Frequently Asked Questions

Understanding Sleep Apnea

Persistent snoring and breathing interruptions may indicate obstructive sleep apnea (OSA)—a serious condition that affects millions. Rather than delivering patient treatment, Align Rest equips practices with the tools and systems needed to deliver effective, non-invasive, clinic-based sleep apnea solutions. Here’s how we support you:

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Key Concerns from Practice Owners

What indicates sleep apnea aside from snoring?

At-risk factors such as daytime fatigue, hypertension, and airway obstruction help guide screening protocols and diagnostic pathways.

Can lifestyle advice reduce snoring?

Yes—with proven approaches like weight management, sleep position optimization, and smoking or alcohol reduction, you can supplement appliance therapy and improve outcomes.

Are oral appliances well tolerated?

Absolutely. Customized oral appliance therapy provides a patient-friendly alternative to CPAP, often resulting in increased compliance and satisfaction.

What are sleep testing requirements?

Sleep study setup can vary. We guide practices through choosing and implementing home sleep testing (HST) or clinical referral systems tailored to your workflow.

How do I integrate billing and insurance coverage?

We help you navigate coding, pre-authorizations, and reimbursement processes—making sure your sleep services are financially viable for your clinic.

How do we train staff to manage sleep programs?

Through customized training and clinical protocols, your team gains confidence in patient screening, appliance fitting, follow-up care, and documentation standards.

Can we combine sleep services with our current offerings?

Yes. Our consulting model is designed to seamlessly integrate sleep apnea solutions into your existing dental or medical services — enhancing patient care without disrupting your core operations. We help you align treatment protocols, staff responsibilities, and workflows for efficient implementation.

Comfort-First Treatment

Obstructive Sleep Apnea (OSA)

At Align Rest, we help dental and medical providers deliver effective, patient-friendly solutions for Obstructive Sleep Apnea (OSA). One of the most preferred treatments is Oral Appliance Therapy (OAT) — a non-invasive option designed for comfort and compliance.

These custom-fitted oral devices, similar to a mouthguard, gently reposition the lower jaw to keep the airway open during sleep. Especially effective for patients with mild to moderate OSA, oral appliances are a popular alternative for those who cannot tolerate CPAP machines due to discomfort, noise, or inconvenience.

Our consulting team ensures your practice is equipped to implement and manage OAT effectively — from fitting to follow-up — helping you provide better outcomes with less resistance from patients.

What Are the Common Symptoms of Obstructive Sleep Apnea (OSA)?

Common symptoms include repeated pauses in breathing during sleep, persistent loud snoring, abrupt awakenings with gasping or choking, morning headaches, and excessive daytime sleepiness.

Is There a Typical Sleep Apnea Patient?

Sleep apnea can affect individuals of any age and gender. However, risk factors include obesity, diabetes, and a neck circumference greater than 16 inches. While often associated with men, women are also at significant risk. Sleep apnea commonly results from anatomical factors and the body’s physiological response to airway obstruction.

Can Snoring Be More Than Just a Nuisance?

Yes. While occasional snoring may be harmless, chronic snoring is often a sign of obstructive sleep apnea or another serious sleep disorder. Left untreated, it can lead to long-term health
complications.

What Are the Symptoms of Sleep Apnea?

Common symptoms of sleep apnea include:
• Loud, persistent snoring:
• Gasping or choking for air during sleep
• Waking up with a dry mouth
• Morning headaches:
• Difficulty staying asleep (insomnia)
• Excessive daytime sleepiness or fatigue
• Mood changes, including irritability

How Is Sleep Apnea Diagnosed?

Sleep apnea is typically diagnosed through a sleep study (polysomnography), which records breathing patterns, heart rate, oxygen levels, and other critical data overnight. This may be conducted at a sleep center or with a home sleep test, depending on the case.

Can Children Have Sleep Apnea?

Yes. Sleep apnea can affect children. Symptoms may include snoring, night sweats, bedwetting, mouth breathing, restless sleep, or behavioral concerns such as hyperactivity and poor academic performance. Early evaluation is important for proper treatment.

When Should I Seek Help for Snoring?

You should seek professional help if your snoring is:

• Loud and chronic
• Disrupting your sleep or your partner’s sleep
• Accompanied by gasping or choking
• Associated with excessive daytime sleepiness

These signs may indicate sleep apnea or another sleep-related disorder that requires evaluation and treatment.

What Are CPAP Alternatives?

CPAP alternatives include oral appliance therapy and a variety of natural sleep aids. These options are designed for individuals who find traditional CPAP machines challenging, offering
less intrusive and more user friendly solutions to manage sleep apnea and snoring.

How Do Oral Appliances Work?

Oral appliances work by repositioning the jaw or tongue during sleep to keep the airway open. Custom fitted for both comfort and effectiveness; they provide an excellent alternative for managing mild to moderate sleep apnea.

Does Insurance Cover Oral Appliance Therapy?

Many insurance plans cover oral appliance therapy for sleep apnea. We recommend contacting your provider to verify coverage details and we can assist with the necessary documentation for insurance claims.

How Long Does It Take to Adjust to an Oral Appliance?

Adjustment periods vary, but most patients adapt to oral appliances within the first few weeks. Our team provides ongoing support and adjustments during this time to ensure comfort and treatment effectiveness.

Do Oral Appliances Require Special Maintenance?

Oral appliances should be cleaned regularly with mild soap and a soft brush. Routine check-ups are also important to ensure the appliance remains in optimal condition and properly adjusted.

What Should I Do If My Snoring or Sleep Apnea Symptoms Persist While Using an Oral Appliance?

If symptoms continue, please contact our office. It may be necessary to reassess the fit of your appliance or explore additional treatment options to ensure effective management of your condition.

What Is Oral Appliance Therapy (OAT) and How Does It Work?

Oral Appliance Therapy involves wearing a custom-fitted device, similar to a mouthguard, during sleep. It repositions the jaw and tongue to keep the airway open and is an effective, comfortable alternative to CPAP therapy for patients with mild to moderate OSA.

Are There Lifestyle Adjustments That Can Help With Sleep Apnea?

Yes. Lifestyle changes such as maintaining a healthy weight, avoiding alcohol and sedatives
before bedtime, quitting smoking, and adjusting your sleep position can significantly improve
symptoms of sleep apnea.

When Should I Consider a Sleep Study?

If you're experiencing symptoms such as chronic snoring, frequent sleep disruptions, morning headaches, or excessive daytime fatigue, a sleep study may be recommended to diagnose OSA or other sleep disorders.

Is Sleep Apnea Treatment Covered by Insurance?

Most medical insurance plans cover treatments such as Oral Appliance Therapy and other recognized therapies. Our team can assist you in understanding your coverage and working with your insurance provider.

What Are the Risks of Not Treating Sleep Apnea?

Untreated sleep apnea can lead to serious health
complications, including:
• High blood pressure
• Heart disease
• Stroke
• Type 2 diabetes
• Impaired immune function
• Increased surgical and anesthesia-related risks
• Decreased quality of life

Is Sleep Apnea Hereditary?

Yes, sleep apnea can be hereditary. Family history can influence the likelihood of developing sleep apnea, especially due to inherited anatomical features such as a narrow airway, large tonsils, or jaw structure.

How Does Weight Affect Sleep Apnea?

Excess weight, especially around the neck, can increase the amount of soft tissue surrounding the airway. This raises the risk of airway collapse during sleep, which is a major contributing factor to obstructive sleep apnea.

Can Lifestyle Changes Alone Treat Sleep Apnea?

While lifestyle changes such as weight loss, quitting smoking, reducing alcohol intake, and improving sleep habits can significantly reduce symptoms, they are often most effective when
combined with clinical treatments like oral appliance therapy.

How Can I Get Started with CPAP Alternatives?

To explore CPAP alternatives, schedule a consultation with one of our Contracted Dental Practice. They will evaluate your condition and recommend the most suitable treatment options.

Are There Any Side Effects Associated with Oral Appliance Therapy?

Oral appliance therapy is generally well tolerated. However, like any medical treatment, it may cause some side effects, such as temporary jaw discomfort or changes in bite alignment. These issues are typically managed with appliance adjustments.

Can CPAP Alternatives Fully Replace CPAP Machines?

For many individuals, especially those with mild to moderate sleep apnea, CPAP alternatives like oral appliances can effectively substitute CPAP machines. The optimal treatment depends on the severity of apnea and each patient’s specific needs.

What Natural Sleep Aids Are Considered Alternatives to CPAP?

Natural sleep aids such as positional therapy, weight management, and lifestyle changes (including reducing alcohol consumption and quitting smoking) can complement or serve as
alternatives to CPAP therapy in some cases.

Proven Alternative to CPAP

Oral Appliance Therapy

Oral Appliance Therapy (OAT) provides a simple, non-invasive solution for treating Obstructive Sleep Apnea (OSA). This therapy uses a custom-fitted device, similar to a mouthguard, that gently repositions the jaw to keep the airway open throughout the night.

At Align Rest, we guide dental and medical practices in implementing and managing OAT programs that are both effective and easy for patients to adopt. Especially beneficial for those with mild to moderate OSA or who struggle with CPAP, these appliances offer high patient compliance and long-term comfort.

Our consulting ensures your team is trained, your workflow is streamlined, and your patients receive personalized, life-improving care.

Benefits of Oral Appliance Therapy:

• Comfort: Each appliance is custom-made to ensure a precise, comfortable fit—often more comfortable than CPAP machines.


• Convenience: Simple to use, easy to clean, and ideal for patients who travel frequently.


• Quiet Operation: Functions silently, providing a restful night’s sleep without noise disturbance.


• Convenience: Easy to wear, remove, and clean.


• Portability: Compact and discreet perfect for travel.


• Non-Invasive: No surgery or complex procedures required.

• Quiet Operation: Functions silently, without disrupting sleep.

Each appliance is custom crafted for a precise, comfortable fit, ensuring maximum effectiveness and ease of use for long-term success in managing sleep apnea and snoring.

Is Oral Appliance Therapy Suitable for Me?

If you have mild to moderate sleep apnea or find CPAP machines uncomfortable or intolerable, Oral Appliance Therapy may be an excellent alternative.

How Effective Is Oral Appliance Therapy?

Oral Appliance Therapy has been proven highly effective for many patients, resulting in significant improvements in sleep quality and a noticeable reduction in sleep apnea symptoms especially when used consistently as prescribed.

How Long Does It Take to Adjust to an Oral Appliance?

Most patients become comfortable with their oral appliance within a few weeks and begin experiencing noticeable improvements in sleep quality shortly after.

Are There Lifestyle Changes That Can Enhance the Effectiveness of My Treatment?

Absolutely. Avoiding alcohol before bed, losing excess weight, quitting smoking, and establishing good sleep hygiene can significantly enhance the effectiveness of your treatment.

What Occurs During a Follow-Up Appointment for Oral Appliance Therapy?

During follow-up visits, Dental Practice assess the fit and function of your appliance, review your progress, and make any necessary adjustments to ensure continued comfort and efficacy.

How Do I Care for My Oral Appliance?

Caring for your appliance is simple. During your fitting appointment, you will receive detailed instructions on proper cleaning and maintenance to ensure long-term effectiveness.

What Happens If My Treatment Needs to Be Adjusted?

provide regular follow-up care to monitor your progress. If necessary, Provider team will adjust your appliance to enhance comfort and ensure optimal results.

How Do I Know If Oral Appliance Therapy Is Working?

Signs that your therapy is effective include improved sleep quality, reduced snoring, fewer nighttime awakenings, and decreased daytime fatigue.

Can Oral Appliance Therapy Be Combined With Other Treatments?

Yes. In some cases, Oral Appliance Therapy can be combined with lifestyle modifications or even CPAP therapy in more severe cases to maximize treatment outcomes.

What Occurs During a Follow-Up Appointment for Oral Appliance Therapy?

During follow-up visits, Dental Practice assess the fit and function of your appliance, review your progress, and make any necessary adjustments to ensure continued comfort and efficacy.

Does My Oral Appliance Come With a Warranty or Replacement Option?

We offer warranty options that cover adjustments to ensure your treatment remains comfortable and effective over time.
Diagnosis from Home

Home Sleep Testing

Home Sleep Testing (HST) offers a patient-friendly, efficient way to diagnose sleep apnea without the need for an overnight lab stay. This portable testing method monitors key sleep parameters—such as breathing patterns, oxygen levels, and heart rate—right in the comfort of your patient’s own home.

At Align Rest, we support practices in integrating HST services smoothly into their workflow, ensuring accurate data collection and streamlined results interpretation. Our consulting helps your team confidently identify sleep apnea cases early, enabling timely, tailored treatment plans that improve patient outcomes.

Simplify diagnosis, increase patient comfort, and grow your sleep program with our expert guidance on Home Sleep Testing implementation.

Why Consider Sleep Apnea Testing?

Sleep apnea often goes undiagnosed, with many individuals attributing symptoms like daytime
fatigue or low energy to stress or lifestyle factors. However, these can be early signs of a more serious sleep disorder.

You should consider sleep apnea testing if you or your patients experience:

•  Loud, persistent snoring
•  Waking up gasping or choking
•  Morning headaches
•  Difficulty staying asleep
•  Excessive daytime sleepiness or drowsiness
•  Mood changes or irritability
•  Poor concentration or memory issues
•  Dry mouth or sore throat upon waking

Early detection through a sleep study is the first step toward effective treatment and better health.

Are Oral Appliances Comfortable to Wear?

Yes. Oral appliances are custom-fitted for both comfort and effectiveness. These devices gently reposition the jaw and tongue to keep the airway open, helping to reduce snoring and improve sleep quality.

Home Sleep Test (HST) – A Convenient Option

If recommended, we offer a Home Sleep Test (HST)a simple and effective way to monitor your sleep patterns in the comfort of your own bed. This convenient alternative eliminates the need for
an in-lab sleep study while providing reliable results. The HST is designed to track key indicators of sleep apnea,

Breathing and Airflow

Detects interruptions or irregularities in breathing during sleep.

Oxygen Levels

Monitors drops in blood oxygen levels that may signal apneic episodes.

Heart Rate

Tracks changes in heart rate that may be associated with disruptedbreathing.

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