Medical Services by

Jordan C Stern, MD PC

Sleep Medicine Services,PC

65 Broadway, Suite 901

New York, NY 10006

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Treatments
Oral Appliance

How does a night guard work for my snoring and sleep apnea?

  • Mouth guards (also called Mandibular Advancement Devices - or MADs), are medical devices for snoring and sleep apnea that work by keeping the lower jaw slightly forward while asleep.  They do this by fitting snugly on the top and bottom teeth and are adjusted with small  bands that come in different sizes and connect the top and bottom halves of the device.  Keeping the lower jaw forward is the way to keep the airway open.

  • MADs work best if your sleep apnea is not "extremely severe" but can also work even in cases of extremely severe sleep apnea. If you already know your AHI (Apnea Hypopnea Index) score from your sleep test, a score of less than 50 is likely to respond to an oral appliance

  • MADs work best if you are not too overweight, and with a neck size of 18 inches or less. Because MADs fit on the teeth, your teeth, gums, and jaw joint (the TMJ joint) should be in good shape.  You cannot be undergoing active dental work like braces, invisalign, or dental implants. But once the work is done, you can likely start treatment with a MAD after clearance from your dentist.

Who is and isn't a candidate for a MAD

  • To be able to use an MAD you must have enough molars (the teeth in the back of the upper and lower jaw), at least one healthy molar on each side of the upper and lower jaw.  Your gums must be in good shape (no excessive swelling, bleeding or pain, and you must be able to open you mouth without pain in the jaw joint. 

  • Teeth grinding is common with sleep apnea, and a MAD will protect your teeth.

  • You cannot get an MAD during treatment with invisaligners, braces, or dental implants, or other major dental work.  However, you can get a MAD after that dental work has been completed

  • More questions?, contact us...

  • Our published medical research* has shown that 70% of patients getting a snoring or sleep apnea mouth guard (called a Mandibular Advancement Device or "MAD") had significant improvement in their sleep apnea, and in most cases snoring significantly decreased or disappeared.​

    • (*Stern J, Lee K, Kuhn D. Presented at the annual meeting of the American Academy of Dental Sleep Medicine, Baltimore MD, June 2018). 

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