As you may already know, I thoroughly enjoy a good read each and every day. It’s a part of what I do on a daily basis. I read. I analyze. I write. As Vera Nazarian once said, “Whenever you read a good book, somewhere in the world a door opens to allow in more light”. This quote accurately describes my thoughts when it comes to reading.

When Adrian Zacher, founder of Snorer.com, suggested that I review his guide to choosing a stop snoring mouthpiece, I simply could not resist. After all, I spend several hours each day learning about Mandibular Advancement Devices and writing product reviews. Needless to say, I gladly accepted his challenge. I mean worst case scenario, I read the entire guide and learn nothing at all. This rarely ever happens so the risks seemed to be fairly low.

I must admit, I was a bit skeptical about reading an information package that costs £3.10 (about $5 USD) or any amount for that matter. With an abundance of “free” information available on the internet, why pay a single cent?

Within seconds of opening the PDF file that was sent to me, the answer to this question became apparent.

Mr. Zacher has obviously spent several hours putting together this guide, calling upon his years of experience in the sleep medicine industry. From the very beginning, he walks you through the process of selecting a mouthpiece by deciphering technical jargon and putting everything into layman’s terms. Important information is supported by providing several external references throughout the guide. Unlike the vast majority of information found online about anti-snoring devices, the author clearly has no interest in selling any products at all. Simply put, the information presented is easy to read, informative, and contains no sales pitch. Now, onto the review.

What’s it about?

This 28-page guide is chock full of valuable information that not only covers how to select a device but also:

• An overview of what snoring is
• Different types of stop snoring devices available
• The relationship between snoring and OSA
• The importance of seeking professional assistance when necessary
• Contributing factors related to snoring and apnea
• Desirable features in a mouthpiece
• Comparing professionally fitted devices to OTC units
• Additional resources

In addition to all of this information, a questionnaire is also provided to assist with determining whether or not you should seek medical help for your snoring related issues. The author provides additional resources and even an appendix to help you understand some of the terminologies often used to discuss the topic of snoring and sleep apnea.

Overall, the content of the guide flows very well and does not leave you at all confused. It is truly written in an easy to digest format that is very readable. Relevant images are placed throughout the text, keeping things interesting as you read along.

Is the information presented within truly groundbreaking and innovative? No. Everything can be found on the Internet free of charge. However, it would literally take days, if not weeks to read multiple bits of free literature while deciphering whether or not the information presented is incentive based or not. In addition, you will also run into inaccuracies. You should, of course, take all information presented online with a grain of salt. In other words, you are getting an aggregation of accurate, unbiased information from two industry experts.

Is it worth the money?

Whenever deciding whether or not to purchase something, it always boils down to the question “Is it worth the money?”.  Do the benefits outweigh the cost associated with acquiring this item?

If you (or a partner) are suffering from snoring and need the lowdown on how to purchase a device, do you want to:

1. Spend several days learning the ins and outs of buying a stop snoring mouthpiece? or
2. Spend $5 on a guide that has all the (unbiased) information that you need to make an informed decision?

Keep in mind that the authors are industry professionals with several decades of combined experience.

My guess is that several hours of your time is worth more than the asking price.

Disclaimer

In all fairness, and to provide complete transparency, I am obligated to disclose that I was provided a copy of the guide from the author, Mr. Zacher. Aside from a free copy, no additional compensation was received for writing this review. All opinions stated are my own.

You can pick up a copy of this guide directly from Snorer.com

Which mouthpiece should I buy?

The anti-snoring mouthpiece is one of the most highly effective stop snoring solutions available. With over 100 different products to choose from, deciding which one to buy can be challenging.

As a snorer and product reviewer, I have tried many of these devices and created a list of recommended devices that will help to make this decision much easier.

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Comparing oral appliances – Store bought vs professionally fitted

It has become a regular occurrence for a reader to ask me “What’s the difference between online over-the-counter oral appliances and those fitted by a dentist?”. After receiving numerous request, I decided that it is time to address this question. While there are quite a few similarities between the two, they also differ in several ways. I am about to lay it out, the “straight dope” if you will, by examining these similarities and differences while comparing the two.

The fitting

Let’s start with the most important difference between a doctor fitted MAD and one purchased online. Several, but not all, OTC mouthpieces use simple boil and bite technology. They are fitted at home, typically using a pot of hot water. The molding process is fairly simple and involves heating the unit for a specified number of seconds in hot water and then placing it into the mouth. You then suck in, while pushing on the outside of your mouth to create a mold. After a few seconds, the device is then dropped into a bowl of cold water which causes it to retain its shape.

There are of course some exceptions to this. For instance, the SleepPro Custom and the Prosnore II both use a dental impression kit which the consumer uses to create an impression and then sends it off to a laboratory who then creates the mouthpiece which is then delivered directly to the consumer.

In comparison, professionally fitted oral appliances are sometimes boiled and bite but are often created in a laboratory using an impression of your teeth. Your dentist will use dental trays to create a custom impression and then send this off to a lab to create a piece that closely hugs your teeth and gums. Once the device is returned from the lab, the dentist ensures a proper fit and makes adjustments if necessary.

Ability to adjust

In order to effectively control snoring, an oral appliance must be adjustable. Small incremental adjustments, typically 1 mm at a time, slowly pulls the jaw forward to the “advanced position”. By advancing the jaw too much at once, one can expect extreme facial tenderness in the morning. The idea is to advance the jaw forward into somewhat of a comfortable position while effectively reducing or eliminating snoring. This is often accomplished by adjusting the settings a couple millimeters at a time.

Some OTC devices offer this while others do not. Almost all professionally fitted devices should feature some type of adjustment.

Life expectancy of product

Generally speaking, professionally fitted oral appliances tend to have a longer useful life. The amount of time in which the appliance lasts will vary depending upon manufacturer. For the most part, pro fitted devices will last anywhere from a couple years to five years. This estimate will greatly vary depending on factors such as how often it is used (hopefully every night) and whether or not you grind your teeth at night (bruxism).

Over the counter, devices have a typical useful life of anywhere from 3 months to 24 months. On average they last about a year or so, once again depending on several factors.

Price tag

Perhaps one of the most notable differences between doctor fitted snoring mouthpieces and those ordered online is obviously the price. Over the counter devices will cost anywhere from $35 up to $200.

Going the professional route, one can expect to pay $300 – $500 for the initial examination and consultation in addition to the cost of the device of your choice which typically runs between $1,200 and $2,000. After the initial fitting, you will be advised to return for adjustments. These appointments will typically cost $100 or more per visit. During the first 6 months you will likely return 2-3 times and thereafter you will be scheduled for an annual or bi-annual checkup. Keep in mind that you may be able to offset these costs depending on your insurance coverage, if available.

Criticism of over the counter oral appliances

Do-it-yourself oral appliances are often criticized by medical professionals for a number of reasons. While some speak out over concerns for patients safety, others are unwelcoming of such OTC devices due to obvious monetary losses.

In May of 2012 Dr. Lydia Sosenko, a seller of oral appliances, featured Dr. Gail Demko in a podcast which was posted on Dr. Sesenko’s website. Dr. Demko is considered to be an expert in the field of sleep apnea.

During the podcast, Dr. Demko was asked: “What is the biggest difference between professional devices and over the counter devices?” (@25:00 mins)

Her response:

“There is a dentist that is watching the patients for side effects. Custom fitted devices fit snugly on the teeth and don’t loosen up in the mouth. They don’t fall out and end up in the bed two or three times a night. They are easy for the patient to adjust, they are not just one piece. They are comfortable and don’t cut into the gums. They don’t torque the teeth.  They put pressure on all of the teeth instead of just one. And they are not put in the mouth of a patient whose not a good candidate.”

Dr. Demko brings up at least two valid points. With an over-the-counter device, there is not a dentist watching the patient for side effects and they are not put into the mouth of a patient who may not be a good fit.  As for the other 6 reasons cited, these can be debated and are not necessarily true with every DYI mouthguard.

In a blog post dated February 2013, Dr. Sosenko offers her own criticism of OTC oral appliances as seen in the video below. Once again, some valid points are made but do not necessarily apply to all OTC devices, only a select few poorly designed ones that are usually (not always) the cheapest available.

Other considerations

OTC snoring mouthpieces should not be used to treat undiagnosed cases of Obstructive Sleep Apnea (OSA). If you suspect that you have sleep apnea or any other sleep disorder, it is essential to consult with your doctor who will likely suggest that you have a sleep study conducted.

If you have conditions such as TMJ, gum disease, loose teeth, etc. you should consult with your dentist before using any oral appliances.

Which one is better?

Now to answer the question: Which one is better?

Obviously, you can not go wrong with a professionally fitted oral appliance but if the price tag is preventing you from purchasing one, there are some really great snoring mouthpiece alternatives that can be ordered online. Here are a few key characteristics that I find desirable when purchasing such a device:

• Choose one that can be adjusted. Some snap in place, some have bands while others require special tools for adjusting.
• Allow for breathing. This is very important if you tend to breathe through your mouth while sleeping
• Customization. Choose a device that can be molded for a more comfortable fit. While a boil and bite unit will work, one made by taking an impression with dental clay is perhaps the best. These types are however more expensive so take this into consideration.
• Ensure that it’s comfortable. Buy one that is constructed of a soft rubber-like material that will be easy on the gums.
• Constructed of safe materials. Look for a MAD that is constructed of an FDA approved materials. Remember, you will be placing this in your mouth for several hours each day. During this time you do not want to ingest harmful toxins that leach from cheap plastics used in manufacturing.

If you choose an over the counter device aim for one that has several of the above-mentioned attributes and is within your price range. There are literally dozens of affordable products available on the market that can help with simple snoring. Here is a comparison chart that features several of them. Remember, when in doubt, have the doctor check it out!

Which mouthpiece should I buy?

The anti-snoring mouthpiece is one of the most highly effective stop snoring solutions available. With over 100 different products to choose from, deciding which one to buy can be challenging.

As a snorer and product reviewer, I have tried many of these devices and created a list of recommended devices that will help to make this decision much easier.

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You are tired, overweight, and are experiencing great difficulty making it through the day without taking a nap. While these symptoms could relate to a number of disorders, you may suspect that sleep apnea is the root cause of your problems. Perhaps you have already been diagnosed with Obstructive Sleep Apnea. Either way, you are interested in the connection between weight gain and apnea.

In recent years, numerous studies have been published noting the correlation between the two. Most studies suggest that up to 80% of sleep apnea suffers are obese. So there you have it, being overweight causes sleep apnea. Case closed – or is it?

While there is no denying that the two are correlated, most people assume that overeating is the primary cause of sleep apnea. Could it be possible that sleep apnea is causing you to gain weight? Yes, it’s a possibility.

How sleep apnea can cause you to be overweight

While there are several theories that provide an explanation, one theory involves the bodies response to being sleep deprived. With sleep apnea, your body awakens you throughout the entire night so that you can breathe. This may happen several times per hour without you even knowing what has happened. As a result, you wake up in the morning feeling exhausted, regardless of the number of hours you slept the night before.

Throughout the day your body craves caffeine and high-calorie fatty, sugary foods that give you a burst of energy. Once consumed, instant energy gets you through until the next snack. All day, every day you are enticed by “junk foods” because your mind has been trained to seek these types of food in order to make it through the day. Naturally, while in distress, your body stores this fat for future use. As a result, your waistline expands and in many cases, sleep apnea worsens. The cycle continues as you pack on more pounds, day after day.

One other factor that plays a role in weight gain and apnea is the lack of REM sleep. You may recall the 5 stages of sleep from a health class sometime in the past. In short, the 5th stage of sleep is known as Rapid Eye Movement or REM. At this stage, the mind is most active and is also the time period when most “dreaming” occurs. This is also the stage of sleep when calories are rapidly burned. Sleep apnea suffers rarely enter into this stage of sleep and when (if) they do, they are abruptly awoken due to lack of oxygen. The inability to fall into deep sleep prevents calories from being burned rapidly.

So which one is it?

So does being overweight cause OSA or does OSA cause one to be overweight. The answer to this question depends on the individual. For those who do gain weight due to OSA, weight gain can become a vicious cycle that leads to more weight gain. With more weight gain the symptoms of sleep Apnea worsen.

Kath Hope, owner of Hope 2 sleep – a company dedicated to educating the public about sleep apnea while offering unique CPAP accessories for sale, wrote an excellent blog post sharing her experience with weight loss after starting CPAP treatment. She also mentions others who had similar experiences with weight loss once treated for OSA. In such cases, sleep apnea can be the cause of weight gain.

In other cases, the two may be unrelated or perhaps over-consumption of food may be the root cause of sleep apnea.

Before pointing the finger, take a few moments to reflect upon your past in order to draw your own conclusion. Ask yourself if you have always been a sleepy person or has your tiredness recently begun after rapid weight gain? Are there any other factors that may have contributed to your weight gain? Have you tried adjusting your diet by reducing calories and fat intake and are still unable to lose weight? If you have recently lost weight do you still wake up feeling tired?

It is important to remain honest with yourself while answering these questions. By thinking back, perhaps years, you may discover the answer to this question on your own.

In some cases, the answer may not be so clear. Understanding which one is causing the other can present a challenge, especially if you are currently sleep deprived and are unable to think with a clear mind.

In short, don’t jump to the conclusion that your weight gain is caused by sleep apnea but at the same time don’t discount the idea that OSA could be the cause or a contributing factor to your weight gain. They are both possibilities that should be examined.

Which mouthpiece should I buy?

The anti-snoring mouthpiece is one of the most highly effective stop snoring solutions available. With over 100 different products to choose from, deciding which one to buy can be challenging.

As a snorer and product reviewer, I have tried many of these devices and created a list of recommended devices that will help to make this decision much easier.

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For over 2 decades now, snoring suffers have been using mouthpieces (oral appliances) to alleviate their snoring problems. This practice has been studied by multiple medical researchers and while many of them argue over the exact rate of their effectiveness, they all agree that such devices effectively controls snoring to some degree.

During their studies, researchers began to take notice of a few mild to moderate common side effects as they began to surface. Here are the most prevalent ones that some have experienced.

Dry mouth / Hypersalivation

Dry mouth and Hypersalivation are perhaps the most common side effects experienced by users. Dry mouth is most commonly seen when mouth breathers choose an oral appliance that is designed with a narrow opening which allows a concentration of high volume air to create a stream. This stream of air then travels through the mouth when it enters the airway. The continuous movement of concentrated air tends to dry out the mouth.

The other extreme is hypersalivation and this can be experienced with both types of mouthpieces, with breather holes and without, although it is more prevalent in devices without.

Throughout the years most people have likely slept with nothing in your mouth. When a large piece of plastic is inserted, your body will try to adjust and may create excessive salivation. As a result, you awaken with your face in a puddle of drool.

Tooth discomfort / Pain

An oral appliance is also known as a Mandibular advancement device and works by holding your lower jaw (mandibular) in a slightly forward (advanced) position in an effort to clear a restricted airway.

The typical design of a MAD consists of two dental trays that are custom fitted to conform to your teeth. While the design may vary, most use the front of the upper teeth and the rear of the lower teeth to hold the mandibular forward. This means that you will experience constant light pressure on your teeth as you sleep and may wake up in the morning with soreness around your gum line or teeth.

Masticatory muscle pain or stiffness

As mentioned, this treatment works by pulling the lower jaw forward and holding it there as you sleep. While you may not experience tooth discomfort, you are likely to experience stiffness or pain in your jaw muscles at least for the first couple of days. Jaw muscles are not used to being stretched and held such an unnatural position for an extended period of time. As a result, you will likely experience an aching sensation for a few days. This is similar to the feeling experienced when going back to working out after taking an extended break.

So far, the side effects discussed are common and generally considered mild and typically go away on their own after just a few days. The following side effects are far less common and more serious than the previously mentioned.

Changes in occlusion 

Some long-term users have reported a change in their occlusion. While pulling the jaw forward for 8 hours or more per day, you could potentially run the risk of your jaw remaining in the forward position once the piece is removed. The muscles can become accustomed to resting in this position and remain there. However, this side effect is not of extreme prevalence.

Loose teeth

One of the least common side effects is loose teeth. This is most commonly experienced by those who already have an existing issue with their teeth which is further irritated by using an oral appliance. Once again, this is not a common side effect but it is something that you should be aware of.

More information

Keep in mind that an over the counter oral appliance should not be used for the treatment of sleep apnea without the close supervision of a doctor. There are a plethora of excellent studies which highlight some of the side effects of a snoring mouthpiece. A few of them are here here and here.

Which mouthpiece should I buy?

The anti-snoring mouthpiece is one of the most highly effective stop snoring solutions available. With over 100 different products to choose from, deciding which one to buy can be challenging.

As a snorer and product reviewer, I have tried many of these devices and created a list of recommended devices that will help to make this decision much easier.

Share This Post:

The popularity of anti-snoring mouthguards has exploded in recent years as people all across the world, Australia, UK and USA in particular, have discovered just how effective these simple devices can be when it comes to eliminating snoring.

In the United States, snoring suffers in search of snoring relief are having great difficulty locating this particular snoring solution in their local drug stores. Throat sprays, OTC pills, and nasal strips, and chin straps are all easily found but what about the snoring mouthpiece? Being a popular choice in snoring prevention, one would think that major retailers would be all over the sale of these?

Walmart, Walgreen’s or CVS and the sale of anti-snoring mouthpieces

After doing your homework, you decide to go out and purchase a snoring mouthpiece locally from a Walmart, Walgreen’s or CVS only to come home empty-handed. Why is it that these devices can be found all over the internet but can not be purchased from your local box retailer? There has to be a reason behind this.

While in other countries such devices are openly sold at retail establishments on store shelves, the United States has a different take on the subject of “over the counter” Mandibular Advancement Devices. In the US, the Food and Drug Administration regulates the sale of such products. They classify snoring mouthguards as a class II medical device, placing restrictions on the sale of this product. The FDA believes that such devices should be prescribed and fitted by a physician due to concern that misuse may cause medical concerns. For instance, someone may purchase this device to stop their snoring which is ultimately caused by an undiagnosed and more serious condition known as sleep apnea.

For several years now, this battle has been fought between the FDA and snoring mouthguard manufacturers. UNITED STATES v. SNORING RELIEF LABS INC is a well-known case in which the FDA pursued Snoring Relief Labs (makers of Snorban) This case dates back to 2000 but was an ongoing issue for several years prior. After reading this court case the message is clear – the FDA is against the open sale of anti-snoring mouthguards without a prescription.

What about online retailers?

You have likely seen several US-based companies selling their mouth guards that promise to prevent snoring. So how are they able to sell their products?

While there are several workarounds, many manufacturers take advantage of, the Exemptions From Adequate Directions for Use as outlined by the FDA. Often times the consumer will have to fill out a questionnaire concerning their health before being able to place their order. The order will only be completed if they meet the criteria by answering all questions correctly.

Then there are other manufacturers who suggest that their products are being sold as a night guard to prevent teeth grinding but claim that their devices are “constructed exactly the same as an anti-snoring mouthguard”.

Others flat out sell their snoring mouthpieces with total disregard when it comes to obeying the law.

Why can’t you buy them at your local retailers?

So you found mouthguards for teeth grinding but none that are specifically labeled for snoring at your Walmart, Walgreens or CVS? By now the answer should be fairly obvious. While there are several small mom and pop businesses who are manufacturing and selling these products at the risk of the FDA cracking down on them at a moments notice, the big players are choosing to sit on the sidelines due to the potential legal risks associated with selling such products. Perhaps this will change one day if the regulations become more relaxed but for the time being, don’t expect to see them appear on retailers’ shelves.

In the meantime, if you are interested in buying a mouthguard to help with your snoring you will find a ton of great devices that are can be purchased online. I’ve tried well over a dozen and found that almost all of them work to some extent. One of my favorites is the Good Morning Snore Solution because it barely takes up any room in your mouth and works incredibly well. You can read my complete review which also includes a video that I created that goes over my entire experience using the GMSS. This newer method of treating snoring is becoming an increasingly popular alternative to traditional “boil and bite” type mouth guards and has been proven to be just as effective.

Which mouthpiece should I buy?

The anti-snoring mouthpiece is one of the most highly effective stop snoring solutions available. With over 100 different products to choose from, deciding which one to buy can be challenging.

As a snorer and product reviewer, I have tried many of these devices and created a list of recommended devices that will help to make this decision much easier.

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Recently, I decided to examine the cost of Polysomnography, better known as a sleep study. A sleep study is used to screen for sleep disorders such as sleep apnea. It is typically conducted in a sleep center or hospital and involves being connected to various sensors which monitor heart rate, oxygen levels in the blood, breathing patterns and eyelid movement. Once all monitoring devices are attached to their proper location, the lights go out and you will eventually fall asleep. While sleeping, the sensors send information to a device that records and analyzes every breath that you take, or perhaps don’t take. After completion, the doctor examines the results and gives a recommendation.

After a bit of searching, I found that people who went through a sleep study were receiving bills for as much as $4,000. Talk about sticker shock! Depending on location, the amount billed seemed to vary from $2,500 on the low end to $4,000 on the higher end. These costs do not include the initial visit with your physician, visits with specialist or follow-up visits which can add several hundred or even thousands more to this price.

While this may not be of interest those who have good insurance coverage, an increasing number of Americans are without healthcare or have a plan with a very high deductible. For the average person in this position, undergoing a sleep study can really place them in a financial bind.

Introducing the at home sleep study

After seeing the high out-of-pocket costs associated with the Polysomnography, I started to investigate alternatives to the traditional sleep study. The first concept that came to mind was an at home study. After all, at home equipment is available for analyzing everything from drug use to blood pressure, glucose levels and even paternity testing. Why not sleep apnea? Lo and behold, home sleep apnea tests are available and at a reasonable price.

The available testing kits typically consist of many of the same monitoring devices that are found in a sleep lab. This equipment is offered on a rental basis and contains a device which records all information that is later analyzed by a physician.

Most kits contain breathing sensors that attach to the nose and mouth, a heart rate monitor, strap that detects movement of the chest, and blood oxygen monitor. The patient follows the manufacturers provided instructions and sleeps as they normally would in the comfort of their own home. This procedure is conducted for anywhere from one to three days. Once completed, the unit is mailed to a laboratory where the results are analyzed. Many online companies that offer this service will even write a prescription if needed.

Cost comparison at home sleep apnea test vs sleep study in lab

Performing an at home apnea test is obviously going to be less expensive, as the equipment being used is not as technology advanced and you are not paying for the facility and staff. We already know that you can expect to pay upward to $4000 for a sleep study but how much does an at-home sleep study cost?

One can order an at-home test for as little as $250. This is considerably lower than the overall price that one would expect when entered into a sleep study.

At home testing criticism

Not everyone is welcoming home sleep studies as an alternative to lab sleep studies and for good reason.

It is important to remember that these types of test are fairly accurate when it comes to diagnosing most with moderate to severe cases of sleep apnea. Others who have very mild OSA will likely miss a proper diagnosis when using this type of test. However, the majority of people may benefit from using such a device. Keep in mind that if the results come back negative, it may be a good idea to further investigate.

Also, critics say that at home devices do not detect brain activity which is a key factor used to help determine if there is an issue. In a lab setting, several sensors are attached to the head which monitors brain activity during sleep. Without this, critical information is not being used to drawing a conclusion.

In addition to diagnosing sleep apnea, the more expensive Polysomnography can help to determine if another sleep disorder is present. With the at-home study, some may rule out OSA and fail to investigate another sleep disorder. It is possible that you have one of several hundred different known sleep disorders.

Which mouthpiece should I buy?

The anti-snoring mouthpiece is one of the most highly effective stop snoring solutions available. With over 100 different products to choose from, deciding which one to buy can be challenging.

As a snorer and product reviewer, I have tried many of these devices and created a list of recommended devices that will help to make this decision much easier.

Share This Post:

☆☆☆☆☆ 3.5 Star Rating

About the Noiselezz

The Noiselezz I and  Noiselezz II are both produced by Therapy Control Products, an Alberta Canada based company that specializes snoring and sleep apnea relief products. The Noiselezz is a Mandibular Advancement Device that brings forth the lower mandibular as a means to create a clear passage in which air can flow without any obstructions to go around. Breathing obstructions, excessive tissue, or loose tired muscles are all contributing factors that cause snoring.

Unlike most MAD’s out there, this one has been created so that most people are able to use it right out of the box. Several others require that you do a “boil and bite” or even send a mold of your teeth off to a laboratory which can take several weeks. Using this device may be as simple as removing it from the box and inserting into your mouth after a quick rinse.

A “spring hinge” allows for free movement of the jaw so that you can speak and breathe through your mouth. A hinged jaw is a feature that very few manufacturers are offering as these are typically one piece and often have no breathing holes at all. If at any time it loses it spring action, you can refresh it by giving it a quick bath in hot water.

There are however some exceptions to this rule. If your teeth are crooked or if your teeth are abnormally placed, you may have to make some adjustments to create a more comfortable fit. Remember, unlike other devices, you do not want to attempt to reposition the lower jaw advancement. This is preset at the factory and does not require adjustment. If localized irritation occurs (irritation in a specific area) you may have to make some adjustments.

Using a sharp pair of scissors, trim away any excess material that may be rubbing on your gum line. From here, simply dip the unit in hot water (maximum temp of 163° F) for 5-10 seconds. Doing so will soften the plastic material. Do not heat beyond this temperature and do not leave in hot water for more than 5-10 seconds.

Use a household item such as a spoon to open up and reshape the area that is irritating you. It may take several attempts to find the perfect fit.

It is best to wear the device during the day when first getting used to it. This will allow your body to adjust and gives you an opportunity to identify problem areas that may need to be reshaped.

Noiselezz I vs Noiselezz II

The manufacturer offers 2 different models but whats the difference? While they are both effective when it comes to controlling snoring, the second edition has a slight modification which helps to keep the device in your mouth at night. This is a common issue that some were experiencing with the first model so the second edition was created. Aside from the modification, they are identical with the exception of a $5 price difference between the two.

Price

The Original model cost $44.99 while the second edition will set you back $49.99. There is, of course, a $7.50 shipping and handling fee on both devices. In comparison to other MAD’s on the market, the price is middle of the road – not the cheapest yet not the most expensive.

Customer feedback and reviews

Reviewers who left positive feedback all agree that the simple design is better. It is more compact and slimmer than many others on the market, making it more comfortable to wear at night. Overall, it seems to correct the issue of snoring in most people.

There are however a few exceptions in which people were not satisfied with the results. Those who were not satisfied complain of jaw soreness or excessive dry mouth. There were only a few reported cases of either one.

Here are a few comments that were left by Amazon customers who have purchased this device. (Source: Amazon)

“It did take some time getting use to, the sore jaw and teeth in the morning, but they are all that way. This is so simple in design. I found the material quite soft and haven’t had any issue with gum rubbing. And, it is so easy to clean. I just pour Listerine on it, rub it around, dry it off, and it’s ready to go.” – Tillman 

“This item hurt my gums and my jaw. The pain lasted for several days. I threw it away.” -Ifca

“There wasn’t any directions with it first off. It didn’t fit my mouth and it really hurt my teeth and couldn’t keep it in my mouth.” – Andrew Pahl 

What is our opinion?

While some find that the one-size-fits-all design does not necessarily fit everyone, it does work for most people. Unfortunately, there are a few that it does not work for although there may be hope if you take the time to reshape the area that is bothering you.

The hinged design is a definite plus and is often left out by others. This allows you to slightly open your mouth to allow air in. For many, this is an important feature.

I prefer the fact that these are pre-set and often do not require molding. Most devices require an often complicated boil and bite process before they can be worn.

Simplicity is often best in many cases, and with a snoring mouthpiece, this is no exception. The simple design leaves little room for error and helps to keep bacteria out of the crevices. Other more complicated pieces can harbor bacteria and be very difficult to clean.

This product works like any other device so the technique is nothing innovative.

If you have regular teeth and gums this product may be a good choice. If you have snaggleteeth, a custom mouthguard may be a better choice.

If you want a mouthpiece that is very similar to the Noiselezz you may want to consider the Zquiet which I have tried and highly recommend. It sells for about the same price yet has been better engineered in comparison to the Noiselezz. You can get more information here which includes my complete review.

The Zquiet is BPA and latex free and has also been cleared by the Food and Drug Administration. Also, it is made in the United States and not sourced from China or any other country that may be using questionable materials or practices.  The company who sells this device has been around for several years now and unlike the Noiselezz, it comes with a 100% money back guarantee. This is a product that I have used to correct my snoring and would recommend to anyone looking for a ready to use a device that is both comfortable and effective.

Which mouthpiece should I buy?

The anti-snoring mouthpiece is one of the most highly effective stop snoring solutions available. With over 100 different products to choose from, deciding which one to buy can be challenging.

As a snorer and product reviewer, I have tried many of these devices and created a list of recommended devices that will help to make this decision much easier.

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☆☆☆☆☆ 3.75 Star Rating

Device description

MEDiTAS Ltd is at it again with yet another anti-snoring device that rivals its Easifit and Custom versions. This design combines the best of both worlds as it includes the ability to create a mold at home while allowing the ability to make jaw advancement adjustments.

The company who manufactures this mouthpiece also has a line of other products including two other mouth guard like MAD’s and a chin strap support. They sell their products worldwide in the United States, Australia, Netherlands, Canada, Spain, France, Ireland and Italy. MEDiTAS has been doing business since 1998 which is an unusually long time when compared to many of its competitors in the snoring solutions business.

Why choose the Contour?

The SleepPro Contour is best described as a hybrid between the Custom version and the standard version.

Upon arrival, it comes in two pieces which are custom formed at home in your kitchen using hot water. Here is the basic process used to create a custom unit.

1. Boil a small pot of water on your stove top and pour into a small bowl.
2. Insert the handle into the device as instructed and submerge the Contour in boiling hot water for 3 minutes before removing.
3. Once cool to the touch, place unit in your mouth and bite down with your lower jaw in the forward position. Use a sucking motion to remove excess air while pushing on your cheeks all around the device.
4. After 40 seconds, remove and place in icy cold water. Once cold you may remove the handle that was previously inserted.
5. Adjust the strap to the desired level. The manufacturer recommends that you start somewhere in the middle and gradually increase the setting until your snoring stops.

Incremental adjustments

The Self Fit Adjustable model mimics some of the same oral appliances that are commonly issued by dentist or doctors. Having the ability to make up to seven different incremental adjustments sets this unit apart from its competitors. There are only a handful of others who offer this feature combine with the boil and bite technology. Since almost everyone responds differently to mandibular advancement device settings, having the ability to adjust the advancement makes this product highly effective as it should work for most people.

Maximum comfort

There are numerous devices out there that claim to be one size fits all. These products often turn out to be a disappointment as many complain of jaw and gum pain after waking in the morning. While there will be some degree of discomfort with any piece, the Contour minimizes this discomfort by allowing you to control just how far you move your jaw forward. If you find the pain unbearable, try replacing the straps with shorter ones to allow the lower jaw to recede a bit. Strike a balance by finding a comfortable position that is in fact effective. For most, this will be the adjustment that is slightly beyond the middle point.

What does it cost?

One of the most commonly asked questions is “how much does it cost?” The unit price is $129.95 while shipping cost $7.50. If you have recently purchased any other SleepPro product you may be eligible for a 20% discount by simply emailing the company. It comes with a 30-day money back guarantee which means that in this case, they will refund 50% of the purchase price if you are not satisfied with your purchase.

While the Contour is not the cheapest MAD on the market, it is uniquely designed and highly effective when it comes to snoring prevention.

My experience using the Sleeppro Contour

I recently had a chance to try out this anti-snoring device. From start to finish, I documented everything in the video below from the initial fitting to my follow-up opinion.

Unboxing and fitting

While unboxing my Sleeppro, my initial thoughts were “how many pieces does thing have?”.  After reading over the instructions, it became clear that most pieces were only used one time while others were never used at all. I found the fitting process to be much easier than initially anticipated. Here are the steps that I followed to fit the device.

Supplies needed

• 1 Cup of boiling hot water
• 1 Cup of cold water
• Retrieval tongs
• A stopwatch
• Mouthpiece
• Fitting handle
• Set of provided adjustment bands

Fitting instructions 

1. Snap the fitting handle into the notches on the lower tray while paying close attention to the method that you use while snapping into place. I would recommend going in at a 45-degree angle and then snapping down.  The trays are marked both “upper” and “lower”.
2. Use the same method described above to snap in the upper dental tray.
3. Completely submerge the device into a cup of hot water for 3 minutes. This will soften the moldable plastic gel inside of the tray.
4. Remove the device using a pair of tong and allow it to sit for a few seconds.
5. Carefully insert into your mouth. Ensure that it’s not upside-down. Bite down and hold for 45 seconds.
6. Remove from your mouth and drop into a cup of cold water. Allow to sit for 2 minutes.
7. Remove from cold water and carefully remove the fitting handle.
8. Replace handle with a set of matching bands. Start with the midrange bands.
9. Check for fit
10. After using for one night, make adjustments by replacing the bands. For more advancement, use a shorter band, for less advancement use a longer band.

In the end, the process turned out to be much easier than I would have ever imagined.

Seven-day trial

 

Although it did stop my snoring during the first night, I did wake up in the morning with a sore jaw. Because of this, I replaced the bands with the next larger size. Doing so fixed the soreness issue and the next 6 nights were amazing!

It not only effectively controlled my snoring, but it was very comfortable. Overall, the Contour had a low profile that allowed me to close my mouth to a comfortable level. There is a thin air gap between the upper and lower tray that allowed a massive volume of air to enter my mouth.

The molded plastic hugged my teeth very closely, helping to keep it in my mouth. I did not have any issues with it remaining in my mouth the entire night.

Overall, I really like the Contour because it has several desirable features including comfort, breath-ability, and adjustability.

What do the critics say?

Being one of the most versatile MADs on the market, many people claim that this is the perfect anti snoring mouthpiece as it can be fitted right in your home and is adjustable. Most people report being satisfied with the comfort level and ability to breathe through the mouth while sleeping. It looks as if SleepPro has found the perfect hybrid device that is effective, long lasting, and easy on the gums and jaw.

Others disagree and say that it is too bulky and causes them to drool excessively while sleeping. Some have a difficult time during the fitting while others say it’s not effective. While these types of complaints do exist, it seems as if they are few and far between.

When reading customer reviews on the net, one should be aware that competitors often leave negative feedback in an effort to steer customers towards their product. Likewise, you will find that some manufacturers leave feedback on their own products giving their products glowing reviews. For this reason, it is best to learn about the product and read user reviews with a grain of salt.

My recommendation

When it comes to snoring prevention, this is perhaps one of the best products available. I prefer a unit that has holes which allow for breathing, one that is soft and comfortable and one that is adjustable. Perhaps the only way to improve this MAD is to offer the same design with a lab molded option. This would increase the overall price but will create a more precise piece that would be thinner.

While fitting one may be somewhat of a challenge to the average user, this process only has to be done once. Keep in mind that you are able to make adjustments to the advancement at any time. Simply remove the existing straps and replace with a shorter or longer one.

My recommendation is that you give the SleepPro Contour a try if you are able to afford the extra expense. If $127 is too much there are several simple boil and bite devices that may work for you.

You may also want to consider the Good Morning Snore Solution (further info can be found here). The GMSS will cost you about the same amount as the SleepPro Contour but requires very little room inside of your mouth. It actually works by holding your tongue forward which has been clinically proven to work just as well when it comes to preventing snoring as your standard mandibular advancement device. I also own one of these and prefer it to the Contour because it doesn’t require any fitting or assembly plus it simply fits on the end of the tongue and is held on by a gentle suction. I’ve recommended the GMSS to my father and grandfather who snore just as much as I do and it worked wonders for all three of us.

 

Which mouthpiece should I buy?

The anti-snoring mouthpiece is one of the most highly effective stop snoring solutions available. With over 100 different products to choose from, deciding which one to buy can be challenging.

As a snorer and product reviewer, I have tried many of these devices and created a list of recommended devices that will help to make this decision much easier.

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☆☆☆☆☆ 3 Star Rating

About the SnoreFighter

In 2005, Yanzhong Li and Winston Li created Kudo Research, a Connecticut based company that manufactures and distributes the Kudo SnoreFighter.

The SnoreFighter is similar to several other MAD’s as it works by holding the lower jaw slightly forward thereby creating a less restrictive air passage that does not flap around and collapses. After all, vibrating tissues are the main culprit behind snoring. By addressing this issue, snoring is usually eliminated or in some cases greatly reduced.

Just how effective is this product? Kudo Research claims that it is 93% effective which is a higher percentage when compared to several clinical research studies that suggest average effectiveness for MAD’s is somewhere in the mid-80’s.

As for construction, it is made from an FDA approved moldable plastic resin. While pre-formed to fit around the upper and lower teeth, it can be fine-tuned by submerging the entire piece in a bowl of hot water for several seconds. After a few seconds in a hot water bath, the device is removed and cooled for just a few seconds before inserting into the mouth. Once in the mouth, the user moves their jaw slightly forward, bites down and holds for several seconds while the mold cools. From here it is removed and dropped into a bowl of cold water which helps to cool and retain its shape.

While there are a lot of similarities between this device and several others on the market, Kudo is the only company that allows you to choose from 3 different products – one for mouth breathers, one for nasal breathers and one for those who tend to breathe using both methods. This is perhaps one of the most important decisions that one must make before making a purchase. This company has all of their bases covered when it comes to product selection.

Kudo Research vs. Ranir, LLC

There has been some recent controversy surrounding the Kudo Research (makers of the SnoreFighter) and Ranir, LLC, a Michigan based company who produces oral health care products. Ranir manufacturers a similar oral appliance and claims that Kudo has infringed upon their intellectual property rights. The complaint was filed on November 1, 2012, and the results of the case have not been made public yet.

This means that it is possible that the device will no longer be available in the future or will have to be redesigned before entering the market once again. As of August 21, 2013, the website is still live yet the price and ordering information contains a broken link.

Price and Guarantee

When initially introduced in 2009, the SnoreFighter was being sold for $34.99 + $6.00 shipping. Today the selling price is $39.98 + $7.00 shipping cost, bringing the grand total to approximately $47.00 shipped to your doorstep. The company does, however, offer a second unit for only $20 more which significantly drives down the overall price. Unlike many competitors who offer a 30-day money back guaranty, this one comes with an additional 30 days for a total of 60 days.

Consumer feedback

Over the years this device has received a great deal of feedback from customers who have used it. It is among the most popular products on the market and has been reviewed by many. In almost all cases, customers who purchased it were very satisfied with their buying decision and claim that not only is it comfortable but it also is very effective at eliminating snoring.

There are of course the 7% who did not have much luck making it work. The critics complain about chronic jaw soreness, difficulty molding the device and having issues keeping the appliance in their mouth the entire night. While these complaints are likely legit, such side effects are commonly seen with several other similar boil and bite mouthpieces on the market.

Actual consumer reviews speak the loudest when it comes to knowing the true effectiveness of a product. Here are a few bits of feedback that were left by actual customers who purchased and tried this oral appliance.

(Source: Likeme)

“I’ve actually tried both this one and the Pure Sleep. Both, (according to my wife at least!), worked well. I got the Snorefighter after the Pure Sleep got trodden on.” -Paul Goss

“I don’t own the snorefighter, but I’d just like to chime in here on what I see as a very reasonable price – if it works! –Micaela 

“So, I saw that part of their mission statement is “Create Happiness” and I thought I’d review it. For me, it’s a 5 star mission statement.” -Peter

 

Our thoughts

Having the ability to choose the type of piece based on your breathing habits is a key feature that sets the SnoreFighter apart from all others.

The boil and bite soft thermoplastic material allow you to create a custom unit in your home with only a bowl of hot water and a few minutes. Simply give it a quick bath in hot water, remove and create your mold – it’s that simple.

Comfort is also important as some companies manufacture mouthguards that are said to induce pain while wearing. With the SnoreFighter most agree that it is one of the most comfortable anti-snoring devices on the market. Since you will be wearing it for at least 8 hours every night, it is important that you are comfortable wearing it.

When it comes to price, the individually purchased unit is priced a bit on the high side at $35 but if you purchase a second one at $20, the average cost drops to $27.50 which is reasonably priced when compared to the available alternatives.

Although not as innovative as others that are available, it is still effective, affordable and comfortable. Plus you really can not go wrong with the additional 30 days that the company gives you to decide if it’s right for you.

Overall, this product is worth giving a go if would like to try a basic inexpensive mandibular advancement device. If you are more serious about using a MAD as a long-term treatment solution, you may want to think about a better designed and more comfortable device such as the Zquiet. You can read over my critique here for more information on this product.

The Zquiet is a lot more compact in comparison to the SnoreFighter and also does not need to be boiled in order to fit. In fact, it can be comfortably used without any modifications. I really like the hinged design which is a feature that is usually not offered by others. Their design makes it easy to talk without removing the device and even allows you to drink with the appliance still in your mouth.

Which mouthpiece should I buy?

The anti-snoring mouthpiece is one of the most highly effective stop snoring solutions available. With over 100 different products to choose from, deciding which one to buy can be challenging.

As a snorer and product reviewer, I have tried many of these devices and created a list of recommended devices that will help to make this decision much easier.

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