There is one question that is often asked by anyone interested in using an oral appliance to control their snoring and that question is “Can you choke on a snoring mouthpiece?”. This is, of course, an excellent question because after all, safety should always be your number one concern and the last thing that you want to do is create a bigger problem than you originally started with.

As a rational person, you are most interested in finding a safe and effective solution to your snoring problem. As far as effectiveness goes, most of the oral appliances that I have experimented with (I’ve tried well over a dozen so far) have proven to be an effective means to control my snoring and I have never come close to choking on a device nor have I ever heard of any such cases.

That being said, you should still always take precaution whenever using a mouthpiece or any snoring aid for that matter. Follow all manufactures instructions and use only as intended. Not all products are created the same and there will always be a possibility that something could go wrong, such as choking. After all, it is entirely possible for one to choke on a toothbrush, chewing gum, or food but most of us put these items in our mouths each day without thinking twice about it.

Since not all mouthguards are created equal, the best way to ensure your safety is to purchase s device that have been cleared by your local health regulatory agency such as the Food and Drug Administration (FDA), Health Canada, Medicines and Healthcare Products Regulatory Agency (MHRA), Therapeutic Goods Administration (TGA) in the US, Canada, England, and Australia respectively. These agencies are responsible for ensuring that such devices are generally safe to use. They examine each product for potential hazards including choking. Avoid illegally sold and often substandard mouthpieces by only purchasing those who have been cleared for sale by a major government regulatory agency.

Safety tips for safe use

Here are a few tips that will help to ensure that what you are putting in your mouth is not going to cause a choking hazard:

1. Only buy products that have been approved by a respectable government regulatory agency such as the FDA.  Non-approved devices are most likely cheaply mass produced and are potentially hazardous.
2. Remember to confirm that a device has actually been cleared by a regulatory agency. Do not take their word for it. A simple search only takes a few seconds and can give you peace of mind.
3. Use only as intended and follow all of the manufacturer’s instructions exactly as printed. Do not alter the original design in any way.
4. Avoid mouthguards which contain several pieces. Having more pieces increases the likelihood of something failing and potentially breaking off into your mouth.
5. Do not use if you have missing teeth. Most manufacturers advise against using such a device if you have teeth that are missing.
6. Go with a reputable company that has been in business for a number of years. There have been quite a few new sellers coming out of the woodwork lately.
7. Read the reviews on any device that you may be interested in. A good place to start is right here at snoringmouthpieceguide.com
8. Children should never use an OTC mouthpiece for any reason.

A few thoughts on choking hazards

There is one thing that is safe to say and that is nothing is 100% safe. By following the safety tips as outlined, you can minimize your risk of choking on a snoring mouthpiece.

My personal opinion is that agency cleared devices are safe to use and should not be a concern when used as directed.

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.

Your dentist may have recommended an oral appliance (also known as a mouthpiece) to treat your snoring or perhaps you just watched a TV infomercial selling some type of stop snoring contraption. One way or another you have heard that treating the common problem of snoring could be as simple as placing a specially designed mouthguard into your mouth before going to bed. Is it really that simple? We all know that every product has its pros and cons and these anti-snoring devices are no exception.

Pros associated with using a mouthpiece for snoring

They work!

After mentioning any anti-snoring device the first question that most people naturally ask is “Does it actually work?”. The short answer is “yes” Many of these mouthpieces are in fact an effective means to treat snoring. More specifically, they treat common snoring in the majority of cases. For most, the source of snoring originates at the back of the throat in the area between the soft palate and the airway. The soft palate is the soft tissue from which the uvula hangs. The uvula is the single finger-like flap of tissue dangling at the back of your throat. This area of the throat is actually a muscle which functions as an open and close valve between the mouth and nasal cavity. Whenever you swallow or sneeze, the soft palate closes and then reopens. This muscle tends to relax as we sleep and often partially blocks the air passage while flopping around. The vibration of these tissues against each other is where the sound of snoring typically comes from. There are a number of reasons why these muscles relax enough to cause a restriction in the airway. Listed below are a few contributing factors which lead to a loose soft palate.

• Age
• Weight
• Alcohol use
• Drug and sedative use
• Smoking
• Sleep posture

In the majority of cases, this area of the throat is the culprit and a mouthpiece may be the solution. This type of device actually tightens these muscle by holding the lower jaw slightly forward as you sleep thereby preventing the soft palate from flapping around.  How can you tell if holding the lower jaw forward will stop your snoring? Try this now (unless you’re surrounded by coworkers). Imagine yourself sound asleep and snoring loudly. Try to replicate the sound of snoring out loud. Continue doing this while using your muscles to push your lower jaw out as far as you can stretch it. Does the sound of snoring become more subtle or stop? If so then your soft palate may be the source of your snoring and a mouthpiece just may the solution. In other cases, factors such as enlarged tonsils, a deviated septum, physical obstruction, or simply the anatomy of your airway are to blame. The mouthpiece is not effective if these less common factors are causing your snoring.

Relatively safe

Comparatively speaking, when used properly a mouthguard for snoring is an effective and safe anti-snoring solution. It does not involve any risky medical procedures and has been used to treat snoring and obstructive sleep apnea for over 30 years now.  Since the introduction of oral appliances back in the early 1980’s, numerous studies have been conducted which show very few issues as far as safety. Having surgery performed is certainly riskier and there is, of course, the chance that it may not even be an effective solution. Personally, I would rather choose a treatment that does not involve altering surgeries unless absolutely necessary.

An inexpensive solution

There are various snoring treatment options available, some are more expensive and require surgery while others are fairly inexpensive and require no surgery. While professionally fitted custom devices can cost over $1500, most simple at home do-it-yourself boil and bite products cost no more than $70. Better constructed devices which tend to be more reliable and last longer typically cost between $70 and $200. The more expensive models are generally more customizable, better built and often last longer. Most snorers purchase a less expensive device at first just to see if a mouthpiece will work and then move up to a more expensive one which offers a better fit. Either type of device will work. Here is a cost comparison of these mouthguard remedies to other possible snoring solution:

• Uvulopalatopharyngoplasty (UPPP): $5,500+
• The Pillar procedure: $1,500 – $2,200+
• Somnoplasty $2,000 – $3,000
• Laser-Assisted Uvuloplasty (LAUP): $1,500+
• Doctor fitted oral appliances: $500 – $1,500+
• OTC snoring mouthpieces: $40+
• Nose rings, nose cones, nasal strips, chin straps, throat sprays, herbal supplements, special pillows, etc: $10+

I grouped last set of snoring solutions together because they have one thing in common which is that they generally do not work. These simply do not address the most common cause of snoring, the soft palate, which is located at the back of the throat.

Cons of using an antisnoring device

Missing possible diagnosis

While simple snoring is considered a harmless act in most instances, other times it is actually a symptom of a more serious underlying issue. There are numerous possibilities but the more common problem is Obstructive Sleep Apnea (OSA) which occurs when the airway becomes completely blocked off and you stop breathing for several seconds. This can happen dozens of times throughout the night, robbing your brain of much-needed oxygen. In some instances, a person with sleep apnea will wake up gasping for air several times during the night and not even recall these events in the morning when they wake up. It is estimated that more than 18 million Americans suffer from this condition and many cases are left undiagnosed. In some cases where OSA is mild to moderate, a mouthpiece can be used to treat this condition. However, one should never self-diagnose and treat this condition because a proper diagnosis can only be made by a qualified sleep medicine professional. Before you consider treating your snoring, it’s essential that you first speak with your doctor in order to rule out the possibility of a more serious condition.

Possibility of side effects

As with any medical device, side effects are always a possibility. For the most part, side effects typically include dry mouth, hypersalivation, mild pain or discomfort in the jaw and teeth. In rare instances, one will suffer a change in occlusion or loss of teeth. This can happen when individuals who have unhealthy gums or teeth use one of the mouthpieces or when one uses a device incorrectly or for an unintended purpose. Since design will vary from one device to another, it’s very important to always read the warning labels and follow any advisories that are posted by the manufacturer.

It must be worn nightly

Often times, people purchase an antisnoring device without first considering the fact that it must be worn nightly in order to keep the snoring away. While wearing one is usually not very difficult, the snorer must form the habit of wearing one. You must remember to install it at night and subsequently remove and clean it in the morning prior to storing. This commitment is often overlooked and as a result, the device may be used for a few days or few weeks before being permanently stored away. If you are planning to use one of these mouthguards, keep in mind that this is a long-term commitment and wearing one must become a habit.

Pros vs cons

Before choosing a product, it’s wise to weigh the pros against the cons. Overall, the pros of the mouthpiece option far outweigh the cons. Here are a few key points to remember:

• In most cases, snoring mouthguards are an effective, safe, and an inexpensive solution that has been proven to prevent snoring.
• Be sure to mention any snoring problem to your doctor who can then determine if the issue needs to be further investigated.
• Carefully read the manufactures instruction and look for advisories and possible side effects.
• Remember, using one of these devices is a small commitment. Are you willing to commit to a new daily habit?

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.

If you suffer from snoring or OSA there is a good chance that you have at least heard of the Pillar Procedure and perhaps have considered trying it to relieve your snoring or sleep apnea. Some doctors suggest that their patients consider trying this procedure if they are unable to tolerate a CPAP or Oral Appliance treatment. What is the pillar procedure? Does it work? How much does it typically cost?

About the Pillar Procedure

Device is used to cut into soft palate and insert pillars

Medtronic, the company behind the Pillar Procedure has been in the medical technology business since 1949 and is based out of Minneapolis, Minnesota. Restore Medical originally sold the Pillar System beginning in 2003 but the company was bought out by Medtronic in 2008 after Restore Medical had experienced financial difficulties. Across the globe, more than 45,000 people have been treated with the Pillar Procedure.

This procedure works by addressing one of the most common causes of snoring and obstructive sleep apnea – the soft palate. The soft palate is the soft tissue in the back of your throat that functions as a door that opens and closes as we swallow. This is commonly cited as the area from which snoring originates. As we rest, the soft palate tends to relax and flop around in the airway. In many cases, the flopping around can be heard as the sound of snoring, however, in more severe cases these tissues can completely block the airway. In this instance, it becomes known as sleep apnea which can be a dangerous condition.

This procedure can only be performed on those who suffer from mild to moderate sleep apnea or simple snoring. Those with severe sleep apnea or central apnea should not consider this treatment option.

The Pillar Procedure is conducted at your doctor’s office and typically takes between 15 and 20 minutes total. Three to five small implants are inserted into the back of your throat where the hard palate meets the soft palate. These implants are constructed of polyester fibers that are tightly woven together into a stiff rod-like thread which measure just under 3/4″ of an inch long by 1.5 millimeters thick. The entire procedure is conducted using local anesthetics and is relatively painless.

How it’s conducted

First, you will be given an antiseptic mouthwash in addition to a topical anesthetic such as Lidocaine. The doctor will then use a device with a long arm to insert the first pillar into the center of where the soft palate meets the hard palate. The device uses has a tubular blade to cut a narrow vertical passage through the soft palate. Once the desired depth is reached, a trigger is pulled and the pillar is inserted into the void created by the blade. Afterward, an additional pillar is inserted on each side of the center one, no more than 2 mm away from each other. Some doctors prefer to place an additional set of pillars on each side of these two. The number of implants that are inserted depends on the size of your palate and your doctor’s preference. Some doctors prefer to give all of their patients a total of 5 pillars because they have found that using the additional two is typically more effective. However, very little clinical data has been cited to back up this claim. The actual insertion procedure usually takes only a couple of minutes.

Location of implants

The procedure does not involve removing any tissue or the use of stitches to close over the area. It creates very small incisions which easily heal on their own. There is a small amount of bleeding that occurs when the incisions are made but this quickly stops.

After the procedure is finished, you will be asked to sip on water for a few minutes before being released. In most cases, there is no recovery period which means that you are free to eat, drink, and move about as you normally would.

How does it work?

You’re probably wondering how a few polyester rods inserted into the back of your throat is going to help with your snoring. This procedure is used to strengthen the soft palate which helps to prevent it from flopping around in your airway. The reality, however, is that these implants alone are not very effective at strengthening the soft palate.  The procedure actually relies upon your bodies response to the inserted foreign objects. Over time, hard tissue builds around these implants, making the palate stiffer and less likely to dance around loosely in your airway.

Pillar implants “stiffen” the soft palate, preventing snoring

Keep in mind that the effects are usually not even noticed until 4-6 weeks after the procedure as your body begins to heal itself. It takes a total of 3-12 months before the hard scar tissue completely encases the implants.

When it’s all said and done, the pillars should not be at all noticeable or even visible. It should not alter your ability to eat, drink or speak. You may notice the feeling of a foreign object in the back of your throat at first but this will eventually subside.

Effectiveness

Studies (mostly funded by the manufacture of the Pillar System) suggest that this procedure is 80% or more effective at reducing or eliminating snoring. However, a quick search online will reveal a disproportionately large number of individuals claiming to have little to no success after going through this procedure.

Side effects and complaints

As you can imagine, after the procedure you are going to have a bit of a sore throat. In addition, an infection may also occur which is often treated using antibiotics. Then there are instances where the body rejects the pillars and they actually work their self out and protrude from the back of your throat. If this happens they can be removed by your doctor.

In other cases, the procedure can actually make obstructive sleep apnea worse.

Some doctors will sell the procedure based on the fact that the implants are removable, making the procedure reversible. However, the scar tissue which once surrounded the pillars will still remain hard. Because of this, it’s not truly reversible.

Overall, the risks of complications are relatively low yet should still be considered before making a decision.

Cost and insurance coverage

Unfortunately, the majority of insurance companies recognize this as a cosmetic procedure. Because of this, expect to pay out of pocket as most insurance companies do not provide coverage.

The overall costs associated with the Pillar Procedure will vary. However, the average cash price seems to fall around $1,500. In cases where a total of 5 pillars are used, this price typically increases from $1500 up to $2,200 or more.

If you are thinking about using this treatment, remember to shop around while considering the doctor’s experience. Remember, the cheapest doctor is not necessarily going to be the best. Find a qualified physician who has successfully performed this procedure many times.

My opinion?

The Pillar Procedure offers a unique approach to control snoring and mild to moderate cases of sleep apnea. In theory, it seems to be a plausible solution that may work for some.

It’s my belief that the rate of effectiveness greatly depends on the structure of your mouth and soft palate. Effectiveness also largely depends on the doctor properly positioning the pillars.

The lack of independently funded studies combined with the overall lack of individuals voicing their success stories in the online community makes me a bit skeptical when it comes to the claimed rate of effectiveness.

Also, the high out of pocket expense makes the procedure unattainable for the average person.

If you are interested in treating snoring or mild to moderate sleep apnea, your money is best spent on better researched and proven treatments such as the CPAP or Oral appliances.

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.

The unspoken truths about anti-snoring oral devices

Nearly every industry, to some degree, employs marketing tactics that are often questionable and the anti-snoring industry is no exception. While most manufacturers know better than to make false statements while advertising, many are guilty of deception by omission – that is not telling the whole truth by leaving out information that may steer potential customers away.

But Bob, aren’t you a proponent when it comes to these over-the-counter stop snoring mouth guards? Of course, I am! I believe that in most cases they can be a less costly alternative to a dentist fitted oral appliance. A decent OTC Mandibular Advancement Device can be purchased for less than $200 and most are in fact very effective. In comparison, professionally fitted units often cost thousands of dollars and ultimately work the same way, by holding the lower jaw forward as you sleep.  So yes I believe that they can be a wonderful alternative to more expensive MAD’s.

That being said, let’s dive in and take a look at 5 phrases that you are unlikely to hear in a snoring mouth guard sales pitch and why:

We said 96% customer satisfaction, not 96% rate of effectiveness

Every time I see a sales page that claims a “96% or 99%” customer satisfaction rate, I often wonder how many people make a purchase based on the logic that if it works for 96% of people then it should work for me. Nothing could be further from the truth.

In various clinical studies, mandibular advancement devices have proven to be successful when it comes to reducing or eliminating snoring. While the overall success rate often varies between studies, oral appliance seem to be +-80% effective.

A 96% customer satisfaction rate simply means that 96% of those who purchased their product did not return it. Let’s assume that they are truly 80% effective at relieving snoring. This means that for 80 out of 100 people it worked fantastically. This leaves 20 people who did not have success. We already know that four people returned the device but what about the remaining 16? These are the ones who for whatever reason decided that it wasn’t worth the effort to seek a refund.

Remember, 96% customer satisfaction does not equal 96% rate of effectiveness.

Wait! Before buying, first, speak with your doctor

In most cases snoring is simply benign snoring, meaning well… you simply snore. Other times it can be a sign of a potentially serious medical condition. Attempting to silence a snoring problem may be a mistake if you are suffering from a condition such as OSA.

Before using any such device to prevent snoring, mention this issue to your primary care physician. They should be able to determine whether or not you should seek further medical assistance in order to rule out the possibility that you have a sleep-related breathing disorder. Simply mention this concern to your doctor and see what he or she has to say.

Very rarely do you come across a sales pitch that advises one to speak with their doctor first. While this may be common sense to some, it may not even be a thought to others.

Why do they not advise speaking to your physician? Perhaps they want to land the sale before you become distracted and end up buying from a competitor later on?

“FDA approved materials” does not mean that the device has been FDA approved.

Did you know that not all over the counter oral appliance being sold online have been approved by the Food and Drug Administration or similar regulatory agency? However, quite a few tout that their product is constructed from “FDA approved” materials. They are simply claiming that the materials used to produce their device have been approved by the FDA. (for use in oral appliances I’m assuming)

This does not necessarily mean that the device itself has been approved for sale by the FDA. Whenever you are shopping around, look closely at such wording and read between the lines. If you are concerned whether or not a device has been approved by the FDA, look it up. Always confirm such details before simply breezing over a sales pitch and believing all that has been stated.

We never really clinically tested our product

This may be a shocker to you but did you know that the majority of anti-snoring mouthpieces have not been clinically tested? How could this be?

First, conducting a clinical study can be quite costly and many start-up companies do not have such funding. Even if they had available funds, in all likelihood, these studies will still not be conducted for the second reason and that is because the Food and Drug Administration does not require such devices to be clinically tested. The FDA’s Class II Special Controls Guidance Document states right here:

“In accordance with the Least Burdensome provisions of the FDA Modernization Act of 1997, the agency will not request clinical studies for new devices unless there is a specific justification for asking for such information to support a substantially equivalent determination.”

There a couple of manufacturers who have gone the extra mile but the vast majority have not. Some may use wording such as “proven to be effective”. Do not confuse this with clinically proven.

Our mouthpieces are the cure for Obstructive Sleep Apnea

Suggesting that over-the-counter mouthguards are the cure for sleep apnea is treading in dangerous waters and most manufacturers have figured this out by now.

Before a mouthpiece can be used to treat OSA, a baseline must first be established by a qualified sleep medicine trained medical consultant who must first confirm that one does, in fact, have OSA. At this time they will then measure the degree to which one has OSA and then discuss treatment options. In many mild to moderate cases of OSA, a mouthpiece could potentially work.

Suggesting that an OTC mouthpiece will cure sleep apnea is a vague statement that can lead to gross misinterpretations or even self-diagnosis. In order to avoid any issues that may arise, most manufacturers completely eliminate such wording, although there are a few more daring ones who still make such suggestions.

The take-home message

Why did I choose to highlight such information? My reasoning can be explained using two words – Caveat emptor. Latin for “Let the buyer beware”.

Providing all of this omitted information educates my readers who are then able to make informed purchasing decisions.

My personal beliefs are that OTC mouthguards can be an excellent alternative to more expensive professionally fitted devices under the right conditions. I have experimented with several of these and can attest that they do in fact work for simple snoring. It is however important for the consumer to know exactly what they are purchasing and for what reason they are purchasing it.

The manufacturer’s responsibility is not to educated you but rather sell their product while remaining within bounds.

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.

Who invented the mouthguard?

Woolf Krause, a British dentist is accredited with inventing the first mouthguard

The sports mouthguard, also known as a sports gumshield, athletic mouthguards or gum guard has been used for several years to protect the teeth of contact sports players. The origin of use dates back to just before the turn of the 20th century when boxers would stuff cotton, wood, and a number of other materials between their teeth and bite down to prevent tooth injury. This obviously created a challenge for the athlete as they remained focused on keeping constant pressure on their homemade devices in order to prevent them from falling out of their mouths.

Soon after discovering this, a British dentist created a solution – a device that was constructed from a rubber material and was inserted between the teeth. Thirty years later the inventors’ son created a reusable gumshield which is exactly what we still use today.

A lot has changed since the initial sports guard was produced well over 100 years ago. Today, anyone can pick up a “boil and bite” or “ready made” guard at their local sporting goods store. There is, of course, the dentist fitted versions which fit closer to your teeth and offer better protection against impact.

Athletic Mouthguards

Ready-made mouthguards offer the least amount of protection and are not adjustable while boil and bite athletic guards allow one to create an impression of their teeth by heating the device in boiling water, placing it into the mouth and applying pressure by pushing against the gums while sucking in. These are often criticized by professionals because biting down too hard during the molding process can cause the thermoplastic material to stretch thin, reducing the effectiveness of the device. Professionally fitted sports guards offer the greatest amount of protection and are typically fitted by your dentist by taking an impression of your teeth.

In general, all three types are one piece and fit around the upper teeth, creating a protective layer between the upper and lower sets of teeth to prevent injury.

Snoring Mouthguards

Twenty years ago, snoring mouthguards started to make an appearance around the world and were marketed as a snoring solution. Recent studies have found that by advancing the lower jaw slightly forward, muscles in the throat tighten and the airway opens up. Breathing is less restricted and tissues become tighter and are unable to vibrate against each other. As a result, the sound of snoring stops. The device used to hold the jaw forward became known as a “Mandibular Advancement Device” or “Oral Appliance”.

It wasn’t long before entrepreneurs saw an opportunity to generate some serious cash by creating a DIY version of the MAD. But how would one go about making such a device? Perhaps create one using the same material that was already being used in boil and bite sports mouthguards? The design would, of course, have to cause one’s jaw to remain forward while sleeping. From this concept, the snoring mouthguard was born.

Since it’s initial introduction in the early to mid-1990’s, several manufacturers have designed and produced a number of different variations of this device. The majority of these new creations still used the same moldable thermoplastic materials that have been in use for several years prior. They all work in the same fashion by holding the lower jaw slightly forward while one sleeps.

So whats the difference between the two?

You may have compared the athletic guard to the snoring guard and wondered what’s the difference? There is one thing that they both have in common which is the material from which they are constructed. Aside from this, they are actually quite different. Here are a few of the differences between the two:

• Devices designed specifically for playing sports typically fit around the upper teeth only whereas snoring guards usually mold around the upper and lower teeth.
• Snoring mouthpieces are designed to cause the lower jaw to remain forward while sports guards do not persuade movement of the lower jaw.
• Guards for sports activities are much less expensive (+-$10) when compared to the anti-snoring counterpart(+-$40).
• Devices used to control snoring are considered a Class II medical device and technically speaking require a prescription whereas sports guards do not have any special regulations.

Can you use a sports mouthpiece to control snoring?

While they may look alike, there is a difference when it comes to functionality. A sports guard is designed to reduce the likelihood of tooth damage resulting from teeth chattering together upon impact while playing sports.

As mentioned, a mouthpiece specifically designed to reduce snoring actually contains a feature, in one way or another, which keeps the jaw forward, thus opening the airway and preventing snoring. If one were to wear a sports guard to prevent snoring, their lower jaw would not be advanced which means throat muscles remain loose and will still vibrate against each other.

To summarize, both products are constructed of the same or a similar material yet serve two entirely different functions. While they may appear somewhat similar, they serve two completely different purposes.

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.

In recent months, numerous polls on bad bedroom habits have been conducted in the US, UK, and Australia. While the results varied from one poll to another, snoring constantly held the number one position for most annoying bedroom habit. The act of snoring is more prevalent of an annoyance than teeth grinding, fidgeting, hogging the covers, sleep talking or even bad breath.

The prevalence of snoring varies greatly depending on geographical location. It’s estimated that between 30% and 50% of people are guilty of the act, and while some snorers sleep alone, others must share a bed with their partner. In some cases, partners end up sleeping in separate room because of their other half’s annoyances. Some experts suggest that this can be detrimental to a couples relationship.

Lets face it, bad habits are hard to kick and this one is no exception. Unless of course you are a “positional snorer” who tends to snore while laying on their back. In some cases, changing your sleeping position may give your partner some relief and prevent you from sleeping alone.

Positional therapy to the rescue

Positional therapy is nothing new. It has been around for years and is typically one of the first suggestion that doctors make when it comes to alleviating simple snoring. While asleep, tissues in the throat tend to relax and begin flopping around, causing all sorts of disturbing sounds that can keep your partners up at night. In some cases, the tissues relax so much that it creates a blockage in the airway, cutting off breathing for several seconds. This condition is known as obstructive sleep apnea and can occur several times per hour. As a result of apnea, oxygen levels in the blood drop and the person involuntarily wakes up gasping for air.

Has your partner ever noticed that your snoring ceases when you roll over onto your side? If so, sleeping on your side may create peace between you and your partner.

Sleeping on your side is often easier said than done. Most back sleepers will often fall asleep on their side, only to roll over onto their back in the middle of the night. There are various devices that can assist you with this issue. Some are homemade and fairly inexpensive while others can become quite costly.

Tennis ball trick

One of the oldest tricks in the book is to sew pockets into the back of your pajamas that enable you to insert tennis balls into them. Two or three balls running along your spine should do the trick. Be sure to create pockets that are large enough to allow you to remove the balls for washing purposes but have an opening that will not allow them to fall out while sleeping.  If you try to roll over while sleeping your body detects the balls and sends the message that sleeping in this position is not comfortable. Usually without awakening, you return to your original position.

If you are extremely overweight, a tennis ball may not work. Try using a baseball or even a softball instead.

Positional devices

A more aggressive approach is to purchase a positional device such as the ZZoma. While a bit on the expensive side, the ZZoma fits around your upper torso and contains a specially designed wedge which is positioned in the middle of your back. This wedge makes involuntary roll overs almost impossible due to its size.  If you find yourself waking up, even with tennis balls or baseballs sewn into your pajamas, this upgrade may be the solution.

Stop snoring pillows

There are a wide variety of stop snoring pillows that are available. While most do not offer a device that actually prevents rolling over, they work by making side sleeping more comfortable. Sleeping on one’s side can be challenging because the awkward position means that you will likely fall asleep on your arm. As a result, you may wake up with a numb arm or aching shoulder. These pillows are often designed in such a way that the arm has a place to escape to. If you are comfortable in a side sleeping position, you will likely not wake up to roll over.

Other solutions that you may want to try

In some cases, snoring can be corrected by simply sleeping on your side. This is an effective approach the is often overlooked by those in search of a solution to their snoring problems. In other cases, lifestyle changes such as weight loss, alcohol avoidance, or smoking cessation can make a huge difference. No only are they beneficial when it comes to snoring, but there are various health benefits associated with doing so.

In other cases, an anti-snoring device such as a gum shield may be the solution. There are several to choose from and they can be fairly inexpensive.

As always, consult with your doctor before using any medical devices for the treatment of snoring or sleep apnea. It may be necessary to do further investigating, as snoring may be a sign of OSA, a breathing obstruction, or a number of other more serious issue.

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.

As you may already know, I thoroughly enjoy a good read each and every day. It’s a part of what I do on a daily basis. I read. I analyze. I write. As Vera Nazarian once said, “Whenever you read a good book, somewhere in the world a door opens to allow in more light”. This quote accurately describes my thoughts when it comes to reading.

When Adrian Zacher, founder of Snorer.com, suggested that I review his guide to choosing a stop snoring mouthpiece, I simply could not resist. After all, I spend several hours each day learning about Mandibular Advancement Devices and writing product reviews. Needless to say, I gladly accepted his challenge. I mean worst case scenario, I read the entire guide and learn nothing at all. This rarely ever happens so the risks seemed to be fairly low.

I must admit, I was a bit skeptical about reading an information package that costs £3.10 (about $5 USD) or any amount for that matter. With an abundance of “free” information available on the internet, why pay a single cent?

Within seconds of opening the PDF file that was sent to me, the answer to this question became apparent.

Mr. Zacher has obviously spent several hours putting together this guide, calling upon his years of experience in the sleep medicine industry. From the very beginning, he walks you through the process of selecting a mouthpiece by deciphering technical jargon and putting everything into layman’s terms. Important information is supported by providing several external references throughout the guide. Unlike the vast majority of information found online about anti-snoring devices, the author clearly has no interest in selling any products at all. Simply put, the information presented is easy to read, informative, and contains no sales pitch. Now, onto the review.

What’s it about?

This 28-page guide is chock full of valuable information that not only covers how to select a device but also:

• An overview of what snoring is
• Different types of stop snoring devices available
• The relationship between snoring and OSA
• The importance of seeking professional assistance when necessary
• Contributing factors related to snoring and apnea
• Desirable features in a mouthpiece
• Comparing professionally fitted devices to OTC units
• Additional resources

In addition to all of this information, a questionnaire is also provided to assist with determining whether or not you should seek medical help for your snoring related issues. The author provides additional resources and even an appendix to help you understand some of the terminologies often used to discuss the topic of snoring and sleep apnea.

Overall, the content of the guide flows very well and does not leave you at all confused. It is truly written in an easy to digest format that is very readable. Relevant images are placed throughout the text, keeping things interesting as you read along.

Is the information presented within truly groundbreaking and innovative? No. Everything can be found on the Internet free of charge. However, it would literally take days, if not weeks to read multiple bits of free literature while deciphering whether or not the information presented is incentive based or not. In addition, you will also run into inaccuracies. You should, of course, take all information presented online with a grain of salt. In other words, you are getting an aggregation of accurate, unbiased information from two industry experts.

Is it worth the money?

Whenever deciding whether or not to purchase something, it always boils down to the question “Is it worth the money?”.  Do the benefits outweigh the cost associated with acquiring this item?

If you (or a partner) are suffering from snoring and need the lowdown on how to purchase a device, do you want to:

1. Spend several days learning the ins and outs of buying a stop snoring mouthpiece? or
2. Spend $5 on a guide that has all the (unbiased) information that you need to make an informed decision?

Keep in mind that the authors are industry professionals with several decades of combined experience.

My guess is that several hours of your time is worth more than the asking price.

Disclaimer

In all fairness, and to provide complete transparency, I am obligated to disclose that I was provided a copy of the guide from the author, Mr. Zacher. Aside from a free copy, no additional compensation was received for writing this review. All opinions stated are my own.

You can pick up a copy of this guide directly from Snorer.com

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.

Comparing oral appliances – Store bought vs professionally fitted

It has become a regular occurrence for a reader to ask me “What’s the difference between online over-the-counter oral appliances and those fitted by a dentist?”. After receiving numerous request, I decided that it is time to address this question. While there are quite a few similarities between the two, they also differ in several ways. I am about to lay it out, the “straight dope” if you will, by examining these similarities and differences while comparing the two.

The fitting

Most internet ordered MADs are “boil and bite” types

Let’s start with the most important difference between a doctor fitted MAD and one purchased online. Several, but not all, OTC mouthpieces use simple boil and bite technology. They are fitted at home, typically using a pot of hot water. The molding process is fairly simple and involves heating the unit for a specified number of seconds in hot water and then placing it into the mouth. You then suck in, while pushing on the outside of your mouth to create a mold. After a few seconds, the device is then dropped into a bowl of cold water which causes it to retain its shape.

There are of course some exceptions to this. For instance, the SleepPro Custom and the Prosnore II both use a dental impression kit which the consumer uses to create an impression and then sends it off to a laboratory who then creates the mouthpiece which is then delivered directly to the consumer.

In comparison, professionally fitted oral appliances are sometimes boiled and bite but are often created in a laboratory using an impression of your teeth. Your dentist will use dental trays to create a custom impression and then send this off to a lab to create a piece that closely hugs your teeth and gums. Once the device is returned from the lab, the dentist ensures a proper fit and makes adjustments if necessary.

Ability to adjust

Adjustability is key. Seen here is the SnoreRX which features 10 advancement settings

In order to effectively control snoring, an oral appliance must be adjustable. Small incremental adjustments, typically 1 mm at a time, slowly pulls the jaw forward to the “advanced position”. By advancing the jaw too much at once, one can expect extreme facial tenderness in the morning. The idea is to advance the jaw forward into somewhat of a comfortable position while effectively reducing or eliminating snoring. This is often accomplished by adjusting the settings a couple millimeters at a time.

Some OTC devices offer this while others do not. Almost all professionally fitted devices should feature some type of adjustment.

Life expectancy of product

Generally speaking, professionally fitted oral appliances tend to have a longer useful life. The amount of time in which the appliance lasts will vary depending upon manufacturer. For the most part, pro fitted devices will last anywhere from a couple years to five years. This estimate will greatly vary depending on factors such as how often it is used (hopefully every night) and whether or not you grind your teeth at night (bruxism).

Over the counter, devices have a typical useful life of anywhere from 3 months to 24 months. On average they last about a year or so, once again depending on several factors.

Price tag

Perhaps one of the most notable differences between doctor fitted snoring mouthpieces and those ordered online is obviously the price. Over the counter devices will cost anywhere from $35 up to $200.

Going the professional route, one can expect to pay $300 – $500 for the initial examination and consultation in addition to the cost of the device of your choice which typically runs between $1,200 and $2,000. After the initial fitting, you will be advised to return for adjustments. These appointments will typically cost $100 or more per visit. During the first 6 months you will likely return 2-3 times and thereafter you will be scheduled for an annual or bi-annual checkup. Keep in mind that you may be able to offset these costs depending on your insurance coverage, if available.

Criticism of over the counter oral appliances

Do-it-yourself oral appliances are often criticized by medical professionals for a number of reasons. While some speak out over concerns for patients safety, others are unwelcoming of such OTC devices due to obvious monetary losses.

In May of 2012 Dr. Lydia Sosenko, a seller of oral appliances, featured Dr. Gail Demko in a podcast which was posted on Dr. Sesenko’s website. Dr. Demko is considered to be an expert in the field of sleep apnea.

During the podcast, Dr. Demko was asked: “What is the biggest difference between professional devices and over the counter devices?” (@25:00 mins)

Her response:

“There is a dentist that is watching the patients for side effects. Custom fitted devices fit snugly on the teeth and don’t loosen up in the mouth. They don’t fall out and end up in the bed two or three times a night. They are easy for the patient to adjust, they are not just one piece. They are comfortable and don’t cut into the gums. They don’t torque the teeth.  They put pressure on all of the teeth instead of just one. And they are not put in the mouth of a patient whose not a good candidate.”

Dr. Demko brings up at least two valid points. With an over-the-counter device, there is not a dentist watching the patient for side effects and they are not put into the mouth of a patient who may not be a good fit.  As for the other 6 reasons cited, these can be debated and are not necessarily true with every DYI mouthguard.

In a blog post dated February 2013, Dr. Sosenko offers her own criticism of OTC oral appliances as seen in the video below. Once again, some valid points are made but do not necessarily apply to all OTC devices, only a select few poorly designed ones that are usually (not always) the cheapest available.

Other considerations

OTC snoring mouthpieces should not be used to treat undiagnosed cases of Obstructive Sleep Apnea (OSA). If you suspect that you have sleep apnea or any other sleep disorder, it is essential to consult with your doctor who will likely suggest that you have a sleep study conducted.

If you have conditions such as TMJ, gum disease, loose teeth, etc. you should consult with your dentist before using any oral appliances.

Which one is better?

Now to answer the question: Which one is better?

Obviously, you can not go wrong with a professionally fitted oral appliance but if the price tag is preventing you from purchasing one, there are some really great snoring mouthpiece alternatives that can be ordered online. Here are a few key characteristics that I find desirable when purchasing such a device:

• Choose one that can be adjusted. Some snap in place, some have bands while others require special tools for adjusting.
• Allow for breathing. This is very important if you tend to breathe through your mouth while sleeping
• Customization. Choose a device that can be molded for a more comfortable fit. While a boil and bite unit will work, one made by taking an impression with dental clay is perhaps the best. These types are however more expensive so take this into consideration.
• Ensure that it’s comfortable. Buy one that is constructed of a soft rubber-like material that will be easy on the gums.
• Constructed of safe materials. Look for a MAD that is constructed of an FDA approved materials. Remember, you will be placing this in your mouth for several hours each day. During this time you do not want to ingest harmful toxins that leach from cheap plastics used in manufacturing.

If you choose an over the counter device aim for one that has several of the above-mentioned attributes and is within your price range. There are literally dozens of affordable products available on the market that can help with simple snoring. Here is a comparison chart that features several of them. Remember, when in doubt, have the doctor check it out!

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.

You are tired, overweight, and are experiencing great difficulty making it through the day without taking a nap. While these symptoms could relate to a number of disorders, you may suspect that sleep apnea is the root cause of your problems. Perhaps you have already been diagnosed with Obstructive Sleep Apnea. Either way, you are interested in the connection between weight gain and apnea.

In recent years, numerous studies have been published noting the correlation between the two. Most studies suggest that up to 80% of sleep apnea suffers are obese. So there you have it, being overweight causes sleep apnea. Case closed – or is it?

While there is no denying that the two are correlated, most people assume that overeating is the primary cause of sleep apnea. Could it be possible that sleep apnea is causing you to gain weight? Yes, it’s a possibility.

How sleep apnea can cause you to be overweight

Sleep deprivation could cause unhealthy food cravings

While there are several theories that provide an explanation, one theory involves the bodies response to being sleep deprived. With sleep apnea, your body awakens you throughout the entire night so that you can breathe. This may happen several times per hour without you even knowing what has happened. As a result, you wake up in the morning feeling exhausted, regardless of the number of hours you slept the night before.

Throughout the day your body craves caffeine and high-calorie fatty, sugary foods that give you a burst of energy. Once consumed, instant energy gets you through until the next snack. All day, every day you are enticed by “junk foods” because your mind has been trained to seek these types of food in order to make it through the day. Naturally, while in distress, your body stores this fat for future use. As a result, your waistline expands and in many cases, sleep apnea worsens. The cycle continues as you pack on more pounds, day after day.

One other factor that plays a role in weight gain and apnea is the lack of REM sleep. You may recall the 5 stages of sleep from a health class sometime in the past. In short, the 5th stage of sleep is known as Rapid Eye Movement or REM. At this stage, the mind is most active and is also the time period when most “dreaming” occurs. This is also the stage of sleep when calories are rapidly burned. Sleep apnea suffers rarely enter into this stage of sleep and when (if) they do, they are abruptly awoken due to lack of oxygen. The inability to fall into deep sleep prevents calories from being burned rapidly.

So which one is it?

So does being overweight cause OSA or does OSA cause one to be overweight. The answer to this question depends on the individual. For those who do gain weight due to OSA, weight gain can become a vicious cycle that leads to more weight gain. With more weight gain the symptoms of sleep Apnea worsen.

Kath Hope, owner of Hope 2 sleep – a company dedicated to educating the public about sleep apnea while offering unique CPAP accessories for sale, wrote an excellent blog post sharing her experience with weight loss after starting CPAP treatment. She also mentions others who had similar experiences with weight loss once treated for OSA. In such cases, sleep apnea can be the cause of weight gain.

In other cases, the two may be unrelated or perhaps over-consumption of food may be the root cause of sleep apnea.

Before pointing the finger, take a few moments to reflect upon your past in order to draw your own conclusion. Ask yourself if you have always been a sleepy person or has your tiredness recently begun after rapid weight gain? Are there any other factors that may have contributed to your weight gain? Have you tried adjusting your diet by reducing calories and fat intake and are still unable to lose weight? If you have recently lost weight do you still wake up feeling tired?

It is important to remain honest with yourself while answering these questions. By thinking back, perhaps years, you may discover the answer to this question on your own.

In some cases, the answer may not be so clear. Understanding which one is causing the other can present a challenge, especially if you are currently sleep deprived and are unable to think with a clear mind.

In short, don’t jump to the conclusion that your weight gain is caused by sleep apnea but at the same time don’t discount the idea that OSA could be the cause or a contributing factor to your weight gain. They are both possibilities that should be examined.

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.