Oral Anti-Snoring Devices: MAD vs. TRD vs. CPAP

Snoring can happen to anyone. However, some people experience it all the time resulting in restless sleep and disturbance to their partners. Many relationships have been strained just because of snoring. Good thing, the solution doesn’t have to be moving in separate bedrooms. Now, there are FDA-approved sleep devices that you can use to minimize, if not stop, your nightly noise pollution.

To solve snoring, we need to look at the source. Snoring is produced by the vibration of your soft tissues when you breathe during your sleep. The tongue and soft tissues in your mouth are relaxed during your sleep causing it to collapse and block the air passage. This blockage results to labored breathing and the snore we hear.

The devices work in different ways so you can pick what suits you best. Here are the tools that you can consider to solve your snoring problem.

Mandibular Advancement Devices (MAD)

Mandibular advancement device

Mandibular advancement device

They are sometimes called anti-snore mouthpieces or oral appliances. These advancement devices are used to open up the air passage by adjusting the position of the mandible, or lower jaw. The forward movement also helps move the tongue forward. The forward action holds the tongue and soft tissues to keep it from falling into your throat area. A clear air passage would result in less vibration inside your mouth while you breathe, eliminating the snore.

Mandibular Advancement Devices are clinically proven to reduce, if not eliminate, snoring. Studies show that the test subjects apnea/hypopnea index (AHI) was significantly reduced with the use of an oral appliance. You can access the survey here: https://www.ncbi.nlm.nih.gov/pubmed/10593770

The side effects noted while using MAD is drooling and jaw pains [our own study confirms this]. These side effects may subside with continued used as the mouth will be accustomed to the device over time.

Tongue Retaining Devices (TRD)

The Tongue retaining device works by pulling the tongue forward to prevent it from moving at the back of the throat while sleeping. It follows the same principle of Mandibular Advancement Devices (MAD) except that it does not move the jaw.

The TRD pulls the tongue out using a gentle suction. It could be uncomfortable, but it does not cause any pain on the jaw and teeth area because it only pulls the tongue.

Although jaw pain is eliminated using this device, the tongue retaining device will not be useful if the source of the snore is not from the tongue.

Continuous Positive Airway Pressure System (CPAP)



This device works by delivering air to the air passages to create a pressure that will prevent the soft tissues in the mouth from collapsing and blocking the air passage. CPAP is a bedside machine that blows air into a tube that is connected to a mask worn by the user. This device is the most efficient tool for people suffering from snoring and sleep apnea. However, if you have a mild case of snoring, you can opt for the other devices because CPAPs are expensive. Aside from that, wearing a mask while sleeping can be uncomfortable and it is bulky compared to MAD or TRD.

Remember to consult your physician when you have a constant snoring issue. This procedure will ensure that you do not have any underlying illness that causes your snoring.

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