Sleep Deeply. For Good.


The first Oral Appliance Technology FDA-cleared to treat Severe Obstructive Sleep Apnea

Obstructive sleep apnea

Severe Sleep Apnea Deserves Attention

If nightly mask therapy hasn’t worked, it may feel like surgery is the only alternative. Vivos is different. Our FDA-cleared oral appliance offers a non-surgical treatment approach designed to support improved breathing during sleep, without implants or incisions. Some patients may continue to experience benefits after treatment.

Sleepy young brunette female in white sleepwear resting in comfortable bed and waking up with alarm clock at home in morning time
A New Hope

Severe Sleep Apnea can Reduce Life Expectancy by up to 10 Years

If you have been diagnosed with moderate or severe OSA, every night without effective treatment matters. But until now, your options have been limited: Nightly mask therapy that many find uncomfortable or impossible to use consistently

  • Invasive surgical procedures, including implanted devices that require lifetime management
  • Traditional oral appliances that only address mild cases

Real Patient Stories — See What’s Possible

Every case is different, but these real patient journeys show what treatment with the Vivos Method can look like.

Patient Story: Teri

Severe Sleep Apnea → Significant Improvement

Teri’s AHI of 51.9 indicates she experienced frequent breathing interruptions, over 50 times per hour, during sleep. Following treatment, her AHI was reduced to 0. Her experience reflects one patient’s outcome and may not be typical.*

Metric

Value

Starting AHI

51.9 (Severe OSA)

Post-treatment AHI

0 (No OSA)

Treatment Journey

April 2018 – May 2019

Outcome

Complete resolution with no device needed*

AHI — 51.9

4-2018

Teri - 4-2018

AHI — 13.1

11-2018

Teri - 11-2018

AHI — 0

11-2021

Teri - 11-2021

*Individual results vary

Patient Story: Dr. Tara Griffin Journey

A Documented Treatment Journey

Dr. Tara Griffin, a Vivos provider, was diagnosed with obstructive sleep apnea with an AHI of 24 events per hour. Following treatment, measurable changes were observed over time, including reductions in AHI and changes in dental arch measurements.

Year

Treatment Stage

Jaw Width

AHI

Status

2011

Before Treatment

31.5mm

24/hr

Diagnosis of OSA

2013

Mid-Treatment

35.5mm

Interval changes observed

2019

Post-Treatment

37.5mm

2.8/hr

Reduction in AHI following treatment

Clinical Outcomes

  • AHI decreased from 24/hr to 2.8/hr
  • Treatment duration: approximately 10–15 months
  • Changes in dental arch measurements observed
  • Outcomes reflect one patient’s experience

Visual Assets Available

  • Before/After facial photographs (0 and 12 months)
  • 3D CBCT scan comparisons showing airway changes
  • Three time-point face captures (2011, 2013, 2019)
Plain English Explanation

What Is Sleep Apnea?

If nightly mask therapy hasn’t worked, it may feel like surgery is the only alternative. Vivos is different. Our FDA-cleared oral appliance offers a non-surgical treatment approach designed to support improved breathing during sleep, without implants or incisions. Some patients may continue to experience benefits after treatment.

Close-up of liquid flowing from a garden hose outdoors, capturing motion.
Sleep Apnea Visualized

Think of It Like a Garden Hose

When you sleep, the muscles in your throat relax. For most people, this is no problem. But for millions of people, the throat relaxes too much. It is like stepping on a garden hose, the water (or in this case, air) cannot get through.

This is called sleep apnea. “Apnea” is a Greek word that means “without breath.” When you have sleep apnea, you stop breathing many times each night, sometimes hundreds of times. Each time, your brain wakes you up just enough to start breathing again. You may not remember waking up, but your body never gets the deep rest it needs.

Why Does This Happen?

Many people have jaws and mouths that did not fully develop when they were children. This is more common than you might think, research suggests 9 out of 10 people have some degree of underdevelopment. When your jaw is too small or set too far back, there is not enough room for your tongue. At night, your tongue falls back and blocks your airway.

The Simple Science

How Your Airway Works

Your Airway is Like a Tunnel

Think of your airway like a tunnel that goes from your nose and mouth down to your lungs. When the tunnel is wide and open, air flows easily. When the tunnel is narrow or partly blocked, breathing becomes hard work.

Vivos appliances take a different approach; focused on supporting changes that may help improve airflow during sleep. Over time, patients may experience measurable improvements in breathing and sleep quality.

Narrow Airway

Illustration of a narrow airway

Wide Open Airway

Illustration of a wide open airway
Understanding Your Results

What the Numbers Mean

The AHI Number

Doctors use a number called AHI (Apnea-Hypopnea Index) to measure how bad sleep apnea is. This number tells you how many times per hour your breathing stops or gets very shallow while you sleep.

AHI SCORE

SEVERITY

WHAT IT MEANS

Less than 5

Normal

Your breathing is healthy while you sleep

5-14

Mild

Your breathing stops 5-14 times per hour

15-29

Moderate

Your breathing stops 15-29 times per hour

30 or more

Severe

Your breathing stops 30+ times per hour

The Treatment Landscape

Know Your Options

In the United States, sleep apnea affects up to 80 million adults and 10 million children. Until recently, patients with severe cases had two choices: wear a mask every night forever, or undergo surgery. Now there’s a third option.

CPAP Machines

Continuous Positive Airway Pressure

CPAP Machine in use

~$38,800 / Lifetime

  • Forces air through the obstruction
  • Works only while wearing the mask
  • 17-34% still using after 5 years

Oral Appliances

Mandibular Advancement Devices


$17,500 to $28,500 / Lifetime

  • Holds jaw forward to open airway
  • Works only while wearing the device
  • FDA cleared for mild-to-moderate OSA only
  • Replacement every 3-5 years

Surgical Implants

Hypoglossal Nerve Stimulation

Two surgeons focused on a procedure under bright surgical lights in a sterile operating room.

$30,000 to $45,000 / Initial Cost

  • Surgically implanted device stimulates tongue nerve
  • Works only while activated each night
  • Requires invasive chest surgery
  • Nightly activation required
  • Battery replacement surgery about every 7 to 11 years
  • Removal requires additional surgery
  • Does not address underlying condition

The Vivos Method

C.A.R.E. Appliances

Vivos Way

Total cost $8,000 to $10,000

  • Average treatment: approximately 9 to 12 months
  • Non-surgical. No implants. No incisions.
  • Designed for appropriate patients seeking an alternative to nightly therapy
  • FDA-cleared oral appliance approach that includes treatment of obstructive sleep apnea, including severe cases
  • Up to 34% complete resolution (AHI<5)
  • Over 50,000  adult patients treated

FDA CLEARED FOR SEVERE OSA

Frequently Asked Questions

Your Questions Answered

No. Any Vivos patient who experiences pain while wearing their Vivos appliance should contact their provider immediately so it can be properly adjusted. Unlike braces, which can be very painful after each adjustment, Vivos oral appliances are specifically designed to work without creating inflammation or pain.

Many patients report improved breathing and sleep within a few days of use. Within 2-3 weeks, the first things patients report is a restoration of nasal breathing, decongestion of sinuses, and that they dream.

Not typically, no. Most patients stop wearing any form of oral appliance once they stop treatment. However, some patients opt to continue to wear at least their upper appliance to ensure they don’t relapse, but this is not required.

Vivos offers FDA-cleared oral appliances for the treatment of obstructive sleep apnea (OSA), including moderate and severe cases in certain patient populations. A qualified healthcare provider will determine the most appropriate treatment based on your individual needs.


Vivos C.A.R.E. oral medical devices are the only oral appliances cleared to treat all levels of OSA, including moderate and severe, in adults.