
If you've been diagnosed with obstructive sleep apnea (OSA), you've likely heard that a CPAP machine is considered the standard treatment. While CPAP therapy is highly effective for many people, it's not the right solution for everyone. Some patients struggle with the mask, pressure settings, noise, or simply find it difficult to sleep comfortably.
Fortunately, there are other treatment options.
At Columbia Center for Sleep Apnea & TMJ in Richland, Washington, Dr. Jared Bloxham provides custom-fabricated oral sleep appliances that are designed specifically for each patient's anatomy. These appliances offer a comfortable, portable treatment option for many patients with obstructive sleep apnea and chronic snoring.
What Is a Custom Oral Sleep Appliance?
A custom oral sleep appliance is a small device worn while you sleep that gently repositions the lower jaw and surrounding tissues to help keep the airway more open.
Unlike over-the-counter mouthguards or "boil-and-bite" devices, custom oral appliances are individually fabricated using precise impressions or digital scans of your teeth. This personalized fit is designed for comfort, durability, and effectiveness.
Because every patient's airway is unique, customization is an important part of successful treatment.
How Oral Appliance Therapy Works
When muscles relax during sleep, the airway can become partially or completely blocked. This blockage contributes to breathing interruptions known as obstructive sleep apnea.
A custom oral appliance works by:
- Supporting the lower jaw in a forward position
- Helping maintain a more open airway
- Reducing airway collapse during sleep
- Decreasing snoring for many patients
- Promoting more restful sleep
The appliance is small enough to fit easily into a travel case, requires no electricity, and is easy to clean and maintain.
Why Choose a Custom-Fabricated Appliance?
Not all oral appliances are created equal.
Dr. Jared Bloxham custom fabricates oral sleep appliances based on each patient's specific bite, jaw relationship, and treatment needs. A properly fitted appliance is generally more comfortable and allows for adjustments over time as needed.
During treatment, patients are monitored to ensure the appliance continues to fit well and supports their treatment goals.
Who May Benefit from Oral Appliance Therapy?
Oral appliance therapy may be appropriate for patients who:
- Have mild to moderate obstructive sleep apnea
- Have been diagnosed with severe obstructive sleep apnea but cannot tolerate CPAP (when appropriate and recommended by their healthcare team)
- Snore heavily
- Travel frequently
- Want a quieter, more portable treatment option
- Are looking for an alternative to CPAP after discussing options with their healthcare provider
A comprehensive evaluation is the first step in determining whether oral appliance therapy is right for you.
Why See an Orofacial Pain Specialist?
Oral appliance therapy involves much more than simply making a mouthguard.
As an orofacial pain specialist, Dr. Jared Bloxham has advanced training in the relationship between the jaw joints, bite, muscles, airway, and oral structures. This specialized expertise helps ensure that each appliance is carefully designed with both comfort and function in mind.
If you also experience TMJ symptoms, jaw discomfort, or facial muscle pain, those concerns can be considered as part of your treatment planning.
Conveniently Located in Richland, Serving Patients Across the Region
Columbia Center for Sleep Apnea & TMJ proudly serves patients from Richland, Kennewick, Pasco, West Richland, Benton City, Moses Lake, Ephrata, Basin City, Yakima, Walla Walla, Hermiston, Pendleton, Seattle, and communities throughout Eastern Washington and Northeastern Oregon.
Many patients travel to our office because they are looking for personalized sleep apnea care and alternatives to CPAP therapy.
Schedule Your Consultation
If you're looking for a comfortable alternative to CPAP, a custom oral sleep appliance may be an excellent option.
Dr. Jared Bloxham will evaluate your condition, discuss your diagnosis, and determine whether oral appliance therapy is appropriate for your needs.
Contact Columbia Center for Sleep Apnea & TMJ in Richland today to learn more about custom oral sleep appliances for obstructive sleep apnea.











