Patient Portal | 3187 Paluxy Dr, Tyler, TX | (903) 787-7533


Mandibular advancement device (MAD) or mandibular repositioning device (MRD) is a two-piece oral appliance or oral device that is worn over teeth during sleep to keep an obstructed airway open during sleep. We customize FDA cleared medical devices to treat snoring and Obstructive Sleep Apnea (OSA). An oral appliance can also be used to treat patients intolerant to CPAP or BIPAP or where such treatment has failed.

Our partner Sleep Center (Sleep Medicine Institute of Texas) custom manufacturers oral appliances to specifically fit each patient. The appliance does not consume electricity and is easy to carry in a small case.

Custom oral appliance require a physician's prescription. You can purchase an oral appliance here. A representative from Sleep Medicine Institute will contact you the next working day after your purchase to schedule an on-location custom fitting visit or a Telemedicine visit or Clinic Consultation visit.

To find out more about whether an oral appliance is right for you please contact Sleep Medicine Institute of Texas at 1 (903) 787-7533.
  • Requires a physician's prescription.
  • An oral appliance is a two piece device that is placed over upper and lower teeth to treat Obstructive Sleep Apnea (OSA).
  • Mechanism of Action: Maintain an open airway during sleep by advancement of the mandible and tongue.

Types of Devices

Partially customized devices and fully customized devices.

Type I

Partial custom device (pre-fabricated) is customized in the Doctor's office and is available for use by the customer immediately.

Type II

Fully Custom device requires intraoral digital scanning in the doctor's office followed by custom manufacturing that has a lead time of about 3-4 weeks. The device is fitted to the customer in the physician's office upon production.

Oral appliances are alternatives to CPAP/BIPAP devices in treatment of Obstructive Sleep Apnea. Customization of the device requires a physician. This service requires in-person visits to Sleep Medicine of Texas located in Tyler, Texas.