insomnia Sleep apnea Sleep Kerrville
Dental Assistant Portland


Stop the Snore

Did you know that habitual snoring has been found in about 24% of adult women and 40% of adult men? Make your pledge to stop the snore.

stop the snore

You can Stop the Snore in a variety of ways. Talk to a doctor about your risk for sleep apnea. Encourage your bed partner to talk to a doctor about snoring. Join us in spreading the word about the warning signs for sleep apnea.

Should you talk to a doctor about sleep apnea?

Here are five warning signs for sleep apnea:

Snoring: Besides being a nuisance to your bed partner or roommate, loud and frequent snoring is a common symptom of sleep apnea. While not everyone who snores has this sleep illness, snoring is a warning sign that should be taken seriously.

Choking or gasping during sleep: When snoring is paired with choking, gasping or silent breathing pauses during sleep, it’s a strong indicator of sleep apnea.

Fatigue or daytime sleepiness: Sleep apnea can leave you waking in the morning feeling tired, even after a full night’s sleep.

Obesity: An adult with a body mass index (BMI) of 30 or higher is considered to be obese, and the risk of sleep apnea increases with the amount of excess body weight.

High blood pressure: Between 30 and 40 percent of adults with high blood pressure also have sleep apnea, and getting treatment for sleep apnea is a proven means of decreasing blood pressure.

If you have sleep apnea symptoms or someone you care for does – then schedule a consultation appointment today and we can help you get that good night sleep.  We offer comfortable at-home sleep test and sleep apnea solutions. Please email, or call us at (830) 890-5225 for a consultation.

Oral Appliance Therapy

Did you know that oral appliance therapy is a comfortable, quiet and low-maintenance alternative to a CPAP machine and mask?

Oral Appliance Therapy

Oral appliance therapy is a treatment for snoring and obstructive sleep apnea. It involves wearing a removable oral appliance in your mouth as you sleep. The device fits much like a sports mouth guard or orthodontic retainer.

An oral appliance prevents your airway from collapsing by either holding the tongue or supporting the jaw in a forward position. You must be custom fitted for an oral appliance in order for it to be effective. Over-the-counter devices are not recommended as a treatment option for snoring or obstructive sleep apnea.

Members of the sleep team collaborate to provide you with oral appliance therapy. Obstructive sleep apnea must be diagnosed using a sleep study. Once you are diagnosed, a dental sleep medicine specialist can fit you with an oral appliance. These dentists must have special training in treating sleep apnea.

Types of oral appliances

There are a variety of oral appliances that can treat obstructive sleep apnea. Each device may differ in appearance. Most devices fall under one of the two following types:

Mandibular repositioning devices – These oral appliances reposition your lower jaw forward and down slightly to keep your airway open while you sleep. Mandibular repositioning devices are the most widely used oral appliances.

Tongue retaining devices – These oral appliances hold your tongue in place to keep your airway open.

If you have sleep apnea symptoms or someone you care for does – then schedule a consultation appointment today and we can help you get that good night sleep.  We offer comfortable at-home sleep test and sleep apnea solutions. Please email, or call us at (830) 890-5225 for a consultation.

Easy At-Home Sleep Test

Do you have trouble sleeping or wake up snoring? You might have sleep apnea. An easy way to find out if you have this exhausting condition is a Simple and Easy AT HOME sleep test! Our sleep center offers WatchPAT – a portable device that uses the most innovative technology to ensure the accurate screening, detection, and follow-up for sleep apnea. Its ease of use is greatly complemented by the fact that WatchPAT testing is done in the comfort of your own bedroom; an environment that best reflects the pattern of your sleep habits.

Every day, doctors hear from both men and women that they have a loss of energy, they’re weary throughout the day, or they have trouble falling asleep, or they wake up in the middle of the night and have difficulty falling back asleep. Many complain that their bed partners snore loudly and then gasp for breath throughout the night. And even though many people are spending seven to eight hours in bed, they’re actually spending less time sleeping. If this sounds like you -then you might have sleep apnea.

The amount of time people sleep varies from person to person. The WatchPAT sleep test device is put on when you go to bed and runs ten (10) consecutive hours after turned on. You should take it off when you wake up in the morning and return it to the clinic for sleep data downloading. Thanks to WatchPAT’s automated data analysis, you don’t have to wait to get your diagnosis. Once you return the WatchPAT to your physician, you will receive an immediate detailed sleep report. This instantaneous report generation—compared to a lengthy wait in most hospital-based settings—allows you to initiate sleep apnea treatment the same day and without delay.

Here are just a few of the many features of the WatchPAT:

  • Real Sleep Time – measures actual time asleep—not just time in bed, like other home devices, providing a more accurate assessment of sleep apnea.
  • ODI (Oxygen Desaturation Index) – measurement of blood oxygen levels. When not enough oxygen reaches the brain, a person awakens from sleep.
  • Heart Rate -the number of heart beats per minute while sleeping.
  • Body Position – notes whether you sleep on your back (supine), front (prone) or side, all which influence apnea.
  • Snoring Intensity (dB) – loud snoring is a major indicator of sleep apnea.
  • Sleep Fragmentation – repeated short interruptions of sleep throughout the night, reducing the total amount of time spent in the deepest level of sleep.

sleep testIf you have sleep apnea symptoms or someone you care for does – then schedule a consultation appointment today and we can help you get that good night sleep.  We offer comfortable at-home sleep test and sleep apnea solutions. Please email, or call us at (830) 890-5225 for a consultation.

Sleep Apnea Dental Appliance

Nearly 30 million Americans have sleep apnea symptoms and 80+% of sleep apnea patients remain undiagnosed. With the help of our sleep apnea Dental Appliance CPAP alternative – we are giving people the quality of sleep they once had. Jonathan from Atlanta GA says: “Getting more sleep changes everything. It’s life changing!”

Across the country, sleep apnea patients are waking up refreshed and feeling alive again. Enjoy their stories as they escape the sleep apnea fog and live the life that makes them whole.

sleep apnea dental appliance

Don’t just take our word for it. Hear what people have to say about our Sleep Appliances, in their own words.

Joanne, Long Island NY – “You can actually drink water at night, which I do often. I can speak with it, and it’s very easy to take off.”

If you have sleep apnea symptoms or someone you care for does – then schedule a consultation appointment today and we can help you get that good night sleep.  We offer comfortable at-home testing and sleep apnea solutions. Please email, or call us at (830) 890-5225 for a consultation.

Sleep Apnea Treatments

We offer sleep apnea treatments that are small, convenient and easy to maintain. Joyce says: “I just pop it in and I sleep right until I wake up. I am approaching the day knowing that I can conquer anything.” This small mouth appliance is so much better than the common CPAP machine.

Interested in starting treatment with a comfortable and easy Sleep Appliance but don’t know where to start? It might be easier than you think.

Obstructive Sleep Apnea (OSA) occurs when the tongue and soft palate collapse onto the back of the throat and block the airway during your sleep. It restricts the flow of oxygen and causes common OSA symptoms like snoring or gasping. Our Sleep Appliances work by moving the jaw and tongue in an optimal position to maintain an open airway — all without respirators or tubes.

Sleep Apnea Treatments


5 benefits of our sleep appliances:

  • Covered by Medical Insurance
    • Most medical insurance covers our appliances. Four of our appliances are accepted under Medicare.
  • Hassle Free
    • No hoses. No mask. Easier care and no need to repurchase consumables. Travel light, everywhere.
  • Fully Customized
    • Wide variety of appliances that are customized for more effectiveness and comfort.
  • Provided by Dental Sleep Professionals
    • Our professionals are well educated and experienced with dental sleep medicine and sleep apnea treatments.
  • Sleep Naturally
    • You can sleep in any position you like, even on your side, and of course next to your partner.

If you have sleep apnea symptoms or someone you care for does – then schedule a consultation appointment today and we can help you get that good night sleep.  We offer comfortable at-home testing and sleep apnea solutions. Please email, or call us at (830) 890-5225 for a consultation.

Sleep Apnea Driving and Pilots

On a daytime flight one February day in 2008, a commercial aircraft with three crew members and 40 passengers flew past its destination airport after both the captain and first officer fell asleep. The pilot awoke and turned back to the destination airport, where all deplaned safely – but behind schedule. The National Transportation Safety Board determined that contributing factors to the incident were the captain’s undiagnosed obstructive sleep apnea (OSA) and the flight crew’s recent work schedules, which included several days of early-morning start times.

Sleep Apnea Driving

To prevent events likes this from happening again, the goal of the FAA and the U.S. Department of Transportation’s (DOT’s) Federal Motor Carrier Safety Administration (FMCSA) is to reduce crashes, injuries and fatalities involving commercial motor vehicles (including large trucks and buses). One mechanism used to facilitate this effort to avoid sleep apnea driving is the updating of current, and the development of new, medical fitness standards and guidelines for medical examiners who are responsible for certifying drivers including DOT CDL as fit for duty. A pilot compliance recorder can be used for NTSB compliance.

Apnea is a medical term that means “being without respiration.” Obstructive sleep apnea is characterized as a repetitive upper airway obstruction during sleep, as a result of narrowing of the respiratory passages. Most people with this disorder are overweight and have higher deposits of adipose (fatty) tissue in their respiratory passages, and the size of their soft palates and tongues are larger than average. These conditions decrease the size of the upper airway and decrease airway muscle tone, especially when sleeping in the supine (back down and horizontal) position. Gravity can pull tissue down and over the airway, further decreasing its size, impeding air flow to the lungs during inhalation. Typically, a person suffering from OSA is not aware of the condition. The only way OSA and sleep apnea driving can be detected is through a sleep study.

Once recognized and identified, OSA is highly treatable, either with surgery or non-surgical approaches. Obviously, non-surgical methods should be tried first –

  • Behavioral changes
    • Change sleeping position (sleep on side or stomach).
    • Change sleeping environment (mattress, light level, temperature, etc.).
    • Lower body fat (10% weight loss will decrease the OSA index by 25%).
  • Dental appliances
    • Dental appliances that thrust the lower jaw forward or otherwise open the airway are an excellent treatment for mild-to-moderate OSA and are about 75% effective.
  • Continuous positive airway pressure —(CPAP) machine
    • Probably the best, non-surgical treatment for any level of OSA.
    • Uses air pressure to hold the tissues open during sleep.
    • Decreases sleepiness, as measured by surveys and objective tests.
    • Improves cognitive functioning on tests.
  • Medications
    • Any medication taken for OSA must be approved by the FAA.
    • Nasal steroid sprays are effective.
    • Medications that have been studied include medroxyprogesterone, acetazolamide, and theophylline.

Many of our sleep appliances have a compliance monitor component that complies with FAA and DOT requirements. If you, or someone you care for is struggling with sleep apnea driving, restlessness or snoring then we invite you to visit the Kerrville clinic for at-home testing and sleep apnea solutions. Please email, or call us at (830) 890-5225 for a consultation.

Sleep Apnea Health Risks – Nearly 1 Billion Have It

A new data analysis presented by ResMed at the ATS 2018 International Conference indicates that the prevalence of sleep apnea health risks impacts more than 936 million people worldwide—nearly 10 times greater than previous estimates.

Sleep Apnea Health Risks


“The research and findings are a revelation in sleep apnea research and represent a vastly under reported major public health issue,” says Adam Benjafield, ResMed vice president of Medical Affairs and lead study researcher, in a release. “This new study demonstrates a need for expanded awareness around the diagnosis and treatment of OSA worldwide.” The study “Global Prevalence of Obstructive Sleep Apnea (OSA)” was conducted by an international panel of researchers seeking to provide a clear scope of the impact of the chronic sleep-disordered breathing condition.

The previous estimation of OSA prevalence (100 million) came from a 2007 World Health Organization study that used methods and data available at the time. By analyzing technology improvements in detecting OSA and under reported statistics from other areas of the world, this latest study depicts an impacted population significantly larger than previously identified.

ResMed chief medical officer Carlos M. Nunez, MD, says, “This study should encourage physicians to talk with their patients about how sleep affects our overall health. Those who have sleep apnea health risks don’t often realize they have it and, therefore, don’t realize they can do something to mitigate the resulting chronic fatigue or its more harmful long-term health risks. It should also cause more people to ask themselves, ‘Do I or my bed partner have this?’  Sleep apnea isn’t just a disease for older, overweight men, as once thought. It affects people of all ages, all ethnic and racial groups, all states of health, and is not gender specific. In fact, nearly half of newly diagnosed patients are female.”

A great night of sleep could be just around the corner! If you, or someone you care for is struggling with restless sleep, snoring or potential sleep apnea, we invite you to visit the Kerrville clinic for sleep apnea solutions, email, or call us at (830) 890-5225 for a consultation.

Sleep Apnea Symptoms and Risk Factors

There are many sleep apnea symptoms, and the most common is snoring. However, not everyone who snores has sleep apnea. Snoring is likely to be a sign of sleep apnea when it is followed by silent breathing pauses and choking or gasping sounds. People with sleep apnea often have daytime sleepiness or fatigue.

Sleep Apnea Symptoms

Common sleep apnea symptoms include:

  • Insomnia
  • Loud or frequent snoring
  • Silent pauses in breathing
  • Unrefreshing sleep
  • Morning headaches
  • Choking or gasping sounds
  • Daytime sleepiness or fatigue
  • Nocturia (waking during the night to go to the bathroom)
  • Difficulty concentrating
  • Memory loss
  • Decreased sexual desire
  • Irritability


Risk Factors:

The major risk factor for sleep apnea is excess body weight. You are much more likely to have sleep apnea if you are overweight or obese. However, sleep apnea can occur in slim people too. Common risk factors for sleep apnea include:

Male gender – Sleep apnea is more common in men than in women. For women the risk of sleep apnea increases with menopause.

Middle age – Sleep apnea can occur at any age. However, it is more common between young adulthood and middle age.

Excess weight – Your risk for sleep apnea is higher if you are overweight with a body mass index (BMI) of 25 or more or obese with a BMI of 30 or higher.

Large neck size – Your risk for sleep apnea is higher if you have a neck size of 17 inches or more for men, or 16 inches or more for women. A large neck has more soft tissue that can block your airway during sleep.

Family history – Sleep apnea is a heritable condition. This means that you have a higher risk of sleep apnea if a family member also has it. Inherited traits that increase the risk for sleep apnea include obesity and physical features such as a recessed jaw. Other common family factors – such as physical activity and eating habits – also may play a role.

Hypertension – High blood pressure is extremely common in people who have sleep apnea.

A great night of sleep could be just around the corner! If you, or someone you care for is struggling with restless sleep, snoring or potential sleep apnea, we invite you to visit the Kerrville clinic for sleep apnea solutions, email, or call us at (830) 890-5225 for a consultation.

Sleep Apnea Coping

Obstructive sleep apnea is a sleep disorder in which breathing is briefly and repeatedly interrupted during sleep. Obstructive sleep apnea, or simply sleep apnea, can cause fragmented sleep and low blood oxygen levels. Sleep apnea coping is challenging, the combination of disturbed sleep and oxygen starvation may lead to hypertension, heart disease and mood and memory problems. It also increases the risk of drowsy driving. The “apnea” in sleep apnea refers to a breathing pause that lasts at least ten seconds. Obstructive sleep apnea occurs when the muscles in the back of the throat fail to keep the airway open, despite efforts to breathe. Another form is central sleep apnea, in which the brain fails to properly control breathing during sleep. Obstructive is far more common than central.

sleep apnea coping

What Causes Sleep Apnea?
There are a number of factors that increase risk, including having a small upper airway (or large tongue, tonsils or uvula), being overweight, having a recessed chin, small jaw or a large overbite, a large neck size (17 inches or greater in a man, or 16 inches or greater in a woman), smoking and alcohol use, being age 40 or older, and ethnicity (African-Americans, Pacific-Islanders and Hispanics). Also, OSA seems to run in some families, suggesting a possible genetic basis.

Who Has Sleep Apnea?
More than 18 million American adults have sleep apnea. It is very difficult at present to estimate the prevalence of childhood OSA because of widely varying monitoring techniques, but a minimum prevalence of 2 to 3% is likely, with prevalence as high as 10 to 20% in habitually snoring children. OSA occurs in all age groups and both sexes.

Sleep Apnea Symptoms
Chronic snoring is a strong indicator of sleep apnea and should be evaluated by a health professional. Since people with sleep apnea tend to be sleep deprived, they may suffer from sleeplessness and a wide range of other symptoms such as difficulty concentrating, depression, irritability, sexual dysfunction, learning and memory difficulties, and falling asleep while at work, on the phone, or driving. Left untreated, symptoms of sleep apnea can include disturbed sleep, excessive sleepiness during the day, high blood pressure, heart attack, congestive heart failure, cardiac arrhythmia, stroke or depression.

Treatment for Sleep Apnea
If you suspect you may have sleep apnea, the first thing to do is see your doctor. Bring with you a record of your sleep, fatigue levels throughout the day, any other symptoms you might be having, and forms of sleep apnea coping. Ask your bed partner if he or she notices that you snore heavily, choke, gasp, or stop breathing during sleep. Be sure to take an updated list of medications, including over the counter medications, with you any time you visit a doctor for the first time.

A common treatment for obstructive sleep apnea is continuous positive airway pressure device (CPAP). CPAP is a mask that fits over the nose and/or mouth, and gently blows air into the airway to help keep it open during sleep. Using the CPAP as recommended by your doctor is very important for sleep apnea coping.

One of the most common methods used to diagnose sleep apnea is a sleep study, which is performed at a sleep center. The sleep study monitors a variety of functions during sleep including sleep state, eye movement, muscle activity, heart rate, respiratory effort, airflow, and blood oxygen levels. This test is used both to diagnose sleep apnea and to determine its severity. Sometimes, treatment can be started during the first night in the sleep center.

Other methods of treating sleep apnea include: dental appliances which reposition the lower jaw and tongue; upper airway surgery to remove tissue in the airway; nasal expiratory positive airway pressure where a disposable valve covers the nostrils; and treatment using hypoglossal nerve stimulation where a stimulator is implanted in the patient’s chest with leads connected to the hypoglossal nerve that controls tongue movement as well as to a breathing sensor. The sensor monitors breathing patterns during sleep and stimulates the hypoglossal nerve to move the tongue to maintain an open airway.

Lifestyle changes are effective ways of sleep apnea coping. Here are some tips that may help reduce apnea severity:

  • Lose weight. If you are overweight, this is the most important action you can take to cure your sleep apnea (CPAP only treats it; weight loss can cure it in the overweight person).
  • Avoid alcohol; it causes frequent nighttime awakenings, and makes the upper airway breathing muscles relax.
  • Quit smoking. Cigarette smoking worsens swelling in the upper airway, making apnea (and snoring) worse.
  • Some patients with mild sleep apnea or heavy snoring have fewer breathing problems when they are lying on their sides instead of their backs.

Sleep Apnea Coping
Getting adequate sleep is essential to maintaining health in OSA patients. If you have symptoms of insomnia such as difficulty falling asleep, staying asleep, or waking up unrefreshed, talk to your doctor about treatment options. Keep in mind that certain store-purchased and prescription sleep aids may impair breathing in OSA patients. One exception is ramelteon, which was studied in mild and moderate OSA patients and found to not harm their breathing.

The most important part of treatment for people with OSA is using their treatment whenever they sleep. The health benefits of this therapy can be enormous, but only if used correctly. If you are having problems adjusting your CPAP or you’re experiencing side effects of wearing the appliance, talk to a sleep center like ours that offer a more comfortable alternative.

A great night of sleep could be just around the corner! If you, or someone you care for is struggling with restless sleep, snoring or potential sleep apnea, we invite you to visit the Kerrville clinic for sleep apnea solutions, email, or call us at (830) 890-5225 for a consultation.

Stop Snoring with Mandibular Advancement Devices (MAD)

How can a Mandibular Advancement Device help you stop snoring? …

Snoring is a whole of life issue, impacting not only the snorer, but also their partner, family and colleagues. The effect is not simply about noise, but about how snoring effects energy, health, lifestyle and work productivity caused by poor sleep. Mandibular Advancement Devices or MAD’s are the answer for many to stop snoring…

What Is A Mandibular Advancement Device?

A mandible (as in Mandibular) is a jawbone and advancement means “the act of moving forward”, which means that an MAD is a gadget that fits in the mouth that moves the jaw forward.

Stop Snoring

How Does a MAD Work

A MAD helps to stop snoring by diminishing any restriction that occurs in the back of the throat by moving the jaw (and by inference your tongue) forward and away from the back of your throat which increases the size of the upper airway, thus reducing the air resistance that leads to snoring.

Typically, MAD’s fit within the mouth and are molded to your teeth to provide and substantive platform through which the upper jaw acts a fixed frame and the lower jaw is pushed forward. The best MAD’s provide a mechanism through which the advancement of the jaw can be incrementally increased until the ideal balance between the back of the tongue and the soft tissue of the throat is achieved, and snoring stops.

There are three sub-types of MAD:

  • Boil and bite MAD’s that can be bought from pharmacies and online – the fit is achieved by softening the resin/silicone with hot water, then once cooled slightly, placing in the mouth and clamping down to get a good fit; some of these devices now include the ability to adjust to suit the user
  • Semi-custom Devices where a user takes a custom mold of their teeth and then sends this away to be custom fitted and a good fit, quality device is returned, again with some ability for incremental adjustment
  • Custom Dental MAD’s – based on physician referral and custom made by dentists or sleep specialists and delivering a perfect fit and the ability to be refined and fitted by experts

Each of the above has a cost/benefit outcome with costs ranging from $40 for an off the shelf product to $2000 for a custom, dentist fitted solution. Whilst price is not the sole determinant of performance, the more you invest, the more likely you will get a better result to stop snoring.

Sleep physicians often recommend a Sleep Test prior to determining whether a Mandibular Advancement Device is the best solution.

And of course, in order to work properly, you have to wear a MAD while you sleep.

FAQ’s – Frequently Asked Questions

Are There Any Side Effects Using A MAD

Because a MAD causes the jaw to move forward for extended periods ie overnight in most cases, and is braced by fitting to your teeth, some discomfort can be experienced, initially and for some enough to warrant stopping usage. The jaw can become sore and stiff, and teeth can ache and move out of alignment. In the extreme, there can be painful wear of the joints and tooth ache.

Clinical testing of MAD’s users has also identified hyper salivation, mouth dryness, tooth discomfort and jaw joint tenderness, but at relatively minor levels, offset well and truly by the benefit of stopping snoring.

How Much Does A MAD Cost

Prices for MAD’s range from $39 to $2000 with the majority of off the shelf devices being between $75 and $150 and custom devices in the $1500-2000 range

How Long Does A MAD Last

Naturally, the frequency of usage and regular cleaning will have an impact on how long a Mandibular Advancement Device will last however, you should expect a minimum of six months and up to two years effective life. Typically you would renew your off the shelf MAD every year and custom MAD’s every 3 years.

Can A MAD be Used With Dentures

No. Most MAD’s are anchored by fitting to your teeth and will not advance the jaw unless so anchored. Denture users should consider a Tongue Stabilizing Device or TSD’s.

Which Is Better, a Mandibular Advancement Device or a Tongue Stabilizing Device

Whether an MAD or TSD or other anti-snoring device is best for you is somewhat a matter of trial and error. We recommend that you consult with your doctor or physician for advice on the best solution for you; at the same time your medical practitioner or specialist can check for other sleep disorder issues such as Sleep Apnea

Does Health Insurance Cover MAD’s

Most medical insurance companies have policies the provide cover for medical sleep devices, however whether you will be covered will depend on the type of policy and depth of coverage; please consult with your health insurance provider for an up to date opinion on the inclusion of MAD’s

Are MAD’s Adjustable

The more modern and contemporary pharmacy or online sourced solutions can include a basic adjustment, with the very best ones offering increments of 1.0mm or 1/16 of an inch. Custom fitted MAD’s also include micro adjustment options.

How Do I Keep My MAD Clean

Placing your MAD in hot water should minimise any build-up of bacteria or germs; regular brushing with toothpaste or soaking in mouthwash will keep things fresh for the life of your Mandibular Advancement Device

Do I Need To Get A MAD Professionally Fitted

Fitting varies with the customisation factor. Normally an off the shelf or bought online MAD is a relatively straightforward device. Simply place the device in hot water, allow to cool, place in your mouth and let the silicone mold to your mouth. Once fitted to your mouth most MAD’s offer incremental adjustments.

Custom MAD’s are general fitted by professional sleep doctors or dentists and have a close and comfortable fit that can also be incrementally adjusted.

Are MAD’s Painful To Wear

Not usually. There may be some discomfort from having the device in your mouth, but experiencing pain would be highly unusual and if you experience pain in any way you should stop wearing the device. It can take a week or so to get completely comfortable with the jaw being held forward with a MAD.

What If Snoring Persists

Sadly there is no guarantee that Mandibular Advancement Devices will resolve your snoring problem. MAD’s don’t work for everyone, particularly if the snoring is in tandem with other health issues, but they do provide improvement for most users. Correct fitting is essential, as is ensuring the device is not damaged or worn out. A change/increase in weight can also have an impact on your snoring as can increasing your consumption of alcohol.

If your MAD does not help you stop snoring, or stops helping, it is time to consider escalating to the next level of stop snoring options:

In Summary

A Mandibular Advancement Device can often be a good next step to help you or your partner to stop snoring – they are relatively economical and because most can be adjusted they can suit a wide range of snorers.

A great night of sleep could be just around the corner! If you, or someone you care for is struggling with restless sleep, snoring or potential sleep apnea, we invite you to visit the Kerrville clinic for sleep apnea solutions, email, or call us at (830) 890-5225 for a  consultation.