Best Anti-Snoring Mouthpieces and Mouthguards

Many people (and their partners) lose sleep due to chronic snoring. According to data from roughly 160,000 Sleep Foundation profiles, more than two-thirds of people snore at least occasionally and 21% snore regularly.

Snoring normally occurs when your tongue and tissues in your mouth and throat become too relaxed. Air passing through creates vibrations in the tissue, producing the telltale snoring sound. Snorers often find relief using mouthpieces designed to reduce snoring. These devices, also called mouthguards, reduce snoring by expanding the airway, holding the tongue in place, or, in some cases, both.

If you’d like to learn about each of our mouthpiece and mouthguard picks, we’ve summarized our findings below. For general information about anti-snoring devices, scroll further down to read our in-depth guide. We discuss different types of anti-snoring mouthpieces and mouthguards, how these devices work, pros and cons of using them, and additional strategies to minimize snoring for you and your partner.

Best Anti-Snoring Mouthpieces and Mouthguards Video

Watch the video below to learn more about our top picks for anti-snoring mouthguards.

How to Choose an Anti-Snoring Mouthpiece or Mouthguard

The most important consideration when choosing an anti-snoring mouthpiece (also known as a mouthguard) is whether you prefer the manual jaw advancement of an MAD or the tongue-restraining suction of a TRD. These devices may require an adjustment period as you become acclimated to their feel, especially while trying to sleep.

Most over-the-counter MADs and TRDs sold today cost between $50 and $150 apiece. You should consult your doctor before buying one of these devices to determine which type (if any) will be suitable for you. Medical professionals may also offer tips and advice on models that work best.

Who Should Consider an Anti-Snoring Mouthpiece?

There is no cure for snoring, but the best snoring aids will significantly reduce symptoms. Many snorers benefit from using an anti-snoring mouthpiece. Snoring affects roughly 90 million adults nationwide. For more than one-third of these sleepers, snoring is a chronic – if not nightly – issue.

Snoring usually occurs due to a restricted airflow through the breathing passages. This can happen for different reasons. If your soft palate is relatively thick or hangs somewhat low, then your airway will be narrower and snoring is more likely. Chronic congestion and other nasal problems may also cause snoring. Being overweight or obese can cause extra tissue to accumulate around the airway, as well.

Another common snoring culprit is alcohol. If you drink before going to sleep, your throat may relax a bit too much. This can cause the tongue to fall back into your throat, blocking the airway. The throat muscles may also relax if you are excessively tired or sleep deprived. Additionally, sleeping on your back leaves you most vulnerable to snoring because the tongue is more likely to block the airway.

Over time, chronic snoring can lead to further complications. These include daytime sleepiness and fatigue, mood swings and angry outbursts, difficulty focusing on tasks, and a higher risk of being involved in a vehicular or workplace accident. For those with non-apnea-related snoring issues, MAD and TRD mouthpieces can decrease snoring episodes on a nightly basis. These devices are much more affordable than upper airway surgery and other medical procedures used to treat snoring. Be sure to speak to your doctor before purchasing an MAD or a TRD, or trying one for the first time.

While effective for many, you may find that anti-snoring mouthpieces and mouthguards are not right for you. Some people find these devices uncomfortable, and even painful at times. They may also be ineffective at treating heavy snoring from conditions like obstructive sleep apnea.

How Do Anti-Snoring Mouthpieces Work?

Despite their effectiveness against snoring for many, anti-snoring mouthpieces are fairly simple devices with a small number of individual parts. How they work depends on whether the mouthpiece is an MAD or a TRD.

MADs are the most common type of anti-snoring mouthpiece. Most have thermoplastic material in the upper and lower trays where your teeth are intended to fit. When exposed to boiling water, the thermoplastic will soften and you’ll be able to bite down into both trays, creating a customized mold. Unless the device’s instructions say otherwise, the step-by-step “boil-and-bite” process is as follows.

• Before boiling, try on the mouthpiece by softly biting down onto the thermoplastic in the upper and lower trays. A properly fitting device should come within a couple millimeters of your lips.
• For some devices, you may need to trim the ends of the upper and lower trays in order for the device to properly fit. For others, this step will not be necessary.
• Boil water in a pot on your stovetop or in a microwaved cup (depending on what the directions say). Once the water has boiled, place the water’s container on a non-heated surface. Make sure there’s enough water in the container to completely submerge the mouthpiece.
• Submerge the mouthpiece in the boiled water for 30 to 60 seconds, depending on the directions.
• At this point, you may need to place the mouthpiece in cold water for a couple of seconds, but most models will be ready for molding – though you should let the thermoplastic cool off for a moment before biting into it.
• After placing the device in your mouth, bite down firmly with your upper and lower teeth. The thermoplastic should feel warm, but not excessively hot; if the latter, allow it to cool a bit longer. Make sure your tongue is pressing against the roof of your mouth as you do so. This helps to dry off the mouthpiece.
• If your first mold is unsuccessful, repeat these steps. The thermoplastic should soften enough to allow multiple attempts.

Assuming the mold is successful, the MAD will advance your jaw by at least 1mm once it is placed inside the mouth with your teeth in the upper and lower trays. Customizable models can be manually adjusted in increments of 1mm to ensure a comfortable advancement level. Other MAD models automatically adjust using a flexible hinge that adapts to the shape of your jaw and mouth. By advancing the jaw forward, MADs can widen your breathing passages to allow easier air passage and reduce the risk of snoring.

TRDs are a bit more straightforward. Most TRDs resemble the pacifiers used by babies and infants. They are outfitted with flanges that rest against the inner folds of your upper and lower lip, along with an opening where the tongue fits. This opening is fairly narrow to promote suction, which keeps the tongue near the front of the mouth and away from the back of your throat. TRDs are normally designed for universal fit, so you won’t need to follow boil-and-bite instructions or customize their settings.

Types of Anti-Snoring Mouthpieces: MADs vs. TRDs

Now that we’ve established how MADs and TRDs work, let’s see how these anti-snoring mouthpieces compare to one another. MADs and TRDs both have the potential to reduce snoring episodes for sleepers. However, each device carries different advantages and disadvantages for sleepers.

MADs

Pros

Cons

Boil-and-bite molding creates a customized impression of your upper and lower teeth Many MADs can be adjusted for different advancement levels Advancing the jaw allows users to breathe through their mouths rather easily Since the device does not protrude from the mouth, an MAD can be used with any sleep position In addition to snoring, MADs can also minimize nighttime bruxism (or teeth-grinding)

A prescription may be required for certain MAD models These mouthpieces carry more potential side effects, including jaw pain and stiffness, drooling, and dry mouth Certain sleepers should not use MADs. These include people with braces, dentures, dental implants, or cracked or broken teeth. People with TMJ and other jaw discomfort issues should also avoid MADs, as they can aggravate the pain. While still considered affordable for most shoppers, MADs tend to cost more than TRDs

TRDs

Pros	Cons
TRDs are designed for a universal fit, so you won’t need to follow boil-and-bite molding steps Compared to MADs, TRDs tend to be lighter and more compact TRDs don’t interfere with dentures, braces, or dental implants On average TRDs cost less than MADs	Due to their one-size-fits-all designs, most TRDs cannot be customized to a particular setting Unlike MADs, TRDs do not prevent bruxism because they do not separate the teeth TRDs may restrict breathing through the mouth Side effects may include dry mouth and drooling

Anti-Snoring Mouthguard Considerations

MADs and TRDs achieve the same outcome – less snoring, in most cases – using completely different means and mechanisms. As you determine which type of anti-snoring mouthpiece will work best, consider the following factors.

• Customization: MADs offer more customization options. Most of these mouthpieces are boil-and-bite models with trays containing thermoplastic, allowing you to create a custom mold for your teeth. TRDs do not require or offer this level of customization. Most are universal fit designs, but some models come in multiple sizes to accommodate different sleepers.
• Quality Material: Most MADs and TRDs are made from silicone resin, plastic, or a combination of both of these materials. Boil-and-bite MADs may be made entirely of moldable thermoplastic, or just contain layers of this material in their upper and lower trays. Most anti-snoring mouthpieces made today do not contain latex or BPA plastic. Most devices will last between 6 months and 2 years before a replacement is needed.
• Comfort: Some sleepers prefer the jaw-advancing feel of an MAD over the tongue-retaining suction of a TRD. For others, the opposite is true. You may want to consider both in order to determine which device is more comfortable – in which case, models with sleep trials are probably the best bet. The bottom line: ask your doctor about MADs and TRDs to learn about your best options, and then go from there.
• Adjustability: With some MADs, you’ll be able to adjust how far the device advances your jaw. These devices can usually be adjusted in 1mm increments. Alternatively, the other MADs cannot be manually adjusted. These devices often feature hinge mechanisms that automatically adjust to the users mouth. TRDs, by design, cannot be adjusted.
• Ease of Cleaning: For best results, we recommend rinsing your anti-snoring mouthpiece in hot water after each use. If you use an MAD, you should regularly scrub the upper and lower trays to prevent bacterial buildup. Some brands offer proprietary cleaning solutions for their MADs. Toothpaste and a toothbrush may also work. If you use a TRD, be sure to clean the interior of the tongue opening. Many anti-snoring mouthpieces come with protective cases; if not, make sure the device is stored in a clean environment when not in use.
• Prescription Requirements: Many anti-snoring mouthpieces are available over the counter. For some devices, you’ll need approval from your doctor or dentist and a prescription. Most prescription anti-snoring appliances are MADs custom-fitted for your upper and lower teeth using dental impressions. You’ll obtain the device through your dentist, and visit for routine checkups to ensure the mouthpiece fits and works properly.

How Expensive Are Anti-Snoring Mouthguards?

Anti-snoring mouthpieces typically cost between $50 and $150 apiece. MADs are a bit more expensive, with an average price range of $75 to $150 per device. Most TRDs cost $100 or less. Free shipping may or may not be available, depending on the manufacturer’s delivery policy, but full refunds are usually granted if returns are allowed. Some brands also offer their mouthguards at a discounted rate if you purchase two or more at once.

$50 to $150 might sound expensive for a device that will, in all likelihood, need to be replaced within two years. However, anti-snoring mouthpieces cost much less than upper airway surgery and other medical procedures intended to treat snoring symptoms.

Other Important Concerns About Anti-Snoring Mouthguards

Are they safe for everyone?
Anti-snoring mouthguards are generally considered safe, but you should always consult your doctor before trying one for the first time.

Because they physically advance the jaw forward, MADs can lead to temporomandibular joint (TMJ) disorder, which is characterized by pain in the jaw and its surrounding muscles. MADs and TRDs may also cause pain and irritation to the teeth and gums, especially if the device is not custom molded.

It’s imperative to keep your anti-snoring mouthpiece clean. Sterilize with hot water after each use and clean the device regularly to prevent the buildup of harmful bacteria.

Before purchasing a device, carefully research the top models on your list to see if there have been any known defects or safety issues associated with those products. You can also reach out to customer service personnel to inquire about potential safety concerns.

How important is certification and what should I look for?
Under the U.S. Food and Drug Administration (FDA), MADs, TRDs, and other “intraoral devices for snoring and/or sleep apnea” are considered Class II medical devices. This means they present some risk to users because they come in direct contact with the body. As such, the FDA regulates the sale and distribution of these devices. Mouthpieces must be thoroughly tested and proven to be effective before the FDA will clear them for sale. Any device you buy should carry a “cleared by FDA” label.

Do I need a prescription?
Most anti-snoring mouthpieces can be sold over the counter and do not require a prescription. However, you will need a prescription for certain MAD and TRD models, as well as some advanced custom mouthpieces. Prescription requirements, if any, will typically be listed on the online product pages for these devices.

How does custom fitting work?
Most MAD mouthpieces are designed for boil-and-bite customization. Simply submerge the device in boiled water to soften the thermoplastic in its upper and lower trays, then remove, cool, and bite down on both thermoplastic layers. (Specific instructions vary by model.)

For more expensive custom mouthpieces, you may be asked to make a thermoplastic mold at home and mail the sample to the manufacturer, who will then produce a device custom-fitted to your teeth and jaw.

Some MADs use hinges and other mechanisms to automatically adjust to your mouth, so customization is not needed. Since TRDs have a one-size-fits-all design, these devices are generally not customizable.

Can I wear it with dentures?
If you wear dentures, you should avoid using MAD mouthguards. These devices physically move the jaw forward. In doing so, they can interfere with dentures – and in some cases, dislodge them. MADs are not recommended for people who have dental implants or loose teeth, either. TRDs, on the other hand, do not mold to the teeth and are perfectly denture-friendly (though you should first check with your doctor to make sure these devices are right for you).

Do mouthguards prevent bruxism (teeth grinding)?
MADs can prevent, or at least minimize, nighttime teeth grinding. These devices have upper and lower trays to hold and separate the teeth. Assuming the device is properly fitted, it will keep your upper and lower teeth in place and prevent them from coming into contact with one another.

TRDs do not separate the teeth, and there is no evidence they reduce nighttime teeth grinding.

How do I clean my mouthpiece?
Cleaning instructions vary by model, but you’ll want to sterilize the mouthpiece with hot water after each use. Regularly scrub the device with a cleaning solution to prevent bacterial buildup. You’ll also want to store the mouthpiece in your bathroom cabinet, or another relatively cool place where it won’t be exposed to excessive heat or moisture. Many MAD and TRD manufacturers offer a protective case for their devices.

Do mouthguard manufacturers offer returns? What about warranties?
Anti-snoring mouthpieces often come with a sleep trial of 30 to 60 nights. This allows you to use the device for at least 1 month before deciding whether to keep it or return it for a refund. Shipping charges are usually non-refundable.

Warranties are less common, but some MAD and TRD models are backed by some sort of manufacturer’s guarantee. In most cases, the warranty will cover the device for up to 1 year.

Additional Snoring Solutions and Products

MAD and TRD mouthpieces can be very effective for some sleepers, but these devices may not be right for you – especially if you experience severe chronic snoring. Other treatment options for snoring include the following:

CPAP, BiPAP, and APAP

Sleep apnea is a condition characterized by temporary loss of breath during the night, as well as heavy snoring. Obstructive sleep apnea (OSA) is caused by a physical obstacle blocking the airway, such as the tongue or abnormal tissue buildup, while central sleep apnea (CSA) occurs when the brain cannot transmit signals to muscles that promote breathing.

For people with sleep apnea, positive air pressure (PAP) therapy can reduce the frequency and severity of their nighttime episodes. This therapy involves a machine that draws in outside air using a fan, humidifies and pressurizes the air, and then delivers it to the user through a connective hose and a face mask that covers the mouth and/or nostrils. There are three common types of PAP therapy.

• During continuous positive air pressure (CPAP) therapy, the machine delivers air to its user at one prescribed pressure rate. CPAP is most effective at treating OSA.
• For bi-level positive air pressure (BiPAP) therapy, the pressure toggles between a lower rate for inhalation and a higher rate for exhalation, which can make breathing easier for some people.
• Unlike the other two, automatic positive air pressure (APAP) does not follow a fixed pressure schedule. Instead, the machine adjusts pressure levels based on the user’s breathing patterns. APAP can be effective for both OSA and CSA.

PAP therapy machines, humidifiers, and face masks all require a doctor’s prescription. Consult your physician to learn more if you experience sleep apnea symptoms.

Alternate Devices

MADs and TRDs are not the only devices you can use to combat snoring. Another example is Provent, a device primarily used to treat sleep apnea symptoms. Provent consists of two air filters placed inside each nostril. This relatively non-invasive device may reduce snoring episodes by a significant extent, but you’ll need a doctor’s prescription to purchase Provent.

For more severe cases of snoring, a palatal lift prosthesis may be another option. These prostheses are used to treat palatopharyngeal incompetence, a condition characterized by difficulty closing the nasal passages when speaking or swallowing. This can lead to obstructive sleep apnea, and with it, chronic snoring. As the name implies, the prosthesis elevates the soft palate to widen the airway and promote better circulation. You’ll need to undergo a medical procedure to have the prosthesis installed, so this may not be your most cost-effective option.

Surgery

According to the Mayo Clinic, serious snoring may necessitate a surgical procedure. Several procedures can be used to mitigate snoring symptoms. These include uvulopalatopharyngoplasty, during which surgeons remove tissue from the back of your throat to broaden the airway. A similar procedure, radiofrequency tissue ablation, involves a low-intensity signal that decreases tissue around the palate, throat, and tongue. A third option is maxillomandibular advancement surgery, which permanently moves the upper and lower jaws.

Medical researchers continue to discover new treatment methods. One of the more recent innovations is hypoglossal nerve stimulation. For this procedure, surgeons essentially reprogram the nerves that control your tongue’s movements in order to prevent airway blockage.

Surgery can be very expensive, even with health insurance. You should consider any of these procedures as a last resort for snoring treatment.

Pillow Loft and Adjustable Beds

Back sleepers are more susceptible to snoring than those who use other sleep positions because the tongue is likely to fall into the back of the throat and block the airway. For some back sleepers, more pillow loft (or thickness) is needed to elevate the head and keep the tongue closer to the front of the mouth. If your head tends to fall too far back on your pillow, then you should consider a thicker pillow – or a different sleep position.

Adjustable beds can also be beneficial to snoring back sleepers. These beds can be raised or lowered at the head and foot, allowing you to sleep with your head elevated while the rest of your body lies flush with the bed. The downside: adjustable beds can be quite expensive.

Lifestyle Adjustments

You may experience less snoring by changing your daily and nightly routines. Losing weight can reduce snoring by a significant extent, as being obese or overweight are considered major risk factors. Quitting smoking and cutting down on alcohol consumption – especially before bedtime – can also help you cut down on snoring episodes.

If you experience chronic snoring and normally sleep on your back, then you should consider the side position. The tongue is less likely to fall into the back of the throat while you’re lying on your side. You can also prevent airway blockage by sleeping on your stomach, but this position is associated with more aches and pains, and is generally discouraged.

Lastly, the trick to less snoring might be getting more sleep. If you go to bed feeling sleep deprived, the muscles around your throat will relax more during the night and the potential for airway blockage will be much higher. Most adults should sleep at least 7 to 9 hours each night, including on the weekends.

Dive Deeper: In-Depth Anti-Snoring Mouthpiece Reviews

For a closer look at some of the anti-snoring mouthpieces listed in this guide as well as other snoring solutions, check out our in-depth product reviews below.