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There is no one mandibular advancement device design that fits all for the management of obstructive sleep apnea

Ben Balevi B.Eng, D.D.S., Dip EBHC(Oxford), M.Sc. .


Systematic Review Conclusion

The efficacy of a mandibular advancement device (MAD) depends on a number of factors, including the severity of obstructive sleep apnea (OSA), the materials and methods used to fabricate the device and the degree of mandibular protrusion.

Critical Summary Assessment

Evidence from randomized controlled trials (RCTs) suggests that MADs, regardless of design, may be effective at reducing Polysomnographic index scores, although traces of the disorder may remain. How the patient perceives this improvement is not clear.

Evidence Quality Rating

Limited Evidence

This summary is published in the Journal of the American Dental Association and can be accessed at:

Critical Summary Publication Date:


These summaries are not intended to, and do not, express, imply, or summarize standards of care, but rather provide a concise reference for dentists to aid in understanding and applying evidence from the referenced systematic review in making clinically sound decisions as guided by their clinical judgment and by patient needs. American Dental Association © 2019