Sleep is an essential pillar of health and well-being. Yet, millions of people worldwide struggle with poor sleep quality due to obstructive sleep apnoea and snoring. If you find yourself waking up tired, irritable, or experiencing frequent interruptions during the night, it might be time to explore a solution that works: the mandibular advancement device.
Let us discover what a mandibular advancement device is, how it works, its benefits, and how to get one that suits your needs.
What is a Mandibular Advancement Device?
A mandibular advancement device (MAD) is an oral appliance designed to treat obstructive sleep apnoea and snoring by repositioning the lower jaw (mandible) forward. This incremental forward movement opens and stabilizes the airway, allowing for improved airflow and reducing the vibrations that is the sound of snoring.
What is a Mandibular Advancement Device Used For?
By enhancing breathing during sleep, this device can significantly improve sleep quality and overall health.
These customized devices are typically made of medical-grade materials and resemble mouthguards used in sports. They are custom fitted to ensure comfort and effectiveness, making them a popular choice among those seeking a non-invasive solution for sleep apnoea and snoring.
Mandibular Advancement Device Before and After: What to Expect
One of the most compelling reasons to consider a mandibular advancement device is the noticeable difference users report. Before using the device, many people struggle with disrupted sleep, fatigue, and irritability. In addition, the bed partner’s quality of sleep is also affected. However, after incorporating a MAD into their sleep routine, they often experience:
- Reduced/Eliminated Snoring: The device keeps the airway open, minimizing snoring sounds.
- Improved Sleep Quality: With fewer interruptions, users enjoy more restful and rejuvenating sleep.
- Enhanced Daytime Alertness: Better sleep quality leads to increased energy and focus during the day.
- Better Health Outcomes: Consistent use can reduce the risks associated with untreated sleep apnoea, such as high blood pressure and cardiovascular issues.
Photos and testimonials showcasing mandibular advancement device before and after results highlight the transformative impact these devices can have on sleep and quality of life.
Benefits of a Mandibular Advancement Device for Obstructive Sleep Apnoea

Mandibular advancement devices are increasingly recognized for their effectiveness in treating OSA (obstructive sleep apnoea) and snoring. But their benefits go beyond simply reducing nighttime noise. Let us explore the wide-ranging advantages of using this device in detail.
Improved Sleep Quality
By keeping the airway open, MADs prevent the repeated interruptions in breathing that characterize obstructive sleep apnoea. Users experience more restorative deep sleep and REM cycles, crucial for cognitive function, memory, and emotional health.
Reduced Snoring with Oral Appliance Therapy
A mandibular advancement device gently shifts the lower jaw forward, widening the airway and reducing the vibrations that cause snoring. Reduced snoring ensures a peaceful night for both the user and their partner, improving relationships and confidence.
Non-Invasive Alternative to CPAP
For people with mild to moderate OSA, a MAD offers an effective, non-invasive alternative to CPAP. Unlike CPAP masks and hoses, MADs are small, lightweight, and comfortable to wear — ensuring better compliance and quieter nights.
Enhanced Daytime Alertness and Cognitive Function
Untreated sleep apnoea often leads to daytime sleepiness and impaired focus. Better sleep translates to increased energy, improved concentration, and emotional balance.
Reduced Health Risks Associated with Sleep Apnoea
OSA is linked to cardiovascular disease, stroke, diabetes, and dementia. By managing OSA, MADs improve oxygenation, reduce heart strain, and lower long-term health risks.
Portability and Convenience
Mandibular advancement devices are compact, travel-friendly, and require no electricity — ideal for frequent travelers or those seeking convenience over bulky CPAP machines.
Customization and Comfort
Custom-fitted MADs ensure comfort and efficacy. Adjustable features allow for fine-tuning jaw advancement while minimizing potential side effects such as jaw pain or gum irritation.
Cost-Effective Solution
Compared to CPAP, MADs are more affordable and require minimal maintenance. They provide long-term value by preventing serious health complications of untreated OSA.
How to Get a Mandibular Advancement Device
- Consultation with a Dental or Medical Sleep Specialist
Visit a sleep specialist or dentist for assessment. A sleep study may be recommended to determine the severity of OSA. - Custom Fitting
A dental professional will take impressions or scans of your teeth to create a custom-fitted MAD tailored to your needs. - Adjustment and Follow-Up
After receiving the device, adjustments ensure comfort and effectiveness. Regular follow-ups track progress and prevent complications. - Over-the-Counter Options
OTC MADs are available for mild snoring or as a budget-friendly trial before getting a bespoke one.
Mandibular Advancement Device vs. CPAP: Which is Better?
- CPAP Machines: Highly effective for severe OSA but often bulky and uncomfortable.
- Mandibular Advancement Devices: Ideal for mild to moderate OSA and snoring — more comfortable, portable, and user-friendly.
If you find CPAP uncomfortable or travel frequently, a MAD may be a better alternative.

Mandibular Advancement Device Side Effects and Precautions
While MADs are generally safe, some users may experience initial discomfort, excess saliva, or dry mouth — typically temporary. Rarely, long-term use can affect bite alignment or tooth position, mitigated by morning re-aligners or jaw exercises. Regular dental follow-ups are essential.
Is a Mandibular Advancement Device Right for You?
If you are struggling with sleep apnoea or disruptive snoring, the benefits of reduced snoring, enhanced sleep quality, and improved health make a bespoke MAD worth considering.
With the right MAD, restful nights and energized days are within reach. Don’t wait—take the first step towards better sleep today! Consult Dr. Aditi Desai for expert guidance on managing sleep apnoea effectively.


