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Sleep Apnea Treatment

Finding the right sleep apnea treatment requires a close analysis of your symptoms, lifestyle, and other factors.

Dr. Max Teja can determine the best way to help you achieve restful sleep if you are suffering from obstructive sleep apnea.

Visit our San Angelo, TX, office to learn if you can treat your sleep apnea with a dental appliance instead of a CPAP machine.

Types of Sleep Apnea

Sleep disorders such as obstructive and central sleep apnea can make it difficult for patients to breathe properly when sleeping. At San Angelo Smiles, Dr. Teja can help determine if you suffer from:

Obstructive Sleep Apnea

Obstructive sleep apnea (OSA) is the most common type of sleep apnea. Due to overly relaxed or enlarged throat muscles, large tonsils, adenoids, or a serious overbite, the upper airway becomes too narrow during sleep, restricting the flow of oxygen. Dr. Teja can often treat obstructive sleep apnea with a custom oral appliance that keeps the upper airway open during sleep.

Central Sleep Apnea

Central sleep apnea (CSA) is less common but much more serious. The condition occurs when your brain stops regulating breathing during sleep. Central sleep apnea requires a specialist's care, and Dr. Teja can provide you with a referral.

Complex Sleep Apnea

Also known as mixed sleep apnea, complex sleep apnea is a combination of both obstructive and central sleep apnea. People with complex sleep apnea do not respond to treatments for obstructive sleep apnea alone. Dr. Teja can work with your other doctors to find a solution.

The risk factors for these sleep disorders include obesity, family history of the disease, smoking, excessive drinking, being male, and being older. If any of these risk factors apply to you, we can use this as a starting point to help you find the right solution for your needs.

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Many people are not aware that dentists can help with sleep apnea. For those suffering from mild to moderate sleep apnea, an oral appliance may be all that you need to open up the airways and achieve a restful night of sleep.

Contact us online to ask a question or request a consultation. You can also reach us by phone:

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Dillon Chirico


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Dr. Teja and his team are the best ! I have always dreaded going to the dentist. Dr. Teja and his team do everything they can to make you comfortable. An take the time to answer all your questions. I highly recommended making an appointment and getting the best dental care in town !

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Allison Nall


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I was so nervous to get a shot and have my cavities filled but Dr. Teja and his team did an amazing job. I didn’t feel the shot or any of the things they were doing during the procedure. If I had to do it again I would with them!

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Common Symptoms of Obstructive Sleep Apnea

Those who are suffering from obstructive sleep apnea may present a number of different signs, including:

  • Difficulty falling or staying asleep
  • Excessive snoring
  • Waking up and gasping for air
  • Headaches after waking up
  • Dry mouth after waking up
  • Irritability
  • Difficulty focusing

It's possible that you may not notice the signs of sleep apnea yourself, but your bed partner or housemates might. Take them seriously if they express concern over these OSA symptoms.

Sleep Apnea Treatment Options

At San Angelo Smiles, Dr. Teja uses oral appliances to keep the upper airway open for patients with obstructive sleep apnea. If you require a different approach for your sleep disorder, Dr. Teja can refer you to a specialist.

Oral Appliance

Dr. Teja can design a custom mouthpiece that fits comfortably over your teeth and repositions your lower jaw to a forward position during the night, opening your airways and reducing snoringStudies have shown that oral appliances are effective for 50% of obstructive sleep apnea sufferers, including those with severe obstructive sleep apnea.


Continuous positive airway pressure therapy, or CPAP, involves wearing a mask that delivers positive air pressure to keep the airways open while you sleep

Combining Oral Appliances and CPAP

If an oral appliance alone fails to help you achieve restful sleep, or if you do not like using a CPAP machine, Dr. Teja may recommend a special combination of the two. This involves administering air pressure through a nasal device while also wearing the oral appliance


If non-invasive options are unable to help you overcome issues caused by excess tissue, large tonsils, or enlarged adenoids, surgery may be recommended. During the procedure, a surgeon can remove the excess tissue to improve airflow.

See How Obstructive Sleep Apnea Affects Your Breathing

Before and after OSA treatment

Diagnosis and Treatment

To determine which approach is best for your case, Dr. Teja must gather information about your health history, sleep patterns, and more.

In addition to reducing snoring throughout the night, a custom oral appliance can help you feel well-rested and improve your quality of life.

The Stages of Sleep Apnea Treatment

In addition to reducing snoring throughout the night, a custom oral appliance can help you feel well-rested and improve your quality of life.


If you suspect you have sleep apnea or want a second opinion, Dr. Teja can evaluate your symptoms at our practice in San Angelo, TX.

Sleep Study

You will likely need to attend a sleep study. The study can take place at a sleep center or in your home.


Based on the results of your sleep study, Dr. Teja can recommend the right option. For most people with mild to moderate obstructive sleep apnea, oral appliance therapy can offer relief.


If you opt for oral appliance therapy, we will take impressions of your smile and send them to our lab, where technicians will create your device.

Using Your Mouthpiece

Once your mouthpiece is complete, simply put it in before bed to experience relief from your uncomfortable sleep apnea symptoms.

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It Can Improve Emotional and Physical Symptoms

Oral Appliances versus CPAP

Although continuous positive airway pressure devices are effective, many people find that they prefer oral appliances because:

  • They can be more comfortable to wear than CPAP masks.
  • Oral appliances do not cause dry or itchy sinuses.
  • CPAP involves tubes and other equipment that can become tangled or knocked around in the night.
  • It is far easier to travel with an oral appliance.
sleep apnea symptoms

The DNA Appliance

At our San Angelo, TX, practice, we offer the DNA Appliance® (Daytime Nighttime Appliance) by Vivos. It is a non-surgical sleep apnea option that encourages the airway to open up by developing the upper jaw to its full genetic potential.

When worn, the DNA appliance expands the width of your bite and shifts the jaw forward to reduce or completely alleviate airway obstruction

DNA appliance

Lifestyle Changes Can Also Minimize Your Symptoms

The risk factors for sleep apnea include being overweight, excessive alcohol consumption, and smoking. While some risk factors, such as age, are beyond your control, adopting a healthier lifestyle and other habits can reduce symptoms such as daytime sleepiness and high blood pressure.

Stop Drinking and Smoking

Research has shown a link between habitual drinking and breathing issues during sleep. In addition, quitting smoking can reduce sleep apnea and prevent other health problems.

Lose Weight

Researchers at the American College of Physicians (ACP) have found that for many patients, weight loss is an effective method of improving the symptoms of obstructive sleep apnea.

Lay on Your Side

At San Angelo Smiles, we recommend sleeping on your side instead of on your back. This can prevent the muscles in your throat from blocking oxygen flow in the night.


Dr. Max Teja wants you to know that while sleep apnea may not seem like a big concern, it can be detrimental to your overall health. His treatments are designed to not only cut down on symptoms such as snoring and daytime fatigue, but also prevent you from placing harmful strain on your respiratory and circulatory systems.

If you're curious about oral appliances and how they can improve your sleep and well-being, fill out our contact form or call our San Angelo, TX, office:

(325) 223-2373

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Donna Alexander


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Dr. Teja may be the best dentist I have ever encountered. He has done extensive dental work for me and I am very pleased with the results. He is kind and caring in the process. There was no pain of any consequence.

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Keely Lorenz


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Dr.Teja and staff saw me the day I needed to without an appointment. Grateful for his staff to fit me in. Very clean establishment, and professional as well.

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Why Choose San Angelo Smiles?

Free Consultations

San Angelo Smiles is proud to provide free consultations to patients. During your sleep apnea consultation, your dental professional can check for signs of sleep apnea and recommend a treatment plan incorporating an oral appliance or a combination of continuous positive airway pressure and an oral appliance.

Comprehensive Care

Dr. Teja has over 40 years of experience in the field of dentistry. He can provide his patients with solutions for OSA as well as all kinds of dental concerns, all under one roof. Even if he can't treat your sleep apnea, Dr. Teja can refer you to a qualified specialist.

"Above and beyond"


Erika Rudolph


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Dr. Teja and his staff are amazing! They went above and beyond to make us feel at ease with any procedure we have had.

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Leslie Fisher


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These folks are simply wonderful! Very caring and thorough. Great place, I highly recommend.

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Dr. Max Teja

San Angelo Smiles Committed to Your Health and Happiness

Dr. Max Teja is an experienced dentist with a total-health, holistic approach to dentistry. He performs cosmetic, restorative, periodontal, and general procedures under one roof. Dr. Teja has been practicing since 1978.

Prestigious affiliations include:

  • International Academy of Oral Medicine and Toxicology
  • American Dental Association
  • Institute for Craniofacial Sleep Medicine

If you need a check-up or are experiencing dental pain or other symptoms, set up an appointment at our San Angelo, TX, office today using our online form or by giving us a call at (325) 223-2373. We look forward to meeting your smile.

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"I have been to a number of dentists and this one is by far the best and most caring one. I could not be happier with my experience here...they truly care about the well-being of your body!!!! Love the staff as well!!!" Adriene V.

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