
If you've been diagnosed with obstructive sleep apnea (OSA), or another sleep disorder affecting your breathing at night, a custom oral appliance may be the answer. As a dentist specializing in sleep apnea, Dr. Gotsis designs a small, comfortable device worn only at night that keeps your airway open, without a CPAP mask or hose.
Untreated sleep apnea does more than disrupt your sleep; it's been linked to high blood pressure, daytime fatigue, and other long-term health risks. Diagnosing and treating the underlying sleep disorder is the first step toward feeling like yourself again.
Ready to treat your sleep disorder without a mask? Learn how Dr. Gotsis can help.
Oral appliance therapy is a mask-free, custom-fit alternative to CPAP.
Your appliance is built specifically for your bite and airway, so it's comfortable enough to wear every night. Many patients turn to oral appliance therapy after struggling with CPAP, and stick with it because it actually fits their life.
Because it's small, quiet, and travel-friendly, oral appliance therapy fits into daily life in a way CPAP often doesn't — no power outlet, no cleaning a mask and hose every morning. Just a device you put in before bed and take out when you wake up.
Curious if oral appliance therapy is right for you? Let's find out together.


Jaw pain, clicking, headaches, and teeth grinding can all point to TMJ/TMD. Dr. Gotsis evaluates jaw function and designs custom appliances that ease pain and stabilize the joint. For many patients, TMJ treatment and snoring relief go hand in hand, since airway and jaw position are closely connected.
TMJ/TMD can develop from stress, teeth grinding, jaw misalignment, or an airway that isn't fully open at night. Left untreated, it tends to get worse — more clenching, more wear on your teeth, more pain. Finding the root cause is the key to lasting relief.
Don't let jaw pain ruin your day. Learn more to see how Dr. Gotsis can help.
Dr. Gotsis helps patients — and the partners who sleep beside them — quiet down at night with a custom oral appliance. No surgery, no sprays, just a simple device you wear at night.
Snoring happens when the soft tissue in your throat relaxes and narrows your airway as you sleep. For some people, it's harmless. For others, it's an early sign of a more serious sleep-related breathing problem, including sleep apnea. Either way, loud or chronic snoring is worth a closer look.
A custom oral appliance gently repositions your jaw and tongue to keep your airway open, reducing or eliminating the vibration that causes snoring. Unlike an over-the-counter mouthguard or nasal strip, it's built specifically for your mouth by a snoring dentist who evaluates your airway, not just your symptoms.
The result: quieter nights for you, better sleep for your partner, and more energy for both of you during the day.
Ready for quieter nights? Learn how Dr. Gotsis can help.

At Midwest Dental Sleep Medicine Institute, we’re committed to caring for one patient at a time. That means we spend time talking with you, learning more about what’s keeping you up at night. We want patients to understand their options for treating Obstructive Sleep Apnea, and if an oral device is the right approach.
Dr. Tom Gotsis grew up in Chicago and attended SIU in Carbondale, IL. He graduated from Loyola School of Dentistry in Maywood, IL in 1987 and went into the U.S. Army, where he completed a one-year residency program at Ft. Carson, CO. He then spent three years in Germany.

Upon completion of active duty at Ft. Sill, OK, Dr. Gotsis came to St. Louis and began his career in private practice general dentistry. He retired as Colonel in the Army Reserve in 2008, where he served on active duty three times since 2000. He is a Fellow in the Academy of General Dentistry, a member of the American Dental Association (ADA), Missouri Dental Association, and the Greater St. Louis Dental Society.
Dr. Gotsis and his wife Laurie have been married for over 35 years and have three grown children; Nicholas, Toree and Trace.
ATTENTION: Our Contact Forms are under a maintenance update, please contact us directly via phone: (314) 478-8877 or email: Office@drgotsis.com
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Dr. Thomas M Gotsis