Vivos Oral Appliance Therapy
The Vivos oral appliance is a custom-designed device worn primarily during sleep. Over a typical 9 to 12-month treatment duration, it applies sustained, low-grade biomechanical force to the palate and jaw, remodeling the structures that cause the airway to collapse. When treatment ends, the appliance comes out. The structural changes remain.
Managing the Symptom Isn't the Same as Addressing the Cause
Traditional airway devices work only while they are in place. CPAP (continuous positive airway pressure) uses pressurized air to keep the airway open. Mandibular advancement devices reposition the jaw during sleep to reduce collapse. Both provide support, but neither changes the anatomy itself.
The Vivos oral appliance is built on a different principle. Through sustained, low-grade biomechanical force over time, it remodels the palate, jaw, and airway — expanding the very structures that influence airway function. Rather than relying on a device each night to hold the airway open, the goal is lasting structural improvement.
The appliance is temporary. The structural change to the airway is not.
The Vivos oral appliance is the most clinically studied oral device of its kind. The figures below reflect its scale of use, its research base, and its typical treatment window.
75,000+
Patients treated
60+
Peer-reviewed studies
9-12mo
Typical treatment duration
Meet Teri: Thirteen Months of Treatment. Then No Device.
Before treatment, Teri's sleep study recorded an apnea-hypopnea index (AHI) of 51.9. AHI measures how many times breathing is interrupted in an hour of sleep. Anything above 30 meets the clinical definition of severe obstructive sleep apnea. Teri's airway was collapsing more than 50 times every hour. Teri began treatment in April 2018. Thirteen months later, her post-treatment sleep study measured an AHI of 0. She now wears no device to sleep.
Teri's result represents the upper end of what treatment can produce, and individual outcomes vary. Some patients move from severe to mild. Others see complete resolution. Teri's data reflects is the principle the treatment is built on: when the structures that caused the airway to collapse are remodeled, the airway no longer requires a device to stay open.
AHI - 51.9
April, 2018
AHI - 13.1
November, 2018
AHI - 0
November, 2021
Meet Dr. Griffin: Structural Change, Measured in Millimeters
Dr. Tara Griffin is a Vivos provider who underwent treatment herself. She was diagnosed with moderate obstructive sleep apnea in 2011, with an AHI of 24 events per hour. What distinguishes her case is the depth of documentation: her progress was tracked not only by sleep studies but by direct measurement of her dental arch, the structural width of the upper jaw, over the course of eight years. Her arch measured 31.5 millimeters before treatment. By 2013, after approximately 10 to 15 months of treatment, it had expanded to 35.5 millimeters. At her 2019 follow-up, 37.5 millimeters.
Her post-treatment AHI had dropped from 24 to 2.8 events per hour. Dr. Griffin's long-term data reflects what the treatment is designed to produce: structural change that holds long after the appliance comes out — still measurable, in her case, nearly a decade later. Individual outcomes vary.
Jaw Width - 31.5mm
Before Treatment, 2011
Jaw Width - 35.5mm
Post-Treatment, 2013
Jaw Width - 37.5mm
Follow-Up, 2019
Patient Testimonials
Real patients. Real journeys. Real words.
Most of our patients arrive after years of treatments that addressed the symptoms without reaching the root. Their stories vary — in length, in diagnosis, in resolution. What they share is the moment the pieces finally began to fit together. Below, a few of them in their own words.
"A Decade of Searching, Three Months of Healing"
At eleven, I had four teeth extracted for orthodontics and my energy plummeted. I spent a decade chasing answers around the world — upper cervical, cranial work, rapid expansion. Three months with Dr. Esmaili achieved what ten years could not. For the first time, my weight was translating into the ground instead of floating.
Steven
"A Life-Changing End to TMJ Struggles"
I'm just so happy that I don't have migraines anymore. It was hard to live with... I can't wrap my head around it. It definitely changed my life, and it was totally worth it. Thank you for fixing my TMJ problems and changing my life.
Valerie
"From Hopeless to Hiking, Singing, and Dancing"
When I first found Dr. Bahar, I was struggling and hopeless for my health. I had to have a plastic appliance in my mouth all the time — it was too uncomfortable to be without. Now I only wear a mouth guard at night. I'm able to sing, hike, dance, and travel — things that felt out of reach before.
Sydney
"TMJ Pain Gone, Breathing Restored"
I came in because my jaw hurt so much. Within a few weeks my TMJ pain was gone — I can't even remember I had it. I couldn't breathe through either nostril and had asthma attacks. Now I'm breathing through both, and I'm just chilling. There's so much more room in my mouth.
Medjy
FAQ
Frequently asked questions
Interested in seeing if you're a candidate? Book a discovery call with Sehra, our patient concierge.
A free 30-minute discovery call with Sehra. We listen to what brought you here, answer your questions, and together decide whether a diagnostic intake is the right next step. No pressure. Just clarity.
01. Who is The Center for Breath & Beyond for?
We treat adults and children whose symptoms point to a compromised airway — whether or not anyone has named it that way before. The most common reasons people come to us include chronic exhaustion that sleep does not resolve, sleep apnea (with or without CPAP success), chronic fatigue, jaw pain and TMJ disorders, headaches and migraines, mouth breathing, snoring, and children with symptoms misattributed to ADHD, allergies, or behavioral issues. If any of these sound familiar, you may be in the right place.