Adult Sleep Solutions

How is OSA treated?

The following options may be recommended for Obstructive Sleep Apnea:

Continuous Positive Airway Pressure (CPAP)

CPAP is the standard treatment for moderate to severe cases of OSA. CPAP provides a steady stream of pressurized air to patients through a mask that they wear during sleep. This airflow keeps the airway open, preventing pauses in breathing and restoring normal oxygen levels. This amount of pressure required is carefully determined and adjusted based on the severity of the obstructive apneas.


Surgery is effective only when there is an obvious deformity that can be corrected to alleviate the breathing problem. This may require a referral to an ENT (ear, nose, and throat) Specialist to assess for the removal of nasal blockages (deviated septum) or removal of excess tissues in the upper airway and throat (tonsils, adenoids, uvula, soft palate).

Oral Appliance Therapy (OAT)

Consultations with Dr. Kreuz will determine if you are a candidate for oral appliance therapy. Treatment with an oral appliance is supported by published research, “Clinical Practice Guideline for the treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015,” which reported that oral appliances are indicated as treatment for patients with primary snoring and for patients with obstructive sleep apnea who are intolerant of CPAP or who prefer alternative treatment.

Oral Appliance Therapy is an effective option to treat the following:

  • Snoring
  • Mild to moderate Obstructive Sleep Apnea patients who prefer it to CPAP
  • Patients who are unable to successfully comply with CPAP therapy
  • Patients with upper airway resistance

After a thorough screening, and reviewing your medical history and symptoms, Dr. Kreuz will perform an oral evaluation for other signs of snoring and sleep apnea. She may recommend further testing to confirm the absence or severity of the snoring obstruction.

If a dental oral appliance is recommended to address snoring or mild to moderate sleep apnea (as diagnosed by a certified sleep physician), we will begin steps to fabricate a custom appliance.

There are many types of dental devices that can be used to alleviate sleep breathing disorders. Patients who wear snoring or sleep apnea appliances often report that they stop loud snoring, feel more rested in the daytime, and are much more comfortable going to sleep. 

Oral Appliance Therapy (OAT) works by positioning your jaw further forward to pull your tongue away from the throat and the soft palate, thereby opening your airway. This allows for better air exchange at night while you sleep. For many, it eliminates or reduces snoring. Your compliance may require adjustments over time and ongoing assessments to ensure your airway is functioning in the healthiest way possible.

Vivos DNA Appliance

The Vivos DNA appliance addresses the primary underlying condition for many people who snore or who have sleep apnea, which can be the result of an obstruction in the airway caused by narrow dental arches and/or an underdeveloped jaw. The Vivos System treats the obstruction. It is worn in the evening and during the night while you sleep and is virtually invisable. 

In 98% of patients with OSAS, the condition is due to abnormal anatomical features of the soft tissues and/ or the structures of the maxillomandibular skeleton that cause a disproportionate anatomy of the airway


Underdeveloped upper and lower jaws can cause the airway to be narrow or constricted resulting in impaired breathing during sleep. The Vivos DNA appliance enables the jaws to expand to their proper position. This illustration is an example of how the Vivos DNA appliance can help to achieve the goal of expansion.

Dr. Kreuz has pursued special training and certification to be able to provide this important service to her patients.

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