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Custom Shirazi Hybrid™ Oral Appliances

TMJ-Friendly Custom Oral Appliances for Sleep Apnea

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    Why Choose Shirazi Hybrid Sleep Appliances?

    • Precision Fit for Maximum Comfort: 3D-printed nylon ensures a snug, durable fit without acrylic bulk.

    • Dual-Axis Adjustment: Tailor both forward positioning and vertical opening to your unique needs.

    • TMJ Health Focused: Engineered to decompress the TMJ and inhibit harmful parafunctional activity.

    • Built for CPAP-Ineligible Patients: Offers integration with nasal pillow systems to reduce CPAP pressure intolerance.

    Shirazi Hybrid Appliance Process

    How It Works

    1

    Assessment & Scan

    We capture your dental and posterior airway anatomy digitally.

    2

    Digital Design & 3D Printing

    The appliance is custom-modeled and fabricated from high-grade nylon.

    3

    Adjustment & Evaluation

    Jaw positioning is fine-tuned for optimal airway support and comfort.

    4

    Optional CPAP Integration

    Nasal pillow pathways can be embedded for hybrid sleep support.

    5

    Follow-Up & Tuning

    Ongoing evaluations ensure a perfect, lasting fit.

    Ideal Candidates

    • Individuals with mild to moderate OSA unable to tolerate CPAP.

    • Patients with TMD or chronic jaw discomfort, seeking a gentler appliance.

    • Obstructive sleep apnea (OSA) sufferers needing vertical and mandibular control.

    • Those requiring a combination oral appliance–CPAP system.

    Shirazi Hybrid Oral Appliances
    Dr. David Shirazi

    About Dr. Shirazi

    Dr. Shirazi developed the Hybrid Oral Appliance out of a deep commitment to improving patient care. For years, he saw patients who struggled with traditional oral appliances—devices that were often bulky, uncomfortable, or unable to address both airway and TMJ concerns at the same time. Many of these patients were desperate for relief but unable to tolerate CPAP or found that conventional appliances worsened their jaw pain.

    Los Angeles and Conejo Valley

    Success Stories

    The Shirazi Hybrid represents a leap in oral appliance technology—combining custom 3D-printing, dual-axis titration, and CPAP-friendly design to meet the nuanced needs of both sleep apnea and TMJ patients

    Posted on Google Google
    Suzanne P profile picture
    Suzanne P
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    I received excellent care from Dr. Shirazi and his staff. Dr Shirazi listens to his patients and has a holistic approach.
    Posted on Google Google
    Michael Whalen profile picture
    Michael Whalen
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    Came in for evaluation for severe headaches, ear pressure/pain and jaw pain. Dr. Shirazi was able to identify my TMJ misalignment and clenching as a probable source - 6 weeks into treatment and nearly all the clinical signs have resolved. Staff is always friendly and has been supportive along the way. Highly recommend for management of TMJ disorders.
    Posted on Google Google
    Jessica Luna profile picture
    Jessica Luna
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    Dr Shirazi and his staff are the most loving and educated people around. I went in with severe jaw pain and Dr. did a full check up to determine the root of my issues. He explained everything so well and detailed, at that time I knew I had chosen the perfect office for my needs. I now sleep and eat everyday without my jaw pains because of his perfect structured treatment plan. I will continue to recommend this office to everyone with similar issues because I know him and his staff will go above and beyond to treat all patients.
    Posted on Google Google
    Margaret Franz profile picture
    Margaret Franz
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    Very friendly staff!
    Posted on Google Google
    hunter klotz profile picture
    hunter klotz
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    Very helpful staff, and Dr. Shirazi is extremely knowledgeable and willing to share details of his field
    Posted on Google Google
    Shandor Batoczki profile picture
    Shandor Batoczki
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    This place is the best if you are looking for any help with TMJ issues. The staff are all very helpful, kind, and willing to help and answer any questions you might have. Dr. Shirazi is also a fantastic doctor, he goes everything in detail with you about the treatment plan, what to expect, and is open to any and all questions, and strives to make sure that the patient is comfortable through the whole process. Really happy to have been referred to this place by my dentist
    Posted on Google Google
    Carol Ellis profile picture
    Carol Ellis
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    I came to TMJ & Sleep Therapy with severe pain from lock jaw. This included headaches and not being able to open my mouth comfortably to even brush my teeth. I was given a complete and thorough exam to address my issues, including clenching and grinding my teeth, which I have done for years. My treatment plan, including acupuncture, and being fitted for a new nighttime appliance has given me complete peace of mind in avoiding any surgery. I am thankful to Dr. Shirazi and his team for seeing me through the journey to end pain free.
    Posted on Google Google
    Heather Shields profile picture
    Heather Shields
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    Life Long Teeth Grinding - Finally a Solution I started going to the TMJ & Sleep Therapy Centre in December 2022 after experiencing some jaw pain that my dentist said was not tooth related. That was a relief as dental work is insanely expensive. However, I knew something was going on since I had been chewing up the inside of mouth at night and needed to figure it out. I have been grinding my teeth my whole life and never realized the pain it was causing me. After my initial visit, which was very comprehensive and lasted about 2 hours I was really excited to get my program started. Dr. Shirazi took molds of my teeth for day and nighttime appliances to correct my grinding, which he suspected was the cause of my very frequent migraines, not just the recent jaw pain I was having. It only took a couple of weeks to get those and then almost immediate relief. I have to say that after 6 months of seeing Dr. Shirazi my situation is so so so much improved. I rarely get migraines anymore and my teeth grinding is no longer an issue with the custom appliances that were made for me. The office is really nice, very modern and always clean. Dr. Shirazi and his staff are top notch and they have appointments that can accommodate my work schedule. Dr. Shirazi is always asking me how things are going and what other things might be bothering me and is willing to help with those if he can. He is very knowledgeable about his profession and genuinely seems to enjoy his work. I have to say this was not the most inexpensive endeavor, but I’d say it’s likely less than dental work in general. I was aware of this before I had my consult as I had read other patient’s reviews, but it actually turned out to be less expensive than I had thought. In any case I look at it as an investment in my health. I got so much more out of this than just managing my teeth grinding. The biggest benefit is one I wasn’t even expecting. NO more almost daily migraines. I ABSOLUTELY recommend giving The TMJ & Sleep Centre a try if you are having any cranial or facial issues, not just TMJ.

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