A Mandibular Advancement Device is an oral appliance designed to gently pull your lower jaw and tongue forward. This creates space at the back of the throat to keep your airways open, reducing and preventing snoring and Apnoeas.
Oral sleep devices are a clinically proven treatment to reduce snoring and mild and moderate Obstructive Sleep Apnoea symptoms. They are simple to use and an effective treatment option.
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The mandibular (also known as the mandible or Sleep Apnoea mouthguard) is your jawbone. A Mandibular Advancement Device consists of two trays, one for the upper teeth and one for the lower teeth, connected by a hinge. The device holds the lower jaw and tongue and moves them forward. This forward movement helps prevent the collapse of the soft tissues at the back of the throat, reducing the risk of airway obstruction. Creating space in the mouth and throat can stop snoring and provide better airflow whilst you sleep.
Mandibular Advancement Devices look like mouthguards used in sports but are so much more than that. They are a widely used alternative for treating snoring and mild Sleep Apnoea. MADs are often adjustable to allow for a custom fit. This enables users to find the most effective and comfortable position for their lower jaw.
If you have false or uneven teeth, gum disease, or joint dysfunction, please consult with your dentist first.
You should start by wearing the Sleep Apnoea mouth guard for short periods. This allows you to get comfortable with it before slowly increasing the amount of time you wear it. Continue to do this until you can wear the device throughout the night.
CPAP therapy is still the best form of treatment for people with severe Sleep Apnoea.
A Mandibular Advancement Device is an effective way to reduce or stop loud snoring. They also treat the symptoms of mild and moderate Obstructive Sleep Apnoea (OSA).
These devices are a popular snoring solution and an alternative for people who cannot use CPAP therapy. They are cost-effective and clinically proven and are a great way to test this type of therapy. However, they are not a long-term solution. If successful, we advise getting a custom-made device through your dentist.
It depends on the severity of your Obstructive Sleep Apnoea. CPAP therapy should always be the first line of treatment for Severe cases.
A MAD is an alternative therapy option if you have mild or moderate Sleep Apnoea. They are also effective in preventing snoring.
If you think you may have Sleep Apnoea and have not yet had it confirmed, please consider our In-Home Sleep Apnoea Test. Our team can provide a definitive positive or negative result in less than 14 days.
If Sleep Apnoea is present, our sleep specialists can suggest the most suitable treatment.
A Mandibular Advancement Device will last between 12-24 months. Various factors impact the longevity of your device, so it is important to look after it.
Your device should have a storage box. Ensure you clean the device after each use and store it safely in its box. This limits the risk of loss or damage.
Wash MAD devices with cold water and toothpaste every day. You can include this as part of your daily dental routine.
Once each week, deep clean it. Some people use denture cleaner or denture tablets, but water and white vinegar can also be used. Soak the device for five minutes and gently scrub it with a soft-bristled brush. Rinse it thoroughly before leaving it to dry naturally.
You should not clean the device with hot water as this may affect the integrity of the moulding.
The side effects of oral sleep appliances may include:
Making adjustments to the device can manage most of the side effects, and they are typically only temporary.
Overcoming the side effects.
If you’ve never worn a MAD before, you should introduce the device gradually. Extending the time you spend wearing the device over several weeks.
We advise continuing to use the appliance for a minimum of 30 days. It can take this long to get comfortable with it. Wearing the device for the entire night right from the start may lead to discomfort and a bad experience.
Devices that offer millimetre advancement, like the Oniris MAD, can reduce side effects. The Oniris allows you to adjust the device a millimetre at a time. This means you can adapt to each change before moving to the next. Stop adjusting once you reach the ideal level of advancement.
