Custom Mandibular Advancement Devices (MAD)

What Is a Mandibular Advancement Device (MAD)?

A mandibular advancement device is a small, custom-fitted oral appliance that helps keep your airway open during sleep by gently moving your lower jaw (mandible) forward.
This repositioning prevents the soft tissues and tongue from collapsing and blocking airflow—a common cause of snoring and obstructive sleep apnea (OSA).

For many patients, MAD therapy provides a simple, travel-friendly, and noninvasive alternative to CPAP.

Who Benefits from a MAD?

A custom MAD may be recommended for patients who:

• Snore frequently or loudly

• Have mild to moderate obstructive sleep apnea

• Struggle with CPAP intolerance or travel frequently

• Experience fatigue, headaches, or poor-quality sleep

• Want a discreet, portable treatment option

Our dentists will review your sleep study results, medical history, and oral anatomy to determine if a mandibular advancement device is the right solution for you.

How MAD Therapy Works

During sleep, your airway can narrow or collapse, especially if your jaw and tongue fall back toward your throat.
A mandibular advancement device works by:

1. Gently repositioning the lower jaw forward,

2. Tightening the airway muscles, and

3. Improving oxygen flow throughout the night.

This not only reduces snoring but can significantly improve sleep quality and lower the health risks associated with untreated sleep apnea—such as heart disease, fatigue, and cognitive issues.

The Process of Getting a Custom MAD

1. Comprehensive Sleep Evaluation
   If you haven’t already completed one, we coordinate a sleep study through a trusted local physician or specialist.

2. Digital Impressions & Bite Registration
   Using advanced scanning technology, we take detailed impressions of your teeth and jaw.

3. Custom Appliance Design
   Your device is created to fit your exact anatomy for optimal comfort and effectiveness.

4. Fitting & Adjustment
   Once fabricated, your dentist will fine-tune the device for a secure yet comfortable fit.

5. Follow-Up & Monitoring
   We schedule regular visits to ensure continued success, comfort, and improved sleep quality.

The entire process is convenient, comfortable, and typically completed within a few weeks.

Benefits of a Custom Mandibular Advancement Device

• Noninvasive, no mask or machine required

• Quiet and travel-friendly

• Comfortable and easy to wear nightly

• Reduces snoring for both you and your partner

• Improves energy, mood, and daytime focus

• Promotes better oxygen flow and restful sleep

• Often covered by medical insurance for sleep apnea treatment

Caring for Your Appliance

With proper maintenance, a custom MAD can last several years.

• Clean daily with mild soap or denture cleaner.

• Rinse thoroughly with cool water.

• Store in a ventilated case when not in use.

• Bring it to your regular checkups for inspection and adjustment.

Regular care helps preserve fit and performance—and ensures long-term comfort and results.

FAQs About Mandibular Advancement Devices

Is a MAD comfortable to wear?
Yes. Once adjusted, most patients find the device easy to wear and notice significant comfort improvements within the first week.

Can a MAD completely stop snoring?
In many cases, yes. It depends on the cause of your snoring and the severity of airway obstruction, but most patients and their partners notice major improvement.

Do I still need my CPAP if I get a MAD?
Many patients use a MAD as an alternative to CPAP, but some benefit from combination therapy. Your provider and sleep physician will help determine the best plan.

Is this treatment covered by insurance?
Yes, in many cases. MAD therapy prescribed for sleep apnea is often covered under medical insurance—not dental—plans.