Sleep Apnea — CPAP Alternative

Sleep better without CPAP. Can't tolerate your CPAP? Oral appliances offer an effective alternative for mild to moderate sleep apnea and snoring.

Dr David Benguira, FRCD(C) orthodontist
★ 4.8/5 RateMDs (231 reviews)FRCD(C) Certified15 years at Sainte-Justine5,000+ cases treated
Woman in bed with CPAP mask - alternative available

Do you suffer from sleep apnea or snoring?

Sleep apnea infographic - symptoms, risks and treatment

The problem with CPAP: 50% of patients can't tolerate it. Uncomfortable, noisy, impractical for travel, relationship issues.

  • Loud and regular snoring
  • Breathing pauses observed by partner
  • Waking up gasping, choking sensation
  • Non-restorative sleep, excessive daytime fatigue
  • Morning headaches, difficulty concentrating

The mandibular advancement device (MAD)

Panthera oral appliance for sleep apnea

The appliance holds your lower jaw slightly forward during sleep, which opens the airway, prevents the tongue from blocking the throat and reduces vibrations.

Available appliances

We offer several mandibular advancement device models, all custom-made from a 3D scan of your teeth.

Orthodontist specialized in sleep apnea

Your journey

Diagnosis

Sleep test (polysomnography or home test), prescribed by your physician.

Consultation with us

Evaluation of your bite and TMJ, verification of your candidacy, 3D scan.

Fabrication (2-3 weeks)

Custom-made appliance, precise adjustment at delivery.

Titration and follow-up

Progressive jaw advancement to find the optimal position. Follow-up sleep test.

Book an Appointment

Call us: 450.983.4233

Patient Testimonials

« My CPAP was collecting dust. The oral appliance is so much simpler and more comfortable. My wife confirms I no longer snore. »

Andre, 58

« I travel often for work. The appliance fits in my pocket. No more bulky machine. »

Pierre, 45, businessman

« My sleep has completely changed. I wake up rested for the first time in years. »

Louise, 52

Treated Cases

Discover our transformations and real results on our main website.

View our treated cases

Oral appliance vs CPAP

CriteriaOral ApplianceCPAP
Comfort★★★★★★
Portability★★★★★★★
Efficacy (mild-moderate)70-80%90%+
Efficacy (severe)Limited★★★★★
ComplianceHigher50% abandoned

Questions about sleep apnea and oral appliances

Does it work as well as CPAP?

For mild to moderate sleep apnea: yes, comparable efficacy (70-80%). For severe sleep apnea: CPAP remains superior.

Is it comfortable?

1-2 week adjustment period. After that, most patients forget they are wearing it. Much more comfortable than a CPAP mask.

Are there side effects?

Possible but manageable: excessive salivation (temporary), slight dental sensitivity upon waking, muscle tension (adjustable).

Does my insurance cover it?

Often partially. With a medical prescription and sleep test diagnosis, several insurance plans reimburse a portion.

Do I have to wear it for life?

Generally yes. Like CPAP, it is a treatment, not a cure. Some patients lose weight and can reduce usage.

Investment

Consultation

Upon evaluation

Candidacy assessment + 3D scan

Insurance

Possible

With medical prescription and sleep test

Note: Consultation fees apply for sleep apnea. A medical diagnosis (sleep test) is required before treatment.

Quiz: Are you a candidate for an oral appliance?

Answer these 5 questions to find out if an oral appliance could help you.

1. Do you snore regularly (more than 3 nights per week)?

2. Do you wake up tired even after a full night's sleep?

3. Has your partner observed breathing pauses during your sleep?

4. Have you tried CPAP but have difficulty tolerating it?

5. Do you suffer from excessive daytime sleepiness (urge to sleep while driving, working)?

Discover our other treatments

Ready to sleep better?

If you snore, have mild to moderate sleep apnea, or can't tolerate your CPAP, an oral appliance could transform your nights.

Saint-Eustache
464 rue du Parc, suite 122
450.983.4233
Montreal
3766 Queen Mary
514.667.9498