Since every patient’s situation is unique, the cost of oral appliance therapy varies, based on the type of appliance prescribed and the type of insurance you have. But, generally speaking, prescription, custom-fit mandibular advancing appliances cost roughly $2000 to $4000 including dentist fees. Your medical insurance may cover some or all of the cost of the oral appliance. Your out-of-pocket cost will depend on your insurance deductible as well. It is always a good idea to check with your insurance company first.
What types of oral appliances are available?
There are basically two types of oral appliances designed to treat mild-to-moderate sleep apnea: One type is the Mandibular Advancing Appliance and the other type is the Tongue Retaining Device. Both involve keeping the tongue from blocking the airway. Between the two types, the Mandibular Advancing Appliance is more widely used.
The Mandibular Advancing Appliance is a mouthpiece that fits over the upper and lower teeth. This appliance is designed to move the lower jaw forward, thus pulling the tongue forward and opening the airway. This appliance is usually fitted and adjusted by a dentist knowledgeable about Oral Appliance Therapy. There are multiple manufactures of Mandibular Advancing Appliances. Each appliance has its unique features such as the ability to attach a CPAP machine to it to improve its effectiveness; and some appliances allow you to slightly move your lower jaw or teeth laterally. These devices may vary in design, cost, and product warranty.
There are also over-the-counter Mandibular Advancing Appliances that you can buy without going to your dentist. These nonprescription devices typically require you to do your own custom fitting that involves boiling and biting into a mouthpiece.
The Mandibular Advancing Appliance is not for everyone. If you wear dentures or have no teeth, you cannot use this type of appliance. Also, if the structural integrity of your teeth is too weak due to cavities or gum diseases, this type of device may not be the right solution for you.
The other type, the Tongue Retaining Device, or TRD, works by mechanically holding the tongue, preventing it from falling back into the throat and blocking the airway. Again, there are multiple manufactures of TRDs. For example, there's a TRD that works by enveloping the tongue in a soft plastic cavity and holding it in place by suction. The benefit of this TRD is that you can use it even if you're a denture wearer. Another benefit is you don't have to worry about possible moth joint pain since TRDs don't usually involve mandibular advancement.
Since there are many options and each option has its pros and cons, you should consult your dentist or trusted healthcare provider to see which solution is right for you.