
Sleep apnea isn't just snoring. It's your airway partially collapsing dozens, sometimes hundreds, of times a night, pulling your brain out of deep, restorative sleep each time it happens. You usually never feel it consciously, but your body keeps score: elevated blood pressure, increased cardiac risk, metabolic disruption, and a kind of exhaustion that no amount of coffee actually fixes.
For mild-to-moderate cases, oral appliance therapy is a clinically validated alternative to CPAP and the one most people actually stick with. Dr. Torres custom-fits a mandibular repositioning device that holds your lower jaw slightly forward during sleep, keeping the airway open without a mask, a hose, or a machine on your nightstand. The goal is straightforward: waking up feeling like you actually slept.
Give us a call at (702) 760-1980 to talk it through, or read on for more.

With sleep apnea, the soft tissue at the back of your throat relaxes during sleep and partially blocks your airway. Your body senses it, wakes up just enough to reopen things, and then the whole cycle starts over, all night long. An oral appliance interrupts that cycle by holding your lower jaw slightly forward while you sleep, helping keep the airway open so your body can rest.
Here's how the process typically goes at our office. You'll start with a conversation with Dr. Torres covering your symptoms, and what your nights have actually been like. If you don't already have a sleep study, we can send you home with one to complete before your consultation. This allows a sleep physician to review the results and determine whether a sleep-related breathing disorder is present and what the appropriate next steps may be.
If an appliance makes sense, we take a digital scan of your mouth so the device is built specifically for your bite, not a generic size.
When it comes back from the lab, you'll come in for a fitting where we check the position, verify your bite, and make sure you leave feeling confident using it. From there, we fine-tune the jaw position gradually over the following weeks based on how you're sleeping and how your jaw feels, and we stay in touch with your physician throughout so your care stays coordinated.
The point of any of this isn't the device itself. It's what your life looks like on the other side of actually sleeping well.
Oral appliance therapy is a strong fit if a sleep study has confirmed mild-to-moderate sleep apnea, or if you've been prescribed CPAP and genuinely can't tolerate it. On the physical side, you'll need enough healthy teeth to anchor the appliance and a jaw joint that can comfortably hold a slightly forward position through the night. If active gum disease, missing teeth, or significant jaw pain are in the picture, we'd address those first. Not a no, just the right order of operations.
If your apnea is severe, CPAP is typically the more effective route and we'll tell you that honestly. And if you haven't had a sleep study yet, that's where things need to start. We need a confirmed diagnosis before we can map out the best path forward.
Your consultation and scan usually happen in the same visit, and the lab typically takes a few weeks to build your appliance from there. The fitting appointment runs under an hour. You'll leave with the device in hand and a clear sense of what the first few nights should feel like.
Most people notice a short adjustment period: a little extra saliva, a slightly different feeling in your bite, or mild jaw soreness that settles within a couple of weeks. Follow-up visits let us fine-tune the fit as you go, and your physician may suggest a follow-up sleep study at the one-to-three month mark to confirm the appliance is doing what it should.
Bring you sleep study report to your consultation or let our team know if you need to complete a sleep study. A list of any medications you're taking is also essential, along with some honest notes on what your nights have been like. If your partner has noticed anything about your snoring or breathing, that's useful information too.
Once you have your appliance, care is straightforward. Brush it gently with a soft toothbrush and cool water each morning, let it air dry, and store it in its case. Avoid hot water and harsh cleaners, which can warp the material.
Bring it to your regular cleanings so we can check the fit, and let us know if your jaw feels sore or your bite feels off, and a small adjustment usually takes care of it. Feel free to get to know Dr. Torres before you come in, and bring every question you have.
The cost of oral appliance therapy depends on the appliance your situation calls for and the follow-up care needed to fit and adjust it properly. Because we do not bill medical insurance for sleep apnea treatment, oral appliance therapy is an out-of-pocket investment at our office. We'll review the treatment and associated costs with you before moving forward, so you know what to expect.
Unlike CPAP therapy, a custom oral appliance does not require a machine, ongoing supply replacements, or routine equipment maintenance. Once your appliance is made and properly fitted, ongoing care generally involves periodic dental visits to monitor its fit, condition, and effectiveness.
For people who prefer to spread out the cost, we offer a membership plan and financing through Cherry.

Dr. Toni Torres, DMD, grew up here in Henderson, went to Green Valley High School, and earned both her undergraduate degree and her doctorate in dental medicine at UNLV. The people she treats are her neighbors, and she genuinely hopes to watch their families grow up in this practice.
Yes. A sleep study confirms the diagnosis, tells us how severe the apnea is, and is usually required for insurance coverage. If you haven't had one yet, we have a convenient at home sleep test you can rent from our office.
CPAP uses pressurized air through a mask to hold your airway open. An oral appliance holds your lower jaw slightly forward to prevent collapse, no machine required. For mild-to-moderate apnea, an appliance often wins on consistency, and the treatment you actually wear is the one that helps.
Over-the-counter devices aren't fitted to your bite and can't be adjusted. A poor fit can strain your jaw joint or shift your teeth over time, and quieting snoring doesn't mean the apnea is being treated. That's why Dr. Torres measures, fits, and refines each appliance in person.
Minor morning bite changes are common early on and usually resolve once you remove the appliance. Dr. Torres will fabricate a custom bite appliance to help your jaw settle after a night of wearing your sleep appliance. Longer-term shifts are possible, which is why we check your bite at follow-up visits and regular cleanings. Caught early, it's simple to correct.
Most people describe it as feeling bulky at first before they stop noticing it. If it's still bothering you after a couple of weeks, let us know. It usually just needs a small adjustment.
Some people keep CPAP at home and use an appliance when they travel. If that appeals to you, bring it up with your physician and with us so we can make sure the approach works on both ends.

If you've read this far, some part of you already suspects the exhaustion isn't just a busy season. Coming in doesn't commit you to anything.
We'll listen, look, and tell you honestly whether an oral appliance is the right next step or whether that step belongs with your physician.
Whenever you're ready, give us a call at (702) 760-1980 or read more about Dr. Torres before you come in. We'd love to meet you.

Call 702-760-1980 or request an appointment online to set up your first visit. We’ll be in touch soon.