The Top 3 Mandibular Advancement Devices in 2025

TL;DR

Mandibular advancement devices ease snoring and mild sleep apnea by moving the jaw forward. Custom-fit, dual-hinge, and hybrid devices stand out for comfort and results. They cost more than over-the-counter options but are easier to use than CPAP for many patients.

Jaw repositioning improves airflow
Top options: custom, dual-hinge, hybrid
Effective for snoring and sleep apnea
Costs vary, insurance may help
Easier to tolerate than CPAP

Sleep issues like snoring and sleep apnea affect more people than you might even realize. For a lot of patients, a mandibular advancement device can provide relief without having to use bulky machines or undergo invasive procedures.

These devices help open the airway and make breathing easier by gently moving your lower jaw forward when you sleep.

What Is a Mandibular Advancement?

Mandibular advancement is the process of repositioning your lower jaw slightly forward, which prevents your airway from collapsing while you sleep. It can also reduce snoring and ease mild to moderate sleep apnea.

Some patients choose to use a simple oral mandibular advancement device, but others may choose mandibular advancement surgery if their symptoms are severe enough.

The Top Devices

Not every device is the same, and your dentist or sleep specialist can recommend the right option that’s best for you. Three devices stand out as the most effective and widely used.

Custom-Fit Oral Mandibular Advancement Devices

These are made specifically for your bite, and since they fit closely to your teeth, they’re more comfortable and effective than over-the-counter options. They’re also very adjustable, so your provider can adjust this device in a position that will help you achieve the best results possible.
Dual-Hinge Mandibular Advancement Devices

A dual-hinge design allows you to naturally move your jaw while you sleep, while still keeping it advanced enough to reduce airway obstruction. You might find them easier to wear long-term, especially if you experience jaw discomfort with rigid devices.
Sleep Apnea Mandibular Advancement Hybrids

Some devices now combine mandibular advancement with additional breathing support features. These are ideal if you want an alternative to CPAP but still need strong results for moderate sleep apnea. These hybrids represent a middle ground between oral devices and mechanical treatment.

Considering Costs and Options

Many patients want to know more about the mandibular advancement device cost. Prices can fluctuate depending on if you choose a custom oral appliance or a prefabricated version.

While it costs more upfront for custom devices, they typically last longer and deliver better results. Some insurance plans even cover part of the expense if the device is prescribed specifically for sleep apnea.

FAQs

What is a mandibular advancement?

It’s a treatment that repositions the lower jaw forward to keep your airway open while you sleep.

What are the cons of a mandibular advancement device?

Some people experience jaw soreness, dry mouth, or changes in bite over time, but regular check-ins with your provider can help to manage these issues.

Is mandibular advancement better than CPAP?

For mild to moderate cases, many find a mandibular advancement device more comfortable and easier to stick with. CPAP is often still recommended for severe sleep apnea.

Is the mandibular advancement device painful?

Most patients adjust fairly quickly, but it’s normal to feel a little bit of discomfort at first. This discomfort typically fades as your jaw adapts.

Finding What Is Right for You

Every patient’s needs are different, which is why it’s important to get a personalized consultation.

Whether you’re considering an oral mandibular advancement device or even mandibular advancement surgery, you can ensure you choose the safest and most effective option by working with a specialist.

At Raleigh TMJ & Sleep, we’ve seen firsthand how these treatments transform sleep and improve daily life. If snoring or sleep apnea is keeping you from quality rest, the right device could make all the difference.

Learn more about different solutions for snoring.