Sleep Apnea Appliances
Sleep Apnea Mouth Guards & Mandibular Advancement Devices
Custom-fabricated oral appliances for your snoring and sleep apnea patients: built for nightly wear, adjusted to your prescribed protrusion, and finished for comfort. Made in our California, Colorado, and Texas labs, delivered nationwide.
What Is a Sleep Apnea Mouth Guard?
A sleep apnea mouth guard, clinically a mandibular advancement device (MAD), is a custom two-arch oral appliance that holds the mandible in a gently protruded position during sleep, helping keep the airway open. Unlike a boil-and-bite mouth guard for sleeping from the drugstore, a lab-fabricated appliance is made on precise models of the patient's dentition, with a protrusion setting you prescribe and control. The result: better retention, less bulk, and an appliance patients can actually sleep with. That is where therapy succeeds or fails.
When to Choose a MAD for Your Patient
Oral appliance therapy is typically indicated for primary snoring and mild to moderate obstructive sleep apnea, or for CPAP-intolerant patients, always based on your diagnosis and, where applicable, a sleep physician's referral. As your lab, we fabricate the appliance to your prescription: you set the therapeutic parameters, we deliver the precision and comfort that determine whether the patient wears it.
Materials & Options
- Materials
- Biocompatible hard/soft appliance materials
- Options
- Adjustable mandibular advancement designs per Rx
- Turnaround
- 7–10 working days in-lab
- Rush Available
- Yes, contact us for scheduling
- Delivery
- Nationwide UPS/FedEx
- Digital Files
- STL, OBJ accepted (both arches + bite)
How We Process Your Sleep Appliance Case
- 1
Send Your Case
Impressions or scans of both arches plus a protrusive bite record
- 2
Design & Fabricate
Appliance built to your prescribed advancement and design
- 3
Finish & QC
Fit verification, smooth finishing & documented quality control
- 4
Deliver
Nationwide UPS/FedEx, scheduled to your seat date
Contact Us
Frequently Asked Questions
Start Sending Sleep Appliance Cases Today
New accounts: we respond within 24 hours. Pickup & nationwide delivery available.
Open a Lab AccountWhat do you need from me for a mandibular advancement device?
Impressions or intraoral scans of both arches and a protrusive bite record at your chosen starting advancement. Note the design and any titration requirements on the Rx. If the bite record raises questions, the responsible technician contacts you before fabrication begins.
Sleep apnea mouth guard vs. night guard: what is the difference?
A night guard protects teeth from bruxism on one arch; a custom mouth guard for sleep apnea is a two-arch device that advances the mandible to support an open airway during sleep. They are not interchangeable: a patient who needs both requires a clinical decision on priority, and we are happy to fabricate whichever appliance you prescribe.
Can the advancement be adjusted after delivery?
Yes, we fabricate adjustable designs that allow controlled titration within the appliance's range, so you can fine-tune protrusion over the course of therapy. Specify your preferred mechanism on the Rx, and we will build the appliance around your titration protocol.
Is a custom appliance really better than a boil-and-bite device?
For therapy adherence, fit is everything. A lab-made appliance sits on exact models of the patient's dentition, holds its setting, and is far slimmer than self-fitted products, and patients notice that every single night. Retention, durability, and controlled advancement are the reasons clinicians prescribe custom appliances.
Custom Sleep Apnea Mouth Guards From an Experienced Appliance Lab
Reliable Dental Studio has built removable appliances since 1994, and sleep appliances demand everything that experience teaches: exact model work, precise bite transfer, and finishing that makes nightly wear tolerable. A mandibular advancement device only helps while it is worn, so comfort is not a luxury; it is the foundation of adherence. Bulk is the enemy here. Our technicians keep every sleep apnea mouth guard as slim as the prescribed design allows, with trimmed flanges, rounded edges, and polished surfaces, because an appliance that feels like precision work instead of a brick is the one still being worn in month six.
How We Fabricate Your Sleep Apnea Mouth Guard
Every sleep apnea mouth guard we fabricate starts with verified records: impressions or scans of both arches, your protrusive bite record, and the advancement you prescribe. Records quality decides outcomes, and an accurate protrusive bite is the single most important input for a mandibular advancement device; if your record looks inconsistent with the model data, we flag it immediately rather than building on doubt. A usable protrusive record tells us three things: the starting advancement you have chosen, the vertical opening you want to allow, and a stable reference we can transfer to the working models. Capture those, and fabrication is straightforward. The appliance is then processed under controlled conditions, checked on the models, finished smooth, and documented in quality control before it leaves the bench. And if the Rx leaves a question open, the technician responsible for your case calls you before fabricating, not after the patient is in the chair.
Digital Workflows for Mandibular Advancement Devices
Our lab has worked digitally since 2010 and added a direct Straumann scanner connection in 2016, so digital sleep appliance cases are routine here rather than an exception. Send intraoral scans of both arches as STL or OBJ files plus your bite record through our secure portal, and we handle model production and fabrication in-house. Practices without scanners send conventional impressions and receive the same appliance at the same quality, and if your team is just moving its sleep workflow from impressions to scans, we gladly walk you through file export and portal setup on the first case. We work with biocompatible, name-brand appliance materials and adjustable designs that respect your titration protocol, so protrusion can be fine-tuned over the course of therapy exactly as you planned it.
A Sleep Apnea Mouth Guard Lab Serving All 50 States
Dentists in all 50 states send sleep appliance cases to our three labs in California, Colorado, and Texas. Cases travel via UPS and FedEx with prepaid shipping supplies, practices near our California lab at 3020 Ivar Ave, Rosemead, CA 91770 can arrange pickups, and digital files reach the portal in minutes. Every sleep apnea mouth guard ships with documented quality control, and duplicates or re-titrated appliances can be fabricated from your existing digital records for up to 30 days after fabrication, which spares the patient a new record appointment. Turnaround runs seven to ten working days in-lab, and if your patient has a fixed follow-up with the sleep physician, we plan backwards from that date.
Oral Appliance Therapy: Your Call, Our Craft
One thing we never do is make treatment promises. Whether oral appliance therapy is indicated, how far the mandible should be advanced, and how the outcome is verified are clinical decisions that belong to you and, where applicable, the patient's sleep physician. Our part is the appliance itself: a precisely built, comfortable device that supports the therapy you prescribe. That division of roles is deliberate, and it is one reason clinicians trust us with their sleep cases. You will not find airway claims in our copy or on our Rx forms, just a lab that takes retention, fit, and finish seriously on every mouth guard for sleep apnea it delivers.
Send Your Next Sleep Apnea Mouth Guard Case
Many sleep patients need more than one appliance over time: a replacement, a re-titrated device after follow-up, or a night guard for bruxism alongside therapy. Because our appliance department also covers occlusal guards, TMJ splints, and retainers, your patient stays with one lab and your team keeps one contact. Group practices and dental sleep medicine providers work with us across locations with one Rx standard and consistent results. Ready to add a dependable fabrication partner for your sleep cases? Send a sleep appliance case to Reliable Dental Studio or open a lab account; we respond to new account requests within 24 hours, and once your documents are complete, case supplies and portal access are included.