301-532-7851
301-532-7851

Sleeping Appliances
Custom Oral Appliance Therapy for Snoring & Sleep-Disordered Breathing

CIT Dental Lab fabricates custom sleeping appliances including mandibular advancement devices (MADs) for dental practices across the Eastern United States who offer oral appliance therapy (OAT) for patients with snoring and mild to moderate obstructive sleep apnea. A custom-fitted sleeping appliance holds the mandible slightly forward during sleep, preventing the airway collapse that causes snoring and sleep-disordered breathing events. Comfortable, non-invasive, and far better tolerated than CPAP by many patients, oral appliance therapy is a growing area of dental practice and CIT fabricates the appliances that make it possible. Free 2-way shipping.

How Oral Appliance Therapy Works

When a patient sleeps, the muscles of the tongue and soft palate relax and can partially collapse the airway causing snoring or obstructive apnea events. A mandibular advancement device repositions the lower jaw slightly forward, which tightens the airway and prevents collapse. Custom-fitted appliances are fabricated to hold this advancement position at a calibrated degree of protrusion, maintaining airway patency throughout the night without the noise, discomfort, or patient resistance often associated with CPAP therapy.

Clinical Indications

  • Mild to moderate obstructive sleep apnea (in consultation with a sleep physician)
  • Primary snoring without significant apnea
  • CPAP-intolerant patients with diagnosed sleep apnea seeking an alternative
  • Positional sleep apnea (worse when supine)
  • Patients seeking a quieter, more comfortable alternative to CPAP

Available Appliance Designs

CIT fabricates sleeping appliances in multiple designs depending on your clinical protocol. Contact our lab team to discuss which appliance design is most appropriate for your patient population and practice workflow.

Our Customers

"CIT has become a dependable partner for our practice. Their crown and bridge work consistently demonstrates excellent fit, natural-looking esthetics, and close attention to the details provided in our prescriptions. Just as importantly, their team is responsive and easy to work with whenever a case requires additional planning"
Donaldson DDS
""What stands out about Commander In Teeth is the level of personal service they provide. From submitting digital scans to discussing more complicated restorative cases, communication is always clear and professional. We feel confident knowing that their technicians understand both the clinical and esthetic demands of each case."
B yong, D.M.D.
"We have trusted CIT with a wide range of cases, including implants, removables, and everyday restorative work. The quality is consistent, the team is accessible, and they make a genuine effort to help us achieve the best possible result for every patient. CIT feels less like an outside laboratory and more like an extension of our practice."
Michael Melkers

Frequently Asked Questions

The clinical standard is that oral appliance therapy for diagnosed sleep apnea should be prescribed and monitored in coordination with a sleep physician — including a baseline sleep study (polysomnography or home sleep test) to confirm the diagnosis and severity, and a follow-up study to verify the appliance's effectiveness. For primary snoring without diagnosed apnea, dentist-only treatment is more straightforward. Familiarize yourself with your state's scope of practice guidelines for sleep dentistry before offering OAT.
A night guard is designed to protect teeth from bruxism and grinding forces it does not reposition the jaw. A sleeping appliance (MAD) is designed to advance the mandible forward to open the airway it is a therapeutic device, not a protective one. While some appliances attempt to serve both functions, most clinicians prefer separate appliances for each purpose to optimize the design of each.
CIT requires full-arch upper and lower impressions (PVS or alginate), a bite registration at the appropriate advancement position (typically 50–75% of maximum protrusion for initial delivery), and your appliance design prescription. Contact our lab team for specific bite registration technique guidance based on your preferred appliance design.
Yes — free 2-way shipping on every CIT appliance order.

Ready to Upgrade Your Lab Partner?

Expand your practice into sleep dentistry. CIT fabricates custom sleeping appliances free 2-way shipping.
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