SomnoDent Mouthpiece Review

Last updated: January 23rd, 2018

somnodent on mold

What Is SomnoDent?

SomnoDent is a a sleep apnea oral appliance (sleep apnea mouthpiece) which can prevent snoring and sleep apnea in many patients.

Unlike other snoring mouthpieces, SomnoDent cannot easily be fit at home. It requires the assistance of a dentist or sleep professional to get the ideal jaw position and teeth impression.

SomnoDent is an advanced treatment option for people who snore or have a form of sleep apnea. If someone sees some success with other snoring mouthpieces, they may eventually use SomnoDent as a long term treatment option.

How Does SomnoDent Work?

SomnoDent works by using a custom impression of the teeth to create two separate mouthpieces, one for the upper teeth and one for the lower teeth. Once they are created, adjustment tools enable the mouthpiece to be moved incrementally until the airway is properly open.

The mouthpiece uses fins on the lower teeth and anchors on the upper teeth along with screws. As the screws are turned, the airway is opened wider. This is usually done in small increments every night or few nights until at the maximum position.

Once the mouthpiece is adjusted, or titrated, to the best possible position, it reaches its maximum effectiveness for opening the airway. This is what works to improve breathing and reduce snoring.

What's Is The Box?

somnodent box

Inside the SomnoDent box you get:

  • The SomnoDent mouthpiece
  • Storage case
  • Cleaning tools
  • The impression of your teeth for possible future labs to create another SomnoDent from

Key Points of SomnoDent

  • Highly effective
    • 91% of patients report improvement in sleep quality using SomnoDent (reported in: Respir Crit Care Med Vol 163. Pp 1457-1461, 2001)
  • High quality
    • FDA 510K cleared as a Class II Medical Device
    • Manufactured with ISO 13485
  • Custom-fit
    • The device is made in a dental lab
  • Non-restricted movement
    • You can fully open and close your mouth
    • You can drink with it in
    • You can speak clearly
  • Adjustable
    • Protrusions make it possible to adjust the device forward as much as possible for maximum effect
  • Adaptable
    • Can work with people who have missing teeth, crowns, bridges or upper dentures
    • It can be adapted to your mouth structure
  • Likely to be worn
    • 88% of patients report using the device regularly
  • Durable
    • 1-3 year warranty
  • Clinically proven
    • Over 15 independent studies have demonstrated the device to be effective
  • Can be worn with CPAP

somnodent up close side on mold

The above photo shows SomnoDent up close from the side. You can see the "fins" which come out from the bottom. These are used to keep the jaw from falling back. They touch against protrusions on the sides of the mouthpiece to keep the jaw in place.

somnodent front up close on mold

SomnoDent can open side because there are two separate pieces.

How Do You Fit SomnoDent?

SomnoDent requires custom fitting using an impression mold. This impression is best done by a dentist of sleep specialist. They will help position and hold your jaw in place to get the best alignment.

After the impression is made, it can take a few weeks for it to be processed by a dental lab. The device is then sent to your medical professional who ordered the device. You then need to pick the device up and learn how to adjust it at home.

somnodent adjustment

The above photo shows using an adjustment tool which comes with the SomnoDent device. You insert the adjustment tool into the hole which is located on each side of the device and twist up. You may be directed to adjust the device only a few turns each night so that your jaw can adjust to the new position.

After a few nights or weeks, the adjustments will reach their maximum position. At this point the device will have advanced the lower jaw forward to the fullest. This is when SomnoDent works its best.

How Much Does SomnoDent Cost?

Due to the lab work involved, a SomnoDent can cost $1,000-2,000.

The final price of SomnoDent will depend on which dentist or sleep specialist you use. It's important to note that SomnoDent may only be recommended after a sleep study which is an additional cost.

How Do You Clean and Maintain SomnoDent?

cleanBefore using SomnoDent, you should always brush your teeth.

When not in use, SomnoDent should be stored in its case which should be filled with water. The mouthpiece should not be in direct sunlight.

"SomTabs" are the recommended way to clean SomnoDent. You should always clean the device in the morning immediately after having it removed from your mouth.

Cleaning the device will prevent stains and odors from forming on it.


Cleaning steps:

  1. Dissolve a "SomTabs" tablet in a sufficient amount of warm water in the case. The water should be approximately 95°F/ 35°C. Using water which is too hot can damage the device and invalidate the warranty.
  2. Carefully place the SomnoDent device into the case. All parts must be completely immersed in the solution.
  3. After about 15 minutes, remove the device and small parts from the case. Make sure not to lose any small parts. Pour out the solution from the case into the sink.
  4. After having removed the device from the case, thoroughly brush it with a toothbrush and rinse under cool, running water.
  5. Dry all parts of the device and the case carefully and thoroughly, using a clean towel.
  6. When not in use, the device should be stored in the SomnoDent case as instructed. This usually means that it should be immersed in water.

somnodent in cleaning solution

The above picture shows using SomnoDent "SomTabs" to clean a SomnoDent mouthpiece. These tablets dissolve and the water turns blue. After 15 minutes of dropping the tab in the water, remove SomnoDent and wash it off.

Be aware that the cleaning tablets create some reaction with the water so it is best to keep the lid off the case while cleaning it otherwise pressure will build up and it could explode!

cleaning somnodent with toothbrush

After soaking the SomnoDent mouthpiece in the cleaning solution, wash it off. Then, after the solution has been washed off, gently brush it with a toothbrush. Do not use toothpaste or any other abrasive substances because these could damage the material of the mouthpiece.

somnodent in water

When not in use, store SomnoDent in water.

Pros and Cons of SomnoDent


  • Highly effective
  • Comfortable (when fit correctly)
  • 3 year warranty
  • Adjustable
  • Unrestricted jaw movement, you can talk and drink water with it on


  • Very expensive, the doctor visit and cost of the device could cost well over $2,000
  • It takes a long time to get the final mouthpiece, between doctor visits and lab work, it could take several weeks or months to get it
  • There are 2 pieces instead of 1
  • Fins can break off
    • Before the warranty expires, the fins can break off while you sleep which creates a choking hazard at night
    • Increased likelihood of breaking off if you grind your teeth

Problems With SomnoDent

When first using SomnoDent, it may be uncomfortable as the jaw position is advance. After a few nights or weeks, this should go away.

The SomnoDent has fins on it that help keep the mouthpiece in place to open the airway. The problem with these fins is that they are not incredibly strong. This means that they can and will eventually break off during sleep, especially if teeth grinding puts pressure on them.

SomnoDent Details

Company Name SomnoMed
Business Address 6513 Windcrest Drive, Suite #100, Plano, TX 75024
Mouthpiece Type Mandibular Advancement Device (MAD)
FDA Cleared Yes
Total Price $1,000-2,000
BBB Status Not accredited

Patient Results of Using SomnoDent

Before using Somnodent, a patient had moderate snoring:

before using somnodent

After using SomnoDent a patient tried the device for several nights and consistently had reduced snoring:

after using somnodent 1

after using somnodent 2

after using somnodent 3

after using somnodent 4

after using somnodent 5

after using somnodent 6

The results show here indicate that the wearing the SomnoDent mouthpiece consistently reduced snoring for the patient. While there was still some minor snoring, the level and intensity was greatly reduced. This means that the SomnoDent worked by advancing the lower jaw, opening the airway for the patient. The device was worn after it was advanced to its maximum position.

Video Review of SomnoDent

This is a review of the SomnoDent mouthpiece for that shows how it works, results of wearing it and how to clean it.

Summary of SomnoDent

SomnoDent is a highly effective mouthpiece that can treat snoring and sleep apnea. It takes a lot more work to get a SomnoDent when you compare it to SnoreRx, however. You must see a sleep doctor, then you will probably have to do sleep studies, make impressions of your teeth and have a dental lab create it for you.

The device needs to be adjusted, this can take days or weeks to do. It takes a while because of discomfort, the device is adjusted incrementally to prevent jaw soreness.

One of the biggest problems that can occur while using SomnoDent is that the fins, on lower jaw piece of the device, can break off. This could cause a choking hazard and this risk is increased for people who grind their teeth.

Despite the long time in getting a SomnoDent fit correctly and evaluated professionally, it is one, if not the, most effective mouthpiece for snoring and sleep apnea.

Review Rating: 4.7