A streamlined referral path for oral appliance therapy.

Diagnostic care stays with you. We handle the appliance.

Southlake Sleepwell is the dental sleep medicine practice of James A. Holt, DDS. We provide custom oral appliance therapy for adults with diagnosed obstructive sleep apnea, chronic snoring, and CPAP intolerance. We do not diagnose sleep disorders. We work alongside the sleep physicians who do.

The result is co-managed care that respects the boundaries of each provider’s role: medical management and diagnostic follow-up stay with you, the appliance and the dental side stay with us, and communication flows clearly in both directions.

Why refer to Southlake Sleepwell

A focused dental sleep medicine practice.
Dr. Holt has practiced dentistry in Southlake for over 20 years and has expanded his practice to include dental sleep medicine, with continuing education and a commitment to evidence-based care.

Co-managed care, not parallel care.
We rely on your diagnosis and your treatment plan. Sleep studies, follow-up sleep studies for verification, and ongoing medical management remain with you. We handle the appliance and the dental side.

Clear, timely communication.
You’ll receive a fitting confirmation when treatment begins, the appliance specifications, and an update at each titration and follow-up visit. If we identify clinical concerns during care, we contact you directly.

Patients who actually use their treatment.
The case for oral appliance therapy is largely a case for compliance. For patients who can’t or won’t tolerate CPAP, an appliance they actually wear beats a machine they don’t.

Ideal candidates for oral appliance therapy

The American Academy of Sleep Medicine recommends oral appliance therapy for:

• Adults with mild to moderate obstructive sleep apnea who prefer an oral appliance to CPAP
• Adults with severe OSA who cannot tolerate CPAP or refuse to use it
• Adults with chronic primary snoring without OSA, after clinical evaluation, rule out underlying causes

Candidates should have adequate dentition to anchor the appliance and no active periodontal disease or significant temporomandibular joint disorders that would contraindicate treatment. We perform a brief dental evaluation as part of the initial consultation to confirm candidacy.

The referral process, step by step

1. Send the referral.
Include the diagnosis, the sleep study report or interpretation summary, and any specific appliance preference. Phone, fax, or secure email all work.

2. We contact the patient within one business day.
We schedule the fitting consultation directly. Patients without a confirmed diagnosis are referred back to you or to a partner sleep physician for evaluation first.

3. Fitting and titration over six to eight weeks.
Digital impressions, lab fabrication, fitting appointment, and a series of short titration visits to find the patient’s optimal setting.

4. Follow-up sleep study coordination.
Per AASM guidelines, we coordinate with your office on the verification of the sleep study once titration is complete.

5. Long-term care.
Annual appliance evaluation, refit or replacement when needed, and ongoing communication with your office about treatment status.

Send a referral

The fastest way to start is to call us. We can also accept written referrals by fax or secure email.

Phone: [Holt’s main practice line until a dedicated number is set up]
Fax: [Holt’s fax number]
Email: [referrals@southlakesleepwell.com or similar, once configured]

We respond to physician inquiries within one business day.

A downloadable referral form is in development. Until it’s available, a clinical note with the diagnosis, sleep study results, and your contact information is sufficient.

Questions or clinical discussion

If you’d like to discuss a specific patient or learn more about how we work, Dr. Holt is available by appointment. Reach out, and we’ll set a time that works for your schedule.