Currently, there are many over-the-counter products for snoring. These include herbal remedies and throat sprays, which offer little patient benefit. Chinstraps, pillows and nasal strips may help a few individuals (congested nose during colds, allergies, etc.) but are seen to offer little to no clinical efficacy.
Mild or occasional snoring may be alleviated by lifestyle changes: weight loss and avoiding alcohol, heavy meals, medication and tobacco products within six hours of going to bed.
Use of UPPP (Uyulopalatopharyngoplasty) or LAUP (laser assisted) for the treatment of snoring is not recommended. Tonsillectomy and removal of other tissue obstructions in the airway are used for the treatment of snoring, which is often unsuccessful, irreversible and can affect later treatment. Nasal surgery has shown no evidence of snore prevention benefits.
There is limited evidence to support pharmacological treatment as a therapeutic option for the treatment of snoring. A review of pharmacotherapy concluded that no medication demonstrated a consistent response.
Mandibular Advancement Splints/Devices
Mandibular advancement splints/devices fit to the upper and lower arch and work by positioning the lower jaw (mandibular) forward. These devices move the base of the tongue forward, opening the airway. MAS/MADs are used for the treatment of snoring.
Boil-and-bite mandibular advancement devices (like a sports mouthguard) are inexpensive, but their pliable nature makes them a poor choice. Serious side effects of incorrectly fitted boil-and-bite mouthguards include TMJ (jaw joint/hinge damage) and altered bite/mandibular extension.
Mandibular advancement splints are custom-made to fit the patient’s mouth. They require adjustment and ongoing titration (moving the setting of the lower jaw forward) to provide greater efficacy. A percentage of patients will notice some tooth movement and TMJ sensitivity, which can reduce compliance.