Mandibular Advancement Device vs CPAP: Which Snoring Solution is Better?

If you’ve been told you have sleep apnea, you’ve probably heard of the CPAP machine. But it’s not the only solution out there, and a CPAP may not be the best fit for everyone.

Many people with sleep apnea prefer to use mandibular advancement devices (MADs). These mouthpieces can reduce snoring and sometimes help with sleep apnea.

If you’re not sure which one to get, we’re here to help you. Below, we’re talking all things MAD vs CPAP — the pros and cons of each, how they work, and the side effects. We’ll also talk about the benefits of using a MAD and a CPAP at the same time. 

Continuous Positive Airway Pressure (CPAP) is one of the most commonly prescribed treatments for moderate to severe obstructive sleep apnea (OSA).

A CPAP machine delivers a constant stream of pressurized air through a mask, keeping your airway open as you sleep. This helps prevent the breathing interruptions that define obstructive sleep apnea, leading to more restful, uninterrupted sleep.

It’s often considered the “gold standard” for sleep apnea treatment, especially in more advanced cases where other tools might fall short.

While CPAPs are highly effective, they do come with limitations:

• Comfort issues. Wearing a mask all night can be frustrating or even feel claustrophobic.

• Noise. Some machines are loud, which can make it harder for you (and your bed partner) to sleep well.

• Space. CPAP machines are generally bulky. While you can travel with a CPAP, it can be inconvenient.

• Consistency struggles. Many users find themselves skipping nights due to discomfort, despite the health risks.

• Expensive. Most CPAP machines are pricey, with the average price ranging from $500 to $3,000. This makes sense, as it is an advanced piece of medical equipment — but the cost can make it difficult to access. 

That’s why more people are exploring other options — including mandibular advancement devices — or even combining the two for a more personalized approach.

A MAD is a small, custom-fitted oral appliance that you wear in your mouth while you sleep. It works by gently shifting your lower jaw forward — just enough to keep your airway open and reduce the chances of it collapsing while you breathe.

Snoring happens when airflow is partially blocked, causing soft tissues in your throat to vibrate. In obstructive sleep apnea, that blockage can become more severe, leading to repeated breathing pauses throughout the night.

By moving your jaw forward, the device creates more space in the airway, reducing vibration and helping keep your breathing steady. It’s a noninvasive, low-maintenance solution that can be surprisingly effective for many people.

When you’re weighing the pros and cons of a mandibular advancement device vs CPAP, it helps to see the facts laid out.

Below is a quick breakdown of how these two sleep solutions compare in key areas like comfort, cost, and effectiveness.

As you can see, both options have their strengths and their drawbacks. The key is figuring out which one fits your lifestyle, your sleep needs, and your ability to stay consistent night after night.

Yes, and for many people, combining both treatments can make a big difference, particularly if you have OSA. 

The simple truth is that not everyone can tolerate full CPAP pressure, even if they need that much from the machine. Adding a mandibular advancement device can help reduce the air pressure needed from your CPAP, making it more comfortable and less overwhelming.

Some even find that the combo allows them to use a smaller mask or a nasal pillow setup instead of a full-face mask. Also, not everyone wants to rely on just one device. If something goes wrong or you travel, it’s good to have another snoring aid that you are already used to wearing.

If you're already using a CPAP but find yourself skipping nights because it's just too much, adding a MAD could be the bridge that helps you stay on track with your treatment. You would not be the only person to find that this helps the transition to using a CPAP machine.

Some devices, like the Somnofit-S, are designed to be used alone or alongside CPAP therapy. It’s a flexible option that supports people who are easing into CPAP use, struggling with mask fit, or looking for a hybrid solution that doesn’t compromise effectiveness.

There’s no one-size-fits-all answer when it comes to choosing between a mandibular advancement device and CPAP, but there is a right fit for you.

A CPAP might be your best bet if:

• You’ve been diagnosed with severe OSA. If you have a proper sleep apnea diagnosis, you will need the most powerful and reliable option to keep your airway open, which is a CPAP machine.

• You’ve tried MADs before without success. You used a mandibular advancement device and found that it didn’t give you enough relief. This could indicate you need a stronger anti- snoring solution.

• You don’t mind the mask or machine. The biggest issue with CPAP therapy and how effective it can be is consistency. If you are not bothered by using the mask and staying consistent with CPAP feels sustainable for you, you are the perfect patient for CPAP therapy.

A mandibular advancement device may be a better fit if:

• You snore chronically or have mild OSA. If you have mild to moderate obstructive sleep apnea or just snore a lot, a MAD might be best. They are easy to obtain, and good-quality options can be comfortable.

• You want something portable and travel-friendly. If you travel a lot and are a snorer, we know the struggle. It can also be a great way to treat your OSA while “on the road” without requiring an outlet (and maybe an adapter).

• You’ve struggled to stay consistent with CPAP. Staying consistent with your CPAP therapy is important, but it can be hard to do. If you need an easier alternative that you’ll actually use every night, consider getting a mandibular advancement device.

You might want both, and that’s both a valid and wise option.

Use your CPAP at home and take your MAD (like the Somnofit-S) with you when you travel. Or use them together for better comfort, reduced air pressure, and a more customized approach. Many people find that MADs have fewer side effects, better long-term comfort, and higher treatment consistency — especially over time.

Whether you choose a CPAP, a mandibular advancement device, or a combination of both, the most important thing is that you find a solution that actually works for you — one that helps you breathe easier, sleep better, and feel more like yourself again.

Both tools have their place in sleep apnea treatment. CPAP is powerful and effective, especially for more severe cases of OSA. MADs offer freedom, portability, comfort, and they often make sticking with treatment much easier in the long run — although they are not enough for severe sleep apnea.

Talk to your healthcare provider or sleep specialist about what fits your lifestyle, sleep patterns, and needs. You deserve a solution that supports real rest, not just one more thing to dread at bedtime.

Struggling with snoring? Explore the Somnofit-S Anti-Snore Mouth Guard+, a clinically proven mandibular advancement device that’s adjustable and easy to use. It could be the upgrade your sleep has been waiting for.

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.