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If you do not have any dental, diagnosed sleep apnea or TMJ issues, either type of mouthpiece may (or may not) work for you. TSD mouthpieces allow your jaw to rest naturally, while the MAD mouthpieces hold the jaw forward or in place. For many people, the MAD style is comfortable and very effective. On the other hand, many people find it extremely uncomfortable. There are a number of factors that ensure that each individual’s experience with a MAD may be different. These include personal taste, jaw size, gum sensitivity and facial structure (these devices are almost always one-size-fits-all).