Getting adjusted to your new life free of snoring and sleep apnea in Daly City

Oral Appliance Therapy – Oral appliances are at the forefront for reducing snoring and alleviating mild to moderate forms of sleep apnea. An oral appliance is a plastic device that fits inside your mouth to be worn at night while you sleep. It offers many of the same benefits as a conventional continuous positive airway pressure (CPAP) system, without the intruding hoses, pump, and mask.


  • Substantial reduction in occurrence of sleep apnea and snoring, especially for patients prone to sleeping on their backs or stomachs
  • Higher rate of compliance than CPAP users
  • Better quality of sleep
  • Reduced snoring frequency and loudness

Types of Appliances

At Dr. Leo Arellano General & Cosmetic Dentistry, Daly City residents can be expertly assessed and fitted for oral appliance therapy treatment. Oral appliances fall into two categories. Tongue retaining devices hold the tongue in a forward position using suction so it does not slide back into the airway cavity. Mandibular repositioning devices are similar to a sports guard or a retainer, fitting over your upper and lower teeth to hold the jaw forward and prevent your throat from collapsing.


Many medical insurance policies provide coverage, and flexible payment programs are available. Overall, oral appliance devices are considerably less costly than CPAP units are.

We are here to help Call us at 415-881-4343 or Schedule an Appointment today

Adjustment Period

Oral appliances are comfortable and easy to use, but do require a brief adjustment period. Once you are at home with your new device, expect to take a few days to a few weeks to become fully accustomed to its feel and function. The devices, which are worn 6-8 hours every night, can last up to five years with regular care.

What to expect with your new oral appliance:

  • Due to the construction and design of the appliance, it may be slightly uncomfortable at first, particularly with the mandibular repositioning device, which juts your lower jaw forward. However, should you feel extreme discomfort in your jaw joint (TMJ) area, contact your dentist immediately.
  • Check over time for any movement of your teeth to ensure there is no permanent repositioning.
  • If you are using mandibular repositioning device, be patient. It may take up to 6 months to maximize the forward extension of the jaw to optimize airflow.
  • Dry lips and excessive salivation may occur.
  • When the device is first removed each morning, your jaw may need 15-45 minutes to shift from its forward bite to using your normal bite. Over time, this will become a natural daily reprogramming.

Back to Snoring And Sleep Apnea Page

Addressing gum recession with gum grafting and the Pinhole® Surgical Technique

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Patient Reviews
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I've been going to Dr. Arellano for about 20 years and I continue because of the excellent care and treatment I get with him and his whole office team. He is both professional and personable.
Recently I had a newer technique of gum surgery/grafting at his office called, "Pinhole Surgical Technique of gum grafting." I personally found this to be much easier to handle than the other style of gum grafting that I received years ago for the other side of my mouth. That worked, it was where part of my roof of my mouth was cut and surgically sewn onto the gum. However, I much prefer the pinhole technique. It was actually the easiest dental work I've had (beyond regular cleaning.) It didn't take too long and it didn't feel uncomfortable getting it done. I was swollen, but I think that happens regardless of what kind of gum grafting is done. I needed ibuprofin for a few days, no major pain. It healed well and just felt easy. I am not a fan of having any work done in my mouth because that's me, but this was the easiest work I've ever had done.
So, if you are debating which kind of surgery to do I personally would recommend the pinhole surgery.

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Patient Reviews
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We've gone to Dr Arellano for many years and have never been disappointed with any of the work he's done. Recently my husband broke a tooth and Leo got him in and had the tooth repaired within a few short hours. Service like that is very hard to finds these days. His office staff is fantastic. Nice people you are always glad to see. I would highly recommend Dr Arellano to anyone who is searching for an honest, competent, well trained dentist.

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I recently had a dental implant procedure performed by Dr. Arellano.
I could not be more pleased with the results. From the initial consultation to insertion of the implants, Dr. Arellano made this entire procedure understandable, easy, & pain-free !!
Highly recommend this professional dentist.

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