is chosen.

Who diagnoses sleep apnea?

Only a physician can diagnose sleep apnea. This usually requires a sleep study, either overnight at a sleep center or with a home sleep test your doctor orders. The study measures your breathing, oxygen levels, and how often your airway closes.

Your dentist plays a different role. During routine exams, we may notice signs such as a scalloped tongue, worn teeth from grinding, or a narrow airway. We ask about snoring and tiredness. If something points to sleep apnea, we refer you to a physician for testing. We do not diagnose the condition ourselves.

We coordinate with your physician for diagnosis.
We coordinate with your physician for diagnosis.

Oral appliance therapy for sleep apnea in Fort Worth, TX

Once a physician confirms OSA and agrees an oral appliance is suitable, we can help. The appliance looks a bit like a sports guard or retainer. It fits over your upper and lower teeth and holds your lower jaw slightly forward. That small shift helps keep the throat from collapsing.

Physicians often consider oral appliances for mild to moderate sleep apnea, or for people with any level who cannot tolerate CPAP. Many patients find an appliance easier to travel with and quieter than a machine. Patients from Westcliff to White Settlement often tell us they finally wear their treatment every night.

Some people have tried CPAP and found the mask uncomfortable, noisy, or hard to keep on. If that sounds like you, talk with your physician about whether an oral appliance could be part of your plan.

  • Custom-made from a digital scan of your teeth
  • Adjustable so the jaw position can be fine-tuned
  • No hoses, mask, or electricity needed
  • Small enough to pack in a carry-on

Working with your physician

We keep your doctor in the loop. After you have used the appliance for a while and we have adjusted it, your physician typically orders a follow-up sleep test to confirm it is working. If results show more change is needed, we adjust further or talk about other options together.

Some people do best using an appliance along with CPAP or other therapy. Decisions about your overall sleep care belong to you and your physician, and we support that plan.

Clear notes and test results go back and forth between our office and your physician's office, so nobody has to guess what the other has done.

Protecting your teeth and jaw

An oral appliance asks your jaw and teeth to work a little differently at night. Some people notice jaw stiffness or a slight bite change in the morning, which often eases within an hour. We check your bite and jaw joints at follow-up visits and may give you simple morning exercises.

Because healthy teeth and gums anchor the appliance, we make sure any gum disease or loose teeth are treated before fitting.

Building good nightly habits

An appliance only helps when it is in your mouth all night. Keep it by your bed, and make putting it in part of your routine, like brushing your teeth. In the morning, rinse it, brush it gently with cool water, and let it air dry in its case. Hot water can warp the material.

Other habits can support your treatment. Many physicians suggest limiting alcohol close to bedtime, sleeping on your side when possible, and keeping a steady sleep schedule. Weight changes can also affect how well an appliance works, so let us know if your weight shifts a lot. We can recheck the fit and coordinate with your doctor.

Talk to us if you notice

  • Loud, frequent snoring
  • A partner says you stop breathing or gasp
  • Morning headaches or dry mouth
  • Feeling tired even after a full night
  • Trouble focusing during the day
  • You stopped using CPAP because it felt uncomfortable
At our Hulen St. office

What to expect, step by step

  1. Screening

    We review your symptoms and look for oral signs, then refer you to a physician for a sleep study if needed.

  2. Physician diagnosis

    Your doctor confirms sleep apnea and whether an oral appliance is a suitable treatment.

  3. Scan and fitting

    We take a digital scan, have your custom appliance made, and fit it comfortably.

  4. Adjust and test

    We fine-tune the jaw position over several visits, then your physician confirms results with a follow-up test.

Patient questions

Sleep Apnea Treatment: common questions

Straight answers from our Fort Worth team. If your question is not here, call and ask. We are happy to talk it through.

Is an oral appliance as good as CPAP?

CPAP is generally the most effective treatment for obstructive sleep apnea, especially severe cases. Oral appliances work well for many people with mild to moderate sleep apnea and for those who cannot tolerate CPAP. A treatment that is worn every night often helps more than one that is not. Your physician decides which option fits your diagnosis.

Does medical insurance cover sleep apnea appliances?

Oral appliances for diagnosed sleep apnea are often billed to medical insurance, not dental, because sleep apnea is a medical condition. Coverage depends on your plan, your sleep study results, and a physician's prescription. Cost also depends on the appliance design and number of visits. Smiles Family Dental can help check benefits and offers financing and FSA or HSA payment.

Can I get an oral appliance without a sleep study?

A sleep study and physician diagnosis are needed before treating sleep apnea with an oral appliance. Snoring alone does not tell you whether you have sleep apnea or how serious it is. Treating snoring without testing could hide a dangerous condition. If you only snore and have been cleared for apnea, a snoring device or laser treatment may be an option.

Is the appliance comfortable to sleep in?

Most people adjust to a custom sleep apnea appliance within a few nights to a couple of weeks. Early on, you may notice extra saliva, mild tooth pressure, or jaw stiffness in the morning. These effects usually fade as you get used to it. Your dentist can adjust the fit and jaw position to improve comfort.

How long does a sleep apnea appliance last?

A custom oral appliance for sleep apnea often lasts several years with good care, though wear depends on grinding habits and how it is cleaned. Rinse and brush it daily and store it in its case. Bring it to dental checkups so the fit can be checked. Changes in your teeth, such as new crowns, may require adjustments.

What are the signs of sleep apnea?

Common signs of sleep apnea include loud snoring, pauses in breathing noticed by a bed partner, gasping or choking at night, morning headaches, and heavy daytime sleepiness. Some people also have high blood pressure or trouble concentrating. If you notice these signs, talk with your physician about a sleep study, since only a physician can diagnose sleep apnea.

Paying for sleep apnea treatment

We file insurance for you, accept FSA and HSA cards, offer monthly financing and have an in-house savings plan for patients without dental insurance.

See payment options
Fort Worth · Hulen St.

Ready when you are.

Call our Hulen Street office or request a time online. We will review your insurance, explain every option in plain language and give you a written plan before anything starts.