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The Debate Over Mandibular Advancement Devices for Snoring Treatment
The Debate Over Mandibular Advancement Devices for Snoring Treatment
Snoring is a common problem that affects millions of people worldwide. It not only disrupts the sleep of the snorer but also their partner, leading to various health issues and relationship problems. While there are various snoring treatment options available in the market, one that has gained popularity in recent years is the use of mandibular advancement devices (MADs). These devices are designed to hold the jaw in a forward position, preventing the tongue from falling back and blocking the airway, thus reducing or eliminating snoring. However, the use of MADs for snoring treatment has sparked a debate among medical professionals and consumers. In this blog post, we will delve into the various arguments for and against mandibular advancement devices and explore their effectiveness as a snoring treatment.
The Effectiveness of Mandibular Advancement Devices
Proponents of MADs argue that they are highly effective in reducing snoring and improving sleep quality. According to a study published in the Journal of Clinical Sleep Medicine, mandibular advancement devices were found to be effective in reducing snoring by 50% or more in 70-100% of patients. Another study published in the Journal of Dental Sleep Medicine found that MADs were successful in reducing snoring in 84% of patients. These studies suggest that MADs can be an effective snoring treatment for a majority of people.
Additionally, MADs have been approved by the Food and Drug Administration (FDA) for the treatment of snoring and mild to moderate sleep apnea. This approval has further strengthened the argument for the effectiveness of MADs as a snoring treatment.
The Potential Side Effects of Mandibular Advancement Devices
On the other hand, critics of MADs argue that they can have potential side effects that may outweigh their benefits. One of the most common side effects reported by users is jaw discomfort. Since MADs work by holding the jaw in a forward position, it can cause soreness and pain in the jaw muscles. Some users also experience toothache and temporomandibular joint (TMJ) pain, which can be quite debilitating.
Another concern is that MADs can cause tooth movement and changes in bite alignment. This is especially true for people who already have dental issues or wear dental appliances such as braces. The constant pressure on the teeth and jaw can lead to misalignment, which may require corrective dental treatment.
The Debate Over the Long-Term Effects of Mandibular Advancement Devices

The Debate Over Mandibular Advancement Devices for Snoring Treatment
One of the most significant debates surrounding MADs is the potential long-term effects of using them for snoring treatment. While there is limited research on this topic, some experts argue that constant use of MADs can lead to permanent changes in jaw structure and bite alignment. This can result in facial changes, such as a more prominent jawline or a smaller chin, which may be undesirable for some individuals.
Moreover, some experts suggest that MADs can worsen conditions such as sleep apnea in the long run. Since MADs only treat the symptoms of sleep apnea by keeping the airway open, they do not address the underlying cause of the disorder. As a result, the condition may progress and become more severe over time.
The Cost of Mandibular Advancement Devices
Another factor to consider in the debate over MADs is their cost. While there are various brands and types of MADs available, they can be quite expensive, ranging from $50 to $200. Additionally, most insurance plans do not cover the cost of MADs, making them unaffordable for some individuals.
The Importance of Proper Fit and Usage of Mandibular Advancement Devices
One crucial factor to consider when using MADs is their proper fit and usage. MADs are custom-made for each individual to ensure a comfortable fit. However, if not fitted correctly, they can cause more harm than good. It is essential to consult a dentist or a sleep specialist to get the right type of MAD and ensure that it is fitted correctly.
Moreover, MADs should only be used as directed and should not be used by individuals with certain dental or medical conditions. It is also essential to regularly clean and maintain MADs to prevent bacterial growth and extend their lifespan.
In Summary
The debate over mandibular advancement devices for snoring treatment continues, with arguments for and against their effectiveness and potential side effects. While MADs have been found to be effective in reducing snoring in most cases, they may not be suitable for everyone. It is essential to consult a medical professional and weigh the potential risks and benefits before using MADs for snoring treatment.