Sleep Apnea
Are you waking up exhausted despite getting a full night’s sleep? Do you struggle with chronic snoring or morning headaches? You may be among the estimated 50 million Americans living with undiagnosed sleep apnea. At City Spire Dental, we offer effective oral appliance therapy as a comfortable alternative to CPAP machines, with proven results for approximately 85% of patients with mild to moderate sleep apnea.
Understanding Sleep Apnea
Sleep apnea is a serious sleep disorder where breathing repeatedly stops and starts throughout the night. These breathing interruptions can last anywhere from a few seconds to over a minute, and they may occur more than 50 times during a single night’s sleep. The condition prevents the body from reaching deep, restorative sleep stages, leaving people exhausted despite spending adequate time in bed.
There are two main types of this sleep disorder. Obstructive sleep apnea happens when throat muscles and tissues physically block the airway during sleep, making it the most common form affecting about one in five adults. Central sleep apnea occurs when the brain fails to send proper signals to the muscles controlling breathing. This breathing disorder accumulates serious health risks the longer it remains untreated, making early recognition and intervention critical.

Benefits Of Sleep Apnea Treatment
Our Sleep Apnea Treatment Process
Symptom Evaluation And Screening
We begin by discussing your specific symptoms including snoring patterns, daytime exhaustion, morning headaches, and how often you wake during the night. Our dentist reviews your medical history and asks detailed questions about your sleep quality, energy levels, and any cardiovascular concerns. A thorough screening questionnaire helps us assess your risk level and determine if a formal sleep study is warranted.
Home Sleep Testing Coordination
Our dentist explains the home sleep study process in detail so you know exactly how to use the monitoring equipment correctly. You’ll receive a small electronic device with sensors that track your breathing patterns, oxygen levels, and breathing effort throughout one complete night of sleep. Our Sleep Medicine Coordinator, Euphemia Starcher, arranges the test delivery and coordinates with your physician for accurate diagnosis.
Custom Oral Appliance Fabrication
Once your sleep study confirms obstructive sleep apnea, our dentist takes precise digital impressions of your teeth and bite to create a custom oral appliance. The device consists of plastic mouthpieces designed to gently reposition your lower jaw forward, opening your airway and preventing tissue collapse during sleep. We fabricate each appliance specifically for your mouth structure, ensuring optimal fit and maximum effectiveness.
Appliance Fitting And Adjustment Period
Our dentist carefully fits your oral appliance and makes initial adjustments to ensure comfort and proper jaw positioning. You’ll receive detailed instructions on inserting, removing, and cleaning your device each day. Most patients adapt within a few nights, though some initial tightness or excess salivation is normal.
Ongoing Monitoring And Optimization
We schedule regular appointments to evaluate how well your treatment is working and address any discomfort or concerns. Our team assesses improvements in your daytime energy, snoring reduction, and overall sleep quality. Our dentist may recommend a follow-up sleep study after several months to confirm that your oral appliance therapy is effectively managing your condition.
Why Choose City Spire Dental For Sleep Apnea Treatment
Our dedicated team at City Spire Dental brings specialized prosthodontic expertise to sleep apnea treatment, with board-certified prosthodontists who understand the intricate relationship between jaw position, bite mechanics, and airway function. This advanced training is critical for creating highly effective oral appliances tailored to your unique anatomy. Our oral appliance therapy provides a proven alternative for patients who find CPAP machines too intrusive or uncomfortable to use consistently.
We’ve eliminated the typical barriers that keep people from getting diagnosed and treated: no uncomfortable overnight sleep lab visits, no confusing referral processes, and no waiting weeks for appointments. Our Sleep Medicine Coordinator handles everything including arranging your home sleep test and coordinating physician reports, so you never have to navigate the process alone. Our six-day-a-week schedule with early morning and evening appointments makes it convenient to prioritize your sleep health without disrupting your daily routine.
Patient Testimonials
How do I know if I have sleep apnea?
What to do if you have Sleep Apnea Symptoms
If you have any of these symptoms, speak to your doctor or dentist. A dentist specially trained to treat sleep disorders, can facilitate in helping you get the right treatment.
The American Academy of Sleep Medicine estimates there are over 50 million Americans who suffer from Sleep Apnea and don’t even know it. Left untreated, it can lead to serious health issues. Ask us today about getting screened.
Unlike in the past, where patients had to spend the night at a sleep testing center, newer tests can be done in your own home with a small electronic device. Our sleep coordinator can arrange for the home test and help coordinate medical insurance benefits. Ask us today about getting screened to see if you may have a sleep disordered breathing problem.
Why see a dentist if you have sleep apnea?
How is sleep apnea treated?
What is sleep apnea?
FAQs
What is sleep apnea?
Sleep apnea is a serious sleep disorder where your breathing repeatedly stops and starts during the night. These pauses can last from seconds to over a minute and may occur dozens of times per hour. The condition prevents you from reaching deep, restorative sleep stages, leaving you exhausted despite spending adequate time in bed.
Can sleep apnea kill you?
Yes, untreated sleep apnea significantly increases your risk of life-threatening conditions including heart disease, stroke, and high blood pressure. The repeated drops in oxygen levels strain your cardiovascular system, and severe cases can lead to sudden cardiac death during sleep. However, with proper diagnosis and treatment, these risks are greatly reduced, and many patients add years to their lives.
What causes sleep apnea?
Obstructive sleep apnea occurs because throat muscles and tissues physically block your airway during sleep, often due to excess weight, large neck circumference, or structural factors like a narrow airway. Central sleep apnea results because your brain fails to send proper breathing signals to your respiratory muscles. Risk factors include being overweight, having a family history of sleep apnea, using sedatives or alcohol before bed, smoking, and being over 40 years old.
Can sleep apnea be cured?
Sleep apnea is typically a chronic condition that requires ongoing management rather than a one-time cure. However, treatment with oral appliances or CPAP machines effectively controls symptoms and eliminates health risks for most patients. Some people experience improvement through significant weight loss, positional therapy, or surgical intervention, but many require continued treatment to maintain normal breathing during sleep.
How to tell if you have sleep apnea?
Common signs include loud or chronic snoring, gasping or choking during sleep, waking frequently to urinate, morning headaches, and excessive daytime sleepiness despite adequate time in bed. You might also experience difficulty concentrating, mood changes, or dry mouth upon waking. A simple screening questionnaire at our office can determine if you need a formal sleep study for diagnosis if you notice these symptoms.
How do I know for sure If I have sleep apnea?
There are several ways to assess the underlying cause of loud snoring and other symptoms. In fact, when diagnosing sleep apnea, a thorough review of your symptoms can be very telling. Beyond that, it is necessary to undergo a formal sleep study to accurately diagnose your condition.
How long does a sleep study take?
Your home sleep study should take just one night. You do not have to alter anything about your normal daily and nightly routine to complete your test. In fact, we prefer that you don’t. This way, we are given insight into how your sleep apnea presents in your unaltered environment. Before you go to sleep, you will simply apply the monitors that are included in your test kit. These may include a breathing sensor that sits at the opening of your nostrils and is held in place by a strap around your ears. You may also wear a pulse oximeter on your finger or a special belt that measures how much effort goes into your breathing.
If a home sleep study is recommended, Dr. Rawdin will explain it in detail so you know exactly how to apply the monitors correctly.
What negative effects can sleep apnea cause?
Living with untreated sleep apnea does much more than leave you sleep-deprived and sleepy during the day. This condition accumulates more risks the longer it continues. With sleep apnea, you are more likely to experience memory difficulties and mood disorders like anxiety and depression.
You may struggle with weight due to the disruption to hunger and satiation hormones that are produced when you sleep. As a result of grogginess, you may be more accident prone. Your relationships or job may suffer. Physically, in addition to being more at risk for automobile and other accidents, your health will also be impacted by sleep apnea.
Studies indicate that, regardless of weight, people with sleep apnea have higher instances of diabetes and hypertension.

Treat Sleep Apnea to Restore Your Sleep and Reclaim Your Health
Untreated sleep apnea doesn’t just leave you tired. It actively damages your heart, brain, and metabolic health night after night. At City Spire Dental, we have helped hundreds of patients overcome this sleep disorder with custom oral appliances that are comfortable enough to wear consistently and effective enough to make a real difference.
Call us at 212.246.8700 or find us on Google Maps to read patient reviews and get directions to our Midtown Manhattan office at 156 West 56th Street. You can also connect with us on Facebook, Instagram, X, YouTube, and TikTok to see patient testimonials and learn more about how oral appliance therapy works for treating sleep apnea and snoring.
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