MAD, mandibular advancement device is an oral solution to obstructive sleep apnea that more than 1/3 of the United States suffers from. It is a comfortable alternative to a Cpap machine. Cpap therapy is a highly effective gold standard of care for obstructive sleep apnea but for those people who just cannot wear the device or people who travel a lot, MAD therapy is a safe and effective alternative for you. It is worn on both arches while you sleep slightly protruding your lower jaw forward to create a larger lateral opening in the airway. This allows for a greater volume of airflow to be brought in during sleep and a reduce the symptoms of sleep apnea and reduce the noise from snoring.