Best Anti-Snoring Devices: Nasal Stents, Mouthguards, CPAP and More
An honest comparison of every major anti-snoring device type with clinical evidence and real costs
With dozens of anti-snoring devices on the market, choosing the right one is overwhelming. This guide compares every major device type with honest pros, cons, clinical evidence, and real costs. No product is perfect for everyone. The best device is the one that matches your snoring type, comfort needs, and budget.
- Different snoring types need different devices — there's no universal solution
- Internal nasal stents outperform external nasal strips in clinical studies
- Mandibular advancement devices (MADs) are effective but have side effects
- CPAP is the gold standard for severe cases but has compliance issues
- The best device is the one you'll actually use every night
Match Your Snoring Type to the Right Device
Before picking a device, identify your snoring type:
Nose Snorer
Blocked nasal passages. Test: Can you breathe clearly through each nostril? Best devices: nasal stent, nasal strips, decongestant.
Mouth Snorer
Mouth falls open during sleep. Test: Can you make the snoring sound with your mouth closed? Best devices: chin strap, mouth tape.
Tongue Snorer
Tongue falls back, blocking airway. Common in back sleepers. Best devices: MAD, tongue-retaining device, positional therapy.
Palatal Snorer
Soft palate vibrates. The most common type. Best devices: nasal stent (reaches soft palate), MAD, CPAP for severe cases.
Device-by-Device Comparison
1 Internal Nasal Stent
A soft silicone tube inserted into the nostril. Extends from the nostril to the soft palate, keeping the entire nasal airway open from the inside.
Evidence: Clinical studies show significant AHI reduction (22.4 to 15.7, p<0.01). Research shows internal dilators outperform external strips for snoring and sleep quality.
Pros: Works from night 1. Silent. Extremely portable. No electricity. CE-certified medical device.
Cons: Initial nasal sensation (adapts in 3–5 nights). Needs replacement every 15 days. Not for severe sleep apnea.
Cost: €35–39/month. Back2Sleep Starter Kit includes all 4 sizes for €39.
2 External Nasal Strips
Adhesive strips placed on the outside of the nose. They pull the nostrils open slightly.
Evidence: Limited. Help with nasal congestion but evidence for snoring reduction is weaker than internal devices.
Pros: Easy to use. Cheap. No insertion needed.
Cons: Only open nostrils 1–2mm. Don't reach the soft palate. May fall off at night. Less effective than internal stents.
Cost: €15–25/month.
3 Mandibular Advancement Device (MAD)
A dental mouthpiece that holds your lower jaw forward. Prevents the tongue from falling back into the airway.
Evidence: Strong. Equally effective as CPAP for mild to moderate sleep apnea. Custom-fitted devices work better than over-the-counter.
Pros: Good evidence base. No external equipment. Quiet.
Cons: 1 in 3 users see no improvement. Jaw pain, excessive drooling, and potential teeth shifting. Custom devices cost €500–2,000. Takes 1–2 weeks to adapt.
Cost: €30–80 (OTC) or €500–2,000 (custom).
4 CPAP Machine
Delivers pressurized air through a mask to keep the airway open. The gold standard for moderate to severe sleep apnea.
Evidence: Very strong. Can reduce AHI to near zero when used correctly.
Pros: Most effective treatment available. Works for all severities.
Cons: 30–60% quit within 1 year. Mask discomfort, noise, dry air. Bulky for travel. Needs electricity.
Cost: €500–2,000 upfront + €80–150/month supplies.
5 Chin Strap
Wraps around your head and chin to keep your mouth closed during sleep.
Evidence: Limited. A 2014 study found chin straps did not reduce AHI.
Pros: Cheap. Simple.
Cons: Weak evidence. Only helps mouth snorers. Can be uncomfortable. May cause jaw pain.
Cost: €10–30.
6 Positional Devices
Wearable devices or pillows that keep you sleeping on your side instead of your back.
Evidence: Moderate. 54% AHI reduction in positional OSA patients.
Pros: Non-invasive. Works immediately for positional snorers.
Cons: Only helps if snoring is position-dependent (~50% of cases).
Cost: €30–200.
Full Comparison Table
| Device | Works Night 1? | Evidence | Comfort | Portability | Monthly Cost |
|---|---|---|---|---|---|
| Internal Nasal Stent | Yes | Moderate–High | High | Excellent | €35–39 |
| External Nasal Strips | Sometimes | Low–Moderate | Moderate | Excellent | €15–25 |
| MAD (Custom) | 1–2 weeks | High | Low–Moderate | Good | €40–80* |
| CPAP | Yes | Very High | Low | Poor | €80–150 |
| Chin Strap | Maybe | Low | Low | Good | €10–30 |
| Positional Device | Yes (if positional) | Moderate | Moderate | Varies | €30–200 |
*Custom MAD has high upfront cost (€500–2,000) spread over its lifespan.
How to Choose
- Nose snorer + want immediate results: Internal nasal stent
- Tongue/jaw snorer: MAD (start with OTC, upgrade to custom if it works)
- Back sleeper with mild snoring: Positional device + nasal stent
- Moderate to severe sleep apnea: CPAP or CPAP alternative if intolerant
- Traveler: Nasal stent (most portable by far)
Not sure? Read our size guide or explore natural snoring remedies.
Try Back2Sleep — Starter Kit €39Frequently Asked Questions
What is the most effective anti-snoring device?
It depends on your snoring type. For nasal snoring, an internal nasal stent is most effective. For tongue-based snoring, a mandibular advancement device works well. For severe sleep apnea, CPAP is the gold standard.
Do anti-snoring devices actually work?
Yes, but not all equally. Devices with clinical evidence (nasal stents, MADs, CPAP) have proven effectiveness. Products without clinical studies (many chin straps, pillows, sprays) have limited evidence.
What is the difference between nasal strips and nasal stents?
Nasal strips stick to the outside of your nose and pull nostrils open slightly (1-2mm). Nasal stents are inserted inside the nose, extending 7-9cm to the soft palate. Studies show internal stents are more effective for snoring and sleep quality.
Are anti-snoring mouthpieces safe?
Custom-fitted MADs from a dentist are generally safe. Side effects include jaw pain, drooling, and potential teeth shifting over long-term use. Over-the-counter versions may not fit well and cause more discomfort.
Which anti-snoring device is best for travel?
A nasal stent is the most travel-friendly option. It fits in your pocket, needs no electricity, makes no noise, and works immediately. No TSA issues or special packing needed.
This article is for informational purposes only and does not replace professional medical advice. Snoring can be a symptom of obstructive sleep apnea, a serious medical condition. If you suspect sleep apnea, consult a healthcare professional. Back2Sleep is a CE-certified Class I medical device intended for the treatment of snoring and mild to moderate sleep apnea.
Ready for quieter nights? Discover the Back2Sleep starter kit and find the right fit for you.
Not sure if you are at risk? Take our sleep risk screening to find out in just a few minutes.
Want to learn how it works? Explore the Back2Sleep nasal stent designed for comfortable, effective relief.
