Oral Appliance Therapy (Mandibular Advancement Device)
Custom-fitted dental device that advances the lower jaw during sleep to keep the airway open, offered for snoring and mild-to-moderate obstructive sleep apnea, usually by dental sleep medicine practices working with sleep clinics.
Evidence
AASM/AADSM guidelines endorse custom oral appliances for mild-to-moderate OSA and CPAP-intolerant patients, with good evidence for AHI and snoring reduction though somewhat less efficacy than CPAP.
Regulatory notes
- European Union
- Custom-made medical devices under MDR fitted by licensed dentists; in Spain fitting is restricted to registered dental professionals.
- United States
- Class II prescription devices fitted by dentists following a physician OSA diagnosis; over-the-counter boil-and-bite versions are not equivalent to custom devices.
- United Arab Emirates
- Fitted by DHA/DoH-licensed dentists with MOHAP-registered devices, generally after physician diagnosis.
- United Kingdom
- Fitted by GDC-registered dentists; custom devices are regulated custom-made medical devices.
General information, not medical or legal advice. See our disclaimer.
Also known as
MAD, mandibular advancement splint, MAS, oral appliance, dental sleep appliance, anti-snoring device, SomnoDent, ProSomnus, Narval CC, snoring mouthguard, dispositivo de avance mandibular, DAM
Where to find it
50 clinics in the directory offer oral appliance therapy (mandibular advancement device). Prices shown are the cheapest for this treatment where published; always confirm with the venue.
London
- Surrennefrom GBP 15
- Clinicbefrom GBP 30
- GinSenfrom GBP 45
- Hampstead Aestheticsfrom GBP 50
- Omniya Clinicfrom GBP 50
- One5 Healthfrom GBP 150
- Reborne Longevity Londonfrom GBP 250
- The Sleep Disorders Clinicfrom GBP 325
- Marylebone Health Group - Sleep Medicine Clinicfrom GBP 350
- OneWelbeck Sleep Centrefrom GBP 670
- 111CRYO at Harvey Nichols
- 360 Medicx Harley Street Clinic
- Apogii Clinic
- Banya No.1 - Hoxton
- Cleveland Clinic London
- Community Sauna Baths, Hackney Wick
- Complete Physio (Chelsea)
- Cromwell Hospital Sleep Service
- Dementech Neurosciences
- EK Cryo
- Harley Street MD
- HOOKE Fitness
- KXU
- Lanserhof at The Arts Club
- Levitas Clinic London
- London Beauty Clinic
- London Bridge Sleep Centre
- London Bridge Sleep Centre
- London Hyperbaric Medicine (LHM Healthcare)
- LondonCryo (Belgravia)
- LondonCryo (St John's Wood)
- Longevity Centre
- Mayfair Practice
- Menon Health
- Miller Health
- name
- Nightingale Hospital London
- Oxyheal
- Rebase Recovery
- Rejuvence Clinic
- Repose Space
- REVIVAL Personal Training & Recovery
- Schoen Clinic Chelsea
- Six Senses Spa London
- The Body Lab
- The Bvlgari Spa (Recovery Suite)
- The Clinic Holland Park
- The London Sleep Centre
- Third Space Recovery Spa
- Zone Recovery