General dentistry
Snoring & sleep apnoea
Custom mandibular advancement devices (MADs) to reduce snoring and manage mild to moderate obstructive sleep apnoea — a dental solution to a sleep problem.
Snoring & sleep apnoea at a glance
A mandibular advancement device (MAD) holds the lower jaw slightly forward during sleep, keeping the airway open — reducing snoring and helping some patients with mild obstructive sleep apnoea.
A MAD is not a substitute for a medical sleep apnoea diagnosis. We work alongside sleep physicians and ENT referrals; for moderate-to-severe OSA, CPAP remains the gold standard and we'd tell you that. For mild OSA and primary snoring, a well-fitted MAD has good evidence.
Your appliance is made from impressions and a bite registration — so it holds your jaw in a comfortable, slightly advanced position rather than an arbitrary one. Titration (adjustment) is built into the process.
Quick overview
How does a MAD work?
A mandibular advancement device holds the lower jaw slightly forward during sleep, preventing the tongue and soft palate from collapsing into the airway — the main cause of snoring and mild OSA.
Who is it for?
Adults with primary snoring or mild to moderate obstructive sleep apnea, those who can't tolerate CPAP, or patients who have been referred by a sleep physician for a dental appliance.
Alternatives
CPAP is more effective for moderate-to-severe OSA. Weight loss and positional therapy help some patients. Surgery is an option in specific anatomical cases. We'll discuss what the evidence says for your situation.
Why consider a dental sleep appliance?
Quieter sleep
Many partners notice reduced snoring within weeks.
Custom fit
More comfortable than generic devices online.
Experienced team
Screening and referral when medical care is needed.
Your sleep appliance journey
Most patients have their MAD fitted within three to four weeks of the initial consultation.
- 1 Before you commit
Screening consultation
We discuss snoring, sleep quality and medical history — and advise whether a dental appliance is appropriate or medical referral is needed first.
- 2 If suitable
Impressions & bite registration
Impressions and bite records are taken for the laboratory — with the appliance type and fee confirmed in writing.
- 3 Delivery visit
Appliance fitting
Your device is fitted and jaw advancement adjusted for comfort — with instructions for gradual wear-in at night.
- 4 4–6 weeks after fitting
Titration review
We review comfort and symptom improvement; appliance adjusted to optimise jaw advancement — may take two or three review visits.
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Pricing
Medical sleep studies may be recommended before appliance provision — we explain costs and pathways at consultation.
- Consultation & assessment £95
- Custom MAD (includes fit + 2 titration appointments) £1,200
- Additional titration appointment £95
- Replacement MAD £900
- Combination (MAD + occlusal splint for grinding) £1,500
Frequently asked questions
Is this the same as CPAP?
No — CPAP is the standard for moderate–severe apnoea. Appliances suit selected snoring and mild cases after proper assessment.
Will it stop snoring completely?
Many patients and partners notice significant improvement; results vary with anatomy and compliance.
Does it hurt the jaw?
Mild stiffness can occur initially — we adjust advancement gradually and review comfort.
Do I need a sleep study?
We recommend medical assessment when apnoea is suspected — not just snoring alone.
A custom solution for snoring and sleep disruption
Book a consultation to discuss whether a mandibular advancement device is right for you.