Silent, Mask-Free & Unobtrusive
No motor noise, dry air, or awkward headstraps. Sleep naturally in any position.
Sleep Apnea Dentist in Tribeca, SoHo & Downtown NYC
Say goodbye to bulky, noisy CPAP masks. Our custom-molded oral appliance therapy offers a comfortable, quiet, and travel-friendly solution for snoring and mild-to-moderate Obstructive Sleep Apnea (OSA).
Oral Appliance Therapy (OAT)
Precision-molded to keep your airway open and silent all night long.
Quick Answer
Can't tolerate CPAP? You're not out of options. A custom oral device is a mouthpiece worn at night that gently holds your lower jaw forward, keeping your airway open. No mask, no noise, no machine — it fits in a travel case. The American Academy of Sleep Medicine recognizes it as a first-line treatment for snoring and mild-to-moderate sleep apnea.
A Better Way To Sleep
Why Choose Custom Oral Appliance Therapy?
Recognized by the American Academy of Sleep Medicine (AASM) as a highly effective first-line treatment for snoring and mild-to-moderate sleep apnea:
Compact & Travel-Friendly
Fits discreetly into a protective travel case. No outlets or distilled water needed.
Precision Mandibular Advancement
Gently shifts the lower jaw forward to prevent airway collapse and soft tissue obstruction.
Dramatically Higher Compliance
Patients wear it consistently night after night, leading to better real-world health outcomes.
Precision Care
Our Customized Treatment Process
We integrate radiation-free 3D digital impressions and advanced airway diagnostics for precise fitting:
3D Airway Diagnostic & Scanning
Full digital impression using iTero® wands and CBCT airway volume mapping.
Custom Device Fabrication
Crafted from durable medical-grade materials tailored to your unique bite.
Fitting & Fine-Tuned Titration
Incremental advancement adjustments to achieve maximal airway opening with zero TMJ stress.
Overall Wellness
Health Benefits of Restorative Sleep
Eliminate chronic night-time snoring and sudden gasping episodes
Restore daytime energy, mental clarity, and focus
Lower risk of hypertension, cardiovascular strain, and stroke
Relieve morning headaches, dry mouth, and frequent night urination
At a Glance
Oral Device vs. CPAP
| Custom Oral Device | CPAP Machine | |
|---|---|---|
| Comfort | Silent, no mask — sleep in any position | Bulky mask, motor noise, headstraps |
| Travel | Fits in a small case; no outlets or water needed | Needs power outlets and distilled water |
| How it works | Gently shifts the lower jaw forward | Pressurized air delivered through a mask |
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Why So Many Patients Give Up on CPAP
CPAP works — when it's used. But the statistics are stubborn: a large share of patients stop using their machine within the first year. The uncomfortable mask, the noise, the dryness, the claustrophobic feeling, the hassle of traveling with the equipment. At our Tribeca office, we hear these stories every week — from professionals who sleep in hotel rooms for work, from couples where one partner ends up on the couch.
A custom oral appliance addresses the same problem from a completely different angle. Instead of forcing pressurized air through the airway, it gently repositions the lower jaw forward during sleep, keeping the tongue and soft tissues away from the back of the throat. No mask, no hoses, no noise. It fits in a retainer-sized case and sails through airport security without a second thought.
It's important to be honest about the limits: oral appliances are best suited for mild to moderate obstructive sleep apnea and primary snoring. Severe cases usually need CPAP or a combined approach. That's why every treatment at Tribeca Dental Studio starts with a proper diagnosis — we want to know why you snore, whether you have sleep apnea, and what's causing it before recommending any device. The first visit is about getting answers and a plan, not selling a treatment.
Where NightLase Fits Into Your Sleep Plan
Not all snoring needs a nighttime device — some of it needs the throat tissue to regain its firmness. NightLase® is a non-surgical laser therapy that gently warms the soft tissues at the back of the throat, stimulating collagen production so they tighten naturally. No cutting, no anesthesia, no downtime: you walk in and out of our Tribeca office and get on with your day.
It works best for primary snoring and mild cases, and it can be combined with an oral device when the diagnosis calls for it. That's why we never start with treatment — we start with diagnosis. A sleep study tells us why you snore and whether apnea is present, and with that information we decide whether NightLase, an oral device, or a combination is the right path for you.
Many of our patients arrive skeptical — they've tried nasal strips, sprays, and special pillows with no result. The difference with NightLase is that it addresses the cause: the slack tissue that vibrates and collapses during sleep. As collagen regenerates in the following weeks, snoring typically quiets noticeably, and your partner is usually the first to notice.
We can all benefit from it because as we age, the tissue slackens and becomes droopy. So even if you don't need it when you're young and have no symptoms, as you get older you'll need it to tighten up those back-of-the-throat muscles. And who needs it least? Opera singers — singers in general. They exercise those tissues and keep them tight even with age.
Dr. Nina Izhaky says:
Tribeca Dental Studio
Patient Inquiries
Frequently Asked Questions
How does an oral appliance for sleep apnea work?▼
Worn at night, the device holds the lower jaw slightly forward, preventing the tongue and soft tissues from blocking the airway. It's custom-fitted to your bite for maximum comfort and effectiveness.
Is it uncomfortable to wear all night?▼
Most patients adjust within one to two weeks. Because it's custom-made for your teeth, it feels similar to a retainer or sports mouthguard — far less intrusive than a CPAP mask.
Do I need a sleep study before treatment?▼
Yes. A proper diagnosis is essential — we need to confirm whether you have obstructive sleep apnea and how severe it is before recommending an oral appliance. We can guide you through sleep study options.
Will it stop my snoring?▼
For most patients with primary snoring or mild to moderate apnea, the device significantly reduces or eliminates snoring from the first nights of use.
How long does the device last?▼
With proper care and periodic check-ups at our office, a custom oral appliance typically lasts several years. We evaluate its fit at every visit to ensure it keeps working perfectly.
Can I travel with the device?▼
Absolutely — it's one of the biggest advantages over CPAP. It fits in a small case, needs no electricity, and requires no special handling at airport security.
What is NightLase, and does it hurt?▼
NightLase® is a non-surgical laser therapy that gently tightens the tissues at the back of the throat to reduce snoring. Most patients describe only a mild warming sensation during the session — no anesthesia, no cutting, and no downtime.
Can NightLase replace my oral device or CPAP?▼
It depends on your diagnosis. NightLase works best for primary snoring and mild cases, and it can be combined with an oral device. Moderate to severe apnea usually needs an oral device or CPAP. That's why every plan starts with a proper sleep study.
Will the oral device change my bite?▼
With proper fitting and follow-up, bite changes are minimal and monitored at every visit. We titrate the jaw advancement gradually to achieve maximum airway opening with the least possible joint strain.
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