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Invisalign and Sleep Apnea Dentist

959 NE Discovery Dr
Issaquah, WA 98029 (425) 546-0479 Book an Appointment
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New Patients Information | Dentist Accepting New Patients Near Me

For New Patients

Our practice is committed to providing safe, gentle, high-quality dental care. Get all the information you need before your first visit!

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New Patient Forms

Download our new patient forms right on our site. If you’re unable to open PDF files, you can get Adobe Reader® for FREE.

Patient Registration Forms PDF

Financial & Insurance Policy

Receive the best dental care when you need it within your budget. The Discovery Dental team offers many ways to help make dentistry affordable. How do we do this?

  • We offer affordable payment plans.
  • We accept major credit cards.
  • We accept third-party financing from CareCredit, Springstone, and CITI.
  • We accept most dental insurance plans.
Insurances We Accept

 

No Dental Benefits? We Have You Covered!

Join our Discovery Dental Plan! If you don’t have dental insurance, don’t worry. Getting treated by our professional dentist will be more affordable for you when you join our in-house dental plan!

Learn More

 

What to Expect at Your First Visit

Your first visit is all about you—your comfort, your happiness, and your health.

Your First Visit

We will review your dental and medical history forms and take x-rays. Then, one of our hygienists will clean and polish your teeth as well as do a full periodontal charting. Dr. Vanama will also meet with you to do a comprehensive exam and discuss your oral-systemic health. After all the information is collected, we will be able to work with you to create an individual treatment plan.

What to Bring

Bring your smile, and remember to bring your completed patient forms and insurance card.

Don’t Forget to Reschedule

We recommend visiting Dr. Vanama every six months for regular checkups and routine teeth cleanings to keep your teeth and gums healthy. Your regular checkups and cleanings can last between 45 and 90 minutes.

Your Complimentary Dental Health Scan

Now you can see what we see when it comes to your oral health and smile possibilities!

Using our iTero machine we can assess your risk for dental problems with a dental health scan

Seeing is believing. And that’s what we allow you to do with your complimentary dental health scan.

With our digital 3D scanner we can take a quick scan of your mouth (no radiation). Then, we mirror it on a screen as an interactive 3D video so you can follow along as we address your oral-systemic health.

This dental health scan will help us evaluate your risk for:

  • Gum disease.
  • Gum recession.
  • Bone loss.
  • Tooth wear.
  • Decay.
  • Tooth movement.

As a Discovery Dental patient, we will continue to use your dental health scan to compare changes in your oral health and stay ahead of any potential risks.

Bonus: If you’ve ever considered getting Invisalign®, now is the time to check it out! Dr. Vanama can use your scan to show you a preview of what your straight smile would like after treatment. Find out more by downloading our brochure.

REQUEST A DENTAL HEALTH SCAN


I have been with Discovery Dental for about 3 years now. Dr. Madhuri is very professional. Last year I had my crowns done and was very happy with the outcome. They are always very accommodating and personal with your care, as well as flexible, all depending on your needs. If you don’t have insurance, they offer family plans which I believe includes preventative care. I highly recommend Dr. Vanama and her team; they truly know how to take care of their client’s needs.

Alexandra A., Actual Patient

Frequently Asked Questions Answered by Dr. Vanama

Diagnosis & Self-Assessment

Snoring alone doesn’t mean you have sleep apnea, but frequent loud snoring combined with gasping, choking sounds, or daytime fatigue is a strong indicator. The key difference is breathing interruption: simple snorers keep breathing steadily, while sleep apnea involves repeated pauses in breathing. A sleep study is the only way to confirm a diagnosis.
A dentist cannot formally diagnose sleep apnea, but can identify warning signs during a routine exam — such as a small jaw, worn teeth from grinding, or a large tongue — and refer you to a sleep physician for an official diagnosis. Diagnosis requires a sleep study, either in a lab or at home, ordered by a physician.
A home sleep apnea test uses a small portable device you wear overnight in your own bed, tracking breathing patterns, oxygen levels, and airflow. Results are reviewed by a sleep physician to determine whether you have sleep apnea and how severe it is. It’s typically less expensive and more convenient than an in-lab sleep study, though your doctor may recommend an in-lab test for complex cases.
Yes — it’s possible to have sleep apnea without loud snoring, particularly with central sleep apnea, which is caused by the brain failing to signal the breathing muscles rather than a physical airway blockage. Some people with mild obstructive sleep apnea also snore very quietly or not at all, which is why symptoms like daytime fatigue shouldn’t be ignored even without snoring.
This is one of the most common signs of sleep apnea. Your brain briefly rouses you to restart breathing when oxygen drops, but because these awakenings are so short, most people never fully remember them the next morning. This cycle can happen dozens of times a night, leaving you exhausted without knowing why.

Dental-Specific & Oral Appliance Therapy

A dental sleep appliance is a custom-fitted mouthguard-like device that repositions your jaw to keep the airway open, while a CPAP machine uses a mask and pump to deliver continuous pressurized air. Oral appliances are smaller, quieter, and require no electricity, making them a popular option for mild to moderate obstructive sleep apnea or for patients who can’t tolerate CPAP.
For mild to moderate obstructive sleep apnea, an oral appliance can be an effective alternative to CPAP, and many patients prefer it for comfort and ease of use while traveling. Severe cases are still generally best managed with CPAP, so your sleep physician and dentist will work together to determine which treatment fits your diagnosis.
Oral appliance therapy is often covered by medical insurance — not dental insurance — when prescribed for a diagnosed case of obstructive sleep apnea, since it’s classified as a medical treatment. Coverage details vary by plan, so our office can help verify your benefits and handle medical billing where applicable.
Custom oral appliances for sleep apnea typically range from several hundred to a few thousand dollars depending on the device type and whether medical insurance applies. Because these appliances are custom-fabricated for your bite and jaw structure, costs are higher than an over-the-counter mouthguard but are often partially or fully covered when medically necessary.

Comparisons

For mild to moderate obstructive sleep apnea, studies show oral appliances can be as effective as CPAP, with the added benefit of higher patient compliance since they’re easier to wear consistently. CPAP remains the gold standard for severe cases. Your physician’s diagnosis and severity level will guide which option is right for you.
Obstructive sleep apnea (OSA) happens when the soft tissue in the throat physically blocks the airway during sleep, and it’s by far the most common type. Central sleep apnea (CSA) occurs when the brain fails to send proper signals to the muscles that control breathing, with no physical blockage involved.

Causes & Risk Factors

Weight loss can significantly reduce or even resolve mild obstructive sleep apnea in some patients, since excess tissue around the neck and throat is a major contributing factor. However, it isn’t a guaranteed cure for everyone, and other factors like jaw structure or airway anatomy may still require treatment.
Yes, sleeping on your back tends to worsen sleep apnea because gravity allows the tongue and soft tissue to collapse toward the airway. Side sleeping is generally recommended, and some patients use positional therapy devices to help maintain a side-sleeping position throughout the night.

Health Connections

Yes — sleep apnea is closely linked to bruxism (teeth grinding), as the body sometimes grinds or clenches the jaw in an effort to reopen a blocked airway during sleep. Over time, this can cause worn enamel, cracked teeth, jaw pain, and headaches, which is often how dentists first notice signs of undiagnosed sleep apnea.
Sleep apnea and TMJ disorders frequently occur together, since both can involve jaw positioning, nighttime clenching, and airway restriction. Patients with sleep apnea often experience jaw pain, clicking, or morning headaches consistent with TMJ dysfunction, and treating one condition can sometimes improve symptoms of the other.

Practical & Local Intent

Your first consultation typically includes a review of your symptoms and sleep history, an oral exam to check for physical risk factors, and a discussion of next steps — which may include a referral for a sleep study if you haven’t already been diagnosed. If you have an existing diagnosis, we’ll evaluate whether an oral appliance is a good fit for your case.

New Patients Are Always Welcome at Discovery Dental!

Visit Dr. Vanama, your trusted dentist in Issaquah Highlands, today to experience dental excellence and achieve healthy smiles for a healthy life!

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Office Hours

Mon: Closed
Tues: 8AM – 5PM
Wed: 8AM – 5PM
Thurs: 8AM – 5PM
Fri: 7AM - 3PM

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(425) 546-0479 959 NE Discovery Dr
Issaquah, WA 98029
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