Top Anti Snoring Mouthpieces and Mouth Guards

(Mouthpiece Reviews, Comparison And Snore Guard User Guide)

Are you trying to stop snoring? One of the most effective and cheapest ways is a stop snoring mouthpiece. But with so many mouthpieces available on the market how can you possibly choose which one to buy? This is where we come in...

​This guide will present you with the most commonly used, and effective remedies for excessive snoring and mild to moderate cases of obstructive sleep apnea.

​In this guide you will learn about causes and consequences of snoring, three best device types for treating snoring, the comparison table of best anti-snoring mouthpieces most commonly used as alternative to the more expensive CPAP machines.

Who is this guide for?

  • Those looking to try a stop snoring mouthpiece or mouth guard but not sure which one to buy.
  • Those looking for information on snoring mouthpieces and how they work.
  • Those looking for snoring remedies and ways to stop snoring fast.

WARNING: If you think you have obstructive sleep apnea (OSA), you should go talk to your doctor. OSA can cause high blood pressure, heart failure, and atrial fibrillation (abnormal amounts of heart beats), amongst other things. The more severe levels are dangerous even in the short term.

Why Choose Anti-Snoring Mouthpiece?

Hey there, I'm Robert, founder, and editor here at Snore Nation. I used to be a heavy snorer and only after my wife kicked me out of the bedroom I realized the seriousness of my snoring problem. I decided to take control of my life and started my research. I'm on a mission now to share my insider tips with all of you... Read more about me here.

Robert J Hudson

I’ve been trying, researching and reviewing a whole lot of mouthpieces and other snoring remedies for many years now and it continues as an integral part of my daily life.

In my experience the best way to improve your sleep and prevent snoring FAST is by using a snoring mouthpiece that has been designed for the perfect fit. The following list of anti-snoring devices are highly rated amongst users, have had a successful performance rate, positive consumer reports, and did work, in one way or another in my own tests, reducing or stopping the snoring completely.

In line with my commitment to highlight and bring only the best snoring solutions to you, year after year, I’ve further updated my recommended anti-snoring mouthpiece's list. It reflects the best stop snoring devices available in the marketplace today, in terms of effectiveness, quality, price and user-friendliness. 

Best Snoring Mouthpieces

Here is quick comparison I prepared of the best snoring mouthpieces we will discuss below.

**Below, you'll find our more detailed reviews, but you can also click the links above to go straight to manufacturers website.

Which one you will work for you?  It depends on what is causing you to snore and what feels most comfortable in your mouth and the position you tend to sleep in. Before choosing the right solution for you we need to find out why you snore by performing a simple snoring tests I prepared for you below.

Quick Overview Of The Best Anti-Snoring Mouthpieces

SnoreRX - stop snoring mouthpiece

#1 SnoreRx - Stop Snoring Mouthpiece 

The SnoreRx is also one of my favorite MAD snoring devices, and it certainly looks like a more advanced product than others. It offers calibration in 1-millimeter increments to achieve a comfortable fit. 

Also, the 30-day money back guarantee makes it a great product to try!

Effectiveness

Quality mouthpiece that definitely looks and feels like a more advanced product.

Price

Great value for the money that will last from 12 - 15 months.

Ease of use

Boil-and-bite mouthpiece with a calibration in 1 millimeter increments to achieve a most comfortable fit.

Guarantee & Support

30 Day Money Back Guarantee and very fast customer support, including a toll free number on the website!

We Like

  • Risk-Free 30-day money-back guarantee.
  • Adjustable through small 1mm increments for a perfect fit.
  • Great design with a large breathing hole at front
  • More comfortable to wear compared to other similar snoring solutions / devices.
  • BPA and latex free.
  • Long life span : 12 to 15 months.
  • FDA cleared.

We Don't Like

  • It can take some getting used to like most similar devices.
  • Money back guarantee doesn’t pay for shipping costs.
  • Cannot be worn by people with dentures or loose teeth.
Recommended Snoring Solution
30 day money back guarantee

The price starts from: NOW Only $99.- ($129) for a single mouthpiece and $154 for two devices.


Good Morning Snore Solution Stop Snoring Mouthpiece

#2 Good Morning Snore Solution Mouthpiece

Safe, affordable, comfortable & effective snoring mouthpiece designed by Dr. Leslie Dort a well‐regarded sleep researcher from the University of Calgary. I'm a tongue base snorer myself and GMSS worked for me wonders and I'm still using it to this day. I think it’s the best TSD stop snoring device on the market today and would definitely recommend it. 

It also comes with a 90-day money back guarantee so you got nothing to loose.

Effectiveness

Very effective mouthpiece if you are a tongue base snorer.

Price

Fair pricing considering that it can easily last up to 12 months.

Ease of use

One size fits all. No molding or adjustments required but can take time to get the suction right.

Guarantee & Support

90 Day Money Back Guarantee and very a helpful support team that will answer your questions.

We Like

  • Risk-free 90-day money-back guarantee 
  • Cleared for use by the U.S. FDA, Australian Department of Health and Aging, Canada’s Therapeutic Products Directorate and the EU.
  • Clinically proven to work.
  • Extremely comfortable to wear compared to others and can be worn by snorers with dentures, bridgework, caps and crowns.
  • Soft BPA and latex free material.
  • One size fits all, and no adjustments required.
  • Long lifespan because you don’t have to bite down on it.
  • The company is BBB accredited (A+ rating), meaning the company will respond well to complaints.

We Don't Like

  • Can cause drooling at first, which is common with most snoring devices.
  • Some soreness can be experienced on the tip of the tongue at first but this usually fades within a short time as you get used to device.
  • You have to breathe through your nose. Must not be used if your nose is, or is at risk of becoming, blocked at night.
  • In the event of returning the item you still have to pay the shipping and postage charges.
Recommended Snoring Solution
90 Day Money Back Guarantee

The price starts from $89.94 for a single device and $129.94 for a family pack of two devices.


ZQuiet Mouthpiece Review

#3 ZQuiet Mouthpiece Package

The zQuiet ships with with two devices: one with slight adjustment and one more protruding. The low up-front cost on the trial signup makes zQuiet a highly purchased product. The zQuiet is not boil-and-bite, so you can use this right out of the package.

Effectiveness

You get two options to test which calibration reduces your snoring the best.

Price

Low upfront cost to test this product.

Ease of use

Easier to swallow with this mouthpiece then other larger, bulkier products.

Guarantee & Support

You have 30 days to return the device and avoid being charged full price. Email and phone support only.

We Like

  • Two options for calibration.
  • Quick and easy to start wearing.
  • Minimal invasiveness, low profile design.
  • Easier to close mouth and swallow during sleep then other MAD's.
  • Supplied by a leading name in the snoring industry.

We Don't Like

  • Must pay for return shipping plus trial price for returns.
  • No boil-and-bite does not give as custom fit compared to other MAD's.
  • Thin materials may wear out quickly.
Recommended Snoring Solution

$9.95 for a 30 day Trial.


AirSnore Stop-Snoring Mouthpiece

#4 AirSnore™ Combo - Mouthpiece + Drops

The AirSnore™ Snoring Mouthpiece is a very popular choice due to its low pricing point and in my opinion, is one of the best snoring (MAD) devices on the market. It has a simple design - adjustable through boil-and-bite and comes with AirSnore™ Drops - all natural oil blend for even better sleep.

It is cheap, and has a 60-day money back guarantee, so trying this product out is a must for any snorer!

Effectiveness

Quality mouthpiece that is especially effective when used together with AirSnore Drops.

Price

Best value for the money you can buy and it will still last from 6- 12 months.

Ease of use

Boil-and-bite method lets you achieve a custom fit but can be tricky to mold on a first try.

Guarantee & Support

60 Day Money Back Guarantee and excellent support that includes Live Chat on the website and toll free number!

We Like

  • Risk-free 60-day money-back guarantee.
  • Quick and easy to fit to your mouth and start using.
  • Low pricing point. It is one of the most competitively priced jaw advancement devices on the market.
  • More comfortable to wear compared to other similar snoring solutions / devices.
  • Manufactured and supplied by a trusted and leading name in the health industry.
  • Designed and manufactured in FDA approved facilities to the highest standards using the highest quality ingredients and materials.

We Don't Like

  • It can take some getting used to like most similar devices.
  • May be risky to use if you have missing teeth, dentures or other implants in your mouth. A doctor’s or dentists advice is recommended before using AirSnore in these situations.
  • Not FDA approved (only its facilities are).
Recommended Snoring Solution
60 Day Money Back Guarantee

The price starts from: $49.95 for a mouthpiece and $89.95 for Combo (Mouthpiece + Drops).


SM-device-and-box

#5 SnoreMedic Anti Snore Device

The one-piece design of the SnoreMedic gives you control of jaw advancement levels during the boil-and-bite. The simplicity and low price of the SnoreMedic make this is a device worth trying.

It's a cheaper device, but I found it to be more challenging to sleep with.

Effectiveness

Various from snorer to snorer. Mouth breathers will do well with SnoreMedic.

Price

Cheapest price for a MAD of our top six devices.

Ease of use

Easy to mold, but harder to sleep with.

Guarantee & Support

30 day money back return policy.

We Like

  • Low cost mouthpiece.
  • Simple to mold and align.
  • Fixed jaw advancement once mold is complete.
  • Ships from the USA.
  • No questions asked refunds.
  • Same design as competing products, but cheaper.

We Don't Like

  • Bulky design.
  • Harder to swallow during use.

Price is $39.99


Zyppah RX Anti-Snoring Mouthpiece

#6 Zyppah

Zyppah is a combination tongue restraint and mandibular advancement device. Highly popular, this device has the key technical features built-in that are proven to reduce snoring. Jaw advancement cannot be calibrated.

Effectiveness

Can be effective due to the tongue restraint built-in.

Price

A costly device due to its popularity. No discounts or promotions.

Ease of use

Longer adjustment period due to the tongue restraint.

Guarantee & Support

90 Day return policy. Many online reviews of customer support issues.

We Like

  • Dual feature device (TRD and MAD)
  • Medical grade materials
  • Thin profile is comfortable
  • Boil-and-bite customization
  • Manufactured in the USA.

We Don't Like

  • Long adjustment period. Have to wear days or weeks to see results.
  • Tongue restraint makes swallowing harder.
  • Possible customer service delays.

Price starts from $99.95 for Single Device.

All Snoring Mouthpiece Comparison Table

Below you will find a comparison table of all snoring mouthpieces we looked at, compared and tested. 

Rated

Mouthpiece

Device Type & Special Features

Material Used

Price

(For single device)

Clinical Trials

Govt. Approval

Longevity

OK for denture wearers

#1

SnoreRX Anti-Snoring Mouthpiece

​MAD

Boil-and-bite.

Copolymer BPA and Latex Free

$99.00

NO

FDA Certified

12-15 months

NO

#2

Good Morning Snore Solution Stop Snoring Mouthpiece

TSD

One size fits all​

Sillicon material, Latex and BPA Free

$99.94

YES

FDA, Health Canada, Austialian Govt. and European Union approved

12 months

YES

#3

ZQuiet Stop Snoring Mouthpiece

MAD

Price includes two mouth pieces. Allows mouth breathing​.

Thermoplastic Latex and BPA Free

$89.90

NO

FDA Cleared

12 months

NO

#4

AirSnore Stop-Snoring Mouthpiece Review

MAD and "rubbing supplement" (drops for skin). Boil-and-bite Mouthpiece​

MAD

Thermoplastic

$49.95

On SALE!​

YES

FDA Approved

6-12 months

Should be OK, though recommended to ask your dentist.

#5

SM-device-and-box

MAD where lower jaw advancement is set with custom mold.

MAD

Thermoplastic

$39.95

On SALE!​

No

No

6-12 months

No

#6

Zyppah Stop Snoring Mouthpiece

Hybrid: TSD and MAD. 

Boil-and-bite with  Breathing holes.

Thermoplastic latex, BPA Free

$89.95

NO

FDA Cleared

6-18 months, depending on usage, and individual

NO

#7

SleepTight Mouthpiece Review

MAD

​Boil-and-bite with Air holes.

Thermoplastic

$79.95

But can be tried for 30 days for $9.95

YES

FDA Cleared

6-24 months

NO

#8

SnoreMeds Anti-Snoring Mouthpiece Review

Boil-and-bite, 2 sizes (one for men one for woman). Breathing holes​

Plastic, Latex Free, BPA Free

$49.95

NO

FDA Cleared

3-4 months, though manufactured for 12 months

NO

#9

AveoTSD Stop Snoring Mouthpiece

TSD

Comes in three sizes. Requires a prescription​.

By prescription only!

Silicone

$139.99

YES

NO

12 months

YES

#10

Thera Snore Product image and review

Adjustable MAD

Boil-and-bite, and Adjustable through small incrementations, one size fits all.

Hard acrylic, soft thermal plastics

$70.00

(£49.95)

YES

FDA, NHS (UK's National Health Service)

18-24 months

YES

But must be fitted by your dentist.

#11

VitalSleep Mouthpiece Review

Adjustable MAD.  Small and regular sizes, both are micro adjustable for better fit, after boil-and-bite process.

Thermoplastic, BPA Free

$59.95

NO

FDA Cleared

12 months

Can be worn with partial dentures, though consult your dentist.

#12

SleepPro Contour

SleepPro Contour

Adjustable MAD

Boil-and-bite.​

Thermoplastic BPA and Latex Free

$129.99

NO

NHS

6-24 months

NO

#13

SleepPro Tight Mouthpiece

SleepPro Tight

MAD

Tighter fit than "EasyFit" and bigger breathing hole, allowing more room for tongue.

Thermoplastic BPA and Latex Free

$79.99

NO

NHS

6-24 months

NO

#14

SleepPro Custom Fitted Mouthpiece

SleepPro Custom

Custom fitted MAD

The mouthpiece is made in a laboratory using an impression mould of your teeth.

Thermoplastic BPA and Latex Free

$259.99

YES

NHS

6-24 months

Should be, though consult your dentist.

#15

PureSleep Anti-Snoring Mouthpiece

PureSleep

MAD

Boil-and-bite and adjustable.​

Thermoplastic Latex and BPA Free

$59.95

NO

NO

6-9 months

NO

#16

SleepPro EasiFit - Snoring Mouthguard

SleepPro EasiFit

MAD

Boil-and-bite, 2 sizes, holes for breathing.

Thermoplastic BPA and Latex Free

$44.95

YES

Yes, though conclusion was don't use it if you have mild to moderate OSAHS.

NHS

6+ months

NO

#17

SomnoGuard AP Snoring Mouthpiece

SomnoGuard AP

Adjustable MAD

Recommended to let dentist do the fitting. 2 piece MAD so you can mold them separately. Boil-and-bite though a bit more complicated (cutting off edges for instance). Adjustable after with screw driver.

Thermodynamic material

$149.69

YES

FDA, Therapeutic Goods Administration (Australia)

12-18 months

NO

But ask your dentist.

#18

SnoreDoc Snoring Mouthpiece

SnoreDoc

MAD

Boil-and-bite. Front air hole.

Thermoplastic

$39.99

YES

FDA

N/A

NO

#19

Snorban - Snoring Mouth Guard

Snorban

MAD

Boil-and-bite, breathe through nose.

Thermoplastic BPA and Latex Free

$49.95

YES

FDA

12 months

NO

How To Choose Snoring Mouthpiece
That Will Work For You?

First, You Need To Understand Why You Snore To Find The Right Solution For You!

It is vital that you understand the cause of your snoring before you start throw money away on number of anti-snoring devices and then find out that they do not work. Each device is designed for a specific type of snorers. For example if you are an open mouth snorer and you buy a set of nasal strips or a tongue retaining device in the hope to stop your snoring, guess what will happen?! You probably will swallow that same nasal trip in your sleep as you still be snoring with your mouth wide open. 

Below are some simple snoring tests you can try at home to learn what the main cause of your snoring is. After each test I will explain which option is best for you depending on your snoring test results, or what to do if you didn’t get a solid answer.

Start With a Simple Snoring Test

The Tongue Snoring Test

The most common cause of snoring may be caused by the way that the base of your tongue falls during the sleep. For many people the tongue has a tendency to relax and fall backwards in the mouth during the sleep and when it happens the narrowed breathing passage will vibrate excessively causing the sound of snoring.

To determine whether or not this is the root of your problem perform this test:

  • Pull your tongue as far forward as possible
  • Hold your tongue in place using your teeth
  • Now try to make the sound of snoring!

If you are unable to make a snoring sound with your tongue in this position, you may be suffering from what is known as “tongue base snoring”

The solution for snoring when the tongue is the cause of the problem is a tongue retaining mouthpiece or tongue retaining device (TRD) also known as tongue stabilizing device (TSD). A mouthpiece specifically designed to hold the tongue forward - the best solution for this type of snoring. In this case you should consider the following snoring devices:

Bad news - there are not many snoring solutions available for this category. Good news - the ones that are can really solve your snoring problem pretty fast!

If you could still make a snoring sound with your tongue between your teeth don’t worry there are a couple more tests for you to try.


The Jaw or Open Mouth Test

Let’s try the next snoring test. This will determine if you snore because of your jaw or open mouth.

  • Open your mouth
  • Now try making a nice loud snoring sound
  • Next, close your mouth and try to make exactly the same sound

If you can make a snoring noise with your mouth open, but not with your mouth closed, your problem is very likely due to the way you breathe while sleeping. The best solution for this open-mouth type of snoring would be jaw retaining mouthpiece that will hold your lower jaw forward and mouth closed while you sleep. This will also help in the long-term development of the healthier habit of breathing through your nose.

So, if the ​cause of your snoring is your jaw or open mouth then one of the jaw retaining mouthpieces will work best for you:

Using a chin strap also can help to some extent but due to slippage and discomfort issues it is not as effective as using a snoring mouthpiece.​ And from my personal experience I would not recommend it. I found that they are generally very uncomfortable and can slide off easily in your sleep. 


The Nose Snoring Test

If you don’t snore because of your tongue then perhaps you snore because of your nose.

  • Keep your mouth closed during this test
  • First, use a finger to hold one of your nostrils closed
  • Inhale and exhale deeply through the open nostril
  • Listen closely for any whistling and pay close attention to whether or not the nostril collapses
  • Repeat the test on the other nostril

If either or both of your nostrils appears to be affected, nasal strips or sometimes called nose strips may be a great place to start when looking for the best anti-snoring remedies for you. They are the easiest to use and can provide a temporary relief.

Note: But if I have to be completely honest with you​, I have not yet found a nasal strip that is capable of preventing snoring on its own. In my experience nasal strips can be a good compliment when used together with another snoring solution, but that's about it. 

Be aware: the nasal congestion and stuffy nose also could be caused by allergies, sinus trouble, allergic rhinitis or hay fever. If you suspect allergies it may be worthwhile to seek a professional help to pinpoint the exact causes. Changes to your diet and/or environment around you could also help.

What To Do If Multiple Issues Are Causing Your Snoring? 

When you conducted your tests you might have discovered that you have more than one issues that are causing your snoring problem. That's OK. This is not that uncommon and most likely is caused by the tissues of the soft palate and the uvula at the back of your mouth. The uvula is the small nob of tissue you can see hanging down at the back of your mouth.

If there is more than one cause of your snoring, the mouthpiece that repositions the tongue by pulling it slightly forward will still be the best way to go. It will maximise the space available in your air passage way. 

So, in this case, the tongue retaining mouthpiece like Good Morning Snore Solution or Aveo TSD will be the best solution you should try first, for treating snoring that seems to have more than one cause.

Keep reading to learn more about snoring causes and effects on your health and types of mouthpieces most commonly used to effectively stop snoring.

The Definitive Guide to Snoring
 & Anti-Snoring Mouthpieces 

What Causes Snoring? 

Snoring is caused by the partial blockage of airways

It is important to know the causes of snoring to use the right tool to tackle your snoring problem.

Snoring is caused by the partial blockage of airways, which can happen anywhere from the nose to the throat, or near the back of the tongue. The blockage can happen while awake, and worsen during sleep.

When you are sleeping your muscles are more relaxed, making it easier for the airflow to make the softened tissues vibrate; tissues gradually become softer as deeper sleeping stages are achieved.

Many different factors can cause snoring and sleep apnea, such as:

  • Aging: with age we lose muscle tone everywhere, including in our throat, making it easier for vibrate to occur and make snoring sounds
  • Being over-weight: lack of exercise, over eating or bad eating habits causing weight gain can partially block your throat by making it bulkier
  • Alcohol and sleeping pills: both of these will relax your muscles, making them more likely to vibrate
  • Smoking: every additional cigarette you smoke irritates the airways in your nose and throat, which may cause them to swell, effectively blocking air paths
  • Breathing through your mouth: Mouth breathers are more likely to snore since when breathing, the airflow directly hits the back of the throat, which can cause the tissues there to vibrate. On the other hand when breathing through your nose, air passes along the curved region above the soft palate, going directly into the throat without causing much turbulence.
  • Obstruction of nasal airways: not only does a stuffy nose make you more likely to breathe through your mouth, but nasal congestion can make you snore in and of itself (when forcing air through your blocked nose, it increases turbulence in your nasal tissues)
  • Allergies: different allergies can cause snoring, or simply cause nasal congestion
  • Different sleeping positions: different sleeping positions make you more or less likely to snore (when on your side, you are less likely to snore)

Consequences Of Snoring And Sleep Apnea

About half of all snorers have some degree of obstructive sleep apnea. The consequences of OSA will vary depending on the severity.

Consequences of snoring and sleep apnea include:

  • High blood pressure and hypertension: even for mild degrees of sleep apnea your body is not breathing properly, meaning you are not taking in the necessary amount of oxygen. Lower levels of oxygen in the blood will constrict your blood vessels, increasing blood flow, in order for your organs to receive the same amount of oxygen. This can lead to hypertension and high blood pressure
  • Daytime sleepiness: because sleep apnea makes your breathing irregular, it will bring you out of your sleeping rhythm, effectively reducing the amount of time spent in deep sleep. Also the lack of oxygen that accompanies OSA hinders our sleep since it doesn’t allow us to recover as well
  • Awakening at night: a sever lack of oxygen can make you wake up at night gasping for air
  • Weight gain: studies have shown that lack of quality sleep makes us crave high-calorie foods
  • Other consequences of sleep apnea: lack of focus, headaches, mood-disturbances, and sleep apnea in conjunction with reduced time spent in the deepest stages of sleep can increase memory loss
  • Snoring can affect your partner’s ability to sleep well: this, in the long term, has been proven to be detrimental to relationships (though we could probably figure that out without looking at clinical trials…)

Women Are Miss- Or Under-Diagnosed When It Comes To OSA

Women are diagnosed with OSA (Obstructive Sleep Apnea) significantly less than men mainly due to a set idea of what a snorer looks like (middle-aged, at times overweight, man), and because their symptoms might be different. For instance, women with sleep apnea can get headaches, or it could affect their mood, which is not as common amongst men.

Recent studies have found that the ratio of prevalence of men to women who have obstructive sleep apnea or who snore is actually around 2 to 1. Some will say this ratio is also affected by the under- or miss-diagnosis of women.

The Three Best* Snoring Device Types For Treating Snoring Fast

These three devices have been proven to be effective in treating mild to moderate Obstructive Sleep Apnea through clinical trials, and many different governments have approved their use; though it will depend on the model and company.

The devices are the mandibular advancement devices (MADs), the tongue stabilizing devices (TSD), and the nasal EPAP (Expiratory Positive Airway Pressure).

Try The Simple Snoring Test Above To Find The Right Device For You!

All three are a great solution to snoring and mild to moderate cases of obstructive sleep apnea for three reasons:

1

Proven to work starting at the first usage.

2

They are long lasting and relatively cheap compared to any CPAP machine and the majority of models included in our table do not need to be acquired with a prescription, or need to be custom fitted, further decreasing their cost.

3

Having something in your mouth may feel awkward at first, but once you find the «right» one and you get used to it you’ll be comfortable wearing it every night, which allows for long term usage.

What follows is an overview of these three devices: how they work, how to use them, and their most common (minor) side effects.

*According to the amount of people who have used it, their feedback and reviews, our experience and because they have all been approved by the government and have had clinical trials.

Mandibular Advancement Devices (MADs)

MADs keep your jaw pushed forward, as if you were awake. Since snoring and OSA happen when the airways in your throat get blocked, pushing the jaw forward allows more space for air to circulate at the back of your mouth for two reasons. First, the back of your jaw is directly connected to your throat, meaning that pushing it forward will open up space there. Second, when your jaw is pushed back and there is less room for air to pass, your tongue can act as a clog for the small airway that is left, therefore making you snore.

How Snoring Mouth Guard Works

MADs also decrease teeth grinding by locking your jaw in position, and because they separate your lower jaw’s and upper jaw’s teeth.

Many MADs have breathing holes in them that allow you to breathe through your mouth. This is convenient since you will be able to use your MAD even if you have a stuffy nose from the flu for example.

The most common minor side effects are: jaw soreness and excessive drooling.  But both side effects usually decrease over time.

MAD General Guidelines

Clean your mouth and brush your teeth before using the device.

Most MADs are boil-and-bite. Meaning you will need to place the device in hot water a few seconds, take it out and wait for it to cool, and then bite on it moving your lower jaw slightly forward in order to give it your mouth’s, and teeth’s shape.

Usually you will be able to re-mold the device a few times, though not always.

Adjustable MADs also allow adjustments to be made after haven given it your mouth’s imprint, usually in small increments of about 1mm. This way you may adjust how forward you want your lower jaw to be without having to repeat the boil-and-bite process.

Finally there are some MADs that are ready-to-use, usually giving you the option between a few different sizes.

MAD Cleaning And Care

Any device that you put in your mouth should be cleaned after and/or before each use as per the instructions of the manufacturer, but in general:

  • To clean use cold water, toothbrush, and toothpaste.
  • Let it soak in a denture cleaner once a week.

Tongue Stabilizing Devices (TSDs)

As previously mentioned, when the back of the jaw partially blocks the throat’s airway, the tongue can obstruct the remaining air path making you snore. TSDs only target the tongue, retaining it as to not let it fall at the back of your throat, allowing you to breathe normally.

Tongue Stabilizing Device  (TSD Mouthpiece) - How it works

TSDs then require you to breathe through your nose, though with time you would get used to it. Since you breathe through your nose, you can’t use it when you have the flu or a stuffy nose.

TSDs also decrease teeth grinding. Their most common side effects are: excessive drooling and tender tongue. Though these side effect may decrease or disappear completely over time.

TSD General Guidelines

TSD will retain your tongue through suction. To use it you will need to:

  • Gently squeeze the closed end between your fingers
  • Insert the open end in your mouth, letting a small part of it stick out
  • Insert your tongue in the opening until it reaches the end
  • Release your fingers

This way, the device should be sucking in your tongue.

Squeezing it with your fingers will have reduced the total amount of air in the TSD, and releasing them will have brought back the device to its original volume, filling the previously missing area with… your tongue

The company AveoTSD offers three sizes, while Good Morning Snore Solution (GMSS) only has one. Both companies have had good customer feedback and reviews, though GMSS seems to be way ahead and after researching looks like it is the most popular device on the market at the time of writing this. You can read our Good Morning Snore Solution review to learn more about this device. 

TSD Cleaning And Care

Any device that you put in your mouth should be cleaned after and/or before each use as per the instructions of the manufacturer, but in general:

  • To clean, rinse in water, and clean using a denture cleaning solution or tablet once a week.
  • You don’t need to use a toothbrush because TSDs do not have any small cavities like the ones left by your teeth in a MAD.

Nasal EPAP (Nasal Expiratory Positive Airway Pressure)

By partially blocking your nose with a sort of tape (Theravent), pressure accumulates in the airway in the throat when you exhale, thereby expanding the airway, and reducing snoring and OSA. Even though it seems to be a bit less effective in general than the two other products, given the clinical trials and the reviews online, it is a really simple solution that doesn’t take any time to adjust to. In the long term though, costing about a dollar a day, it will usually be more expensive than a MAD or a TSD that would last you 12 months or more.

Nasal EPAP Guidelines

To use it, simply apply the product (resembling tape) onto your nostrils.

Use each piece only once.

What to look for in TSDs and MADs when buying?

Here are general characteristics you will want to look at when choosing your snoring mouth guard or mouthpiece:

  • Government approval: reduces the chances of it being a bad or unreliable product.
  • Clinical studies: many mouthpieces will say that MADs have gone through numerous trials, without mentioning if they ran a trial on their own product. This is often evidence that they did not run clinical trials. If they have though, it gives you an extra guarantee the product will work, although it may be the equivalent of checking reviews online
  • Effectiveness.
  • Comfort and adjustability: Just because some MADs are boil-and-bite, rather that boil-and-bite and adjustable doesn’t mean the latter is more comfortable.
  • Breathing holes (for MADs): since some will not have them, you will have to breathe through your nose
  • Cost: it is important not just to look at its price, but also its life expectancy, and return policy.
  • The company's reputation.
  • General consumer feedback.

Frequently asked questions (FAQ)

How long can the mouthpiece last?

Can I use them with dentures?

Do TSDs and MADs stop teeth grinding?

Are there any dangers of chocking on the devices?

Can children wear TSDs and MADs?

Can the boil-and-bite process be repeated?

Can a mouthpiece or mouth guard replace a CPAP machine?

Can people with sensitive gums wear a mouthpiece?

What if I am not happy or it doesn’t work for me?

How can I clean the mouthpiece without damaging it?

Are there any chemical free home remedies for cleaning my mouthpiece?

Is there clinical support for a mouthpiece as an anti-snoring device?