Different mouths, different needs. Dr. Ashley DeSaix works with you to choose a custom oral appliance based on your clinical needs, comfort, and treatment goals.
Request a consultationRespAir Sleep works with multiple appliance designs and manufacturers. Your evaluation guides the recommendation, with attention to how an appliance fits your teeth, supports your jaw, and works in your daily routine.
Dr. DeSaix considers your diagnosis and sleep study, dental health and restorations, jaw movement, available space, material sensitivities, and ability to insert, remove, and care for the device. Your preferences and insurance requirements are part of that conversation.
You do not need to choose a model before your visit. We explain the suitable options and help you understand the tradeoffs.
Examples from the appliance families we work with. The exact model, materials, and configuration are selected after evaluation and depend on current availability. Photos show examples, not your final prescription.
Lightweight nylon design
Digitally manufactured nylon trays support the jaw with side connectors. The Classic and X3 use different adjustment systems; Dr. DeSaix selects the design and configuration appropriate for your care.
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Continuous adjustment
The CA family uses an adjustable screw mechanism to move the jaw forward. Its adjustment approach differs from appliances that use a sequence of interchangeable trays.
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Digitally designed trays
Custom upper and lower trays use matching posts to hold the prescribed jaw position. Different tray combinations allow advancement as directed by your dental sleep team.
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A more compact EVO design
EVO Select offers a lower-profile variation of the EVO design. Dr. DeSaix considers the available space in your mouth, tooth anatomy, and comfort when evaluating this option.
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Stepwise advancement
IA stands for iterative advancement. Upper and lower tray combinations change the jaw position in prescribed steps, allowing the treatment setting to be refined during follow-up.
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Herbst-style hinge design
The PH family uses adjustable Herbst-style arms between the upper and lower trays. This is one design family we may consider when clinical needs and payer requirements call for a fixed mechanical hinge.
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Custom nylon options
Serena offers several custom nylon designs with different jaw-positioning mechanisms. We discuss the specific model and adjustment system with you rather than treating the brand name as a single appliance.
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Strap-based adjustment
Avant combines a digitally manufactured body with an inner comfort liner. Interchangeable straps allow the prescribed jaw position to be adjusted over time.
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Soft inner lining
Flex combines a firm outer appliance with SomnoMed’s b-flex inner liner. Its separate upper and lower components support the jaw while allowing opening and closing.
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Adjustable side hinges
Herbst Advance uses side-mounted arms to position the lower jaw. Its adjustment mechanism helps retain the selected setting; suitability depends on your examination and the exact device prescribed.
Manufacturer informationMedicare and commercial insurance plans can have different requirements for oral appliances. For Original Medicare, the E0486 device criteria include a qualifying fixed mechanical hinge, along with other design, coding, and documentation requirements.
A visible hinge alone does not establish coverage, and hinged designs are not limited to Medicare patients. The exact model and your individual eligibility matter. Our team checks the applicable requirements alongside Dr. DeSaix’s clinical recommendation and explains the expected costs before treatment.
Coverage verification is not a guarantee of payment. Medicare device policy · Medicare coverage criteria
Insurance and payment informationFitting, adjustments, and follow-up help us evaluate comfort and your response to treatment. We coordinate with your medical or sleep team, including follow-up sleep testing when appropriate, to assess effectiveness.
Tell us about jaw discomfort, tooth soreness, or changes in your bite. An appliance should be adjusted under your care team’s guidance; a particular brand does not guarantee a particular result.
Learn how oral appliance therapy worksBring your questions and your treatment experience. We’ll help you explore the options.