
The Effectiveness Equation
Effectiveness Equation is a proprietary tool that can help you determine how effective your patient’s OSA treatment is over the course of the whole night. Contact us to arrange for a demo on this tool.
Based on pier reviewed data The Effectiveness Equation can help you compare health outcome parameters between CPAP and Oral Appliance Therapy (OAT).

Custom-made VS off-the-shelf
Should I choose a custom-made oral appliance or an off-the-shelf “Boil and Bite” oral appliance for my patients?
A systematic review of 3 studies and 129 patients published in 2018 examined this question and found:
Custom-made oral appliances achieved a significantly greater (p = .01) reduction in AHI when compared with the off -the-shelf oral appliance (-3.52 events per hour).
There was significantly worse treatment response with off-the-shelf appliance (p = .004) defined as either partial (50% reduction in AHI) or complete response (AHI < 5 per hr.) with an odds ratio of 0.47.
The observed daytime sleepiness for the off-the-shelf device was higher (0.98), as determined by the ESS (p = .05).
Patient preference was significantly (p < .001) in favour of the custom-made oral appliance.
Patient adherence was also greater with the custom-made appliance, with two RCTs reporting patients wore custom made devices for more hours per night on more nights per week than off-the shelf devices.
Every patient is different and we have helped individual patients on their journey in finding a solution.
Find out what they went through and how it feels to wear a SomnoDent® oral appliance.
Patient stories
Derek’s story
“Before I found my sleep dentist I was sleeping with my CPAP device. This posed several problems for me. Most are the obvious: wearing the CPAP mask, trying to sleep with a hose attached to your face, having to travel with it, and then my allergy issues became more severe.
Maintenance is a pain as well. My SomnoDent® device has allowed me to enjoy life a bit more without the hassle of a CPAP. And, there is the added benefit of not having to make sure I have a source of power available. Which means, I can go camping again! I would recommend the SomnoDent® device to anyone with obstructive sleep apnea. It is life changing.”
- Derek
Izy’s story
For years I fought with my CPAP, I literally tried 15 masks and I will never ever go back to CPAP after discovering SomnoDent®. I love it and so does my family because they can finally sleep in peace.
I can carry it, no more lugging around that extra CPAP baggage, I just throw my SomnoDent® device and case in my backpack and keep going. I truly am a big fan and if I can encourage others to switch to SomnoMed®, I know for a fact their quality of life would improve tremendously. Here’s another thing, I had a problem with grinding my teeth at night, not anymore!
- Izy
Mandy & Al Mermelftein's story
Borris’ story
Although a bit reticent at first in the use of this tool, once I began using it and finding out how good a night’s sleep I could have after so many years of bad nights and untold other alternatives which always proved useless, I am now happy to let you know that thanks to SomnoMed® I am able to sleep very well and also that my wife can now enjoy a good night’s sleep without my racket at night.
- Borris
Susan’s story
“With a household to manage, motherhood, night school for advanced degrees, and two jobs – good sleep seemed an unattainable goal. Over the years of sleep deprivation, my health steadily declined with resultant hypertension, chronic sinusitis, and eventually atrial fibrillation.
I had a sleep study that showed moderate obstructive sleep apnea. A second study to fit a CPAP mask was a dismal failure – 14 different masks and nothing fit.
My dentist suggested a SomnoDent® and my life has turned around since I received it. My husband is delighted that I no longer snore. I’m off my blood pressure medications. I truly feel like a new person with much more energy. I can’t thank you folks enough for my SomnoDent®. I’m convinced it has literally saved my life.”
- Susan
Shirley's, Jesus' & April's stories