Medical Dental Sleep Appliance (MDSA) is a safe and effective treatment for snoring and mild to moderate sleep apnea. The laboratory made MDSA holds the jaw and tongue forward and prevents the throat from collapsing during sleep. The MDSA is scientifically proven as an effective method for treating snoring and mild to moderate sleep apnea. The MDSA is an alternative therapy when other treatments that involve nasal CPAP or surgery are not accepted.

The EMA (Elastic Mandibular Advancement) appliance is one of the most comfortable of the oral appliances for sleep apnea and snoring.  It is made with a very thin and comfortable material and the elastic bands allow for good range of motion with the ability to easily speak and drink with the appliance in place.  The EMA is usually our appliance of choice for patients who have been diagnosed with "benign snoring" (snoring only without sleep apnea).  The EMA can be adjusted by using differnet lengths of bands.  The bands also come in different densities which allows for a custom, comfort fit.

The Somnomed is a relatively new appliance on the market.  It's strong point is the fact that it is very smooth and comfortable.  It is unique in that the upper and lower component of the appliance are not connected as with other appliances.  This allows for full opening of the mouth.  The Somnomed can also be adjusted.

The Silent Sleep is a non-custom appliance invented by Dr. Spencer.  It is very comfortable and costs less than custom made appliances as there is no need for impressions of the teeth, creation of models, and custom lab fabrication.  The disadvantage of the Silent Sleep is that the jaw position cannot be adjusted by the patient.  This may mean several office visits are needed to find the best position.  Dr. Spencer usually chooses the Silent Sleep in simple snoring cases.  The Silent Sleep is FAR more comfortable and less bulky than appliances seen on TV like the "Pure Sleep."  Buying an appliance on TV or through the internet should be avoided since there is no contact with a dentist and oral appliances can have negative dental side effects--especially when there is no follow up.  If you've tried a TV appliance and it helped but you couldn't stand to use it--you'll love the Silent Sleep or a custom appliance like the EMA.