The CPAP Alternative: How an Oral Appliance Treats Snoring and Sleep Apnea
Can't tolerate your CPAP? A custom oral appliance is a quiet, mask-free way to treat snoring and mild-to-moderate sleep apnea. Here's how it works.
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A Comfortable Alternative to CPAP · General Dentistry · Keene, TX
A small, custom-fitted mouthpiece that can do what the CPAP couldn't — for snoring and obstructive sleep apnea, in coordination with your physician.
Hometown care, big-city sleep medicine.
(dedicated sleep line coming soon)
Could this be you?
If that sounds familiar, an appliance might help.
Old Betsy Dental Sleep Medicine, at 104 S Old Betsy Rd, Suite A in Keene, Texas, offers oral appliance therapy — a comfortable, custom-fitted alternative to the CPAP — for snoring and obstructive sleep apnea, in coordination with your physician, serving Johnson County and the greater Fort Worth/DFW area.
Our oral appliance therapy is provided by Dr. Argyle and Dr. Bennion, both recognized as Qualified Dentists by the American Academy of Dental Sleep Medicine.
If any of this sounds familiar
Sleep apnea is more common than most people realize — and quieter to spot than you'd think. A few signs we hear all the time:
Both sides of the bed
Sleep apnea is rarely a one-person problem. We treat the person with the symptoms — and the partner lying awake too.
The mask feels claustrophobic. The hose tugs every time you roll over. The motor noise. The travel case. You've tried — and you'd love a way to sleep that doesn't fight you all night.
The snoring. The pauses. The worry, every single night. You've heard them stop breathing and felt your own heart race. A quieter night for them is a quieter night for you, too.
What we offer
A focused menu — every option here is built around quieter nights and easier mornings, without making sleep feel like work.
A small, comfortable mouthpiece that gently holds your airway open while you sleep — the CPAP alternative most of our patients come looking for.
Gentle tongue and throat-muscle retraining that supports better airway tone. An adjunct most sleep dentists don't offer.
Help for simple snoring too — not just full sleep apnea. A quieter night, without the mask.
Pairing an appliance with CPAP for more involved cases — coordinated closely with your physician so the two work together.
A gentle laser frenectomy that pairs well with myofunctional therapy for some patients.
We don't fit it and forget it. We adjust your appliance over time and keep it comfortable for the long haul.
Good to know: sleep apnea is a medical condition, so an oral appliance is typically billed to your medical insurance — learn more →
How it works
No drama, no pressure — just a clear path from "I'm exhausted" to "I slept through the night."
We talk through your sleep, your history, and your concerns — and screen for the signs of sleep-disordered breathing.
Often a comfortable at-home test in your own bed. Your diagnosis of sleep apnea comes from a physician — we help coordinate.
A quick digital scan — no goopy impressions — and your appliance is made just for your bite.
We fine-tune the fit over time and can confirm it's working with a follow-up sleep test.
We'll also talk through simple habits — like sleep position — that can make a real difference.
Coordinated with your physician
Dentists treat the airway with a custom appliance; the diagnosis of sleep apnea comes from a physician. We help coordinate the sleep testing and work hand-in-hand with your sleep doctor, ENT, or primary care provider — so your care is connected, not fragmented.
An honest comparison
CPAP is still the right tool for some patients, especially severe cases. Here's the plain truth either way.
| Feature | Oral Appliance | CPAP |
|---|---|---|
| What you wear | A small mouthpiece, fitted to your bite | Mask over nose/face with a hose |
| Noise | Silent | Motor and airflow noise |
| Travel | Pocket-sized, no power needed | Bulkier, needs power |
| Best for | Snoring & mild-to-moderate apnea; CPAP-intolerant patients | Severe apnea and many moderate cases |
| Comfort over time | Discreet, easy to wear long-term | Effective when tolerated — many patients can't |
CPAP is still the better choice for some patients — especially severe cases. We'll tell you honestly which path fits you best.
Your sleep team
Doctor-owned and patient-first. We treat sleep the way we'd want our own family treated — calmly, honestly, and with follow-through.
Known for taking the time to explain every step in plain language — and for coordinating closely with your physician so nothing falls through the cracks.
"Dr. B" to his patients — gentle and reassuring, and the reason a lot of nervous folks finally feel comfortable trying something other than the CPAP.
Common questions
Yes — for snoring and mild-to-moderate obstructive sleep apnea, and for many patients who simply can't tolerate the CPAP, a custom oral appliance is a well-documented alternative. We coordinate with your physician so it's done the right way.
Our sleep program is fee-for-service, which keeps it simple and affordable. You pay us directly — we don't bill medical insurance for you. But we make reimbursement easy: we prepare a complete, ready-to-file claim packet (a 'superbill') with everything your medical insurer needs, so you can submit it yourself for possible reimbursement. Whether and how much you're reimbursed depends on your individual medical plan. Custom oral appliance therapy starts around $4,500, depending on your needs.
A sleep apnea diagnosis requires a physician-ordered sleep test, which is often a convenient at-home test these days. We help coordinate the testing with your sleep doctor or primary care physician.
Very different. Over-the-counter snore guards are one-size-fits-all and not adjustable. A custom appliance is precisely fit to your bite, finely adjustable, and made from materials designed for nightly long-term use.
Most patients adjust quickly. Because the appliance is custom-fit and adjustable, we manage comfort and any jaw concerns as part of routine follow-up — small tweaks over time are normal and expected.
We're at 104 S Old Betsy Rd, Suite A, Keene, TX 76059, open Monday through Thursday from 8am to 4pm (closed Friday).
Learn more
Can't tolerate your CPAP? A custom oral appliance is a quiet, mask-free way to treat snoring and mild-to-moderate sleep apnea. Here's how it works.
Loud snoring isn't the only red flag for sleep apnea. Here are the symptoms worth taking seriously — and what to do next if they sound familiar.
Not all snoring is sleep apnea — but some of it is. Here's how to tell the difference, what the red flags are, and how an oral appliance can help.
Book your sleep consult
Fee-for-service, starting around $4,500 — and we hand you a ready-to-file insurance packet so reimbursement is painless.