Clinical Support

Clinical studies show that mandibular repositioning devices (MRDs) work well as a treatment for snoring. There are a variety of other treatments available, but we believe MRDs are the most effective treatment for snoring and here’s why…
Surgery works but it’s extremely expensive, there are risks, and snoring can reoccur after a couple of years.1 Nasal dilators, like nose strips, may help a small percentage of snorers because the shape of their nostrils is too narrow, thereby restricting nasal airflow, but that’s not the typical reason most people snore. Special pillows can provide modest relief, but mainly because they encourage people to sleep on their sides instead of their backs, where snoring is normally worse. Aside from this benefit, they offer little, if any relief. 2 Throat lubricants (which are typically sprays) have been proven not to work. 2


“Does an oral appliance reduce palatal flutter and tongue base snoring?,” Stouder, Jones, Brietzke, and Mair, Wilford Hall Medical Center, San Antonio, TX, Otolaryngology – Head Neck Surgery, May, 2007.
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“Oral appliances for the treatment of snoring and obstructive sleep apnea,” S.R. Schoem, Connecticut Children’s Medical Center Dept. of Otolaryngology, Hartford, CT, Otolaryngology – Head and Neck Surgery, February, 2000.
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“Oral appliances in the treatment of obstructive sleep apnea and snoring,” E.T. Ayas and L.J. Epstein, West Roxbury Veterans Affairs Medical Center, Pulmonary Division, Roxbury, MA, Current Opinions in Pulmonary Medicine, November, 1998.
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“State-of-the-art in the treatment of snoring and sleep apnea” (translated from Dutch), H.J. Remmelink, Ned Tijdschr Tandheelkd, January, 2003.
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“Ten-year follow-up of mandibular advancement devices for the management of snoring and sleep apnea,” Jauhar, Lyons , Banham, Cameron, and Orchardson; Department of Restorative Dentistry, Glasgow Dental Hospital, Glasgow, UK, Prosthetic Dentistry, April, 2008.
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“Mandibular advancement devices in 630 men and women with obstructive sleep apnea and snoring: tolerability and predictors of treatment success,” Marklund, Stenlund, and Franklin, Department of Orthodontics, Umeå University, Sweden, Chest, April, 2004.
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“Principles of mandibular advancement device applied to the therapeutic of snoring and sleep apnea syndrome,” Petitjean, Chammas, Langevin, Philit, and Robert, Laboratoire des Troubles Respiratoires liés au Sommeil, Hôpital de la Croix-Rousse, Lyon, France, Sleep, June, 2000.
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“Effects of a mandibular advancement device for the treatment of sleep apnea syndrome and snoring on respiratory function and sleep quality,” K. Yoshida, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University, Sakyoku, Kyoto 606-8507, Japan, Cranio, April, 2000.
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