You’ve Got a Choice - Which Sleep Apnea Oral Appliance is Right For You?

Everyone is different and there isn't one device to fit all. BlueSleep’s providers consider your sleep preferences and unique dental, head, and neck anatomy to find the best oral advancement device for you. Although there are over 250 devices on the market, we rated these 5 because:
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High expectations

High quality, warrantied, FDA-approved devices for the treatment of snoring and sleep apnea.
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Objective testing

BlueSleep has analyzed the results of thousands of patients treated with these devices.
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Advancement

Every device has settings that can be changed to improve sleep quality.
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Helpful features

Certain devices have features like liners, rubber band hooks, and more to fit your unique needs.
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Effectiveness

These 5 appliances were equally effective in controlling sleep apnea and snoring.

Our Ratings

These ratings are based on the most common patient feedback and real patient data gathered by our medical and dental team.
Efficacy
Comfort
Maintenance
Durability
Warranty
Advancement
Panthera Classic
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5.0
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4.5
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5.0
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5.0
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5.0
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4.8
ProSomnus® EVO®
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5.0
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4.4
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5.0
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5.0
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5.0
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4.8
ProSomnus®
[PH]
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5.0
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4.3
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4.3
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4.5
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4.5
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4.4
Dynaflex Herbst®
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5.0
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4.5
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4.3
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4.5
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4.0
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4.4
Glidewell Silent Nite®
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5.0
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4.8
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4.5
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4.0
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4.6
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4.3

How We Categorized Our Findings

We have rated the devices using the following categories:
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Efficacy

Efficacy of the devices was evaluated by comparing baseline pre-treatment home sleep test results to home sleep test results performed with the oral appliance. There were no statistical differences among the different types of appliances at the time the evaluation was performed*.
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Comfort

Devices are rated on comfort based on patient feedback. Although comfort is subjective, it can also be influenced by a patient’s unique dental anatomy. Certain dental conditions may make one style of sleep device more comfortable than others.
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Maintenance

We rated each oral appliance by ease of use to clean and maintain, and considered the cleaning products which may be needed.
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Durability

We rated each device on how it handles normal wear and tear, and reviewed certain parts of the devices prone to damage.
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Warranty

Warranties differ between manufacturers and device types. We outlined each device’s warranty below. We only prescribe devices that include a warranty. Device warranties cover normal wear and tear. This does not include loss, theft, or pet damage.
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Advancement

Oral appliance therapy moves the lower jaw slightly forward. However, the lower jaw may need to be further forward to sleep your best. Each device can be advanced to bring the jaw further forward in small increments.This process is called titration. Sleep devices are rated by the style of titration and how much it can be titrated.
*As we continue to re-evaluate results, we may find small differences in efficacy that will appear based on larger numbers of patients evaluated.

Oral Appliance Reviews

Below is our breakdown of oral devices to stop snoring and treat sleep apnea:
Photo of a Panthera Classic mandibular oral device Logo Panthera Classic

Panthera Classic

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4.8
The Panthera classic is medical grade nylon which is strong, thin, and moderately flexible. Easily adjustable in 0.5mm increments using interchangeable rods. Significant titration range of 16-34mm. This style is gentler on the jaw/TMJ; can be customized for TMJ disorders; and has rubber band hooks to keep the mouth closed, promoting nasal breathing. It’s easy to clean. Soak all day in Novadent solution. The 3 year warranty covers basic wear and tear.
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ProSomnus® EVO®

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4.8
The EVO™ is a 3D milled medical grade plastic. It is exact fitting, highly resistant to staining, and has some flexibility. It fits like a tight retainer and works for short teeth. The initial set up allows for 5 advancements and more can be ordered free of charge. This device can be customized to add rubber bands which promotes nasal breathing. The 3 year warranty covers basic wear and tear.
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ProSomnus® [PH]

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4.3
The Prosomnus [PH] is a firm, milled acrylic. It won’t be loose even on short teeth. It precisely advances up to 5 mm in 0.1 mm increments. This style is gentler on the jaw/TMJ; can be customized for TMJ disorders; and has rubber band hooks to keep the mouth closed, promoting nasal breathing. The 3 year warranty covers basic wear and tear, but the Herbst bars are not included.
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DynaFlex Herbst®

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4.3
The Dynaflex Herbst® is a fixed-hinge, 3D milled acrylic with an inner liner that easily adjusts following minor dental work like fillings. It precisely advances up to 5 mm in 0.1 mm increments. This style is gentler on the jaw/TMJ; can be customized for TMJ disorders; and has rubber band hooks to keep the mouth closed, promoting nasal breathing. The 1 year warranty covers basic wear and tear, but the Herbst bars aren’t included. An additional 3 year warranty can be purchased for a fee.
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Glidewell Silent Nite®

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4.4
The Glidewell Silent Nite® is a flexible thermoplastic material and one of the most comfortable devices on the market. It’s the best choice for those undergoing major dental work; who may need a new device in the future; and works well for small mouths. It advances in 1 mm steps with blue slide link bands. This device may become loose over time but is covered with a 2 year warranty.
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Customer reviews

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I’m a singer with a truly operatic snore that nightly keeps those I love awake! I ventured into BlueSleep 8 years ago and was warmly received and treated by Dr. Jordan Stern who also diagnosed my severe sleep apnea. I was fitted for a Panthera appliance which I have been wearing ever since. Hallelujah, my family can sleep again! My heartfelt thanks to this most caring of doctors and his fantastic team.

Gerard Edery

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I’ve been suffering with sleep apnea for a while now and was relieved to find BlueSleep! I was able to replace my CPAP machine with an oral appliance and the process could not have been easier!...

Katie Liberatore

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After trying other anti-snoring and anti-sleep apnea appliances this appliance from BlueSleep was life-changing! I am getting full nights of sleep without waking up and feeling refreshed and not needing a nap all day. My thinking is clearer, my work is better, and my mood is much better!

Spike McClure

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Why is BlueSleep qualified for these reviews?

BlueSleep consists of trusted, board-certified medical sleep specialists and dental diplomates who’ve diagnosed and treated over 20,000 patients.​
Photo Alicia Jackson, DDS, D. ABDSM

Alicia Jackson, DDS, D. ABDSM

Dental Sleep Medicine

Dr. Jackson is an NYU College of Dentistry graduate, and was a resident in a Level I trauma center. She is a Diplomate of the American Board of Dental Sleep Medicine. She worked as a general dentist for 10 years focused on digital dentistry, CBCT cone beam guided surgeries, CEREC crowns and onlays. Dr. Jackson had been interested in sleep since dental school, and since joining BlueSleep she has treated over 3,000 sleep patients and compiled extensive data to measure the efficacy of oral devices.

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