Sleep Apnea & Snoring

Dr. Mary Bucklin

What Is Sleep Apnea and Snoring Treatment?

Sleep apnea and snoring are more than just disturbances during the night; they can be signs of serious airway problems that impact your overall health, mood, and daily performance. Obstructive sleep apnea occurs when soft tissues in the throat collapse during sleep, temporarily blocking airflow and causing repeated pauses in breathing. These interruptions can occur dozens of times each night, often leaving patients exhausted, even after what seems like a full night’s sleep. Snoring, which is caused by vibrations in partially blocked airways, may also indicate compromised airflow and can disrupt not only your rest but also your partner’s.

Left untreated, sleep apnea can contribute to high blood pressure, heart disease, diabetes, and even cognitive decline. That’s why seeking treatment is so important for long-term health. At Altoona Smiles Family and Cosmetic Dentistry, we offer custom-fitted oral appliances designed to reposition the jaw and tongue, keeping the airway clear and open throughout the night. These small, portable devices are a comfortable and non-invasive alternative to bulky CPAP machines for many patients. By improving airflow and reducing airway collapse, treatment helps restore restful sleep, alleviate symptoms like daytime fatigue or morning headaches, and protect your health.

Why Trust Altoona Smiles Family and Cosmetic Dentistry?

Addressing sleep apnea and snoring effectively requires precision, advanced training, and an understanding of the complex relationship between oral structures and breathing. At Altoona Smiles Family and Cosmetic Dentistry, we take the time to thoroughly evaluate your symptoms, health history, and unique anatomy. Using modern diagnostic tools and digital scanning, we can design custom oral appliances that fit comfortably, work effectively, and are tailored to your lifestyle. These appliances are discreet, durable, and easy to wear, making them a convenient solution for long-term use.

What sets our care apart is the level of guidance and support we provide. From your initial consultation to follow-up adjustments, we make sure you feel informed, confident, and cared for every step of the way. We clearly explain how treatment works, what results to expect, and how to use and care for your appliance at home. If needed, we adjust or refine your device to maximize effectiveness and comfort. Our commitment extends beyond treating symptoms; we focus on improving your sleep quality, protecting your systemic health, and helping you regain energy and peace of mind. Patients trust us because we combine clinical skill, advanced technology, and compassionate care to deliver meaningful, lasting relief.

Benefits of Sleep Apnea and Snoring Treatment

  1. Restores Restful Sleep
    By keeping the airway open throughout the night, custom-fitted oral appliances help reduce snoring and prevent interruptions caused by sleep apnea. Patients experience deeper, more restorative rest, leading to improved focus, energy, and mood during the day.
  2. Protects Overall Health
    Untreated sleep apnea has been linked to high blood pressure, cardiovascular disease, diabetes, and increased risk of stroke. Treatment reduces these risks by restoring consistent oxygen flow, supporting both oral and whole-body health for years to come.
  3. Comfortable and Non-Invasive
    Unlike CPAP machines that can be bulky and difficult to tolerate, oral appliances are small, lightweight, and discreet. They fit comfortably in your mouth, are easy to travel with, and require no surgery, making them an ideal solution for many patients.

Sleep Apnea Treatment Options and Efficacy

Apnea Reduction (Events/Hour Decrease) %

Patient Compliance/Adherence %

Mild OSA (5-15 Events/Hour) – CPAP

95

65

Mild OSA (5-15 Events/Hour) – Oral Appliance

88

85

Moderate OSA (15-30 Events/Hour) – CPAP

92

60

Moderate OSA (15-30 Events/Hour) – Oral Appliance

80

78

Severe OSA (30+ Events/Hour)

85

70











0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0%

50%

100%

Narrative: Shows that while CPAP is more effective at reducing apnea events (92-95%), patient compliance is significantly better with oral appliances (78-85% vs. 60-65%). For mild-to-moderate sleep apnea, oral appliances offer a great balance of efficacy and compliance. Severe sleep apnea may require CPAP or combination therapy despite lower compliance rates.

Sleep Apnea SeverityAHI (Apnea-Hypopnea Index)Primary TreatmentAlternative TreatmentEfficacyComplianceSuccess Rate
Mild OSA5-15 events/hourCPAP or Oral AppliancePositional therapy, weight loss88-95% reduction65-85% (oral appliance higher)80-90%
Moderate OSA15-30 events/hourCPAP (preferred) or Oral ApplianceCombination CPAP + oral appliance80-92% reduction (CPAP better)60-78% (oral appliance preferred)75-85%
Severe OSA30+ events/hourCPAP (first-line)Surgery, combination therapy; oral appliance insufficient alone85%+ (CPAP) or 70% (oral appliance)60-70% (CPAP challenging)70-80%

American Academy of Dental Sleep Medicine (AADSM) | American Sleep Apnea Association | National Institutes of Health (NIH) Sleep Research | Journal of Clinical Sleep Medicine | Clinical studies on oral appliance therapy efficacy and patient outcomes

Key Findings About Sleep Apnea & Snoring Services

See Why Patients Trust Us Through Verified Reviews

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Melissa J
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Wow, amazing first experience at Altoona Smiles! Would highly recommend this dental clinic.
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Janee H
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It's been a long time since I went to the dentist. I was amazed at the kindness and professionalism displayed at Altoona Smiles. The team is warm and welcoming. Each person made me feel like I was valued as a patient. Although the office is not close to my home, I would definitely make a point to continue being a patient here. Dr. Abby and Kaylor are awesome! Great personalities, knowledge, and very thorough every step of the way. Thank you all for the great first experience!
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Lacey R
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This was the best dental experience I have ever had! The staff are all very friendly, genuine and happy. They explain everything in a way you can understand, introduce themselves, help make sure you are comfortable. The clinic is clean and very homey. I have never been more excited to go back for another dentist appointment. I’m looking forward to being a client for many years to come!
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Nate S
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Super professional and kind took the nerves right out of a dental office visit.
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Jenihullett
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The office is modern and always clean. The staff is attentive and friendly. Our daughter (10) has severe orthodontic issues, and the Altoona Smiles staff has had no issues collaborating with her orthodontist's office and navigating our insurance policies. We were able to discuss a mutually agreed upon treatment plan, and were able to tailor the plan to match both our schedules and comfort needs. I would definitely recommend.
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Erianna c
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Today I saw Dr Abby and Crissy! Crissy did a phenomenal job and gave me the best experience! I always love seeing her smile! Thank you guys!
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Will L
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The moment I walked into Altoona Smiles for my new patient appointment I was greeted with a smile, given a welcome tour of the clinic, provided with my choice of a comfort amenity during my entire exam and the hygienist, dental assistant & dentist were amazing and provided me with a comprehensive plan of care prioritizing my personal dental goals.

Questions Patients Ask About Sleep Apnea & Snoring Services

How do I know if I have sleep apnea or just snore?

Snoring alone doesn’t mean you have sleep apnea, but loud snoring is often a sign. Key differences: snoring is just noise; sleep apnea involves actual breathing pauses. Signs of sleep apnea include gasping for air during sleep (observed by bed partner), extreme daytime sleepiness despite adequate sleep time, morning headaches, or waking unrefreshed. If you snore heavily or have these symptoms, the Altoona Smiles team recommends evaluation by a sleep physician, who can order a sleep study to confirm whether you have sleep apnea.

How do oral appliances work, and how are they different from CPAP?

Oral appliances are custom-fitted dental devices worn during sleep that gently hold your lower jaw forward, keeping your airway open. CPAP uses air pressure to keep the airway open. Oral appliances are smaller, quieter, portable, and many patients find them more comfortable than CPAP machines. However, CPAP is often more effective at reducing severe apnea events. The Altoona Smiles team works with your sleep physician to determine which treatment is best for your specific situation.

Will an oral appliance affect my teeth or bite?

Custom-fitted oral appliances are designed to minimize impact on teeth and bite. Minor changes in bite can occur with long-term nightly wear, but serious problems are rare when properly fitted and monitored. The Altoona Smiles team regularly checks your appliance fit and bite alignment to ensure your teeth and jaw remain healthy. If any changes occur, adjustments can be made to the appliance.

How do I get an oral appliance, and what’s the process?

First, you need a sleep study confirming sleep apnea diagnosis (ordered by your sleep physician). Then the Altoona Smiles team takes precise impressions of your teeth and jaw, which are sent to a lab for custom fabrication. Your sleep physician determines your target jaw position, which is programmed into the appliance. Once the appliance arrives, the Altoona Smiles team fits it, makes adjustments for comfort, and provides instructions. Follow-up sleep studies monitor treatment effectiveness, and adjustments are made as needed.

Does insurance cover oral appliance therapy?

Many insurance plans cover oral appliances for diagnosed sleep apnea, though coverage varies. Some plans require a CPAP trial first; others cover oral appliances as primary treatment. The Altoona Smiles team works with insurance to verify coverage and help maximize benefits. The cost is typically lower than CPAP machines ($500-3000 for a custom appliance). We also discuss payment options if insurance coverage is limited.

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