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Roughly one-third of adults in the U.S. experience frequent snoring. Many find relief by using anti-snoring mouthpieces (also known as mouthguards), which reduce snoring by either holding the tongue in place or pushing the jaw forward.
These devices fall into two general categories. Mandibular advancement devices, or MADs, physically move the mandible (or lower jaw) forward; this holds the tongue in place and prevents air blockage. Tongue retaining devices, or TRDs, hold the tongue in place without repositioning the jaw.
People who snore should carefully consider which type of mouthpiece is best for them. MADs, which are molded to the user’s mouth, offer a customized fit and can be adjusted using movable trays; however, MADs tend to cause more physical discomfort. TRDs, on the other hand, cause less discomfort and are available at lower price-points – but the one-size-fits-all design may not accommodate certain users.
This guide will explore the key traits of different anti-snoring mouthpieces. Below you will find our top four picks for the best MADs and TRDs available today. Our choices are based on verified customer and owner experiences, as well as intensive product research and analysis.
Editor's Pick (MAD)
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Runner-Up Pick (MAD)
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Editor's Pick (TRD)
Good Morning Snore Solution
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Runner-Up Pick (TRD)
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Most Customizable Mouthpiece
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VitalSleep is a boil-and-bite MAD that takes customization to the next level. At lower price that most other devices, the VitalSleep is a no brainer for customers trying to solve snoring issues. The device offers a customizable fit and can easily be adjusted with an allen wrench (included with purchase). The VitalSleep is available in a larger men’s size and smaller women’s size for added customization; the company offers free exchanges if one size does not fit properly.
Once the VitalSleep has been properly molded, wearers can sleep in any position and breathe freely through their nose and mouth. This device is backed by a 60-night sleep trial and full refund guarantee, which is longer than average. The VitalSleep also comes with a one-year warranty; most anti-snoring mouthpieces do not come with any sort of warranty coverage.
Unlike most other MADs, which are ‘bite-and-boil’ devices that offer a customized mold, the ZQuiet automatically adjusts to the user’s mouth using a hinged design. This eliminates the need to advance the jaw forward, which can be beneficial for those who experience jaw pain with standard MADs. The ZQuiet includes two settings – one smaller and one more pronounced – to accommodate sleepers with preferences that vary from night to night.
Another benefit is great air circulation; users can breathe freely through their nose and mouth, which can be an issue for more restrictive MADs. It also eases the process of opening and closing the mouth, and allows for side-to-side jaw movements. The ZQuiet is offered at a lower-than-average price-point, making it a high-value option. The device is backed by a 30-night sleep trial.
The Good Morning Snore Solution is a small, lightweight TRD that is highly effective at stabilizing the tongue and reducing snoring episodes. The device is designed for a universal fit, but is compact enough to accommodate most mouth sizes. Its unique shape also makes the device very easy to clean as needed. A doctor’s prescription is not required for the Good Morning Snore Solution.
This device has an above-average price-point, but customers may purchase two devices at a discounted rate as part of a bundle package. Bundles that include a handy carrying case are available, as well. The Good Morning Snore Solution is backed by a 30-night guarantee with full refunds on all returns.
The AVEOtsd is a lightweight TRD made from silicone, which many sleepers find more comfortable and easier to wear than plastic. Rather than advancing the jaw, this device stabilizes the tongue using a gentle suction system; this keeps the tongue firmly between the upper and lower teeth without causing discomfort or jaw pain. Three sizes are available – small, medium, and large – to accommodate patients, though the majority find the medium provides the best fit.
The AVEOtsd is a simple device that never needs to be adjusted or customized, and it does not contain any moving parts; this makes it fairly easy to clean. However, it’s important to note that a doctor’s or dentist’s prescription is required for purchase. The AVEOtsd is priced lower than other TRD devices, making it a high-value option for snorers.
The SnoreRx MAD is a sleek anti-snoring device crafted with an eye-catching matrix design and a calibrator on each side to aid with adjustments. The device can be adjusted up to 6 millimeters in 1mm increments, making it suitable for sleepers with different preferences. The SnoreRx can be adjusted at any time for maximum night-to-night comfort; simply slide the upper and lower trays manually by squeezing its sides.
The SnoreRx is priced lower than many competing ‘bite-and-boil’ mouthpieces that provide a customized fit. And unlike many MAD options, this device does not require a doctor’s prescription. The SnoreRx is backed by a 30-night sleep trial; customers who are not satisfied will receive a full refund.
Habitual snoring is fairly common in adults; according to the latest estimates, roughly 40% of men and 25% of women snore on a regular basis. There are no proven cures for snoring, but many people who snore can reduce their symptoms using anti-snoring mouthpieces and mouthguards. These simple devices can suppress snoring by either moving the jaw forward or pushing down the tongue. Anti-snoring mouthpieces and mouthguards usually do not require a doctor’s prescription, and are widely available; most models are priced at $100 or less.
This guide will explore snoring and anti-snoring technology in-depth, and also list some considerations for anti-snoring device shoppers, as well as our picks for the best low- and high-price models.
Snoring occurs when the upper airway is restricted. This causes a tickling sensation at the back of the throat, which in turn results in harsh — and often loud — gurgling sounds. Several factors can cause snoring. Obesity is one of the leading causes; excessive skin and fat around the throat can significantly restrict circulation in one’s airway. Cold- and allergy-related congestion can also cause snoring, as can consumption of alcohol or antidepressants, which make the throat relax.
Additionally, many adults snore due to sleep apnea. The most common type is obstructive sleep apnea (or OSA), a sleep disorder characterized by temporary loss of breath during sleep. OSA occurs due to physical obstructions in the airway that hinder the breathing process; the average adult with OSA experiences dozens of apnea-related breathing-loss episodes per night. Central sleep apnea, which occurs when the brain is unable to send proper signals to the muscles that control breathing, can also lead to snoring. However, most apnea-related snoring is directly linked to OSA. Sleep apnea is considered a serious condition because it increases the risk of heart disease, stroke, and diabetes.
There is no known cure for sleep apnea at this time. Many adults with sleep apnea utilize continuous positive airway pressure (CPAP) machines, which deliver a steady stream of air based on the user’s prescribed pressurization rate; or bilevel positive airway pressure (BiPAP) machines, which deliver air at two levels, one during inhalation and one during exhalation, to ease breathing for sleepers. A third option is a machine that provides automatic positive air pressure (APAP), which consists of pressure rates that change based on the sleeper’s breathing patterns. CPAP primarily alleviates the symptoms of OSA, while BiPAP therapy is usually most helpful for people with CSA. APAP is suitable for both types of sleep apnea.
These machines can be highly effective; however, they are often expensive ($200 is considered the base price) and both machine types require a doctor’s prescription. To learn more, please visit our CPAP Machine Reviews, BiPAP Machine Reviews and APAP Machine Reviews guides.
Anti-snoring mouthpieces and mouthguards can be a cost-effective and relatively hassle-free alternative to CPAP and BiPAP machines. These devices reduce snoring by creating physical barriers between soft, vibrating tissues in the mouth and throat that cause snoring sounds. When referring to anti-snoring devices, the terms ‘mouthpiece’ and ‘mouthguard’ are essentially synonymous. Mouthpieces and mouthguards used to reduce snoring generally fall into one of two categories:
The table below outlines the key similarities and differences between MADs and TRDs:
|Anti-Snoring Mouthpiece||Mandibular Advancement Device (MAD)||Tongue Retaining Device (TRD)|
|Function||Pulls lower jaw forward to expand the airway||Isolates tongue from throat to expand the airway|
|Sizing||The device is molded or fitted to the user's teeth||One size fits all|
|Adjustment||The device is molded or fitted to the user's teeth||Most TRDs are not adjustable|
|Material||Silicone resin and/or plastic||Silicone resin and/or plastic|
|Breathing Function||Most MADs allow users to freely breathe through their mouths||Some TRDs are perforated with tiny holes to allow mouth-breathing|
|Sizing||Jaw discomfort and stiffness, excessive drooling, dry mouth, tooth pain||Excessive drooling, dry mouth|
|Bruxism aid?||MADs may help users reduce bruxism (or teeth-grinding) while they sleep||TRDs do not help reduce bruxism to any significant extent|
|Denture-friendly?||No; MADs should not be used with dentures because they are molded to the user's teeth and will not move the jaw forward unless the teeth are immobile||Yes; TRDs do not interfere with dentures|
|Expected Lifespan||Two years or less||Two years or less|
|Average Cost||$75 to $150||$100 or less|
MAD and TRD mouthpieces must undergo rigorous evaluations and certifications in order to meet standard requirements for medical devices sold in the U.S. Shoppers are encouraged to research the certification status for all MAD and TRD mouthpieces they consider purchasing.
It’s important to note that no one should use an MAD or TRD without explicit approval from their physician — even if a prescription is not required. Furthermore, they should contact their doctor if snoring persists despite regular and proper use of an anti-snoring mouthpiece device.
Benefits of using an anti-snoring mouthpiece include the following:
Disadvantages of using an anti-snoring mouthguard include the following:
Next, let’s look at some factors to keep in mind when shopping for an anti-snoring mouthpiece and comparing different brands and models.
We use the following performance categories when we rate anti-snoring mouthpieces.
Durability – The average lifespan of a mouthpiece is 9-12 months.
Material Quality – Anti-Snoring mouthpieces are generally made of plastics with varying types of resin. This also takes into consideration whether its BPA- and latex- free, and whether the plastic is FDA approved.
Customization – Different manufacturers offer various solutions for customizing their mouthpieces to fit an individual’s mouth. These include ‘boil and bite’ and samples via mail, among other methods.
Adjustability – In addition to or in place of customization, many mouthpieces feature adjustability settings, allowing you to adjust the general shape of the piece.
Ease of Breathing – Tongue obstruction and lack of sufficient airflow are common problems associated with anti-snoring mouthpieces. High-performing mouthpieces are designed to keep your jaw in an optimal positions to prevent tongue obstruction and will have air holes to ensure sufficient airflow.
Ease of Cleaning – No matter what mouthpiece you use, keeping it clean is always important. From using denture tablets to scrubbing with a toothbrush, various mouthpiece have different recommended cleaning methods.
Overall Effectiveness – How effective the mouthpiece is as actually preventing snoring.
If you can’t seem to significantly reduce your snoring with an MAD or TRD device, then the following measures may be effective:
As we’ve discussed above, CPAP and BiPAP therapies can be highly effective at reducing the symptoms of sleep apnea – but this strategy can be rather expensive, and these machines always require a doctor’s prescription. Additionally, CPAP and BiPAP machines produce a fair amount of noise, which may make them less suitable for people who share a bed with someone else. The table below lists some key details about CPAP and BiPAP machines.
|Type of Therapy||Continuous positive air pressure (CPAP)||Bi-level positive air pressure (BiPAP)||Automatic positive air pressure (APAP)|
|Type of Apnea Targeted||Obstructive sleep apnea (OSA)||Central sleep apnea (CSA)||OSA and CSA|
|Function||Pressure increases until it reaches prescribed rate||Pressure is delivered at two prescribed levels, one for inhalation and one for exhalation||Pressure increases or decreases at variable rates, depending on the user's breathing|
|Average Price||$200 to $800||$800 to $1,700||$600 to $800|
If anti-snoring mouthpieces are largely ineffective but CPAP/BiPAP machines are too loud and/or expensive, then a simpler, non-mask sleep apnea treatment might be the best option. One example is Provent, an FDA-approved apnea treatment first introduced by researchers at Stanford University. Rather than using a sleep mask hooked up to a generator, the Provent features two disposable devices with air filters that are placed inside both nostrils. Please consult your physician for more information about Provent and other less invasive devices that help reduce apnea symptoms.
People with sleep apnea are more vulnerable to loud, disruptive snoring when sleeping on their backs with their heads elevated. Optimizing the thickness — or ‘loft’ — of one’s pillows can help people cut down on snoring caused by the position of their head and neck.
Pillow loft generally falls into three categories: High-loft, or thicker than five inches (5″); medium-loft, or three inches (3″) to five inches (5″); and low-loft, or thinner than three inches (3″). The following factors are important when deciding which pillow loft is best for you:
For more information about pillows and pillow loft, please check out our Best Pillows – Top Picks and Buying Guide.
Adjustable beds enable sleepers to customize the angle of the mattress at the head and, in many cases, the foot of the bed. Inclining the head at certain angles can help cut down on snoring, and some adjustable beds come with ‘anti-snore’ presets that are specifically designed for these users.
Most adjustable beds sold today have remote or app-based controls, and can support at least 600 pounds. However, a notable downside is the price-point; most adjustable bed models cost at least $1,000, and some cost $3,000 or more. For more information, please visit our Adjustable Bed Reviews page.
For more information about products that reduce snoring and help people with sleep-related breathing issues, please visit the following guides on Tuck.com