Snoring / Obstructive Sleep Apnea Therapy

Sleep Apnea Therapy

At Ricci Orthodontic Studio, we understand the challenges and health risks associated with snoring and obstructive sleep apnea (OSA). We’re excited to introduce a groundbreaking solution: the ExciteOSA appliance, a clinically proven daytime therapy that addresses mild obstructive sleep apnea and snoring. This innovative device is the first FDA-authorized treatment that operates during the day to improve nighttime sleep quality.

Understanding the Problem: Reduced Tongue Endurance

Studies have shown that apneas and hypopneas, which are pauses in breathing or shallow breathing during sleep, are caused by the collapse of the upper airway. A common root cause of OSA is reduced tongue muscle endurance. Individuals with OSA often have a weakened genioglossus (tongue muscle), which fails to maintain an open airway during sleep.

How ExciteOSA Works: Targeted Daytime Therapy

ExciteOSA uses Neuromuscular Electrical Stimulation (NMES) to specifically target and tone the muscles of the upper airway and tongue. By improving the endurance of these muscles, ExciteOSA helps prevent the collapse of the airway that leads to apneas, hypopneas, and snoring.

The Science Behind the Solution

Combining research on the importance of tongue endurance with the benefits of NMES has led to the development of this revolutionary daytime therapy. NMES is known for improving muscle endurance, making it a perfect strategy for addressing the weakened tongue muscles associated with OSA.
eXciteOSA sleep apnea

The ExciteOSA Therapy Process


The process begins with the careful placement of the ExciteOSA appliance in the mouth. This medical-grade silicone mouthpiece is uniquely designed to be both comfortable and effective, ensuring a snug fit around the tongue without causing discomfort or irritation. Its placement is crucial as it targets the specific muscles of the tongue that require stimulation. Patients find it easy to insert and adjust, making the start of each therapy session straightforward and hassle-free.

NMES Therapy

Once the mouthpiece is correctly positioned, the ExciteOSA device initiates a session of Neuromuscular Electrical Stimulation (NMES). These gentle electrical pulses are meticulously calibrated to stimulate the tongue’s muscles without causing pain or significant discomfort. Over the course of a 20-minute therapy session, these pulses work to strengthen and improve the endurance of the tongue’s muscles. The sensation is often described as a mild tingling or fluttering, indicating the activation of the targeted muscles. This innovative approach not only enhances muscle endurance but also trains the tongue to maintain optimal positioning, helping to prevent airway obstruction.


The transformative effects of the ExciteOSA therapy become apparent after the initial 6-week treatment period.

Patients who have diligently followed the daily therapy sessions report a noticeable improvement in their sleep quality. The “retrained” tongue, now with increased muscle endurance, is better equipped to maintain its position away from the airway during sleep.

This significant improvement means that the risks of snoring and obstructive sleep apnea episodes are greatly reduced. As a result, patients enjoy more sound, less interrupted sleep, waking up feeling more rested and energized. The benefits of this therapy extend beyond just the night, as better sleep quality leads to improved overall health and well-being.

For patients with more severe obstructive sleep apnea who use a CPAP (continuous positive airway pressure) machine, the gold standard for treating OSA, the ExciteOSA appliance can still be used during the day to help minimize the pressure and increase your compliance with your CPAP at night.

Though research continues to evolve, the results of the studies that have been done are extremely promising. With over fifteen thousand patients using this medical device, this is just the beginning for what is possible with ExciteOSA.

If you snore and if that snoring interrupts your sleep, or if you have been diagnosed with any level of obstructive sleep apnea, schedule a consultation with Dr. Ricci today to see if you are a candidate for this appliance.

Contact Us to Get Started!

At Ricci Orthodontic Studio, we’re dedicated to providing innovative solutions for our patients’ health and well-being. The ExciteOSA appliance represents a significant advancement in the treatment of mild obstructive sleep apnea and snoring, offering hope for better sleep and overall health. If you’re struggling with these conditions, we invite you to learn more about how ExciteOSA can help. Contact us today to schedule your consultation.

Yes, the appliance is designed from soft, medical-grade silicone for comfort during the 20-minute daily sessions.

Patients often report improvements in snoring and sleep apnea symptoms after the initial 6-week therapy period.

ExciteOSA is indicated mainly for mild obstructive sleep apnea and snoring. A consultation with Dr. Ricci can help determine if it's the right option for you.

ExciteOSA is a daytime therapy that addresses the root cause of OSA, offering a patient-friendly alternative to nighttime CPAP machines for those with mild OSA. For patients with more severe obstructive sleep apnea who need a CPAP, the ExciteOSA appliance can still be used during the day to help minimize the pressure and increase your compliance with your CPAP at night.

Insurance does not currently cover the ExciteOSA appliance, but you can use your HSA (Health Savings Account) to purchase this medical device.

Most patients experience no significant side effects. Some may feel a slight tingling sensation during therapy, which is normal.

ExciteOSA can be used by most patients, including those with dental work. It's important to discuss your dental history with Dr. Ricci during your consultation.

Schedule a consultation at Ricci Orthodontic Studio. Dr. Ricci will evaluate your condition and discuss whether ExciteOSA therapy is right for you.

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