Mandibular advancement devices

Mandibular Advancement Device for Snoring: How Do They Work?

Written by: Ed Salazar

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Time to read 8 min

If you've tried various snoring remedies without success, you're not alone. Many people struggle to find an effective solution to this common issue.

Fortunately, there are medically backed options available. One snoring solution is the mandibular advancement device, a proven method to reduce or eliminate snoring and enhance sleep quality.

Let's explore how mandibular advancement devices work and why they might be the right choice for you.

What Is a Mandibular Advancement Device?

A mandibular advancement device (MAD) — also called a mandibular advancement oral appliance, or mandibular advancement splint — is a medical-grade mouthpiece designed to prevent snoring.

It works by gently repositioning your lower jaw (mandible) forward while you sleep, helping to keep your airway open and reducing soft tissue vibration in your throat.

How Does It Fit in Your Mouth?

A mandibular advancement device is similar in appearance to a mouthguard or a retainer. It is worn over your teeth and typically consists of two trays — one for your upper teeth and one for your lower teeth. These trays are connected in a way that allows for slight adjustments in jaw positioning, depending on the model.

The Purpose: Keeping Your Airway Open

Snoring occurs when the muscles in your throat relax too much during sleep, partially blocking your airway and causing vibrations as air passes through. By gently moving the lower jaw forward, a MAD prevents this obstruction, making it easier to breathe freely and reducing the likelihood of snoring.

For many people, this simple yet effective adjustment can lead to quieter nights and more restful sleep.

How Does a Mandibular Advancement Device Work to Stop Snoring?

Your airway is like a tunnel — when it's clear, air flows through easily. But when your jaw relaxes too much during sleep, the airway narrows, making breathing more difficult. 

A mandibular advancement device slightly shifts your lower jaw forward, preventing this collapse and ensuring better airflow.

Why Snoring Happens: The Role of Airway Blockage

Snoring occurs when airflow is partially obstructed. As air struggles to pass through, it causes soft tissues in the throat to vibrate—creating that familiar, disruptive sound. The more restricted the airway, the louder the snoring.

How a MAD Device Prevents Snoring

By holding the lower jaw in a slightly forward position, a mandibular advancement device keeps the airway open. This reduces vibrations in the soft tissue at the back of the throat and decreases snoring. For many people, this simple adjustment leads to quieter, uninterrupted sleep.

Who Should Consider a Mandibular Advancement Device?

If any of the following sound familiar, this device might be worth considering:

  • Chronic snoring. If snoring disrupts your sleep or your partner’s — even if you don’t have OSA — a MAD device could provide significant relief.

  • Obstructive sleep apnea (OSA) . If you’ve been diagnosed with mild to moderate OSA, a MAD device could help reduce apnea episodes.

  • CPAP compliance issues. If you struggle with a CPAP machine due to discomfort or inconvenience, a MAD device offers a less bulky alternative.

If you’re not sure whether you need a CPAP or a mandibular advancement device, consider speaking with a sleep specialist.

Types of Mandibular Advancement Devices

There are several types of mandibular advancement devices, each with its own advantages and drawbacks. Below is a comparison to help you decide which might be best for you.

Type

Description

Pros

Cons

Boil-and-Bite MADs

Soft thermoplastic material that molds to your teeth after being boiled.

Affordable, semi-custom fit, widely available.

May wear out faster, can be less precise in fit.

Custom-Fitted MADs

Created by a dentist or sleep specialist for a perfect fit.

Maximum comfort, long-lasting, highly effective.

More expensive, requires a dental visit.

Ready-Out-the-Box MADs

Pre-made, one-size-fits-all devices.

Inexpensive, no fitting required.

Least comfortable, may cause jaw soreness or dental issues.

If you’re looking for a budget-friendly option with moderate comfort, a boil-and-bite MAD is a good starting point. 

Mandibular Advancement Device Price Range

When considering a mandibular advancement device, price can vary significantly depending on the type you choose. Here’s a breakdown of what you can expect:

Type of MAD

Price Range

Features & Considerations

Over-the-counter (OTC)

$50–$150

Affordable, but often less durable. May not fit well and could cause discomfort or dental issues over time.

Custom-fitted (from a dentist or sleep specialist)

$500–$2000+

Tailored for your mouth, offering a more comfortable fit and better results. Higher upfront cost but lasts longer and offers better effectiveness.

Boil-and-bite

$100–$300

A mid-range option that offers a customizable fit, but still doesn’t match the precision of custom-fitted devices.

Ready-out-the-box

$50–$200

Convenient but often uncomfortable. May not fit well and can lead to issues like teeth crowding or jaw soreness.

While cheaper options can seem tempting, they often don’t hold up well over time. Some are made from lower-quality materials that wear down quickly, requiring frequent replacements. Others can cause dental damage if they don’t fit properly.

On the other hand, a custom-fitted mandibular advancement device might seem like a larger investment upfront, but it typically lasts much longer and provides a more comfortable, effective solution.

Mandibular Advancement Devices: Pros and Cons

Mandibular advancement devices offer a practical, low-maintenance solution for many people struggling with snoring and mild to moderate sleep apnea. However, they’re not without their challenges — discomfort, potential dental issues, and the need for a good fit are common concerns.

Here is a list of the pros and cons:

Pros

Cons

Reduces snoring – Helps keep the airway open during sleep, reducing vibrations that cause snoring.

Jaw soreness – Some users may experience soreness or discomfort, especially in the beginning.

Non-invasive – Unlike surgeries or CPAP machines, MADs are non-invasive, offering a simpler, less intrusive solution.

Adjustment period – It may take time to get used to wearing the device overnight.

Improves sleep quality – By reducing snoring and improving airflow, users often report better sleep and more energy.

Potential dental issues – Over time, poorly fitting MADs can cause tooth discomfort, movement, or bite misalignment.

Portable and easy to use – MADs are compact and easy to take anywhere, making them convenient for travel.

Not suitable for everyone – MADs are best for mild to moderate snoring or sleep apnea; those with severe conditions may need a CPAP.

Affordable options available – A range of devices are available at various price points, making it accessible for different budgets.

May not fully address underlying conditions – MADs focus on snoring but may not fully resolve other issues like severe sleep apnea.

It’s important to weigh these pros and cons when deciding if a MAD is the right solution for you.

The Somnofit-S: A Proven Option for Snoring Relief

If you’re looking for a clinically tested and highly effective solution for snoring, the Somnofit is an option worth considering. 

This device has been designed with comfort, durability, and effectiveness in mind, offering a significant upgrade over many bulky, less comfortable alternatives.

The benefits include:

  • Clinically tested and adjustable. Unlike many off-the-shelf options, the Somnofit-S has been proven to work in clinical studies and is adjustable to suit your specific needs.

  • Made of medical-grade material. Crafted from high-quality, durable materials, it ensures a comfortable fit and long-lasting use.

  • Easier to tolerate than bulky alternatives. The Somnofit-S is slimmer and lighter compared to other MADs.

  • Comfortable. Thanks to its clever design, the Somnofit-S is more comfortable than most alternatives. The Sleep Foundation named it the most comfortable anti-snoring mouthpiece of 2025.

  • Ideal for people looking for a non-CPAP solution. If you’re struggling with CPAP compliance, the Somnofit-S provides a more comfortable, non-invasive alternative to manage snoring and improve your sleep. You can also use the Somnofit-S with a CPAP.

If you're ready to reclaim a quieter, deeper sleep, consider the Somnofit-S Mouth Guard+ as a reliable, science-backed solution for your snoring woes. Try it today for a peaceful, restful night!

Pros and Cons of Mandibular Advancement Devices (MADS) table.

MADs: A Small Shift, A Big Sleep Upgrade

Snoring doesn’t just disrupt your sleep — it affects your overall well-being. The good news? Even a small adjustment to your jaw positioning can make a huge difference.


A mandibular advancement device works by gently repositioning your lower jaw, keeping your airway open, and reducing snoring. Whether you’re struggling with chronic snoring or mild sleep apnea, this simple, non-invasive solution can lead to better sleep quality for you — and your partner.


Not all MADs are created equal, though, and finding the right MAD for your needs can lead to quieter, deeper sleep.


While cheaper, generic devices can be uncomfortable and short-lived, options like the Somnofit-S stand out for their comfort, durability, and proven effectiveness.


If you’re ready to experience quieter nights and more restful sleep, it’s time to explore the best solution for you.

Medical Disclaimer:

The content in this article is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a licensed healthcare provider with any questions you may have regarding a medical condition or treatment options. Please consult a qualified healthcare professional for personalized medical advice or concerns about snoring, sleep disorders, or related health issues.

Ed Salazar, SnoreLessNow Co-Founder and CEO

Ed Salazar, Sleep Consultant and CEO of SnorelessNow

With over 20 years of experience in healthcare, Ed Salazar is a trusted sleep consultant and co-founder of SnoreLessNow. Let Ed Salazar guide you on a transformative journey to restful nights and rejuvenation. 

Dr. Andres Salazar, MD, CMD

Dr. Andres Salazar, MD, CMD

Medically reviewed by Dr. Andres Salazar, a board-certified Family Physician, Geriatrician, and Certified Medical Director, leading a dedicated team of sleep consultants.

Frequently Asked Questions

What is a mandibular advancement device (MAD)?

A mandibular advancement device is an oral appliance designed to reduce snoring. It works by gently moving your lower jaw forward to keep your airway open during sleep, preventing the vibrations in your throat that cause snoring.

How does a mandibular advancement device stop snoring?

Snoring occurs when the airway is partially blocked, often due to the tongue or soft tissues vibrating. A mandibular advancement device shifts the lower jaw forward, helping to keep the airway clear and preventing the vibrations that lead to snoring.

Who should consider using a mandibular advancement device?

A mandibular advancement device is ideal for people who experience mild to moderate obstructive sleep apnea (OSA), chronic snoring, or have issues with CPAP compliance. It’s best to consult a doctor or sleep specialist before starting any snoring treatment to determine if a MAD is right for you.

Are mandibular advancement devices uncomfortable to wear?

The comfort level of a mandibular advancement device can vary depending on the type and fit. Custom-fitted devices generally offer the best comfort. While some users may experience jaw soreness or salivation, these issues usually improve as you get used to wearing the device.

How much does a mandibular advancement device cost?

The price of a mandibular advancement device can range from $50 to over $2,100, depending on whether it’s over-the-counter (OTC), boil-and-bite, or custom-fitted by a dentist. While cheaper options may be available, a custom-fitted MAD generally offers better comfort and durability.