Not every clinical service begins with a strategic plan. Sometimes it starts with a patient who needs another option. For Jack Stromgren in Santa Clara County, the path toward offering oral appliance therapy began with one person who could not sustain continuous positive airway pressure therapy and wanted to explore an alternative. Continuous positive airway pressure, commonly known as CPAP, works well for many patients diagnosed with obstructive sleep apnea. Others have difficulty using it consistently. When one such patient
