mandibular advancement device

Mandibular advancement device

Summary: mandibular advancement device (MAD) ,also known as mandibular advancement splint (MAS) is a popular treatment for obstructive sleep apnea (OSA). How does the MAD work? How do you get a Mandibular Advancement Device?


There are a few therapeutic options for the treatment of obstructive sleep apnea. One of these options is the Mandibular Advancement Device (MAD). These sleep apnea dental devices are usually created by dentists using an impression mold to form to the shape of the patients teeth.


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How Does the Mandibular Advancement Device Work?

Mandibular Advancement Devices work by moving the jaw forward, which increases the size of the upper airway, thus reducing the air resistance that leads to sleep apnea and snoring.

Dental devices for obstructive sleep apnea are often used as a substitute for CPAP or sleep apnea oral surgery. It is often used in conjunction with weight loss if the individual is overweight. Sleep apnea mouth guards are anti-snoring devices. They reduce airway turbulence and stop snoring.

These custom MAD’s are often most effective in sleep apnea patients who have mild or moderate sleep apnea.

Sleep physicians often recommend a sleep test  prior to ordering the Mandibular Advancement Device.

It was recently determined that Mandibular Advancement Devices are also effective at reducing blood pressure in patients with hypertension.

Consequences of Mandibular Advancement Device Use

Some sleep apnea patients who use dental devices and oral appliance therapy experience  temporal mandibular joint arthritis.

There are other treatment options besides MAD. These include weight loss if overweight, surgery, and CPAP.


How much do sleep apnea oral appliances cost?

This depends on the type of the Mandibular Advancement Device. The average cost for an MAS is estimated at $1600 – $2200. This includes the device creation, dentist visits, adjustments, follow ups and modifications to the oral appliance. Most health insurance companies and Medicare cover MAD’s.


Review of mandibular advancement devices and other sleep apnea treatment options can be found on the American Sleep Association website.

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