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Sleep Apnea Therapy at Tend in Washington DC

Interrupted breathing at night can affect how you feel all day. Sleep apnea therapy at Tend Dental uses custom oral appliances to support open-airway breathing, reduce snoring, and provide a comfortable option for sleep apnea treatment without CPAP.

  • Available at Tend Golden Triangle & Tend Metro Center
  • Coordinated care with your sleep doctor
  • Testing in the comfort of your home
  • Options that work with clear aligners

Over 8,000 five star reviews

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What is sleep apnea and airway health?

Sleep apnea is a sleep disorder that affects how you breathe at night and how you feel during the day. In obstructive sleep apnea, relaxed throat muscles narrow the airway during sleep, making it harder to breathe and disrupting the deep, restorative rest your body needs to feel refreshed.

Ongoing breathing disruption can lead to fatigue, morning headaches, or jaw discomfort, even when sleep study results appear mild.

Your oral structure plays an important role in sleep apnea therapy. Crowded teeth, a narrow palate, or teeth grinding (bruxism) can affect airflow while you sleep. At Tend, our dentists are trained to spot these early warning signs during your regular visits.

Once diagnosed with sleep apnea, many patients undergo treatment with a Continuous Positive Airway Pressure (CPAP) machine, which delivers air pressure through a mask to keep the airway open. We offer an alternative with oral appliance therapy. These custom appliances help keep your airway open, reduce snoring, and promote comfortable, restorative sleep without a machine.

More About Oral Appliance Therapy

What are the symptoms of sleep apnea?

You might have sleep apnea if you experience:

  • Snoring

    Loud, frequent snoring is often the first sign of airway resistance during sleep. Snoring can signal the need for sleep apnea treatment, especially when airflow is restricted by relaxed throat muscles. Custom oral appliances can help reduce snoring and support quieter, more comfortable breathing at night.

  • Jaw pain

    Ongoing jaw pain, stiffness, or clicking can be linked to nighttime clenching and airway strain. Obstructive sleep apnea and TMJ-related tension often overlap, which is why dental sleep apnea treatment may include jaw support and open-airway therapies.

  • Daytime fatigue

    Interrupted breathing can prevent deep, restorative sleep, even if you don’t remember waking up. Many people with untreated sleep apnea experience ongoing fatigue, low energy, and difficulty focusing during the day.

  • Teeth grinding (bruxism)

    Grinding or clenching your teeth at night is often your body’s response to airway obstruction. Sleep apnea dental appliances and nightguards can help reduce grinding while supporting better airflow during sleep.

  • Tiredness

    Excessive tiredness, including dozing off at work or during quiet moments, may point to disrupted breathing overnight. Sleep apnea therapy focuses on improving airflow to help you wake up feeling more rested and alert.

  • Headaches

    Frequent morning headaches can be a sign of reduced oxygen levels during sleep. Addressing airway health through sleep apnea treatment without CPAP, such as custom oral appliances, may help reduce these symptoms over time.

What is oral appliance therapy for sleep apnea?

Oral appliance therapy is a sleep apnea treatment that uses custom, FDA-approved oral devices to maintain an open airway during sleep. These devices gently position the jaw and tongue forward to help reduce snoring and breathing disruptions, supporting obstructive sleep apnea treatment during sleep.

Your sleep apnea dental appliance is carefully fitted by your dentist for comfort and effectiveness. Compact and electricity-free, they’re a convenient option for mild to moderate sleep apnea, CPAP-intolerant patients, or anyone seeking sleep apnea treatment without CPAP. Ongoing follow-ups help ensure your appliance continues to fit well and support better sleep over time.

At Tend, oral appliance therapy is part of our Open Airway Journey, a dentist-guided approach in partnership with SleepArchitects™ that may also include nightguards, TMJ or jaw pain support, and open-airway therapy concepts, all designed to support healthier breathing and more comfortable sleep.

The Open Airway Journey

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Sleep Architects

Sleep Better, Live Healthier with SleepArchitects™ and Tend

At Tend, we partner with SleepArchitects to provide comprehensive care for patients dealing with disordered sleep, obstructive sleep apnea and snoring.

SleepArchitects handles the initial questionnaire and convenient home sleep testing to diagnose your condition, while the Tend Dental team creates your customized oral appliance and provides ongoing treatment, monitoring, and support. 

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Your Open Airway Journey at Tend

Guided by our dentists in collaboration with SleepArchitects, the Open Airway Journey takes you from initial evaluation and sleep testing through custom oral appliance treatment and ongoing support, all designed to help you breathe easier and sleep more comfortably.

  • Step 1

    Dental exam

    Your Open Airway Journey begins with a comprehensive exam and digital imaging. We’ll review your symptoms, oral health, and airway indicators, then guide you on next steps, including an online SleepArchitects questionnaire and a referral for a sleep study if appropriate.

  • Step 2

    Complete virtual consultation

    You’ll meet with your board-certified SleepArchitects sleep doctor through a convenient virtual consult. Together, you’ll review your concerns and schedule an at-home sleep test to support an accurate sleep apnea diagnosis.

  • Step 3

    At-home sleep test

    Complete your sleep test from the comfort of home over 1 – 2 nights. Afterward, you’ll review your results with your SleepArchitects sleep doctor to confirm whether obstructive sleep apnea or another sleep-related breathing issue is present.

  • Step 4

    Review your options

    If sleep apnea therapy is recommended, you’ll review oral appliance therapy options with your sleep doctor, including sleep apnea dental appliances designed to support open-airway breathing. You’ll also discuss medical insurance coverage, budget, and whether sleep apnea treatment without CPAP is right for you.

    Common oral appliance options may include the Herbst appliance, the Aligner Sleep Appliance® (ASA), or an Elastic Mandibular Advancement (EMA) appliance.

  • Step 5

    Custom appliance creation

    You’ll return to Tend for a final dental exam and digital scans. Your dentist will use this information to create a fully customized oral sleep apnea appliance, designed for comfort, fit, and effectiveness.

  • Step 6

    Fitting and follow-ups

    Once your appliance is ready, you’ll come in for a fitting. Ongoing follow-ups allow us to make adjustments as needed and ensure your appliance continues to support healthy breathing, reduce snoring, and improve sleep quality over time.

  • Step 7

    Experience the results

    As treatment progresses, patients often notice quieter nights, reduced snoring, improved breathing, and more restful sleep. Some also experience fewer morning headaches, less daytime fatigue, and reduced jaw tension or teeth grinding. Your dentist will continue to monitor your progress and adjust care as needed, helping you get the most benefit from your Open Airway Journey.

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Don't let sleep issues hold you back.

Ask us how Tend + SleepArchitects can help you breathe easier, sleep better and feel healthier.

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Have questions about sleep apnea therapy?

We’ve answered some of the most common questions about sleep apnea treatment with oral appliances at Tend, so you can feel informed and at ease as you start your Open Airway Journey with us.

Why people love Tend

  • The team at Tend was professional, friendly, and made the whole experience feel smooth and stress-free. Everything was explained clearly, and I felt well cared for throughout the appointment. Would definitely recommend!

    5 stars

    Fernando B. Park Slope

  • Tend did a great job in properly and thoughtfully updating how people experience dentist appointments. Truly modernized to avoid any headache with getting an appointment booked. As a new customer I had a quick and seamless process when I arrived with minimal paperwork. The east village location was bright, clean, and welcoming. Staff was great from the assistants to the doctor. Service was top notch and I’ll be going back for additional work.

    5 stars

    Ethan L. East Village

  • Beautiful, modern clinic with state-of-the-art equipment. Everything is spotless and well-maintained. The staff is highly professional, attentive, and makes you feel comfortable throughout the visit. Highly recommend!

    5 stars

    Gali H. Upper East Side

  • This was the best cleaning of my life! No joke, I want to go back there tomorrow. It was great not just in the time and dedication I felt as a patient, but also the attitude, friendliness, straight forward staff and process. Also, the place looks like a spa. I totally felt like I was there for a pampering session. I honestly can’t wait to go back.

    5 stars

    Patricia S. Long Island

  • The BEST ‘going to the dentist’ experience I have ever had. Went for a general cleaning; the office was beautiful, the staff was nice and knowledgeable and I left with a great bag of goodies. It is really true that the practice is centered around the idea of ‘comfort’- I felt like I was at a spa in all honesty - There were amenities everywhere. Would recommend to any of my friends.

    5 stars

    Tamara N. Flatiron

  • My experience at Tend has been truly exceptional. The staff are genuinely kind, attentive, and fully present, creating a warm and serene atmosphere from the moment you walk in. The dentists are compassionate, patient, and highly attentive to every detail. I genuinely look forward to my visits, knowing I’ll be well cared for.

    5 stars

    Ruben L. Upper West Side

  • I don’t have enough good things to say about Tend. I have had a history of dental anxiety but now for the first time in my life, I look forward to going to the dentist. Everyone who works there, from the front desk staff, to the hygienists to the dentists and orthodontists are all kind, welcoming and knowledgeable.

    5 stars

    Paige R. 14th & U

  • I just started going here and I'm very happy. The doctor really explained things in a way that helped me understand what I was facing and why it was important to fix it. The lady who did my cleaning was careful and caring, and the staff at reception were nice and welcoming. The spaces are nice-looking and very clean. Very good experience overall!

    5 stars

    Ann S. Mosaic District

  • Great experience from start to finish! Loved the tv on the ceiling! Everyone was extremely kind and made me feel relaxed and welcomed. My cleaning was complete in under an hour! Ive never left a dentist appointment before like this… where my day is already a little better and Im truly happy and even joyful!

    5 stars

    Anne F. Ballston

  • Really enjoyed my visit here. Establishment is clean and modern, staff are friendly and knowledgeable, doctors take their time to go over treatments and recommendations. I’ve had treatment here and a cleaning so far and it’s been a great experience.! Will be recommending to my friends.

    5 stars

    Kat V. Pentagon City

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