Mandibular Advancement Device: The Top Five

While there are various types of snoring remedies, the American Academy of Sleep Medicine recommends mandibular advancement devices (MADs) as the first line of interventional therapy. These devices are fashioned to align the lower jaw slightly forward so your tongue does not collapse and fall back into the airway which causes obstruction and the snoring sound. MADs are designed to improve airflow into your lungs but not all of them are created equal. Comfort and efficiency vary among different brands. Compiled here are today’s top mandibular advancement devices according to features, ease of use, user ratings, and price.

Rank No. 5 PureSleep

PureSleep is a dentist recommended, Class II medical device that is FDA cleared for sale exclusively by prescription through Pure Sleep company and its physician and dentist partners. It has a patented adjustable design, comfortable and foam fitting, and is manufactured in the USA with US sourced materials. The device is biocompatibility tested, latex-free, and BPA free.

While it can be adjusted, it only has three settings for different types of bites and once molded, the setting can no longer be altered. It does not have the micro-adjustability which is essential for optimum comfort. For a full review on this device, you may read our article on PureSleep.

Rank No. 4 Snore Guard

Like PureSleep, this jaw retaining appliance which is fourth on our list is a prescription device in the USA but no prescription is necessary for purchase and delivery if you are in Canada. Snore Guard has been around since the late ’80s and has been clinically proven to reduce snoring and symptoms of mild to moderate obstructive sleep apnea.

Designed with an Air Flow Technology, this jaw retainer enables you to breathe comfortably through your mouth while you sleep. For further information, you may read our all-out review on Snore Guard.

Rank No. 3 Vital Sleep

Third on our list is Vital Sleep, another Class II medical device which requires prescription which you may get through the company’s health questionnaire. This mouthpiece is also adjustable and is manufactured in the USA, using all US sourced non-latex and BPA free materials.

Vital Sleep is available in two sizes – regular and small – to guarantee the right fit. Plus, it is constructed with an adjustable sliding mechanism enabling you to micro-adjust the device with a mini hex key for best results.

Rank No. 2  Zquiet

Zquiet is the only mandibular advancement device on our list that can be used right out of the box. No setup involved – no heating or boiling for fitting. It is dentist-designed and manufactured in the USA. It is also FDA cleared meaning it has proven that it is effective for the treatment of snoring and that it is safe to use.

To provide more comfort, the mouthpiece uses its ‘Living Hinge’ technology promoting comfortable jaw mobility. This feature even allows you to talk or take a drink without having to remove the device from your mouth so opening and closing your mouth which is a natural process while sleeping will not be difficult at all. Learn more about this device and where you can get the best deal from our comprehensive review on Zquiet.

Rank No. 1 SnoreRx

Number one on our list is an advanced patent pending medical grade, multi-featured mouthpiece that is constructed to deliver maximum patient comfort and clinical effectiveness in reducing snoring. The makers of SnoreRx take pride in the fact that it is by far the only mouthpiece that meets and exceeds the new recommended standards of Oral Appliances for Obstructive Sleep Apnea (OAOSA). It has a mandibular micro-adjustment in 1mm increments, posi lock in pre-selected setting, and dual durometer design among other features that ensure the highest comfort and efficiency. It is FDA cleared and is certified by the American Academy of Sleep Medicine.

SnoreRx has the core features any snorer should look for when deciding on purchasing a stop-snoring device – the adjustability, custom impression, and the established medical standards. It also happens to have an enviable record of safe and effective use without a single adverse effect being reported by a user. For detailed information on the device, how it works, users’ feedback, and where to get the best deal, refer to our full SnoreRx review.

Side-by-Side Comparison

 SnoreRxZquietVital SleepSnore GuardPure Sleep
Ease of Use/

User Ratings
Where To Buy


SnoreRx outperforms its competition not just according to features, ease of use, and user ratings. Based on most user reviews, SnoreRx is the one to beat. Zquiet easily made it to the second spot not only because of its special feature securing patient’s comfort but because many users favor its ease of use and that it requires no preparation.

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