The wide variety of mouthpieces currently available on the market is huge; almost to the point where it makes the search for the best product more difficult than it needs to be. This site, and the comparison chart you see below aims to make your search as simple as possible.
This chart is merely a summary of features and disadvantages to help you to laser focus your research. Click on any product link or image at left, and you’ll go to the real meat of this site: our comprehensive reviews.
It is critical that you choose the product that fits best for you; hopefully this site will help you to make that educated decision.
|Product Name||Details||Materials||Government Approval||Denture Friendly?||Price|
|Good Morning Snore Solution||Best mouthpiece available. Does not interfere with teeth or jaw. In a category of its own.|
|FDA-compliant BPA-free. Also Latex-free medical grade resin.||Multinational approvals, including FDA cleared, Health Canada, European Commission and Australian Therapeutic Goods Administration Approval.||YES.||$99.94, deep discount when ordering two.|
|SnoreRX||The Best MAD available. Easily the most adjustable in its category, a very comfortable MAD.||FDA-compliant thermoplastic elastomer. BPA and Latex-Free.||FDA Cleared||No.||$99.00, with deep discount when purchasing 2 or more.|
|SleepTight||Boil and bite adjustable MAD mouthpiece. Simple construction, effective.||BPA-free medical-grade resin||FDA Cleared||No.||$9.95 Trial fee, if you decide to keep it, $59.95 total cost.|
|ZQuiet||MAD with hinged design.|
One of the few to allow for mouth movement. Best for mouthbreathers.
|BPA-free Latex-free, FDA-compliant thermoplastic elastomer.||FDA Class II Medical Device designation.||No.||$79.95|
|VitalSleep||Boil and bite adjustable MAD which comes in two sizes: regular and large. Very adjustable, low priced.||DuPont thermoplastic, USA-sourced BPA-free Latex-free||FDA Cleared||No.||1 - $59.95
2 - $49.97 (per item)
Very limited availability, one size fits all, expensive.
|Medical-grade silicone||FDA Cleared||YES.||$140.00|
|PureSleep||MAD with three settings. Also boil and bite.||BPA-free medical-grade resin||FDA Cleared||No.||$9.95 + shipping to try, $59.90 total if satisfied|
|SnoreMeds||MAD with boil and bite. Cheaply made.||Hypoallergenic thermoplastic||FDA Cleared||No.||$38.99|
|SnoreMender||MAD with hinged design. Allows for mouth movement, mouth-breather friendly.||Medical-grade dental thermoplastic BPA-free Latex-free||FDA Cleared||No.||$57.00|
|SleepPro Standard||Ultra-basic MAD.||Medical-grade dental thermoplastic BPA-free Latex-free||FDA Cleared||No.||$44.95|
|Snore Eliminator Pro||Another very basic, frills-free MAD.||Thermoplastic||FDA Cleared||No.||$37.00|
Comparing TSD Vs. MAD Mouthpieces
Both TSD and MAD mouthpieces are devices that are designed to keep you from snoring at night. These two categories of mouthpiece work in two entirely different ways. This article will discuss how both types of mouthpieces work and the benefits and drawbacks of each. While both types of are functional, and are made to help lessen the impact of your snoring, their design and comfort level means that each type has its enthusiasts.
1. The TSD (Tongue Stabilizing Device) Mouthpiece
TSD anti-snoring mouthpieces are an interesting category. There are very few individual mouthpieces in this category, and yet it is the most popular category (at least based on feedback to our site). The TSD mouthpiece works by pulling and holding your tongue forward and away from the rear of your throat. The tongue resting towards the back of the throat is a key cause of blockage (as seen in the left panel of the image at right). This blockage is what results in snoring.
With a TSD device, your tongue is inserted into the bulb at the front of the mouthpiece, which will hold your tongue comfortably in place. TSD mouthpieces do not put any pressure on your teeth or jaw while it is in use. As a result of this, many folks find the TSD mouthpieces to be more comfortable than most of the MAD mouthpieces.
You should not use a TSD mouthpiece if you:
- Have a deviated septum (0r if you have a hard time of breathing through your nose when you sleep)
- Breathe exclusively with your mouth while sleeping
- Have been diagnosed with severe sleep apnea by a sleep specialist
Many people like the TSD style of mouthpiece because it does not apply heavy pressure to teeth, jaws or gums. This point is particularly important for people with sensitive gums, or any kind of jaw alignment or TMJ issue.
2. MAD (Mandibular Advancement Device) Mouthpiece
The great majority of anti-snoring mouthpieces that are manufactured today are MAD mouthpieces. This is not necessarily because these mouthpieces are the best; in fact, it remains puzzling why there are so few TSD manufacturers, while there are so many MAD designer/manufacturers. This is likely due to patents on the TSD style of mouthpiece, a conversation that is far beyond the scope of this website.
The basic MAD mouthpiece design has been around for well over 30 years. These devices work to stop snoring by holding your lower jaw either in place, or in a forward position, depending on the mouthpiece. The key idea behind this design is that if your lower jaw is not allowed to slide backwards (by far the most common cause of throat blockage), air will flow more freely through your throat and epiglottis when you sleep. Minimizing throat blockage and maximizing air flow is the key to eliminating snoring for most people. The MAD design simply tackles the throat blockage issue from a different angle.
You should not use a MAD mouthpiece if you:
- Have any type of denture, crown, bridge or loose teeth
- Have any form of TMJ (these particular devices may worsen any TMJ symptoms)
Which Type Of Mouthpiece Is For You?
If you do not have any dental, diagnosed sleep apnea or TMJ issues, either type of mouthpiece may (or may not) work for you.
TSD mouthpieces allow your jaw to rest naturally, while the MAD mouthpieces hold the jaw forward or in place. For many people, the MAD style is comfortable and very effective. On the other hand, many people find it extremely uncomfortable. There are a number of factors that ensure that each individual’s experience with a MAD may be different. These include personal taste, jaw size, gum sensitivity and facial structure (these devices are almost always one-size-fits-all).
Meanwhile, there are those that find the “baby soother”-like design of TSD’s to be uncomfortable. Again, this is a matter of personal choice for many people.
MAD mouthpieces are extremely popular because they are typically cheaper in price than the TSD style. Many people make the mistake of “going cheap” with anti snoring devices, which is often a very bad idea (read about the Amazon factor here).
Basically, it’s better to consider a mouthpiece purchase as an investment – let’s face it, you will probably be using any mouthpiece anywhere from 6-10 hours per day. Would you prefer the most comfortable mouthpiece experience, or to “save a few bucks”?
Again, this is a matter of personal choice.
The TSD Advantage
Many people prefer TSD mouthpieces over the MAD design. This is because the TSD is typically a one-size-fits-all mouthpiece that allows for natural movement of the jaw. You can wear this mouthpiece even if you have dentures and mouth soreness is rarely reported. While the TSDs are more expensive than MAD mouthpieces, they do last quite a long time.
The MAD mouthpieces do a decent job of minimizing or eliminating snoring, and are often (but not always) cheaper than the TSD style. Most MAD mouthpieces either need to be trimmed, custom fit, or simply heated in order to fit the individual. Recently, the “boil and bite” procedure has become the primary sizing method for most mouthpieces.
The “boil and bite” method basically works like this: boil a pot of water, place the mouthpiece in it quickly, and then remove the mouthpiece and place it into the mouth. The advent of better thermoplastics makes this method extremely effective for customizing a mouthpiece specifically to your mouth shape.
Some people like the boil and bite method, while many do not like having to fit the mouthpieces themselves. It should be noted, however, that the process is very easy. Custom mouthpieces, meanwhile, are typically quite expensive when ordered through a dentist or sleep specialist.
Different Designs, Same Basic Function
Both TSD and MAD mouthpieces are designed to minimize or eliminate snoring; they just approach it in a different manner. The TSD device works by pulling your tongue forward, while a MAD mouthpiece works by either holding the jaw stationary, or by pulling the jaw forward. For most users, this is a matter of comfort and effectiveness. Because a mouthpiece is designed to be worn for long periods of time, comfort should be your primary focus. A good mouthpiece should NOT hurt the user. And while there is a “breaking in” procedure for every device, it’s almost always better to stop using a mouthpiece that causes pain. It’s just common sense.
Now, let’s have a little fun, shall we?
The Top 30 Reasons to Stop Snoring
Snoring is a very common issue affecting anywhere from 25-45% of Americans, depending on the study (the National Sleep Foundation posts some figures here). Sadly enough, it is also such an embarrassing problem that it can deter people from seeking help or otherwise dealing with it. Heck, even if you live alone, it’s important to understand that snoring is much more than just “some noise in the night”. It has long term effects. So, if you don’t have a reason to come to your senses and make an attempt to fight your snoring problem, then one of these 30 reasons might get you going.
1. So You Can Sleep
This is reason numero uno. Humans need rest. When you can’t sleep, your entire day is affected. This means absolutely every activity or task you perform. You can’t focus when you’re tired. Furthermore, you actually put yourself at risk of obesity because you don’t have any energy during the day to burn any calories or otherwise get any exercise.
Your job performance may suffer as you find that you can’t stay alert. Not to mention your drive home: shouldn’t you be at 100% when you’re driving a 4000 pound vehicle down the highway?
Your partner needs to sleep too. The last thing you want to do is have your partner suffer for all the reasons listed above. That, bar none, is one of the fastest ways to find yourself single! People weren’t meant to be alone. We need each other. Life is so much easier when you have a foundation built with a partner. The family has always been the central building block of every civilization—don’t break yours up by ignoring your snoring problem!
3. So You Can Breathe Easy
When you entered this world, you knew how to breathe. That knowledge came built-in (thankfully!). But, it’s not enough to simply say that you need to breathe to stay alive. We’d go one step deeper and say that you need to protect the things you take for granted.
I knew a guy who was diabetic and didn’t take care of himself. As time went on, his optometrist kept telling him that he was going to lose his eyesight. It wasn’t until he started going blind that he wept and begged the doctor to do something, but it was too late—there was nothing that could be done. Many people who don’t take care of themselves often take their health for granted, and they continue to not care until they are on the brink of losing it.
4. So You Can Save Your Marriage/Relationship
Marriage doesn’t happen by accident. You don’t wake up one day to randomly find out that you’re married. It takes action, commitment, hard work, and compromise. You decide that you want to spend the rest of your life with your partner. Snoring is an issue your partner has to deal with, and if you decide it’s better to go into another room, you’re treating the symptom, and not the cause.
Besides, one the best perks of marriage is not only sleeping in the same bed, but waking up with that person. The day your partner decides to sleep at the opposite end of your home is the day your marriage starts falling apart. Don’t let that happen because you neglected to take care of your snoring issue.
5. So You Can Get To The Root Of A Medical Problem
Snoring is often a symptom of a much larger issue, like sleep apnea. While mouthpieces may help to alleviate obstructive sleep apnea, they do nothing for central sleep apnea (which, it should be noted, is quite rare). Central sleep apnea requires professional medical attention, no matter how you look at it.
Obstructive sleep apnea can be caused by a lot of factors: large tonsils, obesity, a large tongue and many others. But, it can and should be treated quickly, particularly because there are grave potential long term health risks.
6. Because Of The Risk Of Stroke
The analysis of a recent sleep study discovered a link between snoring and strokes. They found that the intensity of your snoring problem—the louder and more forceful you snore—is directly correlated to the amount of fat deposits in your throat. These fat deposits—called plaque—are often just genetic, but also may be the direct result of bad eating habits. The more plaque you have in your throat, the more likely you are to have a stroke. Now I probably love meat and fatty foods more than the next guy, but there is a lesson in moderation to be learned in all of this: Watch your diet. It may well save your life.
7. Because Of The Risk Of Heart Disease
According to Dr. Eric Cohen, an Otolaryngologist in New York, NY, women who snore are at risk of heart disease; in fact, he claims they are MORE at risk than men. People with sleep apnea are twice as likely to have heart issues, both fatal and non-fatal. Remember also that heart disease, at least according to CDC.gov, is the nation’s number one killer.
8. Because Of The Risk Of Arrhythmia
When you snore, your breathing can be interrupted. This constant interruption can cause your blood vessels to be deprived of oxygen—breathing is the source of outside oxygen to your blood vessels. In fact, that is the main purpose of your lungs—to take the air you inhale and transform it into a way the your body can use it.
When you suffer from these breathing interruptions over the long term, your heart is very likely to beat irregularly. This heart rhythm irregularity is known either as Arrhythmia or Atrial Fibrillation (see a pertinent study here). Atrial Fibrillation can be very dangerous, according to the American Heart Association.
Gastroesophageal Reflux Disease, better known as acid reflux or heartburn, is the painful feeling in your chest when your food creeps back up your esophagus. The way in which your throat closes as you breathe in and out causes a vacuum, creating a suction. This suction then pulls your food and the associated acid from your stomach up your esophagus.
As a result, it’s never a good idea to go to sleep right after eating a large meal. Instead, it is often better to wait at least three hours after dinner, which is why you’ll come across people who refuse to eat anything after 6:00 PM.
10. Because Of Injury Risk
As noted above, snoring and sleep apnea can leave people exhausted. When you’re suffering from a snoring issue, you may also experience daytime sleepiness, which can put your peers at risk. A recent study by the Virginia Tech Transportation Institute, showed that fatigue is a cause of 20 percent of auto crashes.
Meanwhile, if your job requires you to do work with any kind of risk, fatigue may put others at risk as well. For example, driving a heavy construction vehicle while fatigued can put you and others directly in harm’s way.
11. Because Of Mental Health Risks
Sleep deprivation caused by sleep apnea is nothing to scoff at. It has been linked to problems ranging from simple crankiness to long-term depression. The relationship between sleep apnea and depression has been clearly established in studies. Because there are a wide variety of solutions to your snoring problem, why put yourself at risk?
According to Marian J Davey, MSc, of the British Snoring & Sleep Apnoea Association, snorers do tend to suffer from headaches much more frequently than non-snorers. These headaches, typically experienced in the morning, often fit into the tension headache category. According to the article, “a tension headache is usually described as constant pressure or a band-like sensation in the frontal, temporal or occipital areas.” The longer you snore, the more likely you are at risk for these headaches.
13. Because Of Nocturia
Nocturia, or waking up excessively at night in order to urinate, is frequently found in women who have difficulties with bladder control. However, multiple studies suggest a link between Nocturia and snoring in men. One study in particular found men over the age of 55 with Nocturia are often plagued with sleep apnea and benign prostate enlargement. According to Mary Umlauf, a professor at the University of Alabama Capstone College of Nursing, sleep apnea can actually cause the body to produce too much urine at night. In fact, the link is so strong that the study linked to above proposed further research into Nocturia as a key screening tool for sleep apnea.
Loud snoring can and will often bother your sexual partner by keeping him or her awake. However, snoring is pretty much never considered “sexy”. The more you snore, the louder you snore, and the longer you snore all lead to a lower level of sexual satisfaction. Studies show that it lowers the frequency in which couples may engage in intimacy because they no longer have a desire for intimate relations. The increased tiredness that comes from a night of snoring may also be linked to this.
15. Because Of Fetal Complication Risk
Pregnant women—even those who don’t have a history of snoring—will often snore during their last trimester due to the natural weight gained during pregnancy. According to this study, pregnant women who snore heavily may risk giving birth to babies with low birth weight, or other complications.
Women who are in their last trimester of their pregnancy should be seeing an OB-GYN or family doctor already. If you’re one of those women, make sure you talk to your doctor about any issues you may have with snoring.
Excessive weight has been a recurring theme in sleep apnea studies, and for good reason. Studies suggests that up to 50% of overweight people also have sleep apnea and snoring issues. Obesity can be a snoring cause because of the increased weight around the neck and throat. This extra weight can increase the chances that your neck muscles will collapse, making it that much harder to breathe.
People who lose weight also report a correlating decrease in other health issues—and issues such as sleep apnea are among those.
17. Because Snoring May Be Becoming A Feminist Issue
At least, this is the opinion of Helen Croydon, Huffington Post UK contributor. She says that snoring is already a feminist issue because men complain of lost intimacy when the female partner opts to sleep in another room. Her stance is that men value “cuddle time” more than they value their partner getting a good night’s sleep.
Delving more into this “feminist” view of sleep deprivation, we find that it’s not limited to snoring—it actually came about because of child care reasons. Part of the current feminist movement says more men need to wake up to care for infants in the night. While this issue is certainly beyond the scope of this website, it does make for interesting discussion.
18. So Your Wife Won’t Stab You
Do you want your wife to stab you? Because apparently, snoring is a good way to cause your wife to stab you. This is an extreme case, but it did happen:
Dawn Weiser, after an argument with her husband Doug, went to bed. The argument was about snoring, and while Doug went to bed in the master bedroom he shared with his wife, his wife took to bed in another room in the house. Later that night, Doug woke up to his wife stabbing him with a butcher knife. He suffered three stab wounds and lacerations to his liver.
Now, we’re not saying that this happens to everybody, just that it happens. 🙂 Read the rest of the story here.
REM sleep is a key type deep sleep that all humans require. This is the state in which people dream, and also the state of sleep people need to reach if they expect to wake up refreshed in the morning. Snoring and other associated breathing problems often wake you up—and by association, your partner—before either of you can reach this REM state. Long-term failure to reach the REM state has been cited as a cause of many different health problems, including those mentioned in this article like obesity, low energy levels, and—yep, you guessed it—snoring and sleep apnea.
20. Because This Is Not Just A Cosmetic Problem
Snoring is considered a cosmetic problem by insurance companies. This means that, in most cases, the snorer faces significant out-of-pocket expenses associated with any medically-related treatment for their snoring issues. While there is a small movement that aims to change that view, it is in its grass-roots stages and thus it is taking longer than expected for insurance companies to catch on.
You and I may agree that snoring is very much a medical issue, but the companies who pay the majority of medical bills—at least at the moment—disagree. Hopefully, as the number of medical cases associated with snoring continue to rise, the time will soon come when insurance companies will pay out snoring-related claims.
Your partner isn’t the only person who may be directly affected by snoring. If you’re in an apartment or flat, your neighbors can hear just as many noises coming from you as you can hear coming from them. If your partner can’t sleep unless they are on the opposite end of your home, imagine how your neighbors must feel.
Most apartments are made with bare-minimum, builder-grade material—which means the thinnest walls they can get away with by law. While this isn’t true in all cases, if your walls are thin, your snoring has to stop. You don’t want to end up like this guy.
22. Because It Can Be Embarrassing To Talk About
This shouldn’t even be an issue, but denying it won’t make it go away. Snoring is not a prime conversational topic, and if someone, like your partner, hears snoring being brought up in conversation, he or she is liable to drag you into it. While the intention might not be malicious, many people are self-conscious when it comes to a snoring issue. There is a level of public scorn they wish to avoid, and even if their issue has been accepted by their closest friends, snoring is an embarrassing problem. Unfortunately, this embarrassment often deters people from taking any steps to alleviate the problem.
23. Because It Can Affect Your Reputation
Snoring can give you a reputation that’s not easy to get away from. People are usually given nicknames among family members in a loving manner, but the last thing you want to be called is the “snoring monster.” You may find yourself to be the laughing stock of the family joke of the day, such as waking up and having your teenage son ask you if he needs to call the zoo because you were let out of your cage—an apparent reference to how your loud snoring kept him up the night before. While the intentions might be innocent, a constant barrage of embarrassing comments can really put some wear and tear on your psyche. Unfortunately, the only way out is through.
24. Because It Gets Old, Fast
The issue may be new or even unknown to you, but if you ignore it, you won’t be the only one who you affect. You will reach a point where you will be tired of the people you harm. You will be sick of the jokes, the scorn, and mostly, you’ll be tired of being tired. Many people ignore the problem hoping it will go away. The truth is it won’t go away—at least not without a conscious decision to change something or attempt to tackle the problem on your own. A change can be as simple as a dietary change or refusing to eat late at night.
25. Because You Really Don’t Want To End Up On YouTube
Believe it or not, there is a video on YouTube called 12 Hours of Snoring—The Sequel. This really is a 12-hour video that really isn’t a video at all, but instead a sound clip of various snoring lasting a full 12 hours. Other people have posted “snoring compilations”, where they video tape people sleeping and put them together in a video for your viewing pleasure. Honestly, I can’t fathom how people find this funny, but evidently, there is a faction of people out there who find this hilarious. I can’t imagine anyone who has been caught on video snoring would want it posted to the world’s largest assemblage of public video.
Okay, so you won’t get kicked off the plane. People sleeping planes is really nothing new, especially when it comes to a flight that’s over three hours in length. While you may have never had to sit next to a snoring passenger on a transcontinental flight, imagine the horrific experiences of people who do! And if you’re having trouble imagining it, read this story about a woman who flipped out and started stabbing a snorer sitting next to her. She ended up being ejected from the flight, and it made the news. Don’t be this woman! And more importantly, don’t be this kind of snorer!
27. Because You Don’t Want To Make Babies Cry
Men aren’t the only ones who snore by a long shot—although many people assume that most women don’t snore. And yet, studies clearly show that there is a significant number of women who snore on a daily basis. In fact, in the 40-50 year age range the ratio of men to women who snore is about 60/40. Ladies listen up!
This is far from just a male problem, to be sure. Check out the video below, which shows a really cute baby who is genuinely freaked out as he is lying next to his snoring mother. It’s a short video, and has a great payoff!
28. Because You Don’t Want To Be Accused Of Being A Wild Animal
You’re supposed to learn the names of animals in school, not from snoring. Your “snore animal” will likely be based on how loud or how prolonged your snoring style is, but nonetheless, it’s definitely not a compliment. Typical animal comparisons we’ve heard are pig, trooper, banshee, bear, grampus, chainsaw, horse, and warthog. I don’t even know what a grampus is, but in this context, I would rather keep my dignity and not be compared to one. None of these animals are quiet, and your snoring spirit animal stands as a testament to the ruckus you cause when you’re sleeping.
Note: I asked Google what a grampus was. It is another name for an Orca, or Killer Whale. So, definitely not flattering.
29. Because Your Life Is At Risk
Wow. Well now… that escalated quickly. Did we get your attention? Good. Because it’s true—mostly. Sleep apnea is, in other words, a pause in normal breathing. If this happens, there is a slight chance you may not breathe again. This is extremely slight, yes, but it can happen. More importantly, however, is the fact that the longer this goes on untreated in any way, shape, or form, the higher the likelihood that you can suffer some real, dangerous health problems. If you have a weight problem and refuse to take care of it, the chances of this occurring are increased even more.
The bottom line is—yes, snoring can be life-threatening. But it’s very treatable.
This is probably the most important reason, as it basically takes all the other reasons we’ve mentioned, and wraps them into one. Let’s fact it: you deserve a good night’s rest. You partner deserves it, too.
You don’t deserve to be the constant subject of family jokes.
In a way, you’re lucky because by visiting this site, you are obviously on the path to change. Once you begin to treat your snoring and eliminate it, you’ll become a source of inspiration to those who are still struggling. Most of all, you’ll know what it’s like to wake up refreshed in the morning next to a partner who is equally refreshed because you took the initiative to take care of your problem.
Stick with it, and you’ll conquer this problem. Thousands do, everyday.
Is it enough?
So that’s it…30 reasons why you need to address your snoring problem, and soon. Remember always that you’re not alone—this is a much more common issue than you might think. You will be glad you decided to find a solution.