The initial consultation involves a complete medical and dental history, a detailed head and neck and dental exam.  In addition, the sleep study is reviewed with the patient if it is available at that time.

At the second visit, impressions, photographs, radiographs and measurements are obtained.  Informed consent for Oral Appliance Therapy is obtained at that time.

The third visit consists of the delivery, insertion, and initial adjustment of the appliance with detailed instructions on the use and care of the appliance.  There may be 2-3 more adjustments over the next 2-6 weeks, depending on the patient.