Sleep Apnea Mandibular Advancement Device

A mandibular advancement device (MAD) is a custom oral appliance that gently repositions your lower jaw forward during sleep — helping keep your airway open and easing mild-to-moderate obstructive sleep apnea and snoring.

How it works

By holding your lower jaw slightly forward, the device helps prevent the soft tissue at the back of your throat from collapsing and blocking your airway while you sleep — the underlying cause of snoring and obstructive sleep apnea.

Who it's for

  • Patients diagnosed with mild-to-moderate obstructive sleep apnea
  • Frequent snorers looking for a simple, effective solution
  • Patients who find CPAP therapy difficult to tolerate and want a more comfortable alternative

For more severe sleep apnea, this device may be used alongside other treatments recommended by your physician.

What to expect

We start with a conversation about your symptoms and, if needed, coordinate with your physician or a sleep study. From there, we take a custom scan of your teeth to fabricate a device that fits precisely and comfortably, with adjustable settings to fine-tune your jaw's positioning for the best results.

Caring for your device

Clean it daily, store it in its case during the day, and bring it to your regular dental visits so we can check the fit and make adjustments as needed. Step-by-step cleaning and morning-bite guidance is in our sleep appliance care instructions, with a printable PDF.

Content reviewed by Jamisen Kohlman, DMD — KoLa Family & Cosmetic Dentistry, Austin, TX.

Frequently asked questions

For many patients with mild to moderate obstructive sleep apnea — and for those who can’t tolerate CPAP — a custom oral appliance is an effective, far more portable option. Treatment should follow a sleep study and diagnosis from your physician.
Yes. Sleep apnea is diagnosed by a physician, typically through a sleep study. We work alongside your doctor and fabricate the appliance once you have a diagnosis and a recommendation for oral appliance therapy.
Many patients see a significant reduction in snoring, since the device holds the lower jaw slightly forward to keep the airway open. Results vary, and we adjust the fit over follow-up visits.
Because sleep apnea is a medical diagnosis, these appliances are often billed to medical insurance rather than dental insurance. We’ll help you understand what documentation your plan requires, including your sleep study results.

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