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Dental sleep medicine · Bonita Springs, FLYes — a dentist can treat sleep apnea.
Most people bounce between doctors for years — or quietly give up on a CPAP machine — without ever learning that a custom oral appliance from a dentist is a recognized, insurance-covered treatment for obstructive sleep apnea. Dr. Abbey Dupay provides sleep apnea dental appliance therapy right here in Bonita Springs.
What oral appliance therapy is
An oral appliance looks like a slim, custom-fitted mouthguard, worn only while you sleep. The most common type — a mandibular advancement device — gently holds your lower jaw slightly forward, which keeps the airway behind your tongue from collapsing. That collapse is what causes the snoring, the gasping, and the hundreds of tiny wake-ups a night that leave you exhausted by 2pm.
The American Academy of Dental Sleep Medicine and the American Academy of Sleep Medicine recognize oral appliance therapy as a first-line treatment for mild to moderate obstructive sleep apnea — and as an option for severe cases when CPAP hasn't worked out. Dr. Dupay also fits tongue-retaining devices when a jaw-advancing design isn't the right match.
- No mask, no hose, no machine — silent and pillow-friendly
- Fits in a shirt pocket; travels anywhere (snowbirds, take note)
- Custom-made from impressions of your teeth — not a boil-and-bite from the pharmacy
- Billed through medical insurance (including Medicare) when criteria are met — here's how that works
How it works — the honest, step-by-step version
1. Screening. Take the 60-second sleep check or print the full symptom checklist. Snoring, daytime exhaustion, observed pauses in breathing, and high blood pressure are the classic flags.
2. A real diagnosis — from a physician. Here's the part an honest practice tells you up front: dentists screen for and treat sleep apnea, but the diagnosis itself comes from a sleep study read by a physician. Many patients qualify for a home sleep test — one night, in your own bed. Insurance (and Medicare) requires this step before covering an appliance, and it protects you from being sold a device you don't need.
3. Your custom appliance. If you're diagnosed with obstructive sleep apnea and an oral appliance is right for you, Dr. Dupay takes precise impressions and fits, adjusts, and fine-tunes your device across a few visits until it's comfortable and effective.
4. Follow-through. Because your sleep dentist is also your regular dentist, every checkup doubles as an appliance check — fit, bite, wear, and whether it's still doing its job.
Is this you?
- Your spouse has moved to the guest room — or nudges you all night
- You wake up tired no matter how long you sleep
- You were told you have sleep apnea, tried a CPAP, and hate it — you have real options
- You doze off reading, watching TV, or (scariest of all) at red lights
- You have high blood pressure that's hard to control
- You're a seasonal resident and the machine is one more thing to haul — see the snowbird guide
Untreated obstructive sleep apnea is linked to high blood pressure, heart disease, stroke risk, and daytime accidents — it is worth taking seriously, and it is very treatable.
Go deeper
Medicare & insurance
The page every retiree should read: appliances bill through medical insurance, and Medicare Part B covers them when criteria are met.
What it costs
Honest national numbers, what changes them, and why the $50 pharmacy mouthpiece isn't the same thing.
CPAP alternatives
Can't tolerate the mask? You're in good company — and you're not out of options.
20 questions, answered
Side effects, bite changes, how long appliances last, boil-and-bite vs custom, and more.