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An injection Snoreplasty is a relatively new medical procedure that is indented to aid against and stop snoring. Unlike other procedures such as tonsillectomies and adenoidectomies, an injection snoreplasty is much less painful, fast, and affordable. The procedure itself involves first numbing the upper palate of the mouth and then injecting a stiffening or sclerosing agent that will eventually form scar tissue in that area. As the scar tissue develops, it naturally stiffens the area where the injection was made and reduces the surface area where the air vibration occurs in the airway that leads to snoring.

Injection Snoreplasty Procedures

Undergoing an ENT exam

You must schedule a thorough ENT exam with your Ear Nose and Throat doctor before moving forward with the thought of this procedure since it’s not the right treatment for everyone. The thorough exam is performed to ensure there are no other underlying sleep-disorders going on such as obstructive sleep apnea. Sleep apnea is a frequent cessation of breathing from an obstruction in the upper airway. It’s possible that your ENT doctor may order a sleep test so they can monitor your snoring and determine whether or not you have sleep apnea. Injection Snoreplasty is not a common treatment for sleep apnea at this time, however, clinical studies are being done and monitored to see if this is a future solution or treatment for sleep apnea.

An Injection Snoreplasty Proceduresleep test 2

The actual procedure itself is not typically referred to as a surgery but as a nonsurgical “treatment”. It’s comparable to getting a fast tooth filling at the dentist. You check into your ENT doctor’s office, they numb the top/back of your throat and inject a fluid referred to as Sotradecola that will eventually promote tissue scarring. Once the procedure is complete, the patient can return back to work, home, or school the next day or even immediately following the treatment if they prefer.

After an Injection Snoreplasty – what to expect

Immediately following the treatment, you will have some tenderness towards the roof of your mouth. Depending on how you react to the injection, you may or may not need pain medication. Swelling will most likely occur, but it should not be anything major. Expect a sore throat for a few days as well. Over the counter pain relievers such as throat spray, lozenges or Tylenol are typically recommended after the treatment. You may experience the feeling that something feels stuck at the back of your throat. This sensation is from the injection and will go away within a few days once your body scars and gets used to the hardening of the palate tissues.

Prescribed medications can also be taken if your doctor suggests them. Consult your doctor after the procedure to make sure any medicine you are currently taking does not interfere with any prescribed pain meds that your doctor may administer. Most patients can return to work the same day after the treatment. You will not notice an immediate improvement in your snoring because the palate tissue needs to scar and harden first. This can take several days to a week – everyone has different results. Once the scarring occurs, the vibrations on your palate will reduce since the mouth tissues will be hard. Some patients require multiple treatments and injections. This just means that your body did not scar as much in the area near the injection. You will consult with your doctor at a follow-up appointment and they will examine the scarring and determine if another treatment is necessary or not. Your doctor may also order another sleep test to evaluate the results of the treatment.

Injection Snoreplasty Q&A

injection snoreplastyWill I be in the hospital for several days?

The short answer is no. However, if complications do arise during the procedure, further hospitalization may occur. Everyone handles procedures differently. This is typically a very quick out-patient treatment similar to a dental visit and usually, adults can return back to work the following day or same-day.

Do I need general anesthesia for an Injection Snoreplasty?

In most cases, just local anesthesia is administered during an injection snoreplasty. A topical anesthetic numbs the upper portion of the mouth where the hardening agent is injected. If you have problems with dental visits and are usually given general anesthesia during dental visits, then you may request to be put under during this procedure as well. But in most cases, a topical anesthesia is administered.shot

Is it expensive?

The procedures can range from $200-$800 per treatment. It may take up to 2 treatments to be completely effective. Based on your insurance plan, one or more treatments could be covered by your insurance provider. Some providers cover the initial consultation and evaluation, but not that actual procedure. Be sure to check with your healthcare provider before planning and scheduling this treatment.

What is the recovery time like for the procedure?

There is very little recovery involved with an injection snoreplasty if any. In general, the treatment itself is almost as simple as getting a Novocain shot in preparation for a tooth filling. Once the stiffening agent is injected, the doctor may keep you for several minutes to make sure there is no immediate reaction to the injection fluid. After that, you can simply leave the doctor’s office and return to school or work as planned for the remainder of the day. You will have a slightly sore throat for a few days, but the recovery time for this procedure is much less than that of a tonsillectomy or adenoidectomy. It is not as invasive; therefore the recovery time is very minimal.

What does the actual treatment involve?

The 20-30 minute treatment is very basic. 1. The doctor numbs the upper throat with a topical numbing agent. 2. A stiffening sclerosing agent is injected into the top of the mouth right in front of the uvula or upper palate. 3. You can wait patiently for a few minutes until the doctor approves you can leave the office.  Once the agent is injected, a small blister will form over the next few days and scar tissue will develop in that area. The mouth tissue hardens from the scar tissue, which retracts the uvula forward thus eliminating the palatal flutter that is the ultimate cause of snoring.

What is a sclerosing agent?

A sclerosing agent is a solution that contains an irritant substance that will disrupt the space or area where it is injected. The actual contents are not harmful, however, it is meant to irritate the upper portion of your mouth just as a cut or wound would –eventually forming a scar or scar tissue. The most common sclerosing agent used on a treatment such as this is Sotradecola. Once the scar tissue forms, it becomes hard and makes the upper palette stiff; thus reducing or eliminating snoring.

What is Sotradecola?soft palate

Sotradecola is the short term for the medical name sodium tetradecyl sulfate. This is the most used hardening agent used during an injection snoreplasty. Sotradecola is approved by the Food and Drug Administration. It is typically used in varicose vein procedures. The FDA recommends it is used for intravenous use only. There are some side effects from this stiffening agent. It can trigger allergic reactions like anaphylaxis, a serious allergic reaction that rapidly onsets. If this occurs, epinephrine injections can counteract the reaction. Sotradecola can also cause tissue necrosis which in simple terms is cell tissue death. An example of necrosis is gangrene. When this occurs, the affected area usually needs to be surgically removed.

What is involved in injection snoreplasty prep the day before the procedure?

There is little to no prep for this treatment. Unlike other stop-snoring surgeries, an injection snoreplasty is not invasive or a complicated procedure. Some doctors may administer a mild sedative before the procedure, or a topical numbing agent. There is no fasting or other medical prep that needs to take place for this treatment unless of course there is a special instance where the patient needs to be given general anesthesia. This is unlikely and a rare instance.

What are the side effects of injection snoreplasty?

The main side effect of the procedure is discomfort immediately following the treatment. It’s nothing a little Tylenol can’t take care of though. There are several risk factors however and complications may occur that include palate swelling, palatal ulcerations or palatal fistula. Palatal ulcers are typically infectious and you should contact your doctor immediately if you see an ulcer start to form. Palatal Fistula symptoms include impaired speech and fluid leakage into the nasal cavity. These are more serious complications that are rare from this treatment. If any of these signs develop, contact your doctor immediately.

Will injection snoreplasty stop my snoring?stop snoring

The Walter Reed Army Medical Center staff was the first to invent and practice an injection snoreplasty. Originally a medical study confirmed that the treatment had a 92% success rate when having an average of 2 treatments completed. A more recent study found that the success rate may have dropped to nearly 75%, but only after 2 years of treatment. This is most likely due to the palate scar tissue actually softening back up again. You can have the treatment repeated years after your original procedure in order to keep the palatal tissue scarred and stiffened in order to keep snoring under control.

What if it doesn’t stop my snoring?

In most cases, patients usually require at least two treatments in order to see complete results regarding snoring. Keep in mind that you may have to wait a few weeks in order for the scar tissue to completely form. If the scarring hasn’t started yet, snoring may still occur. If the existing scarring that has occurred is not enough to stiffen the palate tissues, then more treatments will be necessary. If snoring still occurs after 3 or more treatments, there may be another underlying cause of the snoring. Consult with your doctor regarding the matter. They may perform another sleep study in order to see if you have developed sleep apnea.

Can this be performed on a child?

There is no scientific evidence that this is a long-term solution for snoring on a child. More commonly practiced, however, are adenoidectomies or tonsillectomies on children. Palatal tissue scarring can become soft over time, so children may need to get injection snoreplasty treatments over the course of their life. Because of this, it’s unlikely for a doctor to perform this type of treatment on children at this time.

Will I be in pain after the procedure?

It’s typical to experience some discomfort after having an injection snoreplasty. Think about how you feel after having a tooth pulled – you are still swollen and groggy from the Novocain and you may experience some pain in the area of the mouth that your dentist was working in. It’s about the same experience after having an injection snoreplasty treatment done. You may feel like something is stuck at the top of your mouth and will experience some soreness in that area as well. Over the counter medicine should do the trick but your doctor will most likely prescribe pain medication in the event that more serious swelling and discomfort occur.

How much bleeding will occur during or after the surgery?

Surprisingly, there should not be much visible blood at all. After the needle with the stiffening agent is inserted into the palate, there are no other lacerations or injections into the skin. There may be a bit of blood noticeable at this time, but after that, there should be no signs of major bleeding. If you notice an abnormal amount of bleeding, contact your doctor immediately.

Will insurance cover an injection snoreplasty?insurance card

In most cases, your insurance provider will cover the initial medical evaluation and consultation. However, the treatments are typically out of pocket expenses. Check with your healthcare provider before scheduling your first consultation. Treatments are relatively inexpensive in most cases.

Is injection snoreplasty a solution for sleep apnea?

An injection snoreplasty is not a suitable solution for sleep apnea at this time. After you have your sleep study performed and have your initial consultation with your doctor, they will evaluate your situation and recommend the best treatment for you.

Less invasive and inexpensive alternatives are available if you do not want to commit to an injection snoreplasty. There are a number of over the counter and prescription based devices that can be used to stop snoring. To learn more about our suggested stop-snoring devices, continue reading here.

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An injection Snoreplasty is a relatively new medical procedure that is indented to aid against and stop snoring. Unlike other procedures such as tonsillectomies and adenoidectomies, an injection snoreplasty is much less painful, fast, and affordable. The procedure itself involves first numbing the upper palate of the mouth and then injecting a stiffening or sclerosing […] Read more

Adenoids are masses of lymphoid tissues that are located right behind the nasal passageways, behind the nose. They are a part of the body’s immune system and play a first-line defensive role along with the tonsils. They act as a filter by keeping harmful germs that travel through the nose or mouth from entering further into the body. Adenoids also produce antibodies which protect the body from infections. Unfortunately, sometimes the adenoids can negatively impact the body instead of defending the body when they become infected. Having inflamed or enlarged adenoids are called Adenoiditis. Symptoms of infected adenoids include recurring bacterial infections in the nose or throat, or enlargement of the adenoids resulting in an airway obstruction that affects swallowing, breathing, difficulty sleeping, and snoring. Adenoids are usually overlooked during regular physicals or exams due to their inaccessible location behind the nose. They are in the top of the throat near the roof of your mouth. Special instruments that your ear, nose, and throat (ENT) doctor would have easily accessible are needed to access the adenoids. adenoid diagramMost general medical doctors would not have these instruments accessible during a routine checkup but they may suggest taking a few x-rays in order to see the adenoids and any inflammation that might be occurring.

Adenoids play an important role in the early years of development – up to around age 6. As you get older, your body starts to fight infections in other effective ways and the adenoids will actually start to shrink in size due to non-use. In most cases, your adenoids disappear by the time you are a teenager, hence most adenoid related problems are seen in small children.

The tonsils and adenoids are similar in that they are made from the same type of lymphatic tissues; however, the two are completely different masses. The two differ because diseases caused by infected adenoids differ from diseases from the tonsils due to their precarious placement behind the nasal passageway. Small pockets inside the tonsils sometimes produce compact, odor smelling deposits (frequently referred to as tonsil stones) that could irritate the adenoids and cause soreness or swelling.

Adenoiditis Symptoms

It’s possible that you may suffer from adenoiditis if you have 2 or more of the following symptoms:

swollen glandsSleep apnea (a short paused breathing while sleeping)
Earaches or balance problems
Swollen glands around the neck area
Difficulty swallowing
Congestion and stuffy nose
Sore, scratchy throat
Difficulty sleeping
Snoring

Adenoidectomy

You should consult your doctor to determine whether an adenoidectomy needs to be performed. The surgical procedure where a surgeon removes the adenoids is called and Adenoidectomy. Adenoidectomies and Tonsillectomies were typically performed together during most of the twentieth century. Up until recently, the procedures seem to be performed separately or individually. Most adenoidectomies are performed on children in general. The first adenoidectomy dates back to the 1800’s when doctors theorized that the adenoids were the culprit for certain adenoidectomy diagramnasal problems and impaired hearing. The procedure is one of the most frequented surgeries done in the U.S. and is most commonly performed on children under the age of 6. Adenoidectomies are performed by ENT surgeons. The procedures are typically done at an outpatient surgery center where general anesthesia is administered. The adenoids are removed from the mouth so there are no other incisions or cuts inside the mouth besides the actual removal of the tissue. Since the surgery is typically done in an outpatient environment, patients usually go straight home once the procedure is completed and has had a successful recovery period following the procedure – about 5 hours. This time frame can fluctuate based on the patient’s performance during surgery and how quickly they awaken from the anesthesia.

Adenoidectomy Recovery Time

Immediately following surgery, it is common to experience some nausea and upset stomach; this is due to the anesthesia side effects. You may experience the following symptoms immediately following surgery or up to one week after the procedure date:

Fever

It is common to experience a low-grade fever for 1-2 days following the surgery. Don’t panic unless the fever has reached over 102 degrees Fahrenheit. Make sure you consult your doctor or surgeon if the fever progresses and especially when nausea, vomiting, or a stiff neck occur along with the fever.

Sore, Scratchy Throat

Since the surgery is performed in the upper back of the throat, you can assume that the throat will be sore for up to a week and a half. Eating, drinking, and talking will be difficult at first but will progress during each day of recovery.

Pain

The throat will be sore and you will experience pain there and possibly also in the ear. Pain may persist for several weeks after the surgery. Everyone is different with recovering from this surgery, so you may not experience much pain at all or it could last weeks.

Difficulty Breathing

The throat tends to swell after the surgery so it may feel like you are having difficulty breathing. Breathing through the mouth should get better during every day of recovery. Breathing should return to normal within two weeks following the procedure.

Adenoidectomy Recovery Tips

Eat Soft Foods

The throat will be tender immediately following surgery and you will most likely be hungry but you may not want to eat due to some pain. Start eating slowly with the following soft foods. You can add harder foods as the days progress and the pain and swelling start to diminish.applesauce

Applesauce
Soup

Jell-O
Popsicles
Try to avoid milk-based products for at least 24 hours.

Yogurt
Ice-cream
Pudding
Cottage Cheese

Drink Plenty of Fluids

It’s important to remain hydrated at all times, especially following a surgery where you are asked to fast for up to 8 hours prior. You want to avoid dehydration at all costs. No one wants to return back to the hospital right after leaving, right? Hot liquids might worsen the pain, so stick with room temperature or cold drinks initially.fluid

Rest

The best thing you can do during surgery recovery is getting plenty of rest. Whether the surgery is performed on a child or adult, make sure Netflix is paid and up to date so you can have some movie marathons either way. If the surgery was on your child and they are typically very active, reading stories and doing activity books are good ways to keep them occupied without moving around too much. Sports and vigorous movement should be avoided for at least a week, but check with your doctor regarding activities.

Adults and children can return back to work or school when all of the following are met:
Solid foods can be eaten without pain or bleeding
Pain medicine is no longer needed
Sleeping completely through the night
Normal breathing patterns have returned

Follow Doctor’s Orders

Be sure to follow the doctor’s orders as far as what medications to take. Consult your doctor if you have questions regarding taking multiple pain medications at once or in intervals. Your doctor may also instruct you to ice part of your neck or face in order to reduce swelling. Always follow your doctor’s orders.

Finish Prescriptionsrx bottles

It’s important to finish all medications prescribed by your doctor, especially after surgery. In the rare event that an infection may occur, you want to be sure your medication completely prevents or eliminates the infection so always finish antibiotics that are prescribed by your doctor.

After an Adenoidectomy – Warning Signs to Remember

Adenoidectomies are commonly performed and are considered a routine procedure, however in the rare event that something goes wrong, you should be aware of the following warning signs and reach out to your doctor or go straight to the emergency room.

Bright red blood

It is common to have some dark red bleeding occur in the mouth or nose immediately following the procedure, but after a day or so the bleeding should stop. If bright red blood is seen in the mouth or is coming from the nose, this may be an indicator that something more serious is going on. Consult your doctor immediately.

Extreme difficulty breathing and wheezing

Breathing might be difficult immediately following the procedure, but it still possible. If breathing becomes extremely hard or wheezing occurs, there may be serious inflammation occurring that is blocking the airway. Head to the emergency room and call your doctor in the rare case that this occurs.

Fever above 102 degrees Fahrenheit

It is common to experience a low-grade fever for several days following the surgery, however, if the fever exceeds 102 degrees, this may signal a more serious infection. Monitor a low-grade fever and check in with your doctor if it gets too high.

Nausea accompanied by high fever and vomiting

If vomiting and nausea occur along with a high fever (102 degrees+) this is usually another indicator of an infection. Seek medical attention from the ER and consult with your doctor.

Adenoids and Snoring

Inflamed adenoids can be a common cause of snoring in children and occasionally adults. Snoring is caused by a blockage in the mouth, nose or throat. The blockage forces the tissues of the airway to vibrate when the flow of oxygen passes from the mouth or nose to your lungs. Inflamed or infected adenoids may be the culprit of the airway blockage and therefore may be the reason you snore. Congestion and chronic sinusitis may occur from infected adenoids as well. snoring image
Adenoids may vibrate during this blockage and the narrower the airway is, the more these tissues will vibrate, resulting in even louder snoring. Loud snoring can be extremely difficult for you and your partner. Snoring can cause you to have a less restful sleep by not falling into a deep sleep. Snoring can upset your partner and lead to separate issues in bed. Snoring can lead to more serious conditions like high blood pressure or sleep apnea.

You should schedule an appointment with your ENT doctor to evaluate the current state of your adenoids. If they are indeed inflamed or infected, you may wish to move forward with an adenoidectomy. If the adenoids are not enlarged, they might not be the root of your snoring. An adenoidectomy is usually not the first choice as a stop snoring solution, however, it’s known to be an excellent last resort surgery when other methods underperform. The surgery may not guarantee that you stop snoring, but like all surgeries, they are not full-proof. You may want to learn more about other stop snoring solutions before you undergo an adenoidectomy. Here are a few:

Oral Appliances

There are several tongue stabilizing devices and mandibular advancement devices that can be prescribed by your doctor that can aid in stopping snoring or help with sleep apnea. These can be a more cost-effective solution for stopping snoring instead of paying for a surgical procedure like an adenoidectomy.Sleep Tight(2) JPG

Nasal Devices

Nose cones and nose vents are a few nasal devices on the market that can open the airway which helps to stop sleep apnea and snoring. This is also another cost-effective and a less invasive alternative.

Positional Therapy

Positional therapy is a more natural approach to stop snoring. This treatment for snoring involves realigning your body in a natural, comfortable position while you sleep in order to bring your body back into balance and promote healthy breathing.

Palatal Implants

Palatal implant therapy often referred to as the Pillar procedure, is another out-patient surgery that can be performed to strengthen the palate and ultimately prevent your mouth tissues from vibrating which result in not snoring. Small polyester implants are surgically placed in the mouth. The combination of the implants and the body’s natural scarring and healing process makes the mouth tissues stiff and less likely to vibrate.

Injection Snoreplastypalatal stiffening

Similar to the Pillar procedure, injection snoreplasty is also another out-patient procedure that involves injecting a chemical into the palate. The scarring and inflammation naturally cause the mouth tissues to become stiff, resulting in a decrease in tissue vibration and thus a decrease in snoring. This procedure often requires multiple office visits and several injections. It is less expensive than an implant but is said to be more painful and have a longer recovery time.

Radiofrequency

Radiofrequency is another palate-stiffening procedure that is done to stop snoring. Under general anesthesia, a heat treatment is used to stiffen the tissues. This technique costs less than the implant procedure, but a bit more than the injection treatment.

Tonsillectomy

A tonsillectomy is another procedure that may help you stop snoring. Like an adenoidectomy, this surgery is almost identical as far as the procedure and recovery time go. The only difference is that the tonsils are being targeted instead of the adenoids. Sometimes the two procedures are done simultaneously as well.

It’s best to consult with your doctor on which stop snoring method works for you. If you are interested in reading more about our preferred stop snoring devices, please look at our recommended products here.

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Adenoids are masses of lymphoid tissues that are located right behind the nasal passageways, behind the nose. They are a part of the body’s immune system and play a first-line defensive role along with the tonsils. They act as a filter by keeping harmful germs that travel through the nose or mouth from entering further […] Read more

Tonsillectomy

The pair of soft tissues on either side of the back of the throat are your tonsils. Tonsils help to fight infections and are part of the lymphatic system. When your tonsils are fighting an infection, they will actually slightly enlarge, called hypertrophic tonsils or tonsillitis, resulting in a reduction of your airway size which directly relates to an increased risk of snoring or developing sleep apnea. Continually infected tonsils may cause reoccurring sore throats, misalignment of your teeth called dental malocclusion, bad breath, abscesses, or an upper airway obstruction resulting in snoring or sleep apnea. Enlarged tonsils are usually seen in children and less common in adults. Surgical tonsil removal (tonsillectomy) does not increase your risk of infection, however, it is said to reduce or eliminate snoring or other sleep-disordered breathing. Some claim it’s an excellent, last resort resolution to stop snoring.

Alternatives to a tonsillectomy and Snoring

Every surgery involves risks and having a tonsillectomy does not guarantee that the nasal airway will be improved or widened. There are other treatments out there that can be put to use before having a tonsillectomy done, as this cannot be reversed.tonsil diagram

Oral Appliances

Stop-snoring appliances include mandibular advancement devices and tongue stabilizing devices.

Nasal Devices

A few nasal devices include chin straps, nasal cones, and nose vents. These products can usually be purchased over the counter.

Positional Therapy

Positional therapy is achieved by positioning your body on its side in a certain way while sleeping in order to avoid snoring.

Consulting your ENT doctor

There are many other options that your ENT doctor or Dentist can suggest to stop snoring. It’s best to schedule a consultation with your doctor so you can get a complete evaluation and learn about all the treatment options out there, what is available, and what is best for you.

Is Tonsillectomy a solution to stop snoring?

Having a tonsillectomy is not entirely full proof and most doctors will not guarantee a 100% success rate with any surgery including this one. If your tonsils are responsible for your snoring, removal should reduce your snoring, if not completely stop it. Really the question to you is do you want to undergo surgery in order to stop your snoring? For most people, this is the last resort option after trying the above treatments and not having any luck. It’s always best to consult your doctor in order to make the correct decision for you and your partner.

Risk Factors

Like all other surgeries, tonsillectomies do involve certain risks. A few uncommon risks include infection, bleeding during and after surgery, anesthetic reactions, swelling, and failure to stop snoring.Risk Factors

Infection

Infection from a surgery is typically unlikely and rare; however, an infection can start during the actual procedure or afterward during recovery. An unsanitized instrument could cause the infection or an airborne bacteria or virus could be the culprit. If an incision is not properly closed or adequately cleaned during recovery, this could also lead to an infection. In most cases, patients have little to worry about. In the rare case that an infection does occur, antibiotics can treat most infections within a matter of days.

Bleeding during and after surgery

The most common side effect of a tonsillectomy is experiencing bleeding after the procedure has taken place. During surgery, if an area is unintentionally punctured, bleeding can occur and then steps will be taken to stop the internal bleeding. If this occurs, a longer hospital stay may be necessary as opposed to just being an outpatient. Bleeding during healing is also a possibility, though rare. If the scab or wound becomes open or infected, this can cause bleeding as well. In either case, the bleeding will be stopped during the procedure or you can consult your physician if it persists at home during recovery and another emergency surgery may take place to stop any serious internal bleeding. Again, serious bleeding is extremely rare.

Anesthesia Reactions

There are several reactions to anesthetics. Some are minor short-term issues while others can be life-threatening.

Short-Term Reactions

Nausea
Vomiting
Soreness
A slight headache

TonsillectomyLong-Term Reactions

Risk of death
Swelling of the throat

Swelling is also another risk factor when having a tonsillectomy performed. Sometimes the roof of your mouth can swell, as well as your tongue. This may be a bit uncomfortable and cause problems breathing. If this occurs, it would most likely happen right after the procedure within a few hours. Don’t panic if it seems hard to breathe, just remain calm and take normal breaths. The swelling should go away by the end of the day but you should always consult your doctor if the swelling seems abnormal or is seriously impeding your breathing.

The Procedure

Tonsillectomies are typically outpatient procedures and do not require an overnight stay. The procedure does require anesthesia. Like most surgeries, you will be advised to not drink any fluids or eat anything 6 hours prior to the procedure. The actual surgery itself involves the surgeon using a scalpel blade or another specialized high-energy heating apparatus to destroy the tonsil tissue and also stop any bleeding that arises.

Recovery

Recovering from a tonsillectomy typically takes anywhere from 10 days to two weeks. During this recovery period, there are several actions you can take in order to expedite the recovery process in a healthy manner and to avoid any complications.

Lots of Fluids

As always, it’s important to keep your body hydrated at all times, especially after undergoing surgery. The last thing you want to deal with after a procedure is getting dehydrated and ending returning to the hospital. Grab a few boxes of popsicles before your procedure – this is a fun way to stay hydrated for people of all ages!

Appropriate Recovery Foodsrecovery foods

You may not be in the mood to eat directly after your surgery, but chances are you will be hungry, especially since you need to fast several hours prior to your surgery. You may experience some pain after the procedure so stick with foods that are easy to swallow:
Applesauce
Pudding
Yogurt
Ice cream
Warm Soup
Jello

After you start to feel better, possibly within a day or so, you should start adding in foods with more consistency that are easy to chew. Try to avoid foods that are high in acid, spicy, crunchy or hard to chew. Start eating foods in small bites so you can avoid pain or bleeding when you swallow.

Follow the Doctor’s medication orders

Make sure you follow the instructions on any antibiotic or pain medications prescribed by your doctor. Ask the surgeon or medical staff which medications can be combined with over the counter medicine and what to avoid. Make sure you finish any prescriptions so that infections can rx bottlesbe prevented. If you are unsure about taking a medicine or combining it with alcohol or another medication, make sure you consult your physician immediately.

Get Plenty of Rest

It’s important to rest up following any surgery. Your body needs to heal in general so just take it slow for a couple of days. Children should stay home from school and adults should not go to work until you are able to resume a normal diet, sleeping completely through the night and are off any pain medication. Consult your doctor regarding any strenuous or vigorous activities.

Be aware of potential emergency signs

During your recovery, you should always be aware of any irregular symptoms that occur including but not limited to bleeding, dehydration, trouble breathing, fever, severe swelling, or pain. Because your nose and throat are connected, it’s possible that you may see some dark colored blood coming from your nose. Any bright red blood that is seen coming from your nose is a warning sign and you should go to the emergency room immediately. If you have a fever higher than 101 degrees, notice signs of dehydration or having difficulty breathing, these issues should also be addressed at the emergency room or over the phone with your doctor immediately.

Tonsillectomy Q&A

Do I need my tonsils?
No, you do not need your tonsils to survive. They help fight infection but are not necessary for life.

Do tonsils actually cause snoring?
Yes, enlarged tonsils can block your airway during sleep, causing the symptom of snoring.

Will I stop snoring if I have my tonsils removed?
In most cases, yes. However, not all surgeries are full proof and complications may occur.

Will a tonsillectomy cure sleep apnea?
The surgery is often used to treat sleep apnea and has a 75-100% success rate. Children usually notice improvements within 6 months of surgery.

Can I child have a tonsillectomy?
Yes, children are actually the most frequented patients for this surgery. Typically, multiple cases of tonsillitis in a year and X-Ray proof that their airway passages in the nose and throat are small, point doctors in the direction of having the surgery performed.question2

What is the recovery time for a tonsillectomy?
Recovery times vary with every surgery, but typically the recovery time ranges from 10 to 14 days under normal circumstances.

Will I be sedated during a tonsillectomy?
Yes, usually you will undergo general anesthesia while having this procedure done.

Is a tonsillectomy painful?
Like most outpatient surgeries, there is generally some pain involved, but pain meds and anesthesia usually do the trick.

Does a tonsillectomy require a long hospital stay?
No, typically this procedure is done as an out-patient, however, if any complications occur during the surgery, it’s possible that you may need to be transferred to another hospital location or admitted for several days. This is unlikely, though.

Is a tonsillectomy covered by my insurance?
Yes, but every policy is different and the reasons for having the procedure done also ranges. It’s best to check with your insurance provider and doctor to ensure it will be covered before scheduling or undergoing the surgery.

Do I need to fast before the surgery?
Yes, depending on the doctor’s orders, you may be asked to refrain from food and liquids anywhere from 6-12 hours before your surgery. Make sure you consult your physician if you are unsure of the fasting period.

Can I eat after the procedure is done?
Yes, it’s best to start with soft foods like pudding or yogurt before eating foods that need to be chewed. You may experience some pain swallowing and occasional bleeding so take it easy and slow at mealtime immediately following the procedure.
If you are having second thoughts on moving forward with your tonsillectomy, you can check out our recommendations on these mandibular advancement devices. They are inexpensive, non-invasive, and effective.

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Tonsillectomy The pair of soft tissues on either side of the back of the throat are your tonsils. Tonsils help to fight infections and are part of the lymphatic system. When your tonsils are fighting an infection, they will actually slightly enlarge, called hypertrophic tonsils or tonsillitis, resulting in a reduction of your airway size […] Read more

Storefront of CVS and Walgreens storesLAST UPDATE: 4/10/2019

Snoring mouthpieces have become a popular snoring cure these days, sending snorers by the dozen to their local pharmacies such as Walgreens and CVS to find relief. The primary reason why this has become a popular choice is simple -they are effective and inexpensive. After testing several dozens of them, I can attest to their effectiveness.

Can snoring mouthpieces be purchased at Walgreens or CVS?

The short answer is “No”.

You may have done your research and have decided to purchase a mouthpiece from your local drug store instead of online.

Perhaps you have even visited Walgreens or CVS and have only found snoring sprays, nasal strips and herbal supplements but are having difficulty finding a mouthpiece. Who sells these mouthguards locally? The answer is no one and here are the reasons why:

The reasons why drug stores don’t sell mouthguards for snoring

While you may find these devices at drug stores outside of the United States, you will not find one being sold at a retail store within the US.

The reason being that boil and bite mouthpieces that are designed to stop snoring is considered “class II medical devices” by the Food and Drug Administration. Such medical devices are regulated by the FDA and actually require a prescription to purchase. In other words, you can’t simply grab one off the shelf and head towards the checkout counter. Selling such products from the shelf is illegal which is why you will not see a snoring mouthpiece in a retail drugstore within the US.

What about sports or teeth grinding mouth guards?

Clear teeth grinding mouthpiece

Sports/teeth grinding mouthguards are not the same because they do not hold the jaw forward.

After finding out that snoring mouthpieces are not available at Walgreens or CVS in the sleep aid section,  you may head over to the dental aisle and spot what appears to be a mouth guard very similar to the snoring mouthpieces that you have seen online. These are labeled as mouthguards for teeth grinding or contact sports. Nightguards are being sold under names such as Dentek, Doctor’s, Sleepright, Packers, GrindRelief, and Oral-B. These products typically sell for $15-$20 which is considerably less expensive in comparison to the ones that can be found online. What’s the difference?

While teeth grinding mouthguards may look similar to anti-snoring mouthpieces, there’s one very important feature that differentiates the two. The teeth grinding mouthguards or sports guards are not designed to hold the jaw forward.

Remember, snoring mouthpieces are mandibular advancement devices and have both an upper and lower tray that fit closely around the teeth. The lower tray protrudes slightly in front of the upper. As a result, the jaw is held forward while you sleep and the airway is tightened which prevents the vibration of tissue. Snoring typically originates in the throat area when tissues vibrate against each other.

In comparison, teeth grinding mouthguards typically have only one tray which will not hold the jaw forward.

Sports mouthguards more closely resemble those used for snoring but the upper and lower trays rest directly on top of each other, which does not allow the jaw to remain forward.

Sports mouthguards or bruxism guards that are used for snoring simply do not work because they are designed to provide a protective barrier between the teeth and not to hold the jaw forward.

Why can online retailers sell them but not drug stores?

Person standing next to question markThis may leave you wondering why such mouthguards are sold online but not in drug stores such as Walgreens or CVS.

As mentioned earlier, such products are considered a class II medical device by the FDA and require a prescription. Reputable online retailers require you to answer a questionnaire which evaluates whether or not you are a good candidate for a snoring mouthpiece. These questionnaires are reviewed and the manufacturer decides whether or not to sell to sell their product to you.

There are a number of online stores that outright sell snoring mouthpieces without requiring you to complete a questionnaire. These retailers are typically less reputable and are technically selling the product illegally.

Will I ever be able to buy one locally from a store?

For a number of reasons, some are still not interested in purchasing a mouthguard online. Is it possible that snoring mouthpieces will be available for purchase from the store shelf sometime in the future?

In all likelihood, unless the FDA changes the classification of this device, you will not see snore guards hit the store shelf, at least in the United States. In other countries such as the UK or Australia, you may find such products on the shelf due to more relaxed regulations.

Snoring mouthpieces have been sold by prescription only for over three decades now so it’s unlikely that this will happen anytime soon. In other words, don’t expect to see these at your local Walgreens or CVS anytime soon.

If you would like to purchase one online, you can review this comparison chart which has lots of great information and links to where each can be purchased, or you can simply choose one of my top 3 picks shown below. I’ve tested over two dozen mouthpieces and these three really stood out. Best of all, they all shipped and arrived quickly, which is the next best thing to visiting CVS or Walgreens and getting immediate relief from your snoring.

Best Snoring Mouthpieces

SleepTight

5/5

$87.90 (2 Pack)

Overall Score
0
Effectiveness 100%
Comfort & Fit 97%
Quality 96%
Value 99%

GMSS

4.6/5

$79.89 Each

Overall Score
0
Effectiveness 100%
Comfort & Fit 88%
Quality 96%
Value 82%

VitalSleep

4.5/5

$69.95 Each

Overall Score
0
Effectiveness 100%
Comfort & Fit 85%
Quality 92%
Value 85%
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LAST UPDATE: 4/10/2019 Snoring mouthpieces have become a popular snoring cure these days, sending snorers by the dozen to their local pharmacies such as Walgreens and CVS to find relief. The primary reason why this has become a popular choice is simple -they are effective and inexpensive. After testing several dozens of them, I can attest to their effectiveness. […] Read more

AveoTSD

Phone number: 800-854-7256
Email: mail@glidewelldental.com
Review: AveoTSD
Mailing Address:
Glidewell Laboratories
4141 MacArthur Blvd.
Newport Beach, CA 92660
United States

Good Morning Snore Solution

Phone number: 877-867-6979
Email: info@goodmorningsnoresolution.com
Review: GMSS
Mailing Address:
Mpowrx Health & Wellness Products 2012 INC.
Alastair Ross Technology Centre
Suite 510, 3553 – 31 St Northwest
Calgary, Alberta, Canada T2L 2K7

Kudo SnoreFighter

Phone number: 888-538-0766
Email: help@kudosnore.com
Review: SnoreFighter
Mailing Address:
Kudo Empires.
PO Box 630
North Branford, CT 06471
United States

Pacifier

Phone number: 843-213-1734
Email: eliminatorreviews@gmail.com
Review: Pacifier
Mailing Address:
Koncept Innovators
714 Seaboard St
Myrtle Beach, SC 29577
United States

Puresleep

Phone number: 866-879-3777
Email: support@puresleep.org
Review: PureSleep
Mailing Address:
The Pure Sleep Company
900 Larkspur Landing Circle, Suite 207
Larkspur, CA 94939
United States

Ripsnore

Phone number: 1-800-493-1357
Email: orders@ripsnore.com.au
Review: Ripsnore
Mailing Address:
RipSnore
PO Box 130
Billings, MO 65610
United States

SleepPro

Phone number: 0800 699 0844
Email: info@sleeppro.com
Review: SleepPro
Mailing Address:
MEDiTAS Ltd.
5 Broadpiece
Pennyland
Milton Keynes
MK15 8AT
United Kingdom

SleepTight

Phone number: NA
Email: info@sleeptightmouthpiece.com
Review: SleepTight
Mailing Address:
SleepTight
PO Box 551122
Ft. Lauderdale, FL 33355
United States

SnoreBan

Phone number: 720-663-8064
Email: sales@snorban.com
Review: Snoreban
Mailing Address:
SnoreBan
PO Box 40349
Denver, CO 80204
United States

SnoreDoc

Phone number: 1-888-778-1143
Email: NA
Review: Snoredoc
Mailing Address: NA

Snore Eliminator Pro

Phone number: 843-213-1734
Email: eliminatorreviews@gmail.com
Review: Eliminator Pro
Mailing Address:
Koncept Innovators
714 Seaboard St
Myrtle Beach, SC 29577
United States

SnoreFree Now

Phone number: 888-667-6673
Email: cs@snorefreenow.com
Review: SnoreFree
Mailing Address:
IFMC, Inc.,
21520 Yorba Linda Blvd, Suite 449
Yorba Linda, CA 92887
United States

SnoreMate

Phone number: 877-294-0273
Email: sales@snoremate.com
Review: Snoremate
Mailing Address:
Triointeractive CC
Durban North KwaZulu Natal
South Africa 4019

Snoremeds

Phone number: 2782 550 4140
Email: sales@snoremeds.co.uk
Review: Snoremeds
Mailing Address:
2015 SnoreMeds Online Store
616 Corporate Way, Suite 2-5109
Valley Cottage, NY 10989
United States

Snoremenders

Phone number: 0114 352 0009
Email: help@snoremenders.com
Review: Snoremenders
Mailing Address:
Sleep Well Enjoy Life Ltd.
12 Station Road
Eckington
Sheffield
S21 4FX
United Kingdom

SnoreRx

Phone number: 855-885-2170
Email: customer.service@snorerx.com
Review: SnoreRx
Mailing Address:
Apnea Sciences Corporation
27121 Aliso Creek Road #140
Aliso Viejo, CA 92656
United States

Snore Wizard

Phone number: 0800 5283278
Email: Sales@snorewizard.com
Review: Snore Wizard
Mailing Address:
Videcom House,
Newtown Road
Henley-on-Thames
Oxfordshire RG9 1HG

Vitalsleep

Phone number: 866-753-3780
Email: info@vitalsleep.com
Review: Vitalsleep
Mailing Address:
The Snore Reliever Company LLC
347 5th Ave Suite 1402-148
New York, NY 10018
United States

Zquiet

Phone number: 888-521-4931
Email: zquiet@webcsr.info
Review: Zquiet
Mailing Address:
Sleeping Well, LLC
41 Canal Street
Lewiston, ME 04240
United States

Zyppah

Phone number: 800-875-3370
Email: wecare@zyppah.com
Review: Zyppah
Mailing Address:
ZYPPAH, Inc.
4535 W. Sahara Ave Suite 200
Las Vegas, NV 89102
United States

Did we miss one? If you are interested in having your company listed in this directory, simply contact us and provide your phone number, email address, and mailing address and your company will be added.

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AveoTSD Phone number: 800-854-7256 Email: mail@glidewelldental.com Review: AveoTSD Mailing Address: Glidewell Laboratories 4141 MacArthur Blvd. Newport Beach, CA 92660 United States Good Morning Snore Solution Phone number: 877-867-6979 Email: info@goodmorningsnoresolution.com Review: GMSS Mailing Address: Mpowrx Health & Wellness Products 2012 INC. Alastair Ross Technology Centre Suite 510, 3553 – 31 St Northwest Calgary, Alberta, Canada T2L 2K7 […] Read more

3 Star Rating

The Pacifier PAC 100# is a tongue stabilizing device (TSD) that is sold by Koncept Innovators LLC, a Myrtle Beach, South Carolina based company. This product launched in August of 2015.

It’s a one-size-fits-all device that is similar in design to the Good Morning Snore Solution and the aveoTSD. When squeezed and placed on the tip of the tongue, a vacuum is created which draws the tongue into the bulb. A flange rests between the inner portion of the lips and teeth and is used to prevent the Pacifier from slipping further into the mouth. This permits the tongue to remain in the forward position which helps to tighten muscles and tissue in the airway, resulting in a less restricted airway and reduce snoring.

A brief description of this product is given in the instruction manual that is included with the Pacifier. The manufacturer claims that the Pacifier “helps with problems that deal with noisy, constructed breathing… Nighttime breathing noises are caused by the vibration that results in air passing through an obstructed airway”.

According to the manufacturer, the Pacifier was “Developed in the United States by top researchers in the sleep science field”. While such a claim seems rather impressive, the manufacturer offers no further explanation as to exactly who these “researchers” are or what research has been conducted. After a bit of searching, I was unable to locate any credible research to support these claims.

Directions for Use

Inserting the mouthpiece involves a five-step process.

  1. Using your thumb and index finger from both hands, squeeze down on the bulb to remove as much air as possible.
  2. Insert the flange of the mouthpiece into your mouth in between the lips and the teeth. Only the bulb portion should be showing on the outside of your mouth.
  3. While still pinching the bulb, use your mouth to suck any additional air out and to create a vacuum.
  4. Slip the tip of your tongue into the bulb and slowly release. This should draw the tongue into the bulb.
  5. Relax your mouth and tongue. The mouthpiece should stay in place with the bulb showing just outside of your mouth.

Removing the device is simple.

  1. Use your thumb and index fingers to gently press in on the bulb. Doing so will break the vacuum and allow you to release your tongue.
  2. Pull and remove from your mouth.

Additional Fitting

If you find that the Pacifier could use a bit of customizing, the manufacturer recommends using a pair of scissors to trim it to your liking. They recommend marking the mouthpiece and then using a pair of scissors to cut off the excess material.

Physical Description

The pacifier is made from a soft, flexible plastic. While the manufacturer does not specify exactly what it’s made of, it appears to be made from a silicone-like material. As the name suggests, this device resembles a pacifier yet without the nipple. Instead, it has an inverted bulb that is used to hold the tongue in place.

Small slots cut above, below, and on either side of the bulb are believed to be breather holes although due to the placement, they serve little to no purpose. Also, a very small semi-circular piece protrudes from the tip of the bulb which also seems to serve no purpose.

Here are the product specifications :

Weight: 4.8 gm
Material thickness: 1.5 mm (.059″)
Overall Height: 41.5 mm (1.63″)
Overall Width: 60 mm (2.37″)
Overall Depth: 18.21 mm (.72″)
Bulb Height (OD): 12.71 mm (.50″)
Bulb Width (OD): 33.30 mm (1.31″)
Bulb Depth: 13.63 mm (.54″)

What Makes the Pacifier Different?

animation of person scratching head next to question mark For over two decades, the mandibular advancement device or “MAD” has been the gold standard when it comes to preventing snoring. MAD’s are typically custom fitted at home using a pot of boiling hot water. Once a custom mold has been created, the mouthpiece is placed between the teeth inside of the mouth. The MAD works by holding the jaw forward and opening up the airway thereby preventing tissues in the airway from vibrating against each other. The vibration of airway tissues is often cited as the source of the sound that we know as snoring.

In contrast, TSD’s such as the Pacifier, do not require heating and can be used directly out of the packaging (after being washed of course).  They simply attach to the tip of the tongue and prevent it from falling backward. The tongue stabilizing action also opens the airway and prevents tissues from colliding with each other. One distinct advantage of the TSD is that it can be used by those who wear dentures.

Effectively, both mouthpiece styles achieve similar results.

Is it BPA Free and FDA Cleared?

Does it contain BPA signIn the US, oral appliances that are used to prevent snoring are considered a class II medical device. Manufacturers who sell such devices are required to have their product “cleared” by the FDA prior to being able to offer it for sale.

The product packaging that I received did not indicate whether or not the Pacifier has been cleared by the FDA. After searching the FDA medical device database, I was unable to locate a product registered as “The Pacifier”.

Also, neither the product packaging nor the company’s website shows the “BPA Free” symbol. However, after publishing this review I was contacted by the manufacturer who informed me that the Pacifier is, in fact, BPA free.

It doesn’t appear that the Pacifier is FDA cleared.

Country of Origin

made in china stampInformation on the company’s website as well as the product packaging does not give us any indication as to where this mouthpiece is produced. It’s however believed that the Pacifier is made in China.

 

Cost

Green Dollar sign The Snore Pacifier can be purchased from the companies website for $29.99 which includes free shipping within the United States.

In comparison to other TSD style mouthpieces, this one is priced significantly less. The Good Morning Snore Solution, it’s the closest competitor, sells for $99.94.

Good Morning Snore Solution VS The Pacifier

pacifier vs gmss front viewThe Good Morning Snore Solution (GMSS) and the Pacifier have several similarities as well as differences.

Both devices are made from a similar silicone material that is soft, pliable, and equally thick.

These two products also share a very similar sized tongue bulb, although each has a slightly different shape.

Both come with a 30-day guarantee and are expected to last up to 1 year.

Where these two differ, is the design and shape of the flange that rests between the gums and teeth. The function of this component is to keep the mouthpiece in place and the tongue in the forward position as you sleep.

The Pacifier flange is fairly flat and contacts a small portion of the teeth and gums at the front of the mouth. In contrast, the GMSS conforms to the shape of the mouth with a “v” shaped flange design that fits closely to the gums and wraps all the way around to the molar area. The flange design of the GMSS gives it a competitive advantage over the Pacifier because it contacts more surface area of the gums which provides a better fit and helps to prevent movement of the device.

My Experience Using the Pacifier

Hand holding pencil writing a reviewIn the past, I have tested two other tongue stabilizing devices with outstanding results. Due to the relatively high price tag of both devices, I was eager to find a less expensive alternative to the tried-and-true Good Morning Snore that I have used for quite some time now. Priced at $30, it’s nearly a quarter of the cost of competing TSD’s.

The Pacifier took about 4 days to arrive and was contained within a clear clamshell retail package. The package contained an informational booklet, the pacifier, and a storage case.

The instructions were fairly complete and included photos of how the device should be used.

I found the plastic storage case to be simple yet functional. This was a nice bonus that did not come with competing products.

As for the mouthpiece, my first observation was that it’s flatter and smaller than the GMSS that I have been accustomed to using for some time now.

After reading over the provided instructions, I cleaned off the Pacifier and affixed it to the end of my tongue. I found the suction power to be equivalent to the GMSS. At this point, I anticipated great results from this product.

The first night that I put it to the test I found it next to my pillow the following morning. At some point during the night, it must have fallen out.

Over the next 7 days that I tried the Pacifier, there were two instances where the mouthpiece fell out at night while I was sleeping. I believe that the flat, non-V shaped flange did not rest flat against my teeth and gums, allowing a loss of suction throughout the night as it worked itself loose.

I’m told that it was effective against my snoring during the nights that I was able to keep it attached to my tongue. It, of course, had no effect during the nights that it fell out.

Overall, I believe that the Pacifier could be a great alternative to the more expensive GMSS if the manufacturer were to make a few design changes to make the flange into more of a V shape to make it similar to the GMSS so that it fits the natural contour of the mouth.

Pros Vs Cons

Pros

  • Made from quality silicone-like material
  • Effectively silences snoring
  • One-size-fits-all
  • Comes with 30-day guarantee
  • Inexpensive at $29.99
  • Can last for up to 1 year

Cons

  • Flat flange design allows it to fall off at night
  • Not FDA Cleared

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☆☆☆☆☆ 3 Star Rating The Pacifier PAC 100# is a tongue stabilizing device (TSD) that is sold by Koncept Innovators LLC, a Myrtle Beach, South Carolina based company. This product launched in August of 2015. It’s a one-size-fits-all device that is similar in design to the Good Morning Snore Solution and the aveoTSD. When squeezed and […] Read more

3.25 Star Rating

The Eliminator Pro is a self-fitted adjustable mandibular advancement device that offers more features than its predecessor, the Snore Eliminator. While the product packaging contains no company information other than the email address “eliminatorreviews@gmail.com”, after a few minutes of searching I found that it is manufactured and sold by South Carolina based company Koncept Innovators, which is headed by a gentleman by the name of Sylvan Newby. Mr. Newby sells the Eliminator Pro on his website as well as on Amazon under the seller name “Rambuten”. The company sells two identical products called the “Intelliguard” and also the “Tranquility Pro” for a slightly lower price point.

In addition to this product, Rambuten also sells other anti-snoring related products including snoring chinstraps, and nasal dilators as well as an assortment of unrelated products such as slingshot stuffed toys, camera accessories, and wire strippers.

The company also sells a product called the “Snore Pacifier” which is a tongue stabilizing device that is similar in nature to the Good Morning Snore Solution.

How does it work?

Side view Snore Eliminator ProFor years now, simple boil and bite mouthpieces that resemble sports mouth guards or night guards have been the standard in self-fitted snoring mouthpieces. Such products have evolved in recent years to include a number of innovative designs, making wearing a mouth guard more comfortable than ever.

The Eliminator Pro sets itself apart from most of the competition by offering an incremental advancement feature that requires no tools to adjust. Adjustments can be made by simply holding the mouthpiece by the top tray, squeezing inward on the rear area of the lower tray and gently rocking the lower tray forward or backward to the desired position. Adjustments can be made multiple times after the mouthpiece has been molded.

As with any other mandibular advancement device, the Snore Eliminator Pro is worn inside of the mouth in between the upper and lower teeth. It is placed in the mouth prior to going to sleep. The upper and lower trays work together by holding your jaw slightly forward just enough to allow the lower set of teeth to rest just in front of the upper. The jaw forward action pulls tight loose muscles and tissue that surround the airway. By tightening the airway, you are allowing for the non-restrictive flow of air.

What does a clear, non-restricted airway have to do with preventing snoring? Well, quite a bit actually. Numerous studies going back over 30 years suggesting that advancing the jaw forward is an effective means to eliminate snoring and in some cases can effectively manage mild to moderate cases of sleep apnea. The manufacturer doesn’t, however, make any claims that its product is intended to treat sleep apnea.

Prior to 1994, the only way to obtain such a MAD was by visiting your dentist and having it professionally fitted. This option is still available today but will cost you several thousands of dollars. Most of today’s do-it-yourself mouthpieces can be purchased for under $100 on the internet.

Fitting Instructions

The manufacturer gives the following instructions that should be used to create a proper fit.

First, gather the following supplies:

  • Two mugs or bowls large enough to completely fit the Eliminator Pro inside. One for hot water, one for cold
  • A pot or kettle to boil water in
  • A timing device
  • A pair of tongs

Instructions

  1. The adjustment setting is preset from the factory at the number 3 setting. Ensure that this setting has not changed during shipping. If so, calibrate the mouthpiece by squeezing in on the sides of the lower tray and sliding the upper tray into the position where the indicators on both sides are pointing in between the #1 and #5 position.
  2. Boil few cups of water on the stove.
  3. Remove the pot from the heat source and pour water into a bowl.
  4. Submerge the mouthpiece for exactly 90 seconds. Submerging for a shorter period of time will result in a poor impression while submerging it for too long will distort the plastic and possibly render it unusable.
  5. Remove the device from the hot water using a pair of tongs and give it a quick dip in a bath of cool tap water to remove any remaining hot water. Using a mirror, place the device into your mouth. Look into the mirror and ensure that it’s precisely centered in your mouth. Bite down firmly and hold for 30 seconds.
  6. Remove the Eliminator Pro from your mouth and submerge in a bowl of cold water for 2 minutes. This will set the impression.
  7. If you were unable to obtain a good impression the first time, repeat the above steps once again.

Making Adjustments

In order to make adjustments, the manufacturer suggests simultaneously pushing in on the rear section of the lower tray. This will release the upper tray and allow it to slide forward or backward into the desired position.

Interestingly enough, the manufacturer has omitted the instruction on how to properly use the advancement system. They merely suggest that “Further adjustment may be applied as needed.”

Is It FDA Cleared and BPA Free?

Illustration of person standing next to question markIn the United States, anti-snoring MAD’s  such as the Snore Eliminator Pro is considered a class II medical device. According to the FDA:

Class II devices are higher risk devices than Class I and require greater regulatory controls to provide reasonable assurance of the device’s safety and effectiveness.

A quick search of the FDA database did not show a product listed by the name Snore Eliminator or Intelliguard as a cleared device although, in the Question and Answer section of their Amazon listing, the seller claims that this product is “FDA Clear”. The product packaging does not, however, contain the FDA cleared logo.

As for being BPA free, the product packaging or literature contained within does not state whether or not this product contains BPA’s, a chemical used to produce some plastics. There is an ongoing debate over the health risks associated with exposure to BPA’s. UPDATE: After publishing this review, I was contacted by the manufacturer who has informed me that the Eliminator Pro is, in fact, BPA free.

Country of Origin

Where is the Snore Eliminator Pro made?

I was unable to locate the country of origin label on the mouthpiece that I had received. It’s entirely possible that my device was missed during the labeling process. Also, product packaging and information provided did not reveal the country of origin.

Once again, I checked the Q&A section of Amazon and found others who had the same question. The seller states this device is “Made in China“.

Price

Price tag and magnifying glass indicating price of Eliminator ProThe overall cost of a product is often a deciding factor when it comes to making a buying decision.

The Eliminator Pro sells on Amazon for $49.97 with free shipping or the Intelliguard can be purchased for just under $45 including shipping costs.

Most snoring mouthpieces sell between $25 and $100. It’s the closest competitor, the SnoreRX, currently retails for $99, making the Eliminator Pro a less expensive choice. The question is, are they equivalently designed and made from similar materials?

Snore Eliminator Pro Vs SnoreRx – Are They The Same Product?

A common question asked by those interested in this product is whether the Snore Eliminator Pro and Snore RX are the same product. After all, they are both nearly identical in appearance and function in the same fashion. Perhaps the two products are being sold by the same company?

Snore Rx is manufactured and sold by Apnea Science Corporation, based out of Aliso Viejo, California. The company was created by Jim C Fallon (No, not the late night talk show host) and appears to have launched in early 2012.

In contrast, the company who manufactures and sells the Snore Eliminator Pro operates out of Myrtle Beach and seemed to have made an appearance in early 2015.

On the surface, it doesn’t appear as if the two companies are related.

Let’s take a closer look by comparing the actual products.

*Note: Measurements are taken prior to fitting. The material of both products will become slightly more compact once heated and fitted.

Eliminator Pro Vs SnoreRx

Eliminator ProEliminator ProsnorerxSnoreRx
Heigth At Front1.09"1.01"
Heigth At Rear.80".39"
Overall Depth1.65"1.65"
Widest Point2.63"2.73"
Country of OriginChinaUSA
FDA ClearedNoYes
MaterialUnknownMedical Grade Copolymers
BPA FreeYesYes
Warranty30 Day30 Day
Price$49.97$99.00

Similarities and Differences 

It’s easy to see that while the two products differ, they do share many of the same attributes.

The first difference that you may have noticed is the price. The Eliminator Pro retails for half the cost of the SnoreRX. Other differences include the country of origin, FDA clearance status, and materials used. Perhaps the most notable difference is the thickness at the rear of each device. Measuring .39″, the SnoreRx measures half the thickness at the rear compared to the SnoreRx.

Other measurements such as the height at the front, overall depth, and the widest point are nearly identical. Also, both products come with a 30-day money back guarantee.

As for design, they are both nearly identical with a few slight variations between the two.

Both products use a rigid plastic framework with a soft thermoplastic insert lining that attaches to the frame. Both have a ratcheting system that enables you to make micro-adjustments up to 10 mm, in 1 mm increments.

One small difference is the SnoreRx has grooves in the upper tray that fit into an adjoining counterpart located on the lower tray.  This helps to center the upper and lower trays while making advancement adjustments. This feature is absent in the Eliminator Pro.

It’s fairly safe to say that the design of each is nearly the same. In fact, the framework is so similar, you can separate the upper and lower trays of each device and reconnect them to the other!

The Bottom Line

The Bottom Line in Red LettersWhile this product is sold on Amazon as a Bruxism night guard with no mentions of the phrase “snoring”, based on the customer reviews, it’s evident that nearly everyone who has left feedback for this product is using it for the purpose of controlling snoring.

Aside from being a bit thicker at the rear of the device, the Eliminator Pro is a less expensive alternative than the $99 SnoreRx.

If the extra thickness and lack of FDA clearance are not a concern to you, then, by all means, go with the less expensive alternative. The Eliminator Pro advances the jaw and function just as any other mandibular advancement device does and is effective against snoring.

Keep in mind, several different styles of snoring mouthpieces are available. If you are interested, take a look at this comparison table that I created which allows you to compare nearly 30 different devices that are currently being sold.

Pros

  • Adjustable trays allow for up to 10mm in advancement
  • Can be custom molded using hot water
  • Unique ability to adjust advancement setting after being molded
  • Comes with a 30-day money back guarantee
  • Affordable price

Cons

  • A bit bulky at the rear compared to competitor
  • No evidence of being FDA Cleared

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☆☆☆☆☆ 3.25 Star Rating The Eliminator Pro is a self-fitted adjustable mandibular advancement device that offers more features than its predecessor, the Snore Eliminator. While the product packaging contains no company information other than the email address “eliminatorreviews@gmail.com”, after a few minutes of searching I found that it is manufactured and sold by South Carolina […] Read more

sleeplabObstructive Sleep Apnea (OSA), a condition were breathing becomes shallow and often pauses for several seconds while asleep, is becoming increasingly common not only in the United States but all around the world. While being older than 40 and carrying a few extra pounds are often to blame for this condition, this is not always the case as OSA also affects those who are younger than 40 and within a normal weight range.

Current information suggests that over 20 million Americans suffer from OSA while the majority are unaware. In fact, an estimated 82% of men and 92% of women go undiagnosed. What makes this problem even more complicated is the fact that many who are diagnosed with OSA and are issued a CPAP machine fail to comply for a variety of reasons.

In order to properly diagnose (or rule it out) OSA, you are typically asked to fill out a STOP-BANG questionnaire which asks a series of 8 questions to determine your risk of having OSA. If the results show a moderate or high risk of OSA, you may be asked to complete a Polysomnogram (sleep study). From here, you and your doctor can determine which type of sleep study may be best for you. There are currently two types available – “in a lab” and “at home”.

At Home Sleep Study Vs In-Lab Sleep Study

There are basically two different types of tests for sleep apnea. As the names suggest, the lab study is conducted in a sleep lab setting while the home study can be conducted at home, in your bedroom.

Home Sleep Study

homesleepWhen an at home sleep study is prescribed, the patient has issued a small device in which several sensors plug into. This device records breathing activity as well as blood oxygen levels throughout the night as you sleep. This information is then downloaded and interpreted by either your doctor or the provider of the equipment.  At home equipment typically contains the following sensors:

  • Nasal cannula used to measure airflow coming from the nose
  • Belt is worn around the chest to measure movement which is an indicator of breathing
  • Finger clip to measure blood-oxygen levels

The patient is given instruction on how to make all of the connections. The patient connects the equipment prior to going to bed in evening. In the morning, the patient removes the equipment and returns it to the issuing company.

Many patients prefer the “at home” version because they are not forced to sleep in an unfamiliar laboratory with a dozen wires attached to their body. Other prefer the home test because they are not comfortable with allowing someone to monitor them while asleep. Home sleep studies are also attractive to those who have high deductible insurance plans or have no insurance, simply because they are less expensive.

The insurance company, of course, prefer the at home test for one simple reason and that is cost. At home sleep, studies can be conducted for 1/3 or even 1/4 of the cost of a lab sleep study. Home testing typically costs between $200 – $500. Many insurance companies are requiring home testing to be conducted as a primary screening tool for OSA.

An important consideration for home testing is the likelihood that the patient has OSA. A home test is typically offered to those who have a moderate to high risk of OSA simply because a mild case of sleep apnea may be undetectable using at home equipment.

Lab Sleep Study

sleeplab2Unlike the at home sleep study, the in lab study is conducted at a sleep center. Chances are if you live in a suburban area or in a major city, there are several sleep centers in your area.

A sleep center contains resting rooms with advanced monitoring equipment. You typically arrive at a sleep center in the evening and a technician will hook up a number of different sensors to your body. These sensors attach to the skin and include the following:

  • Jaw and eyes
  • Head for brain activity
  • Leg to detect movement
  • Microphone to detect snoring
  • Chest belt to detect breathing
  • EKG to monitor the heart

You are then asked to fall asleep as the technician monitors the equipment.

In the morning, you are disconnected from the machinery and sent on your way home. The results are typically not immediately available as they will need to be read and interpreted by a sleep specialist or your doctor. This process typically takes between 1-2 weeks. Once complete, your doctor will inform you of the results during your follow-up visit.

The total cost for a sleep study ranges from $1,000 – $3,000 or more.

Criticism

Both home testing and lab testing have their fair share of criticism.

As with many healthcare issues, the discussion typically revolves around cost.

Those who support at home sleep studies prefer this method simply because it’s fairly accurate, more comfortable for the patient and cost-effective.

Labs are often criticized for being overprescribed and excessively expensive. The undeniable fact is, sleep labs are a cash cow for those involved in the industry. In fact, it’s a multi-billion dollar a year industry.

As at home testing evolves and becomes increasingly popular, those who have financial ties to the sleep lab industry are obviously not too thrilled about the push for home testing.

On the other hand, proponents of sleep labs often criticize home testing due to the limited amount of data collected, particularly brain wave activity. Nearly all at home sleep apnea tests are unable to measure brain wave activity. Why does this matter? Because at home test can be fooled by someone who simply lays in bed without falling asleep. Since they are awake and the airway is not relaxed creating an obstruction, the machine reads their breathing and oxygen levels as “normal” and a proper diagnosis could be missed.

Another criticism of the at-home study is the inability to detect other sleep disorders. Sleep labs are able to detect other sleep disorders that would otherwise go undetected while conducting an at home sleep study.

Which type of study should I choose?

question3There are several factors that one should consider when deciding whether to go with a lab study or home study.

Likelihood of OSA

Your physician will conduct an evaluation and will only recommend a home sleep study if it’s highly likely that you have moderate to severe OSA. If the probability is low then a home sleep study should not be recommended.

In addition, a home sleep study will only be recommended if your doctor does not have reason to believe that another condition may exist. Other sleep disorders can be detected in a lab setting whereas a home sleep test can only detect the presence of OSA.

Cost and Coverage

These days, insurance companies are pushing for more home testing because OSA screening is becoming more common and home testing is, of course, less expensive when compared to lab testing.

Those who have a high deductible plan or carry no insurance at all may be more attracted to a home sleep study while those with ample coverage may desire the most accurate equipment which will be sleep lab testing.Share This Post:
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Obstructive Sleep Apnea (OSA), a condition were breathing becomes shallow and often pauses for several seconds while asleep, is becoming increasingly common not only in the United States but all around the world. While being older than 40 and carrying a few extra pounds are often to blame for this condition, this is not always […] Read more

teethLAST UPDATE: 4/11/2019

Some of my readers occasionally write in to express concern about the possibility of a snoring mouthpiece causing tooth movement or shift, a change in their bite or alignment issues. This is a valid concern as no one wants to correct a snoring problem at the expense of the appearance of their teeth.

Let’s get straight to the point. Will wearing a mouthpiece cause teeth shift or alignment problems? It’s possible. Is it likely? If used as directed, probably not.

Now, I created this website as a snorer myself with interest in helping others by offering product feedback and providing information that I have discovered while battling my snoring. In other words, I’m just an ordinary guy who has a snoring problem and not a doctor. This being said, I’m not qualified to offer a professional opinion on the matter. I did, however, browse the internet to see what the professionals were saying about this subject.

drWhile searching for an answer, I came across a discussion which featured several doctors who offered their opinion on this topic.

Here, Dr. Richard Charmoy DMD of Somerville, NJ claims that he has made “hundreds of SomnoMed oral devices” and has not had one patient experience teeth shifting. Dr. Charmoy further suggests chewing sugarless gum or using bite tabs to correct bite issues that may occur.

“I am a dentist who has made hundreds of SomnoMed oral devices. I have not had one patient who has experience what you are stating. If you think your teeth have shifted then the appliance is acting like a orthodontic movement device. When in your mouth the device should not exert any pressure on any teeth. If after you take it out your bite doesn’t feel correct that is normal and should correct it self, by using the exercise bite tabs, or chewing sugar less gum.” – Dr. Richard Charmoy

In another post by David L Nutter, DDS, PS, (of Vancouver, WA) he suggests that when “Worn nightly for long periods will cause a risk of changing the bite”

“Worn nightly for long periods will cause a risk of changing the bite. This is one of the first things your professional who delivers the appliance should debrief you on.” – Dr. David L Nutter

A wiki page posted on apneaboards.com suggests:

“Improperly fitted devices can cause teeth to shift over time, leading to significant dental problems. Regular dental checkups and adjustments to the oral device can prevent these problems”

In addition, I also came across a few pieces of feedback left on Facebook pages, blogs posts, and product sales pages from people who were encouraging others not to purchase a particular product because it caused their teeth to move or they are unable to chew or even speak properly after using a particular device. 

This lead me to question exactly who is leaving the comment and whether or not there is a motive to leave such a comment. 

In most cases, it’s apparent that the individual who left such comments were trying to steer shoppers away from purchasing “X” brand and towards choosing “Y” instead. It’s unfortunate but such dishonest bits of information are often left by competing companies in an effort to further promote one’s brand.

Overall, based on the information that I was able to gather, it seems as if there is a potential risk of teeth shift or alignment issues but such issues do not appear to be very common or widespread and as some have stated the “benefits of using a MAD outweigh the risks”. The risk seems to be higher if your MAD is not properly fitted.

It’s a good idea to be aware that there’s always a possibility of side-effects occurring while using a mouthpiece as well as any other personal health care product.

Most reputable mouthpiece manufacturers will require you to complete a questionnaire to qualify you prior to selling their device. For example, you may be asked:

– Does your jaw pop when you speak or chew?
– Have you been diagnosed with Temporomandibular Joint Disorders (TMJ)?
– Do you currently have any jaw pain?
– Do you have any missing teeth?

Such questions are designed to help prevent those with existing conditions from buying their product because doing so may irritate their current condition.

For instance, a mouth guard relies on a strong set of frontal upper and lower teeth which enables the device to keep the jaw forward. The idea that using such a device with missing teeth could cause undesired movement of the teeth is plausible because the trays tend to put some pressure on the upper and lower teeth.

There are several other scenarios where wearing a mouthpiece could potentially cause such issues.

Concluding thoughts

thoughtsWhile teeth shift and bite issues could occur while using a mandibular advancement device, based on the information that I was able to gather, it is doesn’t seem to be a prevalent issue. There are some claims of tooth movement or alignment issues but not a whole lot of evidence to back up these claims.

Since everyone’s situation is different, it’s best to address any concerns that you may have with your dentist prior to using any such MAD product and if any problems arise while using such a device.

While shopping around, look for products that have been cleared by the FDA and come from reputable companies that have been in business for several years. These companies are usually the ones who require you to complete a questionnaire prior to being able to make a purchase. FDA cleared products are also less likely to cause such issues when fitted properly and used as directed.

If you have decided to move forward with using a mouthpiece, there are some really great products out there which can be ordered online. 

The three mouthpieces shown below are all FDA cleared and are all made by reputable manufacturers who have been in business for many years. I have tested all three products, among dozens of others, and can recommend each one.

Best Snoring Mouthpieces

SleepTight

5/5

$87.90 (2 Pack)

Overall Score
0
Effectiveness 100%
Comfort & Fit 97%
Quality 96%
Value 99%

GMSS

4.6/5

$79.89 Each

Overall Score
0
Effectiveness 100%
Comfort & Fit 88%
Quality 96%
Value 82%

VitalSleep

4.5/5

$69.95 Each

Overall Score
0
Effectiveness 100%
Comfort & Fit 85%
Quality 92%
Value 85%
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LAST UPDATE: 4/11/2019 Some of my readers occasionally write in to express concern about the possibility of a snoring mouthpiece causing tooth movement or shift, a change in their bite or alignment issues. This is a valid concern as no one wants to correct a snoring problem at the expense of the appearance of their […] Read more

2.75 Star Rating

How Acupressure Rings Stop Snoring

Atqol Antisnore ringAs we all know, or possibly don’t know, snoring is caused by muscles in your airway relaxing a bit too much. When you sleep, these relaxed muscles vibrate, thus creating noise when you breathe in and out. Acupressure, similar to acupuncture can activate the nerves around these relaxed muscles and stimulate them to once again be supportive, ultimately resulting in normal breathing functions and no more snoring. The Acupressure ring utilizes the network of the Central Nervous System to stop you from snoring.

The Antisnor Acupressure Ring was originally designed and developed by an Australian couple, John and Marcia Woodley, along with their son John Woodley Junior in 1999. Oddly enough, the family does not have any historical connection to medicine, but rather a family legacy in the jewelry business. Who knew?! The Woodley family had an interest in natural remedies, which initially sparked the concept of an acupressure device that also served the purpose as a natural remedy. Upon inception, the family formed Atqol, a company dedicated to natural healing solutions. Atqol Limited is the primary manufacturer and distributor of this anti-snore ring. The company holds three separate patents for this product in Canada, Australia, and the US.

Design

So you may be wondering how this beautiful ring actual stops you from snoring, right? Well, interestingly enough, the actual design of the ring itself triggers nerves that network throughout the body and lead directly to the cause of the problem – your airway. This unique ring design is actually beautifully engineered. As you can see, the sides of the ring itself look like some sort of puzzle piece. This is because the indented and raised surfaces are actually applying pressure to the underside of the small finger when being worn. Nerves located on your little finger on the left hand right in the middle of the joint and knuckle are targeted specifically in an attempt to relieve snoring. This is acupressure at work, my friends. The ring should be firmly worn – slight pressure to the ring on both sides should give you a comfortable and effective fit. The side of the ring with the gap in it also doubles as an added safety benefit – it will never get stuck on your finger!

Clinical Trials

Atqol conducted their first clinical trial of the Antisnor Ring in 2012. The trial was spearheaded by a pulmonologist doctor (one who specializes in diseases of the respiratory tract) from Eurosafe, a scientific research firm out of Saint Gregoire, France. The test subjects in the study were all volunteers who suffered from snoring on a daily basis. Also included, were the affected partners of the test subjects. In total, there were 30 couples participating. The researchers not only wanted to see how the acupressure ring impacted the snorer themselves, but also the partners who had to deal with hearing the snoring each and every night.

The Study

On a daily basis, the test couples answered a series of questions about their previous night’s sleep. The questions ranged from what the quality of sleep was for the snorer, to the reaction and sleep quality of the partner. Some nights, the snorer was told to wear the ring, and others not. That way, the snclinical trial microscope and tubesorer, and partner could compare night to night during the clinical trial and get the most meaningful results. The couples also used the Epworth Sleepiness Scale and Visual Analogue Scale to measure their levels of sleepiness during the day. These scales are well known in the industry and have become a world standard in measuring the level of daytime sleepiness. The tests are self-administered and consist of several questions and a rating point scale.

The Results

The scientific conclusions were that 80% of the test couples reported that the acupressure ring did indeed improve the quality of sleep for both partners. Reports showed that participants experienced a better quality of sleep, increased ease of movement first thing after awakening, an increase in airflow while breathing at night, and less of a dry throat when using the ring. An astonishing 50% decrease in the severity of the snoring, in general, was seen during this trial. The participants also gave feedback on the ring as far as comfort and usability go. Nearly all of the subjects claimed the ring was comfortable, easy to use, non-invasive, and would most likely continue to use the product for an extended period of time.

Price, Sizing & Shipping

This acupressure ring is available in three simple sizes: Small, Medium and Large. The Small size fits little fingers ranging in size from 16mm-19mm or ring sizes 5-9Ring Sizing Chart. The medium ring size will fit little fingers that measure 18mm-21mm in sizes or ring sizes 10-14. The large size will fit little fingers measuring 20mm-23mm in diameter or ring sizes 13-18.

Product Guarantee

The manufacturer completely backs this product and if you are not satisfied with the results, you can return the item for a full refund within 45 days of the purchase date. All they require for the return is the ring iDarts hitting bulls-eyen its original packaging, the receipt for the item (proof of purchase) and your mailing address for which they can send you your refund. Processing time for the return can take anywhere from 7 to 28 days.
Since the ring is made of sterling silver, it should last a lifetime. Atqol markets that some customers have been using the ring every night for over 6 years and that it will never wear out to the point that it would need a replacement. In the event it ever would, I’m sure the company would send a replacement to such a great customer anyway.

The Antisnor ring is listed at $39.95 and can often be ordered with free standard shipping included. Since the manufacturer is an Australian-based company, delivery times within the country usually take anywhere from 3 to 9 days. International orders shipping to the US or Canada may take 2 – 3 weeks. Plan accordingly.

Customers

I have seen nothing but rave reviews from recent customers who purchased this product. One customer claimed they have been wearing the ring for more than two years, on a daily basis, and not only did it help them sleep well, but also helped with their breathing. Another user commented on how effective the ring was for both parties – the snorer himself and also his wife. He mentioned that the ring ultimately positively impacted some sinus issues that have always been a problem for him as well.

Antisnor Amazon Reviews

The manufacturer does have the item listed for sale on Amazon. It is unclear if all sizes are available there at the moment, though. There are a few customer comments regarding the product. One customer recently purchased the acupressure ring in mid-January, 2015 and claimed that he had to perfectly position the ring in order to trigger the nerve. Once he found the sweet spot of positioning it, his snoring turned into a quiet sleep, for both him and his wife. This comment makes sense because your nerves aren’t necessarily everywhere on your little finger, but with a little bit of experimenting on the actual position of the ring, it sounds like the ring is a home run. Another Amazon customer stated simply that it worked “magically”. Very good.

My Personal Opinion

Although I have not tried the Atqol snoring ring, I have tried a similar antisnoring ring and the results were not nearly as impressive as what I had experienced using a snoring mouthpiece. Mouthpieces work incredibly well by targeting the area in which snoring occurs, the airway.

You can compare over 30 different mouthpieces that I have tried here.Share This Post:
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☆☆☆☆☆ 2.75 Star Rating How Acupressure Rings Stop Snoring As we all know, or possibly don’t know, snoring is caused by muscles in your airway relaxing a bit too much. When you sleep, these relaxed muscles vibrate, thus creating noise when you breathe in and out. Acupressure, similar to acupuncture can activate the nerves around […] Read more

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