A better night's sleep, without the CPAP.

Dr. James Holt fits custom oral appliances that treat sleep apnea and chronic snoring. Smaller than a CPAP mask, quieter than the machine, and easier to live with than either.
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20+ Years
Of dental practice in Southlake
FDA-Cleared
Oral appliances, custom-fit to you.
Medical
Insurance and Medicare often cover the cost

Meet Dr. James Holt

A trusted Southlake dentist who treats sleep apnea.

Dr. James A. Holt, DDS has practiced general and cosmetic dentistry in Southlake for more than two decades. He added dental sleep medicine to his practice after watching too many patients struggle with CPAP machines they couldn’t tolerate. Today he works alongside local sleep physicians to fit custom oral appliances for patients with sleep apnea and chronic snoring.

His role is treatment, not diagnosis. A sleep physician confirms your diagnosis through a sleep study. Dr. Holt builds the appliance, fits it, and follows you through the months it takes to dial it in.

Treatment that fits your life.

Oral appliance therapy is the modern alternative to CPAP for many patients. Each treatment plan starts with a sleep physician's diagnosis, then Dr. Holt builds a custom device shaped to your mouth.

Oral Appliance Therapy

A small, custom-fit device worn at night. It holds the lower jaw slightly forward to keep your airway open. No mask, no hose, no machine noise. The standard of care for mild to moderate sleep apnea and a strong option for severe cases when CPAP fails.

CPAP Alternatives

If you've been diagnosed with sleep apnea and your CPAP is collecting dust, you're not alone. Roughly half of patients abandon their machines within a year. An oral appliance is often the next step.

Snoring Treatment

Loud, persistent snoring is more than a nuisance. It can signal an underlying airway issue, and it costs the person next to you their sleep too. A custom appliance can quiet most snoring overnight.

Sleep Apnea Treatment

Untreated sleep apnea raises your risk of high blood pressure, heart disease, stroke, and accidents. Treating it well can change how you feel every day. Dr. Holt's approach is co-managed with your sleep physician, from start to finish.

“A short conversation with Dr. Holt or his team. We review your symptoms, your sleep history, and whether you've had a previous sleep study.”
— Screening
“If you haven't been diagnosed yet, we refer you to a sleep physician for a sleep study. This step is required before any appliance can be made. If you already have a diagnosis, we move straight to the next step.”
— Diagnosis
“Dr. Holt takes impressions of your teeth and orders your custom appliance. Two to three weeks later, you come back for the fitting.”
— Fitting
“Over the next several months, we make small adjustments to dial in comfort and effectiveness. Most patients see their sleep physician for a follow-up study to confirm the treatment is working.”
— Follow-up
Stop wrestling with sleep apnea
If you snore loudly, wake up exhausted, or can't stand your CPAP, an oral appliance may be the answer. The first step is a conversation.

Frequently Asked Questions

Common questions about sleep apnea, oral appliance therapy, and what to expect when you work with Dr. Holt.
What is dental sleep medicine?
Dental sleep medicine is a specialty area where dentists work alongside sleep physicians to treat sleep-disordered breathing. Dr. Holt's role is to design and fit oral appliances for patients who have already been diagnosed with obstructive sleep apnea or who snore chronically.
What conditions does Dr. Holt treat?
Dr. Holt treats obstructive sleep apnea, chronic snoring, and CPAP intolerance using custom oral appliances. He does not treat insomnia, restless legs, or other sleep disorders.
Does Dr. Holt diagnose sleep apnea?
No. Diagnosis requires a sleep study interpreted by a sleep physician. Dr. Holt works with your sleep doctor once a diagnosis is in place. If you haven't been diagnosed yet, he can point you in the right direction.
Do I need a referral to see Dr. Holt?
No referral is required to schedule a consultation. However, treatment with an oral appliance does require a sleep apnea diagnosis from a physician, so if you haven't had a sleep study yet, that will be part of the process.
Will I need a sleep study?
If you don't have a recent sleep study, you'll need one before treatment can begin. Dr. Holt can refer you to a sleep physician. If you already have a diagnosis, bring your sleep study results to your first visit.