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Stop Snoring Devices

ENT specialists (or otolaryngologists, as they are known to those who can spell) are not the only ones to treat snoring.  Your dentist can help too, and may suggest a special type of mouthpiece. (But read this whole article before rushing to your dentist for a device that may cost you hundreds of dollars!)


Mouthpiece devices -- also known as dental appliances, or mandibular advancement splints -- have been effective for many snorers, including those suffering from mild or moderate obstructive sleep apnea. They are usually small plastic devices worn in the mouth during sleep to prevent the soft throat tissues from collapsing and obstructing the airway. They do this by bringing your lower jaw forward and/or by lifting your soft palate.  Some devices also stop the tongue from falling back over your windpipe.

Your dentist will usually be the one to fit these special appliances to meet your individual condition.  Typically they will take a mold of your mouth and then either send off for a custom mouthpiece or fashion it themselves. 

You can find a dentist who specializes in sleep dentistry at the Academy of Dental Sleep Medicine website.    But before you go for a multi-hundred dollar solution, try a less expensive device that you can order over the Internet and fit yourself.  Such devices are sometimes called "boil and bite;" they are made of soft plastic which you soften by placing in hot water; you then bite into the mouthpiece, molding it to your jaw. If you find such a device improves your snoring, you could then go for a more expensive dentist-fitted solution (but  the Somnoguards product from www.nosnorezone.com, one of the sponsors of this web site, allows a much more inexpensive solution with infinite and incremental adjustments for a custom fit and comfort).

The FDA seems to have colluded with dentists in making mouthpieces a prescription item -- so you'll either have to order from a non-US website or talk your dentist into writing you a prescription for a cheaper device.   You can also buy athletic mouthguards without a prescription -- for example, the Brain Pad -- which have been used successfully by some of our readers.

Do mouthpieces work?
The American Academy of Dental Sleep Medicine has recently identified oral appliances as an effective treatment for OSA. A 2001 study in Switzerland found oral appliances effective in treating sleep apnea.  Side effects were only "mildly disturbing": mucosal dryness (86% of patients), tooth discomfort (59%), and excessive salivation (55%). 

A similar study in the UK of 25 heavy snorers found that use of  "mandibular advancement appliances," i.e., mouthpieces, was effective in reducing snoring loudness for 84 per cent of the subjects while 76 per cent said they were snoring on fewer nights per week.

Will mouthpieces mess up your beautiful smile? 

Probably not.  Researchers in Sweden found few problems in patients, especially those using soft plastic mouthpieces. However, a study of 630 people who were fitted with mandibular advancement devices found that nearly one-quarter of the people abandoned it.  The author commented that some participants may have experienced side effects such as excess salivation, shifting of teeth positions or other tooth and mouth problems.  So you should certainly check back with your dentist after sleeping with a mouthpiece for a few months.

Product List

AveoTSD "tongue stabilizing device" is made from a soft silicone and works by holding the tongue forward during sleep, keeping the airways open.

Clasp Retained Mandibular Positioner (CRMP), locks the mandible into the clasp to keep it from retruding

Elastic Mandibular Advancement Appliance, an FDA-approved device for the treatment of sleep apnea, the EMA uses adjustable elastic straps to move the mandible forward

Elastomeric Sleep Appliance, made of soft silicone that is custom injected, high patient comfort, FDA approved for the treatment of sleep apnea (available through dentists)

Full Breath Solution, prohibits the rise and backward movement of the tongue to increase airflow and inhibit snoring

Herbst Telescopic Appliance, an FDA-approved mandibular repositioner

MPowRX, an over-the-counter device that holds the tongue in place throughout the night to open airways

MDSA Dental Oral Appliance, a mandibular advancement device from Australia, now approved for marketing in the U.S. (through dentists only)
Nose Breathe Mouthpiece for Heavy Snorer, a custom-made device that helps you breathe through your nose
The Noiselezz Mouthpiece, a plastic device from Denmark that holds your jaw forward and can be molded to fit your mouth. North American distributors:
- Therapy Control Products 

Oasys Oral/Nasal System, a mandibular repositioner for treatment of snoring and sleep apnea as a nasal dilator for improved ease of breathing.

PureSleep, an FDA-cleared prescription dental device designed to reduce or eliminate snoring
PM Positioner, a plastic mouthpiece from Boos Dental Lab, obtainable through dentists
The Silencer, a custom-made device that fits on your upper and lower teeth, holding your jaw forward.
The Silensor, a British device also custom-made by your dentist
The Sleep Pro, the SleepPro1 & 2 MAD’s are available in North America from www.NoSnoreZone.com
SnorBan US, a low-cost mouth guard that you can fit yourself.

-SnorBan UK,  distributor for non-US countries
-Snorban for Scandinavians with a "snarkproblem"
Snore Guard, a "boil and bite" brand available through dentists only
- Sleepzine article on Snore Guard

SnoreFree2, an "anti-snoring jaw brace"
SnoreKil, a two-piece mouth device, allowing separate fitting of upper and lower jaw.
SnoreMate, a South African brand of mouth device
SnoreMeds, another low-cost boil-and-bite mouthpiece
SnoreMender, a flexible, adjustible mouthpiece
Snorer's Friend, made in Australia
Snor-X.  Unlike other appliances that protrude the mandible forward, the Snor-X appliance gently holds the tongue forward, opening the upper airway.
SomnoGuard Mouthpieces from NoSoreZone.com, a German-made device available in several adjustable models.  Distributed by:
- Therapy Control Products

TheraSnore, which prevents the tongue and mandible (lower jaw) from falling back and blocking your airway; available from:
- Distar in the US
- No. 1 Health Supplies in Europe

VIAdmd, repositions and stabilizes your lower jaw

 

 



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