Helping You Breathe, Sleep, and Live Better
At Cascade TMJ & Airway, we are a dental sleep apnea clinic located in Wenatchee, Washington that believes care should go beyond teeth, focusing on how breathing, sleep, and airway health affect the whole body.
Our mission is to help patients breathe better, sleep deeper, and feel healthier by addressing the root causes of sleep apnea, snoring, TMJ pain, and airway dysfunction. A multidisciplinary team, including board-certified sleep medicine specialists, works together to provide expert, coordinated care.
Our approach is grounded in clinical sleep medicine, combining evidence-based diagnostics with airway-focused treatment strategies tailored to each patient’s needs.
Our multidisciplinary team has extensive experience in treating sleep disorders by addressing airway function, breathing patterns, and sleep quality together rather than in isolation.
Treating Airway Obstructions at the Source
Left untreated, a narrow airway in childhood frequently carries forward into adulthood as obstructive sleep apnea, where the airway collapses repeatedly throughout the night, starving the body of oxygen.
TMJ and TMD Disorders are symptoms of the same jaw dysfunction that restricts the airway also creates stress on the temporomandibular joint. Patients who clench and grind — often an unconscious attempt to reposition the jaw and open the airway — place enormous strain on the joint, leading to pain, clicking, headaches, and muscle tension.
In many cases, TMJ symptoms and sleep apnea aren’t separate problems. They’re two expressions of the same underlying issue: a jaw and airway that aren’t working in harmony. Treating these conditions together — rather than in isolation — leads to better, longer-lasting outcomes for patients of all ages.
Our goal is not just quieter nights, but:
As part of the evaluation process, patients may be asked to keep a sleep diary to track sleep habits, symptoms, and patterns that help guide diagnostic and treatment decisions. In some cases, behavioral therapy may be used alongside medical treatment to address habits, sleep schedules, or learned sleep behaviors that affect overall sleep quality.
Because sleep apnea may coexist with other sleep disorders, a comprehensive evaluation helps ensure symptoms are not attributed to breathing issues alone. When PAP therapy is part of care, our team may work closely with respiratory therapists to support device setup, patient education, and long-term comfort.
Certain medical conditions, including neuromuscular disorders, can affect breathing control and airway stability, which is why comprehensive evaluation is essential when diagnosing and treating sleep apnea.
Personalized Treatment Options That Fit Your Life
CPAP Alternatives
For many patients, oral device therapy offers a comfortable and effective alternative to CPAP. These dental devices, specifically mandibular advancement devices (MADs) are the most common type of oral appliance for treating obstructive sleep apnea. MADs work by gently moving the jaw forward to help keep the airway open during sleep.
The AASM recognizes oral appliance therapy as an effective treatment for patients with mild to moderate obstructive sleep apnea or those who cannot tolerate CPAP.
Benefits include:
- Quiet, portable design
- Custom fit for comfort and TMJ safety
- Improved sleep quality and reduced snoring
TMJ and Airway-Focused Care
- Jaw pain or clicking
- Headaches or facial pain
- Clenching or grinding
- Neck and shoulder tension
Our sleep medicine specialists have extensive experience in diagnosing and treating both TMJ and sleep disorders, including complex cases.
They may come from diverse medical backgrounds such as internal medicine, psychiatry or neurology, which equips them to manage a wide range of health conditions associated with sleep disorders.
Pediatric Sleep Medicine
Our pediatric sleep specialists work closely with parents and primary care physicians to ensure every child receives an accurate diagnosis and treatment plan tailored to their specific needs.
Using advanced sleep medicine techniques, we can identify a wide range of pediatric sleep disorders–from sleep related breathing issues to insomnia and other sleep disturbances.
Depending on the diagnosis, treatment may include sleep-focused behavioral therapy to help establish healthy sleep routines, reduce nighttime disruptions, and support daytime functioning.
Get Answers with Sleep Apnea Testing
Testing may also be recommended when symptoms such as persistent fatigue or excessive sleep during the day interfere with daily functioning, even after adequate time in bed. When patients struggle to stay awake during the day despite adequate time in bed, further evaluation may be recommended to better understand underlying sleep conditions.
A sleep study also evaluates how the body moves through different sleep stages, including rapid eye movement sleep, which plays an important role in memory, mood regulation, and restorative rest. A sleep study typically includes monitoring of breathing patterns, oxygen levels, and breathing pauses that may occur repeatedly during sleep.
Oral appliance therapy works by gently repositioning the jaw and supporting healthy tongue movement, helping reduce airway collapse during sleep.
What Our Patients Are Saying
Choosing a sleep apnea clinic is a big decision. Hearing from patients who’ve been through the process can make it easier.
“Amazing care and friendly team — truly felt welcomed and comfortable.”
“I felt like this was my most complete exam ever and am very happy with my care!”
Robin L.
“Quality service with a friendly, compassionate team”
“Very friendly, professional, knowledgeable about my insurance, and respectful of my time.”
Sheena M.
Choosing a sleep apnea clinic is a big decision. Hearing from patients who’ve been through the process can make it easier.
“Professional, kind, and knowledgeable from start to finish.”
“All of them are very nice and professional. I really enjoyed my visit.”
Gerardo C..
“10/10 experience — definitely coming back!”
“Dr. Lansing and Dr. McDonald are the best … 10/10 will be back”
Zach B.
“Amazing care and friendly team — truly felt welcomed and comfortable.”
“I felt like this was my most complete exam ever and am very happy with my care!”
Robin L.
“Quality service with a friendly, compassionate team”
“Very friendly, professional, knowledgeable about my insurance, and respectful of my time.”
Sheena M.
“Professional, kind, and knowledgeable from start to finish.”
“All of them are very nice and professional. I really enjoyed my visit.”
Gerardo C..
“10/10 experience — definitely coming back!”
“Dr. Lansing and Dr. McDonald are the best … 10/10 will be back”
Zach B.
Quick Steps to Get Started
Start with a screener or consultation
We prioritize education and collaboration, so you always understand your options and feel confident in your care plan.