Guide to Finding CPAP Alternatives with Dr. Francisco Mesa in Virginia

January 14, 2026

People dealing with sleep apnea in Virginia often find themselves frustrated by the machines and equipment that come with it. CPAP therapy is common, but that doesn’t mean it works well for everyone. Some wake up tired, others struggle with fitting the mask or feel overwhelmed by the constant air pressure. It can make sleep feel more stressful than restful.


That’s where we come in. We help make sleep more comfortable by offering other options. Dr. Francisco Mesa and Dr. Tregaskes both work closely with people who want a different path. Instead of focusing on machines, we focus on oral devices and quiet relief during the night. 


If you’ve been wondering if there’s an easier way to get a better night’s rest, this guide will break things down clearly. We’ll walk through how sleep apnea works, why CPAP doesn’t suit everyone, and how our approach can make a real difference.


What Is Sleep Apnea and Why It Happens


Sleep apnea is when breathing starts and stops while you sleep. These pauses can happen many times through the night and often go unnoticed until someone points them out or you start waking up feeling unwell. The airway gets blocked or closes too much, making it harder to breathe normally when lying down.


There are a few signs people might notice, like:


• Loud snoring or gasping during sleep

• Waking up with a dry mouth or sore throat

• Feeling groggy in the morning or needing naps during the day

• Trouble focusing for long periods


When sleep apnea goes untreated, especially in places like Virginia, where many people may be affected without realizing it, it doesn’t just stay a nighttime problem. It can impact energy, focus, mood, and even how well you function during the day. That’s why understanding what’s behind those tired mornings matters so much.


Sleep apnea doesn’t always show up the same way for everyone. While some may only notice tiredness during the day, others can struggle with falling asleep or staying asleep. Sometimes, family members will be the first to suspect symptoms because they notice loud snoring or interrupted breathing during the night. Waking up with headaches or tossing and turning to find a better airway are other clues that something deeper might be going on.


Why CPAP Isn’t the Right Fit for Everyone


CPAP machines are meant to help keep airways open by pushing air through a mask all night. While they’re helpful for many people, they don’t fit into everyone’s life. We regularly meet people who feel stuck trying to make it work, but never truly get comfortable with it.


Here are common reasons people look for something else:


• The mask feels uncomfortable or slides out of place

• The sound of the machine makes falling asleep harder

• The hose gets tangled or feels restrictive

• Tight straps leave red marks or pressure on the face


Dr. Francisco Mesa sees this often during consultations. Many patients come in explaining that they’ve tried, but the CPAP just doesn’t match the way they sleep. Dr. Tregaskes follows up by helping figure out if something gentler might work better. A smaller oral device can sometimes help relieve the same issues without a mask or a large machine.


Getting used to CPAP equipment isn’t just about the fit or the sound. For some, it can be difficult to keep the mask securely in place, especially for people who move a lot at night. Leaving the machine on all night requires connecting hoses, regular cleaning, and making sure nothing leaks or shifts out of place. 


The process can become frustrating and time-consuming, and for travelers, packing a CPAP can be just one more challenge. Some people find themselves skipping sleep therapy altogether because it feels like more work than it’s worth, but that doesn’t mean there aren’t other effective options available.


How CPAP Alternatives Can Work While You Sleep


When people think about treating sleep apnea, they usually don’t picture a small custom piece that fits in the mouth. But that quiet, simple tool makes a big difference. It helps move the lower jaw slightly forward, which keeps the airway from collapsing during sleep.


This type of oral appliance therapy doesn’t pump air or require a power cord. It works by changing the shape of the airway gently while you rest. At JNT Dental, oral appliance therapy is a main sleep solution for sleep apnea and snoring when someone has trouble using CPAP, keeping treatment simple and easy to live with.


Dr. Francisco Mesa makes sure the device fits just right, giving it the best chance to help. Then Dr. Tregaskes checks in to make sure progress continues, and adjustments are made if needed.


These oral appliances are:


• Much smaller and easier to travel with

• Quiet and light so they don’t disturb sleep

• Custom-fit for both comfort and function


People often say they sleep more peacefully once their jaw sits in a better position all night. And even better, they wake up less groggy and more awake.


A key part of why these devices work is their personalization. Each oral device is shaped to your unique teeth and jaw. Adjustments can be made over time as your sleep needs change. Unlike bulky machines, these oral appliances fit into your bedtime habits without disrupting them. You can read or watch TV in bed without a noisy motor or heavy straps.


The process for getting fitted for an oral device is straightforward. After an exam, Dr. Francisco Mesa takes precise impressions of your mouth. Dr. Tregaskes follows up with adjustments to improve comfort and effectiveness. It’s not a one-size-fits-all approach, and that personal care makes a big difference for real sleep relief.


What to Expect at Your First Visit


If you’re looking for something that’s not a CPAP, your visit will likely start with a simple conversation. You’ll talk to Dr. Francisco Mesa about how you sleep, what bothers you, and how long you’ve been dealing with symptoms. Then he’ll take a closer look at how your mouth and jaw work while at rest.


Dr. Tregaskes usually checks more details, like how your airway lines up when you lie back and how your teeth meet when closed. These things matter a lot because they help shape the airway overnight. Dr. Tregaskes is board-certified in prosthodontics, craniofacial pain, and dental sleep medicine, so he understands how your bite, jaw, and airway all affect each other.


What we look for during this visit includes:


• Jaw alignment and how it might block air

• Signs of clenching or grinding

• How open the airway stays when the jaw is moved forward


The main goal of this appointment is to figure out if an oral device could give you relief while keeping things easy and comfortable. Their treatment plans focus on noninvasive care and as little medication as possible, with the goal of treating the cause of your problems, not just the symptoms. No machines, no pressure, and no long setups.


Discussing your daily and nightly routines during the visit helps us know what kind of oral appliance will fit best into your lifestyle. Dr. Francisco Mesa will listen to your sleep goals and how your jaw feels before recommending anything. Dr. Tregaskes is thorough with examining jaw movement and airway size, making sure your solution is both reliable and easy to use. If needed, follow-up visits focus on checking your results and making minor changes for the most comfort.


Waking Up Feeling Better Is Possible


People living with sleep apnea in Virginia don’t always need machines and masks to sleep better. Sometimes, it’s about finding a different solution that actually fits the way you rest. Many times, that means using something smaller and more natural.


Dr. Francisco Mesa and Dr. Tregaskes take time to figure out what works for each person. With the right guidance, something as simple as an oral device can lead to deeper, easier sleep. Mornings can start clearer, with more energy and less heaviness. Small changes during the night can create the kind of reset your body has been missing.


Looking for a quieter night and a comfortable sleep solution? At JNT Dental, we help people in Virginia manage sleep without the hassle of machines. When you are searching for support with sleep apnea in Virginia, our team works closely to find what feels right for you. 


Dr. Francisco Mesa and Dr. Tregaskes take the time to understand your needs and guide you step-by-step toward a restful sleep. Contact us to schedule a time that works best for you.

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