Mandibular Advancement device (MAD) are small custom made oral medical devices that are worn in the mouth, during sleep, to treat Snoring or Obstructive Sleep Apnea. Mandibular Advancement Devices are currently the main nonsurgical alternatives to CPAP therapy.
American Academy of Sleep Medicine recommends Mandibular Advancement Device as an effective therapy for mild to moderate sleep apnea. It is often used as an alternative therapy for one who is unable to use a CPAP machine, even in cases of Severe Sleep Apnea.
They work by holding the lower jaw (mandible) in a forward position, when worn during sleep. This consequently also brings the tongue forward and opens up the collapsed airway space behind the tongue and at the back of the throat. This allows oxygen to pass freely to lungs and to all the vital organs.
These devices are custom made, with trays molded to fit around the upper and lower teeth, along with a connecting part that helps position and keep lower jaw in a forward position. These devices are titratable, which means they can be gradually dialed forward, until the soft tissue at the back of the throat is brought forward and until the symptoms of snoring and difficulty breathing have disappeared. The devices provided at NKs Snoring and Sleep Apnea Center are custom made devices are smaller, fit more snugly and are more comfortable and more effective compared to the ready store-bought devices.
The main benefits of MADs, in addition to treating Snoring and Obstructive sleep apnea, are that they are smaller in size, relatively economical and easy to use
They are discreet and inconspicuous and other people would not be aware that the person is using an anti-snoring device. Unlike a CPAP machine, they also do not make noise and does not require electricity These medical devices are pocket sized and portable, ideal for the frequent travelers and for people who do not want to use a bulky machine during sleep.
Treatment of Obstructive sleep apnea with medical devices like MADs should be done by dentists who have special training in Dental Sleep Medicine. This ensures that proper diagnosis and device selection is done and treatment is done properly with minimal problems. Not all dentists are trained in this. Dr Nivedita Kumar has undergone extensive training in this and has over 20 yrs of experience.