Choosing the Best Snoring Mouthpiece

by Robert Thomas

Start your quest to discover which product may work best for you by using this interactive snoring mouthpiece comparison table featuring 25 of the most commonly found MAD and TSD devices that are available today.

Comparison Table of 25 Popular Stop Snoring Mouthpieces

MAD = Mandibular Advancement Device                 TSD =  Tongue Stabilizing Device                   * = Per unit price.

Click on product image to read a complete review

Rated
Product Name
Type of device
Special Features
Boil & Bite?
Useful Life in Months
Cost Per Unit
S&H Costs
Total Cost
# 1 RatedGood Morning Snore Solution TSDWorks by creating a suction which holds tongue in place. Can be worn with dentruresNo12 $99.94$19.95$120.00
# 2 RatedZquiet MADAllows mouth to move freely. Works out of box but may have to trim to fit with small scissors No12-24$59.95$9.95$70.00
# 3 RatedSnoreRx Adj MADMicro-adjustment feature that requires no tools. Can adjust in 1mm increments up to 10mmYes12-15 $102.27$10$112.00
# 4 RatedSnoremender PS Adj MADSimple design that allows free movement of the mouth. Works out of box but may need to be adjusted using hot water.No12-24$57.00$0$57.00
# 5 RatedVitalSleep Adj MADComes in 2 sizes - Small and regular. Features hex screw adjustmentYes12 $29.98*$8.90$39.00
# 6 RatedProsnore 2 Adj MAD2 piece mouthpiece. Create impression using kit and send to manufacture for custom mold.No?$139.99$0$140.00
# 7 RatedProSnore 1 MAD1 piece mouthpiece. Create impression using kit and send to manufacture for custom mold.No?$119.99$0$120.00
# 8 RatedaveoTSD TSDMade from soft medical grade silicone. Does not attach to teethNo?$138.55$0$139.00
#9 RatedZyppah Rx Hybrid MAD & and TSDPatent pending band used to hold tongue in position while sleepingYes6-9 $79.90$9.95$90.00
# 10 RatedSomnoGuard AP Adj MADCan be used with missing teeth. Adjustable up to 10mm with screwdriverYes18$149.99$7.50$157.00
# 11 RatedNoiselezz IIMADAble to fit over denturesYes?$49.95$7.50$57.00
# 12 RatedSleepPro Custom MADDental impression kit is sent off to labatory where custom mouthpiece is madeNo?$194.95$7.50$202.00
# 13 RatedSleepPro SFAAdj MADLow profile design. Adjustable up to 12mmYes?$129.95$7.50$137.00
# 14 RatedSnoreDoc MAD Soft rubber texture. Custom fitted. Yes4-6$49.99$0$50.00
# 15 RatedRipsnore MADHas a breathing hole. Can be remolded up to 5 timesYes3-18 $33.50*$0$34.00
# 16 RatedPuresleep Adj MADEasy to adjust jaw position with 3 "snap in" settings. No complicated mechanisms that can break. Yes6-9 $29.95*$9.95$40.00
# 17 RatedSnorBan MADSimple mold fitted device that is transparent Yes12-18$33.95$4.95$39.00
# 18 RatedSleepPro Standard MADBasic design. Has 2 air holes for breathingYes6-24$49.99$10.25$60.00
# 19 RatedEZ Snore Stopper MADBasic design leaves little room for product malfunction.Features a breathing hole Yes12-24 $29.99$9.99$40.00
# 20 RatedSnoreWizard Snore WizzardMADOne of the few devices ready to use out of box. Does not require boiling. No12$59.95$5.00$65.00
# 21 RatedSnoremate MADOne size fits all. Easy to mold. Yes3-4 $36.99$0$37.00
# 22 RatedKudo SnoreFighterMAD3 Products available - one for mouth breathers, nose breathers or eitherYes6-12$39.98$7.00$47.00
# 23 RatedSnoreFree Now MADStandard custom mold design. Comes with extras such as cleaning solution, insertion tool, etc. Yes3 $49.99$0$49.99
# 24 RatedSnore Eliminator MADStandard M.A.D. device but has a oblong hole to allow breathing with mouth closedYes?$37$0$37.00

 

When it comes to the Snoring Mouthpiece, there are quite a few products available on the market today. The Mandibular Advancement Device (MAD), also less commonly known as the Mandibular Advancement Splint (MAS), works by re-positioning the lower jaw forward, creating a less restrictive breathing passage. The Tongue Stabilizing Device (TSD) focuses on retaining the tongue in the forward position, preventing it from blocking the air passage as one sleeps. Then there is the hybrid device that uses a combination of both jaw advancement and tongue stabilizing. All three devices have been clinically proven to help with snoring and obstructive sleep apnea (OSA).

While these products vary from one another, there is one thing that they all have in common. All manufacturers claim that they have the solution to your snoring problem. But do they really? With so many similar devices on the market today with such a wide range of price, how does the consumer decide which one will work for them?

While researching this data, I found some manufacturers who were selling their product in a 2 pack. These were often promoted as “Buy 1 Get 1 Free!”. Most know that this is a marketing strategy designed to sell a higher volume while giving the consumer a sense of getting something for free. In essence, you are usually purchasing 2 at regular price.

For the purpose of comparison using this chart, we are going to divide the cost of all BOGO items by 2 to get the individual unit price. Since the cost of shipping the second item is nominal, the entire shipping cost will be applied to the one unit. Take a BOGO device that sells for $39.95 plus $9.95 shipping for example. The total cost per shipped unit  would be $29.93 ($9.95 + $39.95/2). When applicable, an asterisk (*) next to the price denotes the single unit price.

As for shipping – Some sellers offer it for free, some are flat rate, and others will vary. If the shipping charges vary according to location, I took the average between the highest and lowest cost. Also, the assumption here is that the package is being shipped to the lower 48 in the United States. It is important to keep these assumptions in mind while reviewing the above table.

Characteristics to examine before buying

Type and quality of material used

Carefully consider the materials used in production

You may find it important to consider the types of material used in the construction of the product. You may want to ensure that the manufacturer’s product  does not contain Bisphenol A. (BPA). While there is an ongoing debate surrounding the use of BPA in consumer products such as food and drink packaging, my opinion is that it is best to steer clear of any device that contains BPA, especially since they will remain in contact with your mouth for on average 8 hours per day – everyday. Today, the majority of anti-snoring devices on the market claim to be free of BPA but there are some exceptions. Some of the lower end products that are produced in mass overseas will likely contain mystery plastic material which quite possibly contain BPA’s.

If you have latex allergies this is another consideration to examine before making a decision. An estimated 3 million people in the United States (<1%) suffer from a latex allergy. In addition to latex, you should also take precaution if you are known to have a reaction to silicone products.

The material that I like to see used is dental thermoplastic, which is commonly used to produce mouthpieces such as dentures.

Comfort & Adjustability

Ensure that the adjustments allow you to be comfortable

Ensure that the adjustments allow you to rest comfortably

The first question that most people ask is “will this product be comfortable to wear?”. After all, what good is a product that solves your snoring problem while creating a new issue of discomfort. The overall comfort is determined by the choice of material used in production and the ability to make adjustments if necessary. Some MAD devices feature a lower jaw adjustment that will allow you to re-position your jaw forward or backward in order to achieve an ideal level of comfort. As for the TSD’s, most of these are one-size-fits-all and are not adjustable.

Since everyone’s mouth is different, having a MAD that contours to the shape of your mouth and teeth is important. An overwhelming majority of the industry offers a “boil & bite” feature that addresses this issue. In a nutshell, the user drops the device in boiling hot water for a specified amount of time. It is then removed and slightly cooled before inserting into the mouth where it remains for several seconds while the user bites down, applying firm pressure. The end result is a customized piece that retains its shape. Depending on manufacturer, they are typically able to be remolded 2-5 times.

A more precise (typically more expensive) solution is the use of a dental impression kit. The SleepPro 2 Custom and the ProSnore offer this option as part of their package. With the dental impression kit, the user is sent a kit containing a molding clay along with a mouth tray. After placing the molding clay in the provided tray, they chomp down and release, creating an exact impression of the teeth and surfaces. This kit is then mailed to a laboratory where a custom mouthpiece is created and then mailed back to the customer. While this is perhaps the best way to get a precise fit, you will have to wait several weeks before receiving your customized piece. If your significant other has reached their boiling point with your snoring, you may want to consider a more immediate solution such as the boil and bite.

Breathing hole vs. no breathing hole

mouthpiece breathing holes

Decide if breathing holes are right for you

Perhaps one of the most overlooked features is the presence or absence of breathing holes. Do you typically sleep with your mouth wide open while inhaling and exhaling? Do you have sinus issues or a medical condition that restricts airflow through your nasal cavity? If so, you may want to ensure that you choose a product that permits oral breathing. Strike a balance between the size of the breathing hole and the overall size of the device. An extremely large breathing hole may prop your mouth open uncomfortably wide while too small of a breathing hole will restrict the amount of oxygen that reaches your lungs. One noted downside to having air holes is that in some cases, a whistling sound may occur which may be just as bothersome as snoring.

If you typically spend your sleeping hours with your mouth closed, a model without an air hole may best suit your needs.

Life expectancy of the piece

Consider the useful life of the product.

Consider the useful life of the product.

Surprisingly, the average life expectancy of most MAD’s and TSD’s is far less than one would expect. As you can see using the above comparison chart, the average lifespan for most is typically around 6-12 months. Some even suggest replacement as soon as 3 months! It is important to mention that the overall useful life of the device may vary from one person to another. For instance, those who grind their teeth at night will usually seek a replacement more often than one who does not.

If the manufacturer claims an average life of 90 days, I would be skeptical of the material that is used in production. Higher quality materials, while increasing the production costs, typically yield a more durable and longer lasting product.

As you can imagine, having to replace your mouthpiece 3-4 times per year can be quite costly which should weigh in as a factor when making a decision. This leads into the next area of consideration which deals with value and price.

Value and Affordability 

Consider both the cost and the benefit when determining value

Consider both the cost and the benefit when determining value

Affordability. This is the number one concern for most of us who have spending constraints. The price of available products ranges from around $35 to $200. This price can soar into the thousands of dollars if you are considering having a custom designed oral mouthpiece such as the Thornton Adjustable Positioner (TAP 3)  fitted by your dentist.

I will be the first to admit that when I originally looked into buying a stop snore device I was tempted to purchase the cheapest product available on the market. I soon realized that there are several factors, as mentioned above, that should first be considered.

While the definition of “value” will vary slightly from one person to another, we will define it as striking the perfect cost-to-benefit ratio. In other words, comparing the cost while taking the above factors into consideration. Remember, the best device for you is not necessarily the cheapest or most expensive, it is the one that meets your needs and sells for a price that you can afford.

Frequently Asked Question

What causes snoring?
How does the Mandibular Advancement Device work?
How does the Tongue Stabilizing Device work?
How long do stop snoring mouthpieces last?
I have dentures, are there any devices that will work for me?
My jaw is sore after using a MAD, is this normal?
Will it help with teeth grinding while sleeping?
Do I need a prescription to order one?
Are discount devices such as those found on eBay okay to use?
Will it help with obstructive sleep apnea?
Am I able to breathe through my mouth with the device in?
How do I clean my MAD or TSD?
Is it possible to swallow it while sleeping?
What does boil and bite mean?
How effective is a mouthpiece at treating snoring?
Should children use this device?
How many times can a boil and bite be remolded?
What does it mean to be FDA cleared?
Can they be used if I have TMJ?
Why am I required to fill out a questionnaire before buying online?
Are these devices safe to use?


What causes snoring?
The “snoring sound” is typically created when the uvula ( piece of tissue at rear of mouth) comes in contact with throat tissue resulting in an airway obstruction. The uvula and throat tissue vibrate against one another, creating this noise.

There are usually other underlying reasons why this happens.  Excessive alcohol consumption, use of sleeping pills or simply being in a deep sleep can cause you to snore. In addition, nasal obstructions such as nasal polyps or a deviated septum, enlarged tonsils, or being overweight may also be causes.


How does the Mandibular Advancement Device work?
The MAD also known as mandibular advancement splint (MAS) is a device that is inserted into the mouth before going to sleep. The fitted device rests between the upper and lower teeth and is designed in such a way to “advance” or move the lower jaw (Mandibular) forward. The theory behind using this device is that moving the jaw forward tightens the muscles and tissue in the upper airway. This creates a less restrictive airway and often eliminates the sound of snoring.

They are widely used in the United States, Canada, and the United Kingdom.


How does the Tongue Stabilizing Device work?
The TSD is a pacifier like device that snugly fits on the tip of the tongue, preventing it from coming in contact with the back of the throat and causing a breathing obstruction. It is typically secured to the tongue by squeezing a bulb at the end of the device before positioning it at the tip of the tongue. Once in position, the bulb is released and a vacuum is created to suck the tongue into the device. Most TDS’s feature 2 protruding tabs which rest on the outer lips to keep the device and your tongue in the forward position.

In many cases, it is just as effective as the MAD when it comes to snoring treatment. While less popular when compared to MAD’S, they can still be a viable option when it comes to snoring relief.


How long do stop snoring mouthpieces last?
There are several different factors which determine the frequency of replacement and this will vary from one product to another. As you can see from the table above, the average life expectancy is typically around 6 – 18 months for most devices – some last longer, some shorter. The quality and type of material used in production is perhaps one of the greatest factors determining useful life. Another factor is actually the persons’ sleeping habits. Those who tend to grind their teeth and those who wear their piece on a regular basis tend to replace their device more frequently.

Generally speaking, the more expensive appliances that are custom fitted by a dentist tend to last years opposed to months. This is something that you may want to consider before making a decision.


I have dentures, are there any devices that will work for me?
Most MAD’s are not well suited for denture wearers. The manufacturer of the Noiselezz II does however claim to be denture compatible. The only stipulation is that the dentures must be secured in the mouth while sleeping.

The Tongue Stabilizing Device (TDS) will most likely be a better solution if you wear dentures as it doesn’t require teeth to stay in place. It works by attaching to the tongue and then it rests on the outside of the lips.


My jaw is sore after using a MAD, is this normal?
Many experience jaw and facial discomfort when initially using a MAD. This is normal and typically lasts for around 3-7 days. Keep in mind that your jaw is being held in an unnatural forward position for several hours while you sleep. This has an effect on several facial muscles which have been accustomed to a specific resting position for, well your entire life. It will take some getting used to but if the discomfort doesn’t eventually subside, discontinue use and consult with you dentist or doctor.


Will it help with teeth grinding while sleeping?
Mouthpiece devices such as the MAD just may solve two issues at the same time – snoring and teeth grinding. Since most devices are constructed of a similar material as dental guards and they are inserted between the upper and lower teeth, they can prevent snoring and even protect teeth from grinding. There are however exceptions so be sure to check with the manufacturer before using the device as a guard.


Do I need a prescription to order one?
Yes and No. MAD and TSD devices are classified by the FDA as a “Class II medical device” which is by prescription only by default. There is however a workaround  called the “adequate directions for use” as outlined in the Code of Federal Regulations. There is no need to get into the technicalities but yes, you can buy one of these devices online without a prescription.


Are discount devices such as those found on eBay okay to use?
As the adage goes, “you get what you pay for”. While this is not always true, you may not want to take any chances when it comes to your health. I have seen quite a few no-name products out there and not just on eBay that sell for as little as $5. Whats disconcerting is that little to no information about the materials used in production are revealed. This leaves one guessing what they are made of and if the material may cause any adverse side effects. After all, you will be putting this in your mouth for several hours while chewing, salivating, swallowing and breathing. Finding a product that is approved by the Food and Drug Administration is a good idea.

There are however mouthpieces on eBay that are from reputable manufacturers and actually state what types of plastics, rubbers or synthetic materials they use when making their product. Then there are the “knock off” or counterfeit products that are prevalent on the market. If you choose to buy a discounted item, be sure to first do your homework and know what you are getting.


Will it help with obstructive sleep apnea?
Perhaps. Keep in mind that there are two different types of sleep apena – Obstructive and Central. Obstructive Sleep Apena (OSA) is caused by an obstruction in the upper airway where as Central Sleep Apena (CSA) is caused by the brain not sending a command to the lungs to breathe. While both are serious conditions, treating CSA with a oral appliance could lead to serious health issues or even be fatal. It is important to first properly diagnose the issue prior to treatment. Diagnosing can only be done by a qualified medical professional and may involve a home sleep test or sleep study that is completed in a lab.


Am I able to breathe through my mouth with the device in?
This depends on what you purchase. Some have breathing holes while others do not. This is something to consider before making an ultimate decision.


How do I clean my MAD or TSD?
Most MAD’s and TSD’s can be cleaned with a toothbrush and standard toothpaste. It is of course advisable to follow the manufacturers care instructions to ensure that you are using the correct cleaning and disinfecting product.  There are a handful of devices out there that require a special cleaning solution.

Remember that cleaning and disinfecting is not only important when it comes to caring for your piece, this is also done for health reasons. Also, when making a decision, consider the level of difficulty while cleaning. A unit that has several nooks and crannies can more easily harbor bacteria.


Is it possible to swallow it while sleeping?
If it was approved by a governments regulatory services such as the Food and Drug Administration (USA),  Therapeutic Products Directorate (CA), or the Australian Register of Therapeutic Goods (AU) then generally speaking it is considered safe and should not present a choking hazard. There have however been numerous instances where safety officials have allowed various hazardous items, not necessarily snoring devices, to slip through the cracks. But in general, if it was approved by a government agency such as the FDA then is should be okay.


What does boil and bite mean?
Boil and bite is an industry term that is simply used as a way to describe the way many oral appliances are custom molded to the contour of the teeth. When directed, the appliance is dropped into boiling water for a few seconds, slightly cooled and inserted between the teeth to take an impression. Once cooled, it will maintain its shape. This is an alternative to the dental impression kit which uses trays and dental clay to take an impression of the surface of the teeth. A custom piece is then cast.


How effective is a mouthpiece at treating snoring?
This question has several answers, depending on who you ask. Some manufactures claim “94%, 96%, or even 98% effectiveness” while other manufactures claim a “90%+ satisfaction rate. Keep in mind that there is a difference between effectiveness and satisfaction rate. In order to get a more accurate estimate, one should look towards reputable medical studies. One combined pilot study conducted in Belgium indicated that 65% of patients using low cost MAD devices had shown improvement in snoring. The study concluded that the mouthpieces were a feasible solution and that cheaper MAD’s could be used to determine effectiveness prior spending more on a custom device. Other studies suggest a higher success rate.


Should children use this device?
No, it is not recommended that children use either type of device due mainly to the fact that it may interfere with proper mouth and teeth development.


How many times can a boil and bite be remolded?
As the material used in bite and boil mouthpieces are heated and cooled they begin to weaken and break down. Getting a good impression the first time is ideal but this doesn’t always happen. In most cases, the material can be heated or cooled 2-3 times before it breaks down and becomes distorted. Some manufacturers suggest up to five times, but that seems to be a far stretch. As always, follow the recommended instructions that come with the packaging.


What does it mean to be FDA cleared?
The Food and Drug Administration (FDA) has a responsibility to protect public health by examining  biological products, food, drugs, cosmetics, medical devices and such. They do rigorous testing to ensure products are safe to distribute.  Before such a product can be sold in the US, it must first be cleared by this agency.


Can they be used if I have TMJ?
This would be a great question for your doctor or dentist. Most manufactures advise that you do not use MAD’s or TSD’s if you have TMJ. Use of such a device can worsen symptoms.


Why am I required to fill out a questionnaire before buying online?
You may have noticed that some sellers require that you answer a few basic questions primarily concerning your oral health. They usually state that the questionnaire is used to ensure that the product is a good fit for you. While they may have your interest in mind, they are also using this questionnaire as a form of legal protection. If asked, be sure to answer all questions honestly as they are also used to protect not only their interests but also yours.


Are these devices safe to use?
They are safe under 3 conditions

  1. You do not have any medical conditions such as TMJ, gum disease or loose teeth. Using such an appliance may worsen your condition.
  2. The appliance is approved by the FDA or similar regulatory agency.
  3. You follow the manufacturers instructions and use only for its intended purpose.

Which mouthpiece should I buy?

The anti-snoring mouthpiece is one of the most highly effective stop snoring solutions available. With over 100 different products to choose from, deciding which one to buy can be challenging.

As a snorer and product reviewer, I have tried many of these devices and created a list of recommended devices that will help to make this decision much easier.

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