Daycase Hospital

Loud snoring, interrupted breathing, and waking up tired may be signs of sleep apnea. Finding the right treatment starts with understanding what happens to your breathing during sleep.
At Dr. Rami Hamed Center in Dubai, we offer mandibular advancement device treatment for suitable patients with obstructive sleep apnea and snoring. These custom oral appliances provide a non-surgical treatment option following an appropriate sleep and dental assessment.
Sleep apnea is a condition in which breathing repeatedly stops or becomes reduced during sleep. These interruptions can disturb sleep and lower oxygen levels, leaving you feeling tired even after spending enough time in bed.
The two main types are:
Oral appliance treatment focuses on suitable cases of obstructive sleep apnea. Establishing the type of sleep apnea is therefore an important first step.
You may notice symptoms yourself, or a partner may observe changes while you sleep. Signs can include:
Snoring does not always mean sleep apnea, and some people with sleep apnea do not report prominent snoring. Read our sleep apnea symptoms guide to understand when to seek assessment.
OSA develops when the airway becomes too narrow or collapses during sleep. Jaw and airway anatomy, enlarged tonsils, excess body weight, ageing, and family history can contribute. Alcohol and some sedating medicines may worsen breathing obstruction.
People who are not overweight can also develop OSA. An individual assessment is more useful than judging risk from appearance or snoring alone.
Assessment begins with your symptoms, medical history, and examination. A clinician may recommend a home sleep apnea test or an overnight sleep study, depending on your circumstances. Testing helps identify the type and severity of sleep apnea and guides treatment selection.
If an oral appliance is being considered, a dental assessment checks whether your teeth, gums, and jaw are suitable for treatment.
A mandibular advancement device, commonly called a MAD, fits over the teeth and holds the lower jaw forward during sleep. This position can help maintain space in the upper airway and reduce obstruction.
The appliance is custom-made for your mouth. Its fit, jaw position, and effect on your teeth and bite need professional assessment and follow-up.
A MAD differs from a standard night guard used to protect teeth from grinding. It is selected specifically to address sleep-related breathing obstruction or appropriate cases of snoring.
An oral appliance may be considered for adults with OSA who cannot tolerate CPAP or prefer an alternative that is clinically appropriate. Suitability depends on the sleep assessment, oral health, and treatment needs.
Care includes dental oversight, appliance adjustment, and follow-up sleep testing to assess effectiveness. Medical and dental assessments help determine whether the appliance provides adequate control.
CPAP, positional treatment, and lifestyle measures may also form part of care. Our non-surgical sleep apnea treatment guide explains these options.
For patients who respond well, oral appliance therapy may reduce snoring, improve sleep quality, and lessen daytime sleepiness. A MAD is portable and does not require a mask, tubing, or electricity.
Results vary. Some patients experience jaw or tooth discomfort, and changes in the bite can develop over time. Reviews help identify these problems and assess whether treatment needs adjustment.
Reduced snoring alone does not confirm that sleep apnea is controlled. Symptom improvement and objective assessment both matter.
At DRHC, the starting point is an assessment of your symptoms, previous sleep findings, and treatment needs. If oral appliance therapy is being considered, a dental evaluation helps establish whether your teeth, gums, and jaw can support the proposed treatment.
Your consultation provides an opportunity to discuss:
Bring any previous sleep-study results, details of current treatment, and any existing appliance to your appointment.
It may be an option after assessment. Discuss the transition with your treating team and continue prescribed treatment until an appropriate alternative plan is agreed.
Yes. Contact DRHC to discuss the appropriate assessment route. Suspected sleep apnea needs medical evaluation before selecting an appliance as treatment.
An appliance generally manages airway obstruction while worn. Ongoing use and reviews may be necessary because your sleep condition and dental health can change.
A MAD may be suitable for primary snoring after assessment for OSA. Visit our snoring treatment page for more information.
Find out whether a mandibular advancement device could be appropriate for you.
Call 04 279 8200 to book your sleep apnea consultation at Dr. Rami Hamed Center in Dubai.