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Sleep Apnea · Screening & Symptoms
Obstructive sleep apnea (OSA) affects an estimated 30 million Americans, yet most cases are undiagnosed. Recognizing the signs and understanding the screening pathway is the first step — and it begins with your doctor, not your dentist.
Step 1: Talk to your physician about ordering a sleep study
Already diagnosed? Schedule a consult →Medical disclaimer
This page is for educational purposes only. Sleep apnea is a medical condition that requires diagnosis by a licensed sleep physician using a validated sleep study. We do not diagnose sleep apnea. If you suspect you have OSA, please speak with your primary care doctor or a board-certified sleep specialist first.
Obstructive sleep apnea is a chronic condition in which the upper airway repeatedly collapses or narrows during sleep, causing breathing to pause — sometimes dozens or hundreds of times per night. Each interruption triggers a brief arousal that fragments sleep architecture and reduces oxygen delivery to the brain and body.
OSA is associated with elevated risk for cardiovascular disease, type 2 diabetes, stroke, depression, and motor vehicle accidents. It is diagnosed by objective measurement — not by symptoms alone — using a validated sleep study that quantifies the Apnea-Hypopnea Index (AHI).
Our role in this picture is specific: once your physician has diagnosed OSA and prescribed oral appliance therapy, we fabricate and manage the custom device. We are partners in your care — not the starting point.
These symptoms do not confirm a diagnosis, but if several apply to you, a conversation with your doctor about a sleep study is warranted.
Symptom burden correlates imperfectly with OSA severity — some patients with severe OSA report no snoring. A sleep study is the only reliable way to determine whether OSA is present and how severe it is. Source: AASM Clinical Practice Guidelines.
Your physician will recommend the most appropriate study type based on your clinical picture. Here is a plain-language comparison:
Source: AASM Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea (2017). Your sleep specialist will determine the most appropriate test for your specific situation.
Once you have a diagnosis, contact us to schedule a consultation. Bringing the right documents helps us move quickly and accurately.
Full sleep study report
Bring the complete report — not just the summary letter. We need the AHI score, oxygen saturation data, and the scoring method used.
Physician prescription or letter of medical necessity
This is required to fabricate an appliance. It should specify oral appliance therapy (OAT) or a mandibular advancement device (MAD) and include your diagnosis code (G47.33 for OSA).
Medical insurance card
OAT is billed to medical insurance, not dental. Bring your medical insurance card so we can verify benefits before your first appointment.
CPAP records (if applicable)
If you have tried CPAP and are switching to OAT, bring download data or a letter from your physician documenting CPAP intolerance. This supports medical necessity for insurance purposes.
Medication list
Include any medications that affect sleep, blood pressure, or jaw muscles — muscle relaxants, antihypertensives, benzodiazepines.
The sleep study itself is typically covered by medical insurance when ordered by a physician with documented clinical indication. Oral appliance therapy — if you ultimately need it — is also billed to medical insurance, not dental.
Describe your symptoms to your primary care physician. Ask about an OSA screening questionnaire (STOP-BANG, Epworth Sleepiness Scale) and a referral to a sleep specialist or for a home sleep test.
Either at home with an HST device or overnight at an accredited sleep center. The study generates an AHI score that defines whether you have OSA and how severe it is.
Your physician interprets the results, confirms the diagnosis (if present), and discusses treatment options — CPAP, oral appliance therapy, positional therapy, or a combination.
If OAT is appropriate for your case, your physician provides a prescription and letter of medical necessity. This is what enables us to proceed.
We review your records, verify insurance benefits, take impressions, fabricate your custom appliance, and coordinate follow-up with your physician — typically within 3–4 weeks from consult to first fitting.
Once fitted, your custom oral appliance requires daily cleaning with a soft-bristle brush and mild soap (never toothpaste — it is abrasive). A weekly enzyme-tablet soak helps prevent biofilm buildup. Store the appliance in its vented case when not in use. Most devices last three to five years. We check fit, condition, and bite changes at every scheduled follow-up.
Common Questions
Answers to the questions patients ask most before and after their first sleep study.
Related topics
Schedule a free consultation with our dental sleep team. Bring your sleep study report and physician prescription — we'll handle the rest, including insurance verification.
San Diego, CA · Oral appliance therapy for diagnosed OSA