Mandibular advancement device (MAD) is oral appliance worn in the mouth to treat obstructive sleep apnea, snoring, and temporomandibular joint disorders.
But what are the differences of this device vs CPAP?
And where to buy mandibular advancement device – Walgreens, Amazon, or…?
Let’s jump right in to review through.
Causes of Sleep Apnea and Snoring
When we breathe normally, air enters the nostrils, goes through the throat and trachea to the lungs. In people who snore, this airway is partially obstructed by excess tissue of the throat, such as large soft palate, large tonsils, or tongue.
Another common cause of airway obstruction is the dropping of the tongue into the throat due to over-relaxation of tongue muscles during sleep. Air currents competing through narrow spaces in the throat cause the soft palate (a piece of soft tissue hanging in the throat) to vibrate. This vibration is the source of the noise we hear when someone is snoring.
Sleep apnea happens when the airway is completely obstructed, no air can go through and the person stops breathing. This cessation of breathing triggers the brain to response by waking up the person just enough to take a breath. This repeats itself again and again during the course of the night and may result in sleep deprivation.
How Does Mandibular Advancement Device (MAD) Work?
Snoring and mild sleep apnea may be treated with a mandibular advancement device (or splint), which is also known as Jaw Advancing Device (JAD) or mouth guards.
When user put mandibular advancement device into the mouth, MAD work by moving the lower jaw forward, which increases the size of the upper airway, thus reducing the air resistance that leads to sleep apnea and snoring.
Watch the brief video below with animation to understand more on how mandibular advancement device works.
Mandibular Advancement Device For Sleep Apnea
When we breathe during sleep, the upper muscle and the throat relaxes and begins to vibrate, this vibration is the cause for snoring. When these muscle relax for a long time and the airway collapse, you will feel some suffocation, you will know that your lungs not getting the right quantity of oxygen and you are awaken from sleep.
If your sleep is thus disturbed throughout the night, you daily life will be affected. People face daytime sleepiness, diabetes, and various kinds of side effects in the body.
It is always advisable to consult a doctor or dentist if you have sleep apnea, because doctors will first diagnose then recommend the right MAD and solution that suit the structure of your jaws.
In the case where the obstructive sleep apnea is very severe, the patient may be recommended to take up a cardio-respiratory evaluation and then the treatment has to be started.
Comparison of Mandibular Advancement Device vs CPAP
CPAP, or Continuous Positive Airway Pressure, is a nonsurgical treatment that uses mild air pressure to keep the airways open, and provide a steady flow of air to the lungs through the nose.
CPAP treatment involves a CPAP machine that has 3 main parts:
- A mask or other device that fits over your nose or your nose and mouth.
- A tube that connects the mask to the machine’s motor.
- A motor that blows air into the tube.
Researches have been conducted to compare the mandibular advancement device vs CPAP.
For instance, Harvard Medical School has done a research on 108 adults, with the ultimate results show that:
- mandibular advancement device and CPAP are equally effective in the treatment of obstructive sleep apnea.
- 51% of patients preferred MAD vs 23% of patients preferred CPAP, whilst 21% preferred either and 5% preferred neither.
In general, mandibular advancement device is widely for nominal issues, and the CPAP is recommended for severe OSA patients.
Watch the video below for tips from the U.S. Food and Drug Administration (FDA) on how to safely and effectively use your CPAP device.
Mandibular Advancement Device For Snoring
While mandibular advancement device has done wonders on many to improve their quality of life, and have saved patients from undergoing surgery for these sleep obstruction related issues — MADs are also made available over the counter as anti snoring solution.
These MADs generally widen the airway by gently advancing your lower jaw to prevent the base of the tongue blocking the airway, which is the most common cause of snoring.
Various design of mandibular advancement devices are available in the market, with the top 2 standout products are:
#1: ZQuiet Snoring MouthpieceMade in BPA-free medical-grade material, ZQuiet is designated a class II medical device by the US Food and Drug Administration (FDA) – a proof that the product can effectively achieve its intended purpose to treat snoring.
ZQuiet has crafted 2-Step Comfort System that provides 2 unique mouthpieces of slightly different sizes, designed to fit men and women with varying mouth sizes, while provide a different level of jaw advancement.
Additionally, zQuiet has a feature that sets it apart from the other snoring mouthpiece, in which its unique hinge at the back connecting the top and bottom pieces with patent-pending Living Hinge Technology, that provides comfortable jaw mobility and allows natural mouth movement.
#2: Zyppah Snoring Mouthpiece
Zyppah is a FDA-cleared anti snoring device that combines both jaw adjustment and tongue stabilization technologies to stop snoring.
Firstly, Zyppah opens up the airways by positioning and holding the lower jaw in a forward position.
Secondly, Zyppah has an elastic band placed towards the back of the appliance that gently holds your tongue in place, and opens the airway by preventing the tongue from falling back into throat during your sleep
Mandibular Advancement Device Side Effects
The side effects are generally mild to moderate – such as dryness of the mouth, pain or some tooth discomfort, and jaw pain alongside drooling in the initial stages.
These side effects are common across new mouthpieces users for almost any mouthguard for snoring as the device beds in while you get used to it, but the soreness will soon diminish after several days of use.
Where To Buy Mandibular Advancement Device For Snoring
Nearly all the leading snoring MADs are not available for sale at stores/pharmacies like Walgreens, Walmart, and Amazon.
The best approach is to buy via the respective device’ official website, for genuine products at best price and money back guarantee.
Typical mandibular advancement device cost is below USD $99.
The top recommendations are:
Mandibular Advancement Device Reviews: The Verdict
Mandibular advancement device is a boon for people who have moderate sleep apnea and snoring issues. These devices are designed to move the lower jaw forward, which increases the size of the upper airway, thus reducing the air resistance that leads to sleep apnea and snoring.
Research studies show MADs and CPAP are equally effective, while 51% of patients preferred MAD vs 23% of patients preferred CPAP.
Mandibular advancement device has helped many patients to improve their quality of life and avoid undergoing surgery — while MADs are also made available to buy over the counter as effective anti-snoring solution.