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Sleep Apnea Therapy at Tend

Interrupted breathing at night can affect how you feel all day. Sleep apnea therapy is guided by experienced dental professionals, personalized to your needs, and designed for long-term success. We use custom oral appliances that are professionally fitted to support open-airway breathing, reduce snoring, and provide a comfortable option for sleep apnea treatment without CPAP.

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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.

These repeated interruptions can lead to daytime fatigue, morning headaches, or jaw discomfort, even when sleep study results appear mild.

Your oral structure plays an important role in airway health. Crowded teeth, a narrow palate, or teeth grinding can all affect airflow while you sleep. Our dentists are trained to recognize these early signs during routine visits and guide you toward clear answers, so you can better understand how your oral health connects to your sleep.

Once diagnosed with sleep apnea, many patients undergo treatment with a Continuous Positive Airway Pressure (CPAP) machine. Tend offers a personalized alternative with oral appliance therapy. These custom oral appliances support open-airway breathing, reduce snoring, and promote comfortable, restorative sleep, with ongoing care and support to help ensure long-term success.

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 an early sign of airway resistance during sleep. It can signal the need for sleep apnea treatment, especially when airflow is restricted. Custom oral appliances, professionally fitted by your care team, can help reduce snoring and support quieter, more comfortable breathing.

  • Jaw pain

    Ongoing jaw pain, stiffness, or clicking may be linked to nighttime clenching and airway strain. Sleep apnea and TMJ-related tension often overlap, which is why treatment may include guided adjustments that support both jaw comfort and airway health.

  • Daytime fatigue

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

  • Teeth grinding (bruxism)

    Grinding or clenching your teeth at night is often your body’s response to airway restriction. Professionally fitted oral appliances can help reduce grinding and improve airflow, with adjustments made over time to maintain comfort and effectiveness.

  • Tiredness

    Dozing off during the day, especially in quiet moments, may point to disrupted breathing overnight. With personalized treatment and ongoing support, many patients begin to feel more rested and alert.

  • Headaches

    Frequent morning headaches can be a sign of reduced oxygen levels during sleep. Clinician-guided sleep apnea treatment, including 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 one of our expert dentists for comfort and effectiveness. Using cutting-edge technology and precise digital design, we create appliances tailored to your mouth and sleep needs because better tech means better treatment. 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 the use of a CPAP machine.

Oral appliance therapy is part of our Open Airway Journey, a dentist-guided approach 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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How treating your sleep apnea could change your life

If you’ve been dealing with sleep apnea, treatment could take you from struggling to find the energy to get through each day to enjoying life with renewed energy and vitality.

With successful treatment, many patients with sleep apnea quickly begin to notice they’re waking feeling more refreshed, thinking more clearly, and showing up more fully in their day, whether that’s staying focused at work or having the energy to enjoy time with family.

Better sleep gives your body what it needs to thrive. Over time, effective treatment can even help improve long-term health by reducing the risk of conditions associated with poor sleep, such as high blood pressure, heart disease, and type 2 diabetes. 

For many patients, sleep apnea treatment is a meaningful step toward a healthier future.

Your Open Airway Journey at Tend

Guided by our dentists, 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, smile brighter, and sleep more comfortably.

  • Step 1

    Dental exam

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

  • Step 2

    Complete virtual consultation

    You’ll meet with your board-certified sleep doctor through a convenient virtual consult. Together, you’ll review your symptoms and arrange an at-home sleep test for an accurate diagnosis, without the need for overnight sleep clinic stays.

  • Step 3

    At-home sleep test

    Complete your sleep test from the comfort of home over 1 – 2 nights, no overnight stays at a sleep clinic. Afterward, you’ll review your results with your 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. These scans are used to make your custom oral appliance without the need for messy or inaccurate at-home impression kits. Your custom oral sleep apnea appliance is designed for comfort, proper fit, and effectiveness.

  • Step 6

    Fitting and ongoing support

    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. We consider this an important part of our commitment to tending to your well-being.

  • 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 can help you breathe easier, sleep better, and feel healthier.

Book Now

Have questions about sleep apnea therapy?

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

Why people love Tend

  • Amazing experience. Staff was all lovely and skilled, while also offering referrals for unique situations but flexibly willing to work with the patient’s situation/wishes. Most comfortable cleaning I’ve ever gotten, to the point it felt more soothing than anything. Being able to balance a human touch with deep competence in a clinic like this was really surprising, even having had very positive experiences at other locations.

    5 stars

    Claire C Hells Kitchen

  • Dentistry at a new level. My dentist recently retired, so I had to find a new one. Glad Tend was available with my provider. The modern facility, level of technology, attention to detail and knowledge of the staff was outstanding! Justyna was great!

    5 stars

    George M West Village

  • This is not your traditional dental office. From the moment I walked in, I was greeted with a smile, and the service throughout was consistent. They give you the option to brush your teeth before your appointment starts, pick your toothpaste flavor, and choose a show to watch during your cleaning. They explain everything before they do it, which I think could be helpful for people who are afraid of the dentist. The hygienist was especially kind and explained things with visuals, which I appreciated! I also noticed their materials are quite high-tech. Overall, it was a good experience, and I would recommend Tend!

    5 stars

    Jessica G Downtown Brooklyn

  • My first experience at Tend, and honestly, I had such a great experience. Skarlen was so communicative throughout my appointment and did a great job of keeping me comfortable. They also walked me through my care plan and were upfront about what my insurance covered. I can’t wait to continue with Tend for my upcoming appointments.

    5 stars

    Shanine B Grand Central

  • Been coming here for years with no issues. Clean, professional, and courteous. I see Priscilla as my hygienist. She is the sweetest and most caring. She takes the time to understand your needs and is so wonderful.

    5 stars

    Sunita R Chelsea

  • Highly recommended! Professional staff, very clean offices that are aesthetically pleasing. Well thought out interior design! Personalized service which I love! I couldn’t recommend this any more, glad to call this my new dentist office!

    5 stars

    Ashton W. Cobble Hill

  • My first visit was amazing, from the coordinators to seeing my doctor. It was a great customer experience, and everyone was nice and very informative. I love how chic and modern the clinic is. I felt like I was in an elevated space. I can’t wait for my next visit.

    5 stars

    Breanna J Ponce City Market

  • I have been coming here for the past five years, and the cleanliness, professionalism, and dental knowledge of the entire staff never cease to amaze me. Top-notch and the gold standard is how I would describe Tend.

    5 stars

    Chioma N Post Office Square

  • I was so impressed with the staff and dentist on Saturday. The atmosphere was reassuring and comfortable from the first greeting through my entire appointment. The attention to detail was impressive and made me feel like I was treated like a queen for the day. I decided to recommend the clinic to my daughter, and she will be going on Monday. This is definitely a top-notch dental clinic. I give them a 10 out of 10.

    5 stars

    Maria J East Nashville

  • The front desk staff are awesome, super friendly, and helpful. The technicians are equally a joy to interact with. Dr. Ho is gentle and an active listener, which is very comforting. Overall, a great experience. I’ve been going to Tend for six years and two years at this office.

    5 stars

    Diana R Golden Triangle

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