By Farshid Naghibi, DDS, Diplomate, American Board of Orofacial Pain | May 22, 2025
Welcome to Align Choice Orthodontics, your trusted partner for advanced dental and orthodontic care right here in Everett, WA. If you or a loved one struggles with Obstructive Sleep Apnea (OSA), you understand the nightly battle for restful sleep and the daytime fog that follows. At the heart of our specialized sleep apnea care is Dr. Farshid Naghibi, DDS. Dr. Naghibi is a board-certified dentist specializing in orofacial pain, TMJ disorder, and sleep issues, and he looks forward to helping relieve jaw pain and sleep apnea for patients of all ages in Everett and the surrounding areas.
While CPAP (Continuous Positive Airway Pressure) therapy is a common treatment, it’s not the only solution. This post, drawing on Dr. Naghibi’s expertise in oral appliance therapy, is dedicated to exploring oral sleep appliances – an innovative and often more comfortable alternative for treating OSA. As an expert in this field, Dr. Naghibi provides effective solutions for patients suffering from obstructive sleep apnea (OSA). His custom-fitted oral appliances help improve sleep quality and reduce the associated health risks of OSA, giving you and your family the choice to prioritize your rest and overall health. We believe in empowering our patients with knowledge to make informed decisions.
Your Sleep Apnea Questions Answered:
Q: What exactly is Obstructive Sleep Apnea (OSA), and what are common sleep apnea symptoms?
A: Obstructive Sleep Apnea (OSA) is a common but serious sleep disorder where your breathing repeatedly stops and starts during sleep. This happens because the muscles in the back of your throat relax too much, causing your airway to narrow or even close. When your brain senses you can’t breathe, it briefly rouses you from sleep to reopen your airway. This can happen hundreds of times a night, often without your full awareness.
Recognizing the sleep apnea symptoms is the first step towards seeking help. Common signs include:
- Loud, persistent snoring: Often the most noticeable symptom to a bed partner.
- Witnessed apneas: Episodes where someone observes you stop breathing during sleep.
- Gasping or choking during sleep: Waking up suddenly feeling like you can’t breathe.
- Excessive daytime sleepiness or fatigue: Feeling tired despite spending enough time in bed.
- Morning headaches: Waking up with a headache on a regular basis.
- Difficulty concentrating or “brain fog.”
- Irritability, mood swings, or depression.
- Dry mouth or sore throat upon waking.
- Frequent awakenings to urinate (nocturia).
If these symptoms sound familiar, it’s crucial to consult with a healthcare professional for a proper diagnosis, which usually involves a sleep study.
Q: I’ve heard CPAP is the standard treatment. Are there alternatives like oral sleep appliances? Are these new?
A: Yes, CPAP therapy is often considered a “gold standard” for treating moderate to severe OSA due to its effectiveness. However, some individuals find CPAP machines cumbersome, noisy, or uncomfortable, leading to difficulties with consistent use (compliance).
Fortunately, there are effective alternatives, and one of the leading options is oral sleep appliances. These are also sometimes referred to as sleep appliances dental, mandibular advancement devices (MADs), or sleep apnea mouth guards.
While the concept of using dental devices to manage airway issues isn’t brand new, the technology, materials, and understanding behind today’s oral sleep appliances for sleep apnea have advanced significantly. Modern appliances are custom-fabricated, more comfortable, and highly effective for many patients, particularly those with mild to moderate OSA. They are a well-established and often FDA approved oral appliance for sleep apnea option, one that Dr. Naghibi frequently utilizes in his patient-centered treatment plans.
Q: How do these dental sleep appliances work to treat sleep apnea?
A: Sleep appliances for sleep apnea primarily work by addressing the physical obstruction in your airway. The most common type, a Mandibular Advancement Device (MAD), functions by:
- Gentle Repositioning: The custom-fitted appliance gently holds your lower jaw (mandible) and tongue in a slightly forward position.
- Airway Stabilization: This forward shift helps to tighten the soft tissues and muscles at the back of your throat.
- Preventing Collapse: By stabilizing these tissues, it prevents them from collapsing and blocking the airway during sleep.
- Improved Airflow: This ensures a continuous flow of air, reducing or eliminating apneas and snoring.
The key is a precise, custom fit achieved by a qualified dentist experienced in dental sleep medicine. Dr. Naghibi’s specialization in this area, including his background from the Orofacial Pain & Dental Sleep Medicine Clinic, ensures this critical aspect of treatment is expertly handled. This ensures not only effectiveness but also comfort, allowing you to wear the appliance throughout the night.
Q: What are the different types of oral appliances for sleep apnea available?
A: There are primarily two main categories of types of oral appliances for sleep apnea:
- Mandibular Advancement Devices (MADs): These are the most widely used type. They are designed like a sports mouth guard, fitting over your upper and lower teeth. MADs work by gently repositioning your lower jaw and tongue forward, thereby opening the airway. Many patients wonder about the best mandibular advancement device for sleep apnea; the answer often lies in a custom-fitted device prescribed by a knowledgeable dentist, tailored to your specific oral anatomy and needs, a process Dr. Naghibi excels in.
- Tongue Retaining Devices (TRDs): These appliances are less common but can be effective for certain patients. A TRD has a small compartment that holds the tongue forward using gentle suction, preventing it from falling back and blocking the airway. They might be considered if a patient cannot use a MAD due to dental issues or TMJ concerns.
Within these categories, there are various designs and brands. At Align Choice Orthodontics, Dr. Naghibi works with high-quality, clinically proven appliances.
Q: Can you tell me more about the OASYS Hinge Appliance™? It sounds interesting.
A: The OASYS Hinge Appliance™ is an excellent example of an advanced Mandibular Advancement Device that Dr. Naghibi may recommend at Align Choice Orthodontics. It’s specifically “Designed to gently shift the lower jaw forward during sleep, the OASYS Hinge Appliance™ treats patients suffering from snoring and mild to moderate obstructive sleep apnea.”
Here are some of its key features and benefits:
- Mechanism of Action: It effectively “activates airway muscles and ligaments to prevent the airway from collapsing,” addressing the root cause of obstruction.
- Custom Comfort: Each appliance is “custom fit for maximum comfort, allowing natural movement” of the jaw, which is crucial for all-night wear.
- Precise Adjustment: It “features telescope-style hinge” and allows for precise calibration: “Each 180-degree turn is 0.25 mm adjustment; up to 10 mm of advancement.” This enables your dentist to fine-tune the appliance for optimal effectiveness.
- Medicare Approved: Importantly, the OASYS Hinge Appliance™ is “PDAC (Pricing, Data Analysis and Coding) contractor-verified for Medicare reimbursement: Code E0486.” This can make it a more accessible option for eligible Medicare beneficiaries.
- Improved Quality of Life: Ultimately, the goal is to “Transform Your Patients’ Lives with Better Sleep.” By improving breathing, the OASYS Hinge Appliance is designed to enhance overall health and daily functioning.
The OASYS Hinge Appliance™ is designed with patient comfort and efficacy in mind, helping individuals to wear it throughout the night and achieve the restorative sleep they need.
Q: How effective are oral appliances? What’s the typical dental appliance sleep apnea success rate?
A: The dental appliance sleep apnea success rate is generally very good, particularly for individuals with mild to moderate Obstructive Sleep Apnea. Many studies including on Harvard University have shown that custom-fitted oral appliances can:
- Significantly reduce the Apnea-Hypopnea Index (AHI), which measures the number of breathing pauses per hour of sleep.
- Substantially decrease or eliminate snoring.
- Improve oxygen saturation levels during sleep.
- Lead to noticeable improvements in daytime alertness and overall quality of life.
The success of an oral appliance depends on several factors:
- Severity of OSA: They are most effective for mild to moderate cases.
- Proper Diagnosis: A thorough sleep study and diagnosis are essential.
- Appliance Selection and Fit: A custom-fitted appliance prescribed and managed by a qualified dentist is critical. Dr. Naghibi’s expertise ensures this. Generic or “boil-and-bite” devices are not recommended for OSA treatment.
- Patient Compliance: One of the biggest advantages of oral appliances is their comfort, which often leads to better patient adherence compared to CPAP.
- Individual Anatomy: The specific structure of a patient’s airway and jaw.
At Align Choice Orthodontics in Silver Lake WA, Dr. Naghibi works closely with you and your sleep physician to determine if an oral appliance is the most effective treatment for your specific needs and to monitor its success.
Q: What are the pros and cons of oral appliance for sleep apnea, especially when comparing dental device for sleep apnea vs CPAP?
A: Understanding the pros and cons of oral appliance for sleep apnea is crucial when considering your treatment options. Here’s a comparison, often framed as dental device for sleep apnea vs CPAP or sleep apnea mouth guard vs CPAP:
Pros of Oral Appliances:
- Comfort and Ease of Use: Generally more comfortable and less intrusive than CPAP masks and hoses, leading to higher compliance rates.
- Portability: Small, lightweight, and easy to travel with. No electricity or distilled water needed.
- Silent Operation: Unlike CPAP machines, oral appliances are quiet.
- Non-Invasive: No surgery or medication involved.
- Effective for Snoring: Highly effective in reducing or eliminating snoring, even if OSA is mild.
- Convenience: Easy to care for.
Cons of Oral Appliances:
- Suitability: May not be as effective for severe OSA or central sleep apnea.
- Potential Side Effects: Some patients may experience temporary side effects like:
- Jaw discomfort or soreness (TMJ-related pain – an area of Dr. Naghibi’s specialty)
- Minor tooth movement or bite changes (requires monitoring)
- Excessive salivation or dry mouth
- These are often managed with proper adjustment by an experienced dentist and typically subside.
- Professional Fitting Required: Requires visits to a specially trained dentist for custom fitting and adjustments like our office.
- Durability: May need replacement every few years, depending on the appliance and wear.
CPAP Comparison:
- CPAP Effectiveness: Highly effective for all levels of OSA, including severe cases.
- CPAP Challenges: Can be cumbersome, noisy, cause mask leaks, skin irritation, nasal congestion, or claustrophobia, leading to lower compliance for some. Requires electricity and regular cleaning/maintenance of supplies.
For many, the comfort and convenience of an oral appliance make it a preferred long-term solution, provided it’s clinically appropriate for their level of OSA. Dr. Naghibi can help you weigh these factors during your consultation.
Q: Who is an ideal candidate for a sleep apnea oral appliance?
A: An oral sleep appliance can be an excellent treatment option for many individuals, but it’s not for everyone. Ideal candidates typically include:
- Patients with Mild to Moderate OSA: This is the primary indication, confirmed by a sleep study.
- CPAP Intolerance: Individuals who have tried CPAP but cannot tolerate it due to discomfort, claustrophobia, or other issues.
- Primary Snorers: Those whose main complaint is loud, disruptive snoring, even without significant apneas.
- Patients Seeking a Less Invasive Option: Individuals who prefer to avoid CPAP or surgery.
- Frequent Travelers: The portability of oral appliances is a major advantage.
- Good Dental Health: Patients should generally have healthy teeth and gums. Some pre-existing dental conditions or severe TMJ disorders might make an oral appliance unsuitable, though Dr. Naghibi’s expertise in TMJ disorders ensures careful evaluation.
A thorough evaluation by a sleep physician and a qualified dentist, like Dr. Naghibi at Align Choice Orthodontics, is essential. As a Diplomate of the American Board of Orofacial Pain, he takes a patient-centered approach, collaborating with each individual to develop a personalized treatment plan that addresses their unique needs and goals. This includes careful consideration of TMJ health, sometimes involving TMJ orthotics (splints) to alleviate pain and improve jaw function.
Q: I’m looking for “dental sleep appliances near me in Everett WA.” How do I get started at Align Choice Orthodontics?
A: If you’re searching for “dental sleep appliances near me, Everett WA,” you’ve found the right place! Align Choice Orthodontics is dedicated to providing expert care in dental sleep medicine under the guidance of Dr. Farshid Naghibi. Getting started with us is a straightforward process designed around your needs:
- Initial Consultation with Dr. Naghibi: Schedule your consultation at our Everett, WA office. You’ll meet with Dr. Naghibi to discuss your sleep apnea symptoms, review your medical history, and talk about any previous treatments. If you have results from a recent sleep study, please bring them. Dr. Naghibi earned his certificate from UCLA School of Dentistry and has practiced at the Orofacial Pain & Dental Sleep Medicine Clinic, bringing a wealth of experience to your care.
- Collaboration with Your Sleep Physician: We believe in a team approach. Dr. Naghibi will work with your sleep physician to ensure an oral appliance is appropriate for you. If you don’t have a sleep physician, we can refer you to a trusted specialist.
- Comprehensive Dental Examination: Dr. Naghibi will conduct a thorough examination of your teeth, gums, jaw joints (TMJ), and airway to ensure you’re a suitable candidate and to plan for your custom appliance. His understanding of the complex relationship between oral health and overall well-being is central to this process.
- Impressions or Digital Scans: iTero Scanner for digital 3D scans of your teeth will be taken. These are used to create your custom fit oral appliance, ensuring it’s both comfortable and effective.
- Appliance Fitting and Adjustment: Once your custom appliance (like the OASYS Hinge Appliance™) is ready, you’ll return for a fitting appointment with Dr. Naghibi. He’ll ensure it fits perfectly and instruct you on how to wear and care for it. Initial adjustments will be made to optimize its effectiveness.
- Follow-Up Appointments: Regular follow-up visits with Dr. Naghibi are crucial. He’ll monitor your progress, make any necessary adjustments to the appliance, manage any potential side effects, and ensure the treatment remains effective.
Q: What is the typical dental device for sleep apnea cost? And how does the cost of CPAP vs oral appliance compare?
A: The cost of a custom-fitted dental device for sleep apnea can vary between $1200 to $2500. While there’s an initial investment in a custom oral appliance, it’s designed for comfort and long-term use. CPAP machines might have a different initial cost structure, but they also involve ongoing expenses for supplies like masks, tubing, and filters, which can add up over time.
The great news is that at our office, we focus on making this effective treatment accessible for you. We guarantee the best fee for your custom oral appliance.
Furthermore, these oral appliances are considered medically necessary for the treatment of sleep apnea. Because of this, we have an experienced team dedicated to billing your medical insurance for your appliance. We know how to properly handle your case to ensure that your insurance covers most of the fee, helping to minimize your out-of-pocket expenses. We’re here to navigate that process with you and for you
Generally, the cost for a custom oral appliance can range from approximately $1,500 to $2000. It’s important to have a consultation with Dr. Naghibi for an accurate, personalized quote.
A significant factor for many is insurance coverage. Many medical insurance plans, including Medicare (for approved devices like the OASYS Hinge Appliance™ under Code E0486), offer coverage for oral appliances when deemed medically necessary for OSA. Our team at Align Choice Orthodontics can assist you in understanding and navigating your insurance benefits.
When considering the cost of CPAP vs oral appliance:
- CPAP Costs: Include the initial machine purchase, ongoing expenses for masks, hoses, filters, cushions (which need regular replacement), and potentially distilled water and electricity.
- Oral Appliance Costs: Typically involve the one-time cost of the custom device and fitting appointments. The appliance itself can last for several years with proper care.
Over the long term, the costs can be comparable, especially when factoring in the improved compliance and quality of life that many experience with oral appliances. Dr. Naghibi can discuss these aspects with you.
Q: How do I find the “best sleep apnea oral appliance” or the “best mandibular advancement device for sleep apnea”?
A: The quest for the “best sleep apnea oral appliance” or “best mandibular advancement device for sleep apnea” is understandable, but it’s important to know that “best” is highly individual. What works perfectly for one person might not be ideal for another.
Key factors that determine the “best” appliance for you include:
- Accurate Diagnosis and Prescription: The appliance must be appropriate for your type and severity of OSA, as determined by a sleep study and consultation with a sleep physician.
- Custom Fit by an Experienced Dentist: This is non-negotiable. A precise, custom fit by a dentist with expertise in dental sleep medicine, like Dr. Naghibi, is crucial for comfort, safety, and effectiveness.
- FDA Approval: Always ensure the appliance is an FDA approved oral appliance for sleep apnea. This indicates it has met specific safety and efficacy standards.
- Appliance Design and Material: The design should suit your specific oral anatomy, bite, and any TMJ considerations. Quality materials ensure durability and biocompatibility.
- Patient Comfort and Compliance: The “best” device is ultimately one that you will wear consistently and comfortably every night.
- Professional Guidance: Avoid over-the-counter “boil-and-bite” mouthguards for OSA treatment. While they might be marketed for snoring, they are not custom-fitted for OSA, can be ineffective, and may even worsen certain conditions or delay proper diagnosis and treatment.
The best approach is to consult with Dr. Naghibi at Align Choice Orthodontics. He can assess your needs and recommend the most suitable, high-quality, FDA-approved appliance for your specific situation.
Q: Where can I find reliable sleep apnea oral appliance reviews?
A: Finding reliable sleep apnea oral appliance reviews can help you feel more informed. Here are some credible sources:
- Your Dentist or Sleep Physician: Dr. Naghibi can share his clinical experience with different devices and patient outcomes.
- Patient Testimonials: Reputable dental practices may share anonymized patient success stories.
- Professional Organizations: Websites of organizations like the American Academy of Sleep Medicine (AASM) or the American Academy of Dental Sleep Medicine (AADSM) often provide evidence-based information and patient resources.
- Peer-Reviewed Medical and Dental Journals: These contain research studies on the efficacy of various appliances.
- Word-of-Mouth: Referrals from friends or family who have had positive experiences can be valuable, but remember that individual needs vary.
Be cautious with online reviews on general commercial sites, as they may not always be unbiased or from verified patients. Focus on information provided by healthcare professionals and recognized health institutions.
Q: Are sleep appliances (dental) comfortable to wear every night?
A: Yes, modern, custom-fitted sleep appliances (dental) are designed with comfort as a top priority. While any new oral device may require a short adjustment period (typically a few days to a couple of weeks), most patients find them significantly more comfortable and less cumbersome than CPAP therapy.
Here’s why they are generally comfortable:
- Custom Fit: They are made from precise impressions of your teeth, ensuring a snug yet gentle fit.
- Lightweight Materials: Made from smooth, biocompatible, medical-grade materials.
- Minimal Bulk: Designed to be as unobtrusive as possible while still being effective.
- Allows Some Movement: Many designs, like the OASYS Hinge Appliance™, allow for some natural jaw movement, drinking water, and even speaking a little while wearing them.
Dr. Naghibi and our team at Align Choice Orthodontics take great care in the fitting and adjustment process to maximize your comfort and ensure you can wear your appliance consistently.
Q: What does follow-up care involve with an oral appliance?
A: Follow-up care is an essential component of successful oral appliance therapy. It’s not just about getting the device; it’s about ensuring it works effectively and comfortably for the long term. Your follow-up care with Dr. Naghibi at Align Choice Orthodontics will typically involve:
- Initial Adjustment Period: Several appointments shortly after you receive your appliance to fine-tune the fit and mandibular advancement for optimal symptom relief and comfort.
- Regular Check-ups: Typically, we’ll see you every six months for the first year, and then annually, or as needed. These appointments will involve:
- Appliance Assessment: Checking the condition and fit of your appliance.
- Oral Health Evaluation: Examining your teeth, gums, and jaw joints (TMJ) for any changes.
- Symptom Review: Discussing how your OSA symptoms (snoring, daytime sleepiness) are being managed.
- Efficacy Confirmation: We may coordinate with your sleep physician for follow-up sleep studies to objectively verify the appliance’s effectiveness in reducing your AHI.
- Ongoing Support: Dr. Naghibi is here to address any concerns or issues that may arise with your appliance or treatment, providing compassionate care that improves both oral health and overall well-being.
Consistent follow-up ensures your oral appliance remains effective, your oral health is maintained, and you continue to enjoy the benefits of restful sleep.
Take the Next Step Towards Better Sleep in Everett, WA with Dr. Naghibi
Obstructive Sleep Apnea doesn’t have to control your life. If you’re struggling with sleep apnea symptoms, tired of your CPAP machine, or simply exploring your options, an oral sleep appliance could be the breakthrough you’ve been looking for.
Dr. Farshid Naghibi and the dedicated team at Align Choice Orthodontics in Everett, WA, are here to help. Dr. Naghibi’s expertise as a Diplomate of the American Board of Orofacial Pain and his specialization in oral appliance therapy can guide you to an effective, personalized solution. He is committed to providing compassionate care that improves both your oral health and overall well-being. Dr. Naghibi met his wife, Dr. Sogol, in dental school and is excited to practice with her at Align Choice Orthodontics, offering a family-oriented approach to your care.
Don’t let another restless night go by. Contact Align Choice Orthodontics today to schedule your consultation with Dr. Farshid Naghibi to see if a custom dental sleep appliance, like the OASYS Hinge Appliance™, is the right solution for you. Let us help you Transform Your Life with Better Sleep.