Rank Product Type Price Useful Life (Months) Coupon Discount
#1 TSD
One size fits all. Easy to clean. Long life span. Can be used immediately – no set up process. Can be used by people with dental work. Attaches to tongue, not the teeth.
1 - $99.94
2 - $64.97 (per item)
Use coupon SPRING10 for 10% discount. Expires April 25, 2016
12-24 N/A
#2 Boil & bite Adjustable MAD
Features micro-adjustable hex screw for maximum precision. Large air hole for mouth breathing. Two different sizes. Can move the jaw from side to side. One-year guarantee – free replacements (including shipping).
1 - $53.95*
2 - $44.98* (per item)
(*by using the promo code DEALS)
12-24 N/A
#3 Chin Strap
Nothing in the mouth. Comfortable, easy to pack, easy to clean. Can be used by people with dental work. No fitting or preparation needed. No side effects.
$119.97 12-24 N/A
#4 Hybrid Boil & bite MAD and TSD
Features an elastic band placed towards the back of the device which gently holds your tongue in place.
$89.95 6-12 N/A
#5 Hinged Design MAD
Can be used out of the box – no preparation needed. Hinge design allows mouth to move without restriction. Mouth breathing possible. Two different sizes. Soft and flexible, can be trimmed for a more unique fit.
$79.95
12 N/A
#6 Boil & bite Adjustable MAD
Ten 1mm increments allows you to adjust the device very precisely. No tools necessary. Bulk discounts. Mouth breathing is possible with large air hole. Made in the USA.
1 - $99.00
2 - $77.00 per item
3 - $66.00 per item
Use coupon PREMSAVE2 for 10% discount
15-18 N/A
#7 Boil & bite MAD
Can be worn with partial dentures. Easy to clean, not bulky. Large air hole for mouth breathing. Comfortable to wear. Solid one-piece design.
$44.95 (per item, BOGO offer) N/A
#8 Boil & bite Adjustable MAD
Three different snap settings allow for better customization. Air hole for mouth breathing. Two for the price of one offer.
$59.90 6-9 N/A
#9 TSD
One size fits all. No set up process needed, can be used right out of the box. Long life span. Those who have dental work can use it. Does not attach to teeth, attaches to tongue. Prescription needed.
$140.00 12 N/A
#10 Boil & bite MAD
Basic design. Has an air hole but it is not large to breathe through your mouth.
$49.99 4-6 N/A
#11 Boil & bite MAD
Basic design. Features two breathing holes. Manufacturer claims that some people who have partial dentures can use this device.
$67.00 6-15 N/A
#12 Boil & bite MAD
Basic design.
$39.95 6-12 N/A
#13 Boil & bite Adjustable MAD
Up to 10mm calibration allowed with the use of a screwdriver. Air hole which allows for mouth breathing. People who have missing teeth can use it. Two-piece design.
$256.95 18 N/A
#14 Boil & bite MAD
One size fits all. Basic design.
$36.99 3-4 N/A
#15 Adjustable Boil & bite MAD
Adjustable up to 10mm for precision fitting. No tools needed. Air hole which makes mouth breathing possible. Made in China.
$49.97 N/A
#16 Boil & bite MAD
Easy to clean and keep. Air holes for mouth breathing. No harmful chemicals. Non-invasive. 2 different sizes are available. Design that is one complete piece makes breaking it very difficult.
$40.95 N/A
#17 Boil & bite MAD
Unique drops with the product that keep nasal passage feeling clear. Large center air hole for mouth breathing. Standard MAD device.
$49.95
N/A
#18 Boil & Bite MAD
One-year replacement warranty. Over 2-year life span.
$78.65 N/A
#19 Boil & Bite MAD
Air hole allows for mouth breathing at night. Standard MAD device. Company in business for almost 20 years.
$44.95 N/A
#20 Boil & bite MAD
Air hole allows for mouth breathing. Reasonable price.
$59.99 N/A
#21 Nasal EPAP
Adhesives placed over nostrils. No preparation required. Can be worn with crowns, implants or partial dentures. Latex free. Prescription required.
$189.99 N/A

I started my search for the solution to my snoring problem not because of my wife’s complaints, but because I wanted an end to my physically exhausting days and was worried about my health.  I was consistently waking up tired in the morning, as well as a couple of times throughout the night.

After researching I realized what a big health problem snoring actually is.  A snorer has fluctuating hormone levels throughout the night.  Snorers produce excess Cortisol, which causes the metabolism to slow down, leading to weight gain.  Lack of quality sleep effects your immune system which can lead to minor or major illnesses.

Snoring can cause circulatory disorders, leading to stroke, cancer, type 2 diabetes, heart disease, and high blood pressure!  This is a vicious cycle that never ends unless you actively seek a way to stop the snoring.

I knew it was incredibly important to stop snoring as soon as possible.  I did not waste any time and started researching what solutions I could begin trying at home.  My wife snores as well, so of course I was worried about her health too.

I documented all my reviews on this website for both of us.  Through trial and error, I was able to find the perfect product for my wife and I.  It is possible for you to find yours.  This guide is intended for you to find what personally works for you so you can prevent any further health problems.

My favorite solution might not be the same as yours.  I have tested many different types to find the one that is my favorite, and you will have to test many also.  The most important step is that you get started today.

My quality of life has improved dramatically since I took the first steps to treat my snoring, and I know yours will also.  It is possible for you to find a comfortable and effective solution.

The bad side of snoring

Snoring occurs when the tongue slips back and blocks the airway in your throat.  This blockage causes vibrations which lead to sound.

However, more things are happening that you might not be aware of.  When the tongue slips back and blocks the airway, this deprives you from precious oxygen while you sleep.  By not receiving enough oxygen, this prevents you from achieving a deep sleeping stage, if you are already in a deep sleeping stage snoring prevents you from maintaining it.

This causes you to wake up de-energized, tired, and exhausted.  This also causes long-term health problems.

There are numerous products on the market.  Many products are designed and function differently.  You might have seen snore pillows, nasal strips, or chin straps.  These are common products; however, anti-snoring mouthguards are consistently evaluated to be one of the most effective solutions on the market.

Good anti-snoring devices are designed to be non-intrusive. Once your mouth gets used to having an object inside of it, after a few nights it will become accustomed to it.  I hardly even notice that I have something inside my mouth now after such a long time of testing different snoring mouthpieces.

Types of mouthguards

TRD (Tongue Retaining Device)

trd

Tongue Retaining Devices (TRD)

I mention this abbreviation many times throughout my reviews.  TRD stands for Tongue Retaining Device, and can also be referred to sometimes as TSD (Tongue Stabilizing Device).

These are not what you would imagine a typical mouthpiece to look like.  They actually do not fully go inside your mouth at all.  You might see a TRD in other media referred to as a mouthpiece.  Even though it is not technically a mouthpiece, it is easier for some publications to refer to it as such.

TRD functions by gripping onto the tongue and holding it forward so your tongue does not slip back into the airway.  By holding the tongue forward, it will not obstruct the throat and block oxygen from entering the lungs.trd-wearing

If someone suffers from an abundance of fat in the throat, like I do, even a small slippage will block the throat and cause vibrations which leads to snoring.

One particular TRD device is my favorite product.  The GMSS (Good Morning Snore Solution) is a popular TRD and ended up being one of the products I use the most.  If you have never tried an anti-snoring device, you might not want to test something that holds your tongue forward the entire night.

Maybe it sounds uncomfortable to have something gripping your tongue for 8 hours!  However, do not be alarmed at the thought of this.  There is no pain involved, and the Good Morning Snore Solution is a very popular product.

Technology

how-tsd-worksA TRD works by directly controlling the tongue itself.  The front part of the device (tip), you insert into your mouth and stick it onto the end of your tongue with a little suction cup.

You breathe into the suction cup while holding it onto your tongue and it will stay in place.

Your lips are open slightly and the outer part of the device rests between your teeth and the outer lips.

There is almost no part of the product inside your mouth since it rests on the outside of the teeth like a pacifier.

No matter how much you toss and turn during the night, the TRD stays attached.  You could even open your mouth to speak and it will not fall out because it is attached to your tongue.

Nice Fit

A TRD does not feel invasive or intrusive at all.  Many users find it very comfortable.  The material itself is not irritating and is made up of a smooth and soft medical-grade material.  Both my wife and I did not have any form of irritation at all, and she has more sensitive skin than I do.  If you have sensitive gums, lips or tongue, the quality material from a TRD will not cause any issues.  There might be a few days needed to break the device in.  Meaning you must still get used to it.

All stop snoring mouthguards need some adjustment time while your jaw and facial muscles get used to them.  A TRD in particular will need time for your tongue to get used to it.  The soreness occurs from your tongue being attached to the device and pulled forward.  After a few days you will grow accustomed to the device and not have any soreness.

Effectiveness

TRD devices are incredibly effective.  Many reviews consistently place it more than 80% effective.  For such a small and simple design to work so well is remarkable.  Amazingly, the reviews are in fact true.  I rate TRD devices very highly and find them to be very effective.  The Good Morning Snore Solution is very comfortable, and has an affordable price.  Once I tried it I knew why these devices are rated so high and are so popular.

Who cannot use TRD devices

Like every product, there are some groups of people who are not fit for using a TRD or who have certain conditions that should not use one.  The placement of the device in your mouth requires you to breathe through your nose when you have it inside the mouth.  People with sinus issues or allergies like I have cannot use a TRD device.  However, I do not have sinus or allergies every single night.  Only when they are flaring up do I not use a TRD.  People who have more permanent issues such as a deviated septum or nasal polyps might have a hard time consistently using a TRD.  These people should use a more traditional mouthguard.  I use one as a backup for when I have a sinus infection or it is allergy season.

Who can use TRD devices

One great thing about the TRD devices is that they can be used by people with dentures, partial dentures, missing teeth, loose teeth, crowns, caps, implants or bridgework.  Since it does not get placed inside your mouth and attach to your teeth, people with this type of dental work done can use a TRD.  Most MADs are not possible to use with most kinds of dental work.

MAD (Mandibular Advancement Device)

madsThis is what most people think of when they think of an anti-snoring device.

MAD stands for Mandibular Advancement Device.

They typically look like mouth guards you would use in sports to protect your teeth from being damaged.

However, these are much more comfortable!

There are many different types, variations, and attributes for MAD devices.

Every MAD device is not built the same.

Some have a more customized fit for your mouth, some require more to set up, some you can immediately start using once you receive the product, some need more cleaning, etc.  You get the idea.

Technology

how-mad-worksMAD devices work differently than TRD devices.

Some are hybrid devices – a mix between the two.  But all MAD devices have one feature.

They all hold the jaw in a forward position to lessen the chance of the tongue falling back and blocking the airway.

While it does not hold the tongue (except for hybrid devices), its purpose is the same.

They do not allow the tongue to rest against the back of the throat and cause vibrations.

Nice Fit

As I explained in the beginning, each person is going to like different things.  One MAD device I like; you might find uncomfortable.  Personally, I like products that are pliable and flexible.  They feel better inside my mouth.  However, you might prefer to use a product that is hard and stiff.  Remember, this entire process is about finding what works for you individually.  If you use a product that is uncomfortable, do not continue using it!  If a product is uncomfortable, you will have a hard time falling asleep, and could wake up multiple times in the night.  Do not lose hope.  Do not stop testing mouthpieces.  Since each one is different, and most have a good return policy, you will be able to test multiple mouthpieces until you find one that you feel is your favorite.  Some mouthpieces are highly customizable, which you may prefer.  Others are simple, easy to use and easy to clean and these are the types of you might prefer.  This is a long process.  It took me two years to find a couple of good devices I really like!

Customization

There are two types of MAD devices.  The first type, as soon as you receive it, you can open the packaging, clean it, and you are ready for bed.  These can be comfortable and effective.  The other type of MAD requires a little more setup.  You must use a method called boil and bite before being able to use it.  You will hear this term quite a bit.   This method allows a more customized fit to your mouth by molding itself to your unique dental structure.  These are typically going to be more comfortable and effective than ones that do not use the boil and bite method.

This process of boiling the plastic can seem intimidating at first.  Do not be discouraged!  It is not as difficult as it sounds, and by following the instructions carefully and following my guide you will be able to do it easily.  Each mouthguard has a specific time limit you must boil it for.  This is because each one has a different plastic material it is composed of.  By boiling the water, the material becomes malleable and you can then bite down into it to make a formation around your teeth.  You then place the device into ice water for a specified amount of time to harden the plastic.  One important note about this, is that some devices can only be boiled a certain number of times.  After 3, 4, or even 5 times (this depends on the product, check the manual) the product material begins to become compromised.  Again, this part can be intimidating for you, but don’t be discouraged.

Some MAD devices are created so when you bite down into them, you must extend the lower jaw yourself.  You extend the jaw into a position you want to sleep in for the night before biting down, then once bitten down and then placed into ice water, the product will harden into the position you were in.  Other MAD devices you can bite down as normal, and then use adjustments or screws inside the device to extend the jaw forward to a specific setting you choose.  Some products go even one step further and send a dental impression kit!  You bite into this kit that the company sends you, send it back to them and they then custom make your device in their lab.  This normally provides a very great, custom fit.  However, one downside is the extended time it takes to receive the dental kit, send it back, then finally receive the product later.

Adjusting procedure will be different for different MADs.  Some will need you to bite down to mold itself around your dental structure as described above.  In this situation, this is where the adjustments end.  Others will use tools or bands to adjust your lower jaw.  Some will have even more customization that allow you to customize the lower jaw extension up to 10 millimeters.  I have noticed that the more customization a product has, the more gaps, holes and crevices there are in the product.  This makes it harder to clean and maintain, since you have to wash it every morning after you wake up.

Material

material2I make note of the material for every product I have tested.  This is an important factor for me, and should be for you as well.  This product is going to be inside your mouth for hours every night and for months at a time, potentially for years.

I only select products to test that use safe medical grade materials.  Cheaply made plastic or plastic that is made with harmful chemicals can be dangerous to your health.

So, the first thing to make sure about is the safety of the material.  Next, the material must not be irritating to have in your mouth.  Some products surprisingly come with rough spots or edges.

This will not be comfortable to have in your mouth the entire night!  This can be painful and can go so far as cause sores to appear inside the mouth.  If it is constantly rubbing against the same spot, gums or up against your tongue you will want to continue testing other products.

Not all companies choose to use medical grade material.  This is each businesses’ decision, but as a consumer you should take note which ones do and do not.

The most important thing to look out for is if the plastic is made with a chemical called BPA (Bisphenol A).  This chemical has been reported in the news a lot lately.  Do not be alarmed if you have never heard of it or do not know a lot about it.

The first I heard of this chemical was when I started researching anti-snoring devices.  Before scientists discovered how harmful this was, it was very popular and used in the process of making plastics.  It appeared in common everyday products such as baby bottles, baby toys, food storage containers, and more.  However, over the years and via testing and case studies scientists have discovered that BPA in polycarbonate plastic is extremely hazardous to our health.

Bisphenol A imitates the hormone estrogen.  By wearing a mouthpiece that contains BPA, this chemical could then enter your blood stream.  Scary stuff!  BPA is present in a lot of other everyday items we do not even know about.  For example, cashier receipt paper.  Scientists have discovered that after only four minutes of holding cashier receipt paper, BPA can filter into your skin and enter your bloodstream!  If this can happen with a simple, tiny paper receipt after only four minutes, imagine the dangers that are inherent in wearing the mouthpiece for the entire night.  BPA has been linked to diabetes, cancer, erectile dysfunctions, liver abnormalities, heart disease, and fetal brain and hormone development.

Another chemical present in these devices is latex.  Many people suffer from latex allergies, and when purchasing a product that contains latex it can be a nightmare.  Make sure you are 100% confident you do not have a latex allergy if you buy a product that contains latex.  If you are uncertain whether or not you have an allergy, better to err on the side of caution and buy one that does not contain latex at all.  About three million Americans suffer from latex allergies, not including the number of Americans that do not even realize they have a latex allergy.

Airflow

Another common variation in MAD devices is the ability to breathe through your mouth while wearing one.  Some MADs are equipped with an airflow hole, while others are not.  An airflow hole allows you to breathe through your mouth, which is important for people who suffer from such conditions as sinus infections and allergies.  Individuals who suffer from more permanent medical conditions such as a deviated septum or nasal polyps will also want to use a MAD device with air holes.

Air flow holes allow the body to receive the oxygen it needs in case your nose is blocked up for the night.  Some devices have one large hole, while others have many smaller holes.  Usually a large hole equates to having a bulky mouthpiece which would be less comfortable to wear.  Smaller holes could also be an issue since very tiny holes will be difficult to allow air to pass between them.  Again, like every other section of the guide, it boils down to personal preference.

Testing

MAD devices will also have a time period where your jaw will experience soreness for a few days.  As with the TRD devices, your mouth, muscles and bones are not used to having a device attached to it and pulling it in one direction or another.  Once your jaw gets used to a device, the soreness will subside.  Generally for me this occurs around the third or fourth day of wearing a mouthpiece.

Soreness is normal to experience, while pain is not.  If you are experiencing pain do not continue to use that specific mouthpiece and test another one on the market.  MAD devices come in many shapes and sizes.  One might give you soreness for four days, and another might only give you soreness for one night of sleep.

Using a mouthpiece will also cause you to drool.  This is entirely normal.  Almost everyone using a it will experience drooling at first.  Once your mouth gets used to having an object inside of it, the drooling will also subside.  After a few nights drooling will be less and less.

Questions

After reading a bit of the guide, if you are just starting out, you will most likely still have many questions.  I commonly get these questions emailed to me from readers, so I decided to answer them below to clear up any confusion from the most commonly asked questions.

What causes me to snore?

It is caused by a number of factors.  Any of which can be hormones, obesity, medication, alcohol, genetics, etc.  There is an extensive list of reasons.  Snoring occurs for the majority of us who suffer from it when the tongue slips back into the airway and partial blocks it.  This causes vibrations which lead to the sound.

MAD or TRD?

This boils down to personal preference.  What one person might think is “better” another person will not.  Trial and error, and you will find the product you like the most.  Both are comfortable and effective.  They have different designs to prevent you from snoring.  After testing yourself you will come to the conclusion which you like more.  Often times you will switch between the two, like I do.

Is it painful?

There is no pain in wearing these, and if you experience pain you should stop wearing the device you are testing and test another one or consult a physician.  There is however, soreness.  This I have found to subside after a few days.  A MAD device could cause soreness in the jaw, and a TRD device could cause soreness in the tongue.  Many of these devices have settings that are adjustable.  In MAD devices you could always boil and bite again with a lesser jaw extension.  With TRD devices, you could adjust the suction on your tongue so it is not pulled forward as much.

Is it safe?

This is a common question.  You have to check the materials the products are made of.  BPA is not a safe chemical to be putting inside your mouth.  Any product made with BPA you should be very careful to purchase.  Another way to check for safety is if the product has been cleared by the USFDA (United States Food and Drug Administration).  Products that have been cleared by the FDA are safer than products that have not been cleared.  If you have any pre-existing conditions, you have to be careful which products to use as well.  For example, many MAD devices cannot be worn with certain types of dental work.

What about dentures?

Most, but not all, MAD devices are not suitable to wear with dentures.  MAD devices attach to your teeth to stay in place at night and to extend the jaw forward.  Dentures are not an option here because you would have to keep your dentures in place the entire night.  Denture wearers have other options to help their snoring.  TRD devices grip onto the tongue to prevent snoring.  There is no need to have teeth to wear a TRD device.

What about other dental work (crowns, caps, bridgework)?

Again – most, but not all, MAD devices are not suitable to wear with certain kinds of dental work.  If there is dental work sometimes a MAD device can be worn if the work is older than a certain number of months.  Like denture users, normally people with other kinds of dental work prefer using TRD devices.

What if I have sleep apnea?

Sleep apnea is a medical condition.  It is different than snoring.

OSA (Obstructive Sleep Apnea) is the most common type of sleep apnea and occurs when the throat muscles intermittently relax and block the airway while sleeping.

CSA (Central Sleep Apnea) occurs when the brain does not send proper signals to the muscles that control your breathing, and your breathing repeatedly stops and starts during sleep.

If you have been diagnosed with sleep apnea, you should consult your medical provider before testing anything.

It could be dangerous to your health using an OTC mouthpiece if you have been diagnosed with sleep apnea.  Some products actually advertise that they can be an effective treatment for people who suffer from OSA.  However, it is best to talk to your physician first.

What if I have bruxism (teeth grinding)?

Bruxism is defined as the habitual or involuntary grinding of teeth during sleep.  This condition is usually an issue that most snorers have.  Typically MAD can put a stop to both issues.  Since the way a it is placed in the mouth, the teeth do not have a chance to grind against each other while sleeping.  You can kill two birds with one stone in this situation.

How long mouth guards last?

Normally these products will last between 6 and 24 months long.  The reason there is such a significant different in life span between devices depends on a few factors.  The quality of the material is one factor.  Another factor is how much you grind your teeth.  Each person will have a different lifespan for the same device.

What if I am a mouth breather?

Good news!  You can be helped.  There are many MAD devices with air holes to allow breathing through your mouth while you sleep.  If you have issues why you cannot breathe through your nose, there are options for you.

Can I choke?

The good thing about FDA cleared products is there is almost a 0% chance of choking on one while you sleep.  This is one of the tests the FDA uses for mouthguards.  If you make sure you buy FDA cleared products, you will have a close to 0% chance of a choking hazard.

Can children use one?

Children are not recommended to use anti-snoring devices.  If you wish to buy one for a child, consult a medical professional.  A children’s mouth is always growing and wearing a mouthpiece every night could possibly impede that growth.

What if I have TMJ (Temporomandibular Joint Disorder)?

Manufacturers of MAD devices suggest not using snoring appliances if you suffer from TMJ.  Wearing a mouthpiece effects the position of the mouth by extending the jaw forward.  Normally TMJ sufferers will not be able to put their jaw in the position needed, or it will cause more harm if they do.

Many things have been discovered to cause TMJ such as jaw dislocation, grinding and clenching teeth, misaligned bite, cartilage wear and tear, or arthritis.  Consult a medical professional before buying anything if you suffer from TMJ.

What is “boil and bite”?

This term is constantly used by MADs.  This is what is used to name the fitting process for the device.  It might sound intimidating, but it is not as bad as you might think.  You simply heat the plastic material of the product, and then bite down to make an impression with your teeth.  Normally you can do this process a few times, and for some products up to five times, before the material is compromised.

How do you clean it?

The mouth is one of the parts of the body that houses the most bacteria.  You must clean the device after every time you wear it.  You can easily clean it with toothpaste and a toothbrush, or regular dish soap.  Some manufacturers will recommend an effervescent product to be used once a week to deep clean the device.

What if I don’t have a prescription?

Anti-snoring mouthpieces are Class II Medical Devices.  Technically this type of device requires a prescription.  However, as stated by the FDA if a product has adequate instructions, a prescription is not needed.  Every site I reviewed can be ordered without a prescription in the United States.

Why do I need to fill out a questionnaire?

This is to help you make the best decision possible when buying a product.  Manufacturers do not want to sell you something that is not good for you to use so they will ask you questions such as do you wear dentures or not.

What is the price?

The price varies considerably among different solutions.  It can be as little as $30 or as high as $200.  This might seem expensive, but if you buy one with a prescription through a dentist, the price can be in the thousands.

Don’t let price effect which piece you buy.  Sometimes an expensive mouthpiece can be the best fit for you.  Everyone is different.  Keep testing until you find your favorite.

Can I buy it on eBay?

You might be able to buy one on eBay, but you do not know what materials the ones sold on eBay are made of.  It could be hazardous.  Also, many products on eBay have not been cleared by the FDA.  If you are going to put something in your mouth for 8 hours every night, you want to make sure it is something you trust.

Last Words

Finding a device that works is the greatest feeling in the world.  Waking up feeling rested and energized is something some of us have not experienced for years.  With the right MAD or TRD device, this can happen again for you.  This will take time to find the best product on the market.  As you become more experienced you will know more about what you like or don’t like in a specific product.  Eventually you will find what product is the one you use 90% of the time.  It will take some trial and error to find the one that works for you.  Nothing will beat this feeling when it happens!