Screening first
The appliance follows the evaluation, never the other way around.
- Airway read on CBCT
- Apnea risk assessed
- Physician loop when needed
- Written findings first
An airway orthotic holds the jaw where the airway stays open during sleep. At Natural Smiles the appliance follows a screening, gets made from digital impressions, and gets adjusted until it earns its place on your nightstand.
Airway support lives or dies on fit. A custom orthotic starts from digital impressions and screening imagery, then gets titrated visit by visit until the position works.
The drugstore version and the custom version solve for different things: price tonight versus airway support that holds.
Swipe left or right to see the full table
| Property | Custom orthotic | Boil-and-bite |
|---|---|---|
| Fit | Digital impressions | Soften and bite |
| Screening | Airway evaluated first | Self-diagnosed |
| Adjustment | Titrated at visits | None |
| Oversight | Response reviewed | Nobody watching |
Dr. Carlo Litano, DMD pairs more than 20 years of biological practice with the Fotona LightWalker laser, the platform behind NightLase, LipLase, and laser periodontal care at Natural Smiles. Treatment stays less invasive and metal-free across every application.
The appliance arrives at the end of a process that starts with the airway itself.
CBCT imaging and history set the case: orthotic, NightLase, or referral.
The scanner captures the anatomy the appliance will be built on.
The custom orthotic seats, adjusts, and goes home with wear instructions.
Follow-up visits dial the position until the airway response holds.
Screening, impressions, and titration run in one office, with the scanner and lab in the building.
Patients drive in from across Florida and fly in from across the U.S. A few in their own words, from 700+ verified 5-star reviews on Google and Birdeye.
"Drove down from Oldsmar twice a month while we got my mouth sorted out. Worth every trip across the Skyway. Dr. Carlo Litano, DMD is a craftsman."
"Found Dr. Carlo Litano, DMD through a functional medicine forum. Came in from Orlando for a single zirconia implant and walked out with a full plan for the rest of my mouth."
"We make the drive from Sarasota for our cleanings. Hard to find another biological dentist on the west coast who actually understands what holistic means."
The questions patients ask most before a custom airway appliance.
A custom orthotic follows screening and digital impressions, then gets titrated across visits. Drugstore guards skip all three.
Apnea cases get screened and coordinated with physicians. Orthotics serve specific findings; the screening decides whether yours is one. Sleep apnea screening.
Most patients adapt across the titration visits, as the position gets adjusted to your response.
Pricing follows the screening findings and the appliance plan, in writing before fabrication.
A consultation with a low-radiation 3D scan gives you a written treatment plan and cost estimate before any decisions. Call (727) 300-0044 or request a visit online.