Customized vs. Over-the-Counter MADs: Success & Side Effects
Dr. Peter Balacky, DDS
Snoring and Obstructive Sleep Apnea (OSA) are common sleep disorders that can significantly impact quality of life. One popular treatment option is the Mandibular Advancement Device (MAD), which works by positioning the lower jaw forward to keep the airway open during sleep. MADs come in two primary types: custom-made and over-the-counter (OTC) options, often referred to as "boil & bite" devices. In this blog, we will compare the effectiveness and side effects of these two options to help you make an informed decision.
Effectiveness
Custom-made MADs are tailored to fit the specific dental structure of the patient using impressions of the teeth. This customization enhances their comfort and effectiveness in treating snoring and OSA.
Studies have shown that custom-made MADs are more effective in reducing the severity of sleep apnea and minimizing snoring compared to OTC devices. The precise fit ensures that the jaw is positioned correctly, maximizing the airway opening and reducing the risk of the device shifting during sleep.
OTC MADs, or "boil & bite" devices, are designed to be a one-size-fits-all solution. Users heat the device in boiling water and then bite into it to create a mold of their teeth. While this method offers a degree of customization, it falls short compared to the precision of custom-made devices.
Many users report that OTC devices are bulky, uncomfortable, and poorly fitting. Due to the lack of dental professional oversight, these devices may not position the jaw correctly, potentially worsening sleep apnea and snoring. The incorrect positioning can crowd the oral cavity, causing the tongue to push back into the airway—exactly what these devices should aim to prevent.
Side Effects
Custom-made MADs are generally well-tolerated, and while some patients may experience minor side effects such as mild tooth discomfort & jaw soreness, the incidence & duration of these side effects is relatively low.
OTC MADs are associated with a higher incidence of side effects, including:
- Tooth and Jaw Discomfort: Poor fit can lead to significant discomfort in the teeth and jaw.
- Increased Risk of Worsening Symptoms: Incorrect jaw positioning can exacerbate snoring and sleep apnea.
- Bulky and Uncomfortable Design: Many users find these devices difficult to wear throughout the night, leading to poor compliance and suboptimal treatment outcomes.
Because of these issues, most medical insurance plans do not cover OTC MADs. Clinical studies have shown that custom-made devices are more effective and better tolerated, making them the preferred choice for treating snoring and OSA.
The Daybreak Solution
At Daybreak, we understand the challenges and inconvenience of traditional diagnosis and treatment for snoring and OSA, which often require multiple visits to different healthcare providers. That's why we offer a complete and convenient at-home diagnosis and treatment option. Our approach ensures you receive a custom-made MAD tailored to your needs without the hassle of multiple appointments.
Don't settle for an uncomfortable and ineffective OTC device. Choose Daybreak for a comprehensive, convenient, and effective solution to your snoring and OSA needs.
By understanding the differences between custom-made and OTC MADs, you can make an informed decision that prioritizes your health and comfort. If you're struggling with snoring or OSA, consider the advantages of a custom-made device and explore the convenient options available through Daybreak. Better sleep and improved health are just a step away.