Custom Orthotic Device

Airflow with Orthotic Device Treatment

Prior to initiating any insomnia or sleep apnea treatments it is essential to have a comprehensive clinical examination to evaluate the airway that is compromised. It doesn’t make sense to treat the collapsing airway prior to a proper evaluation.

First line treatment for Obstructive Sleep Apnea (OSA) includes either a Continuous Positive Airway Pressure (CPAP) machine or Oral Appliance Therapy for mild to moderate patients. Patients with severe OSA are recommended to initiate CPAP therapy and only use Oral Appliance Therapy if they are non-compliant or intolerant of the machine.

CPAP Therapy requires wearing a mask on your face at night that blows air (positive pressure) through your nose to keep your airway from collapsing at night. This breathing machine is kept on all night and can require adding distilled water to humidify the air you breathe. CPAP machines are not custom made but prefabricated with a number of different mask to attach to the hoses.

Oral Appliance Therapy requires wearing a customize oral appliance resting on your dentition. This appliance serves to physiologically prevent the collapse of your airway by stabilizing your lower jaw, tongue, and soft palate. There are over 115 different variations of these customized appliances making a comprehensive evaluation paramount for selecting the best device for you. Oral appliance therapy can be very effective in treating patients who snore and those suffering from mild to moderate sleep apnea. Additionally, if severe sleep apnea patients are unable to tolerate a CPAP machine, they can be fitted with an appliance that positions the lower jaw and tongue to provide optimal airflow during sleep.

The two most important factors for success with CPAP and/or Oral Appliance therapy are nasal patency (ability to breathe adequately through nose) and BMI (body mass index).

Conservative, non surgical sleep apnea treatment is usually always attempted first, however if these modalities fail, Dr. Robinson works closely with providers that can offer surgical options for managing OSA. These procedures range from surgeries directed at the nose, soft palate, tongue, and permanent repositioning of the upper and lower jaws.


If jaw pain, facial pain, or sleep disorders plague you, let us help! The Pain And Sleep Therapy Center has a treatment that will provide relief. From laser therapy and physical therapy to airway pressure machines and orthotic appliances, we will find a way to help you live your best life.

For more information, please call 302-239-1757


No one tells a better story than our patients. Click below to see the people whose lives have been changed by the Pain and Sleep Therapy Center of Delaware Valley.