Best Anti-Snoring Mouthpieces and Mouthguards–Our Picks and Buying Guide (2022) (2024)

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Buying Guide

Habitual snoring is fairly common in adults; according to the latest estimates, roughly 40% of men and 25% of women snore on a regular basis. There are no proven cures for snoring, but many people who snore can reduce their symptoms using anti-snoring mouthpieces and mouthguards. These simple devices can suppress snoring by either moving the jaw forward or pushing down the tongue. Anti-snoring mouthpieces and mouthguards usually do not require a doctor’s prescription, and are widely available; most models are priced at $100 or less.

This guide will explore snoring and anti-snoring technology in-depth, and also list some considerations for anti-snoring device shoppers, as well as our picks for the best low- and high-price models.

How Do Anti-Snoring Mouthguards and Mouthpieces Work?

Snoring occurs when the upper airway is restricted. This causes a tickling sensation at the back of the throat, which in turn results in harsh — and often loud — gurgling sounds. Several factors can cause snoring. Obesity is one of the leading causes; excessive skin and fat around the throat can significantly restrict circulation in one’s airway. Cold- and allergy-related congestion can also cause snoring, as can consumption of alcohol or antidepressants, which make the throat relax.

Additionally, many adults snore due to sleep apnea. The most common type is obstructive sleep apnea (or OSA), a sleep disorder characterized by temporary loss of breath during sleep. OSA occurs due to physical obstructions in the airway that hinder the breathing process; the average adult with OSA experiences dozens of apnea-related breathing-loss episodes per night. Central sleep apnea, which occurs when the brain is unable to send proper signals to the muscles that control breathing, can also lead to snoring. However, most apnea-related snoring is directly linked to OSA. Sleep apnea is considered a serious condition because it increases the risk of heart disease, stroke, and diabetes.

There is no known cure for sleep apnea at this time. Many adults with sleep apnea utilize continuous positive airway pressure (CPAP) machines, which deliver a steady stream of air based on the user’s prescribed pressurization rate; or bilevel positive airway pressure (BiPAP) machines, which deliver air at two levels, one during inhalation and one during exhalation, to ease breathing for sleepers. A third option is a machine that provides automatic positive air pressure (APAP), which consists of pressure rates that change based on the sleeper’s breathing patterns. CPAP primarily alleviates the symptoms of OSA, while BiPAP therapy is usually most helpful for people with CSA. APAP is suitable for both types of sleep apnea.

These machines can be highly effective; however, they are often expensive ($200 is considered the base price) and both machine types require a doctor’s prescription.

Anti-snoring mouthpieces and mouthguards can be a cost-effective and relatively hassle-free alternative to CPAP and BiPAP machines. These devices reduce snoring by creating physical barriers between soft, vibrating tissues in the mouth and throat that cause snoring sounds. When referring to anti-snoring devices, the terms ‘mouthpiece’ and ‘mouthguard’ are essentially synonymous. Mouthpieces and mouthguards used to reduce snoring generally fall into one of two categories:

• Mandibular Advancement Devices: Also known as MADs, these devices are the most commonly used type of anti-snoring mouthpiece. They expand the airway by moving the lower jaw, or mandible, forward, which presses down the tongue and other breathing muscles attached to the mandible. An MAD is normally molded to the user’s teeth, and some feature an adjustable lower tray that can be moved forward or backward. Some specialty MADs are designed for use with CPAP/BiPAP machines; in these cases, the device functions in the same way as a standard CPAP or BiPAP mouthpiece.
• Tongue Retaining Devices: Unlike MADS — which hold the lower jaw in a forward position — TRDs (also known as tongue-stabilizing devices, or TSDs) pull the tongue forward and expand the gap between the tongue and the back of the throat. TRDs usually look like clear pacifiers; the tongue fits into an opening at the front, creating suction that pulls the tongue down and away from the back of the throat. TRDs do not require molding; most come in one size that is designed for all users.

The table below outlines the key similarities and differences between MADs and TRDs:

MAD and TRD mouthpieces must undergo rigorous evaluations and certifications in order to meet standard requirements for medical devices sold in the U.S. Shoppers are encouraged to research the certification status for all MAD and TRD mouthpieces they consider purchasing.

It’s important to note that no one should use an MAD or TRD without explicit approval from their physician — even if a prescription is not required. Furthermore, they should contact their doctor if snoring persists despite regular and proper use of an anti-snoring mouthpiece device.

Pros and Cons of Using Anti-Snoring Mouthpieces

Important Considerations for Anti-Snoring Mouthpiece Shoppers

Next, let’s look at some factors to keep in mind when shopping for an anti-snoring mouthpiece and comparing different brands and models.

• Is the device an MAD or a TRD? The choice between MADs and TRDs often comes down to personal comfort preference. One point to keep in mind: MADs are often adjustable, whereas TRDs are, by definition, non-adjustable.
• How adjustable is it? Assuming the device is an MAD, the rate of adjustment is important; some models can be adjusted by one millimeter or one-sixteenth of an inch (1/16″), while others do not offer this level of specificity. Additionally, some models feature calibrators that display the current settings, and can be reset to the original settings if a readjustment is needed.
• How much does the device cost? Many anti-snoring mouthpieces are available for $100 or less, but custom devices may cost up to $2,000 or more.
• Is customized fitting important to you? If yes, then an MAD — which molds to the user’s teeth — will be more suitable than a one-size-fits-all TRD.
• Do you wear dentures? MADs are not compatible with dentures, but TRDs can easily be used with dentures.
• Do you prefer to breathe through your mouth while sleeping? MAD mouthpieces allow users to breathe through their mouth without issue. Some TRDs have tiny holes that accommodate mouth-breathing, but non-perforated models may be problematic for mouth-breathers.
• Do you grind your teeth? MAD mouthpieces can aid people with bruxism, or chronic teeth-grinding, but TRD mouthpieces do not help with this condition.
• Do you snore due to sleep apnea? If sleep apnea is the main cause for your snoring, then a mouthpiece may suffice but you may want to consider a more effective method of apnea therapy, such as a CPAP or BiPAP machine. Anti-snoring mouthpieces help reduce snoring, but do not target other issues related to sleep apnea (such as nighttime loss of breath).
• Is a prescription required? Generally speaking, simpler and lower-priced anti-snoring mouthpieces do not require a prescription, while more advanced and more expensive models may require a prescription. However, it’s important to research prescription requirements for all models.
• What is the trial period? Some anti-snoring mouthpieces offer a trial period for purchasers, allowing them to return the product within a certain timeframe if they are not satisfied with it. Most trials for anti-snoring appliances span 30 to 90 nights in length.
• Has the device been certified? Most devices display their certification status on the product’s packaging and/or the company website.

Anti-Snoring Mouthpiece Performance Ratings

We use the following performance categories when we rate anti-snoring mouthpieces.

Durability – The average lifespan of a mouthpiece is 9-12 months.

Material Quality – Anti-Snoring mouthpieces are generally made of plastics with varying types of resin. This also takes into consideration whether its BPA- and latex- free, and whether the plastic is FDA approved.

Customization – Different manufacturers offer various solutions for customizing their mouthpieces to fit an individual’s mouth. These include ‘boil and bite’ and samples via mail, among other methods.

Adjustability – In addition to or in place of customization, many mouthpieces feature adjustability settings, allowing you to adjust the general shape of the piece.

Ease of Breathing – Tongue obstruction and lack of sufficient airflow are common problems associated with anti-snoring mouthpieces. High-performing mouthpieces are designed to keep your jaw in an optimal positions to prevent tongue obstruction and will have air holes to ensure sufficient airflow.

Ease of Cleaning – No matter what mouthpiece you use, keeping it clean is always important. From using denture tablets to scrubbing with a toothbrush, various mouthpiece have different recommended cleaning methods.

Overall Effectiveness – How effective the mouthpiece is as actually preventing snoring.

Additional Strategies and Products for People Who Snore

If you can’t seem to significantly reduce your snoring with an MAD or TRD device, then the following measures may be effective:

CPAP, BiPAP, or APAP

As we’ve discussed above, CPAP and BiPAP therapies can be highly effective at reducing the symptoms of sleep apnea – but this strategy can be rather expensive, and these machines always require a doctor’s prescription. Additionally, CPAP and BiPAP machines produce a fair amount of noise, which may make them less suitable for people who share a bed with someone else. The table below lists some key details about CPAP and BiPAP machines.

Non-mask devices

If anti-snoring mouthpieces are largely ineffective but CPAP/BiPAP machines are too loud and/or expensive, then a simpler, non-mask sleep apnea treatment might be the best option. One example is Provent, an FDA-approved apnea treatment first introduced by researchers at Stanford University. Rather than using a sleep mask hooked up to a generator, the Provent features two disposable devices with air filters that are placed inside both nostrils. Please consult your physician for more information about Provent and other less invasive devices that help reduce apnea symptoms.

Optimal pillow loft

People with sleep apnea are more vulnerable to loud, disruptive snoring when sleeping on their backs with their heads elevated. Optimizing the thickness — or ‘loft’ — of one’s pillows can help people cut down on snoring caused by the position of their head and neck.

Pillow loft generally falls into three categories: High-loft, or thicker than five inches (5″); medium-loft, or three inches (3″) to five inches (5″); and low-loft, or thinner than three inches (3″). The following factors are important when deciding which pillow loft is best for you:

• Body weight: Low-loft pillows are usually better for heavier people that sink deeply into their mattress; the pillow creates less of a barrier between their head and the sleep surface. Likewise, high-loft pillows may be more suitable for lighter people because they do not sink as deeply.
• Head size: High-loft pillows may be needed to support individuals with heads that are larger than average, while those with average or below-average heads are usually comfortable on medium- or low-loft pillows.
• Shoulder length: Broad shoulders create more space between the individual’s head and the mattress, and higher-loft pillows are usually needed for adequate support. People with narrower shoulders usually receive sufficient support from medium- or low-loft pillows.
• Mattress firmness: Low-loft pillows are ideal for softer mattresses because they create less of a barrier between the sleeper’s head and the mattress surface, while high-loft pillows may provide better cushioning and support when used with a firmer mattress.

For more information about pillows and pillow loft, please check out our Best Pillows – Top Picks and Buying Guide.

Adjustable Bed

Adjustable beds enable sleepers to customize the angle of the mattress at the head and, in many cases, the foot of the bed. Inclining the head at certain angles can help cut down on snoring, and some adjustable beds come with ‘anti-snore’ presets that are specifically designed for these users.

Most adjustable beds sold today have remote or app-based controls, and can support at least 600 pounds. However, a notable downside is the price-point; most adjustable bed models cost at least $1,000, and some cost $3,000 or more. For more information, please visit our Adjustable Bed Reviews page.

Additional Resources

For more information about products that reduce snoring and help people with sleep-related breathing issues, please visit the following guides on Tuck Sleep

• • Best Mattreess for Back Pain
  • Mattresses for Side Sleepers
  • Mattress Reviews and Comparisons 2018
• • Natural Sleep Aids
  • Best Mouthguards for Teeth Grinding
  • Best White Noise Machines