Tongue retaining devices (TRDs) are quickly gaining in popularity because they are easy-to-use and less intrusive. They are perfect for those who cannot get used to the feeling of a bulky device in their mouth. They are also ideal for denture wearers.

TRDs actually sit between your outer teeth and inner lips and work by holding the tongue forward. In return, this keeps the airway free of obstruction. There are a few TRDs available on the market today, so the real question is, “Is aveoTSD one that you should be considering?”

A Closer Look at the Product

You may be saying, “I thought the idea was to hold the jaw forward.” Even I was a little skeptical when I was first introduced to TRDs because I had tried so many MADs and found most to be effective. So, I could not quite comprehend how a TRD would work until I tried one myself.

Yes, the goal is to hold your lower jaw forward, so it does not cause an obstruction when you sleep. Have you ever tried to move your jaw while holding the tip of your tongue? Go ahead and try right now. It is impossible! So, a TRD keeps the airway clear just like an MAD, but it goes about it in a different way. Plus, it eliminates the risk of the tongue itself causing the obstruction in the upper airway.

This oral appliance arrives ready-to-use. Since it does not actually sit inside your mouth you do not have to worry about trying to achieve a custom fit using a boil-and-bite technique. It does come in three sizes, but it is stated that about 95 percent of users are comfortable with the medium size.

It is made from medical-grade silicone that is very soft against your gums. Some have stated that their device lasted as long as 24 months, but the manufacturer says the life expectancy is about 1 year. Even 12 months is an impressive lifespan. aveoTSD can be worn by TMJ sufferers and denture wearers.

Getting Comfortable With It

If you were to wear an MAD, you would need to get used to having something in your mouth. Well, although this product does not actually sit inside your mouth, you do still need to go through an adjustment phase while you get used to it. The manufacturer suggests wearing the device for short periods of time before attempting to wear it for a full night.

Before using it, run it under hot water. The silicone is softened by the heat, thereby making it easier to use. When you look at it, you want the V-notch facing down. To attach it, insert your tongue so it touches both sides. Create a pumping action by squeezing the ends of the bulb. This suction action pulls your tongue inward to hold it in place. This may take a little practice. If it is too loose your tongue can fall out, but too tight will cause excessive soreness, and it is just not necessary.

You can expect to drool when you wear it, and you will experience a little soreness, but this generally goes away within about one week.

The Downside

You will likely have a hard time sleeping for the first three to five nights while you get used to wearing it. Plus, you will experience soreness, but this should be better within a week. If you heed the manufacturer’s recommendation and wear the device while cleaning the house, reading, etc., for short period of time before trying to wear it to sleep a full night then your sleep may not be so disruptive. You simply need to let your tongue and mouth get used to it.

You may also struggle to actually keep it in for a full night. This is because the suction is not tight enough. It will take a little practice to get it right. Some users find that putting just a tiny bit of denture cream inside the bulb helps with adhesive.

It should also be noted that TRDs are not recommended for those who absolutely have to breathe through their mouth. aveoTSD has undergone stylistic changes over the years to improve comfort. The most noteworthy change occurred in 2009 when the thickness of the material was decreased. This change made it significantly more comfortable so if you do order it make sure the one you get was manufactured after 2009.

How Much Does it Cost?

priceDepending on where you order from, this appliance will cost between $90 and $140. Also, if you live in certain countries, including the United States, you will need a prescription from a physician or dentist to order the product.

If you happen to live where it can not be ordered online then I recommend trying Good Morning Snore Solution (GMSS). I had a very positive experience with it, and it can be ordered online. Like aveoTSD, GMSS is also a TRD.

Pros and Cons

Like all oral appliances, this one also has its list of pros and cons. To make an educated decision it is important that you become familiar with both.


  • Designed to keep airway free of obstruction by holding the tongue forward.
  • You do not have to get used to having a bulky mouthpiece in your mouth.
  • Available in three sizes to ensure a good fit.
  • Ready-to-wear without the need for the boil-and-bite technique.
  • Lengthy lifespan of about 12 months.
  • Suitable to wear by those with TMJ or dentures.
  • Soft medical-grade material is comfortable against the gums.
  • Manufacturer defects are backed by a warranty.


  • Most countries cannot order it without a prescription.
  • Will take a little practice to get the suction right.
  • Will likely cause drooling and soreness for three to seven days.
  • Cannot be worn by those who have to breathe through their mouth due to nasal polyps, sinuses, or a deviated septum.

Is aveoTSD Right for You?

alternativeI appreciate that the product was designed by Dr. Chris Robertson who specializes in sleep medicine. He also devoted several years to proving its effectiveness through clinical studies. Since the material was thinned in 2009, it is significantly more comfortable and the medical-grade silicone is soft against the gums.

Keep in mind that although it can be worn by those with dentures or TMJ, it is not suitable for mouth breathers. If you do not mind going to your doctor or dentist to get a prescription, I recommend trying this FDA-cleared product.

If aveoTSD requires a prescription for you to purchase because you live in the United States or one of the other restricted countries then I recommend trying GMSS.

Like aveoTSD, it was also designed by a doctor and clinically tested. GMSS is also a TRD, and it has been cleared by regulatory agencies in the United States, Canada, and Australia. I have tried GMSS and found it to be very comfortable and effective, and it can easily be ordered online without a prescription.

Click Here to Access the Official aveoTSD Website

Which device should I choose?

No one can answer this question for you. Your mouth and needs are unique, so one that I love or that your neighbor swears by may not be the best solution for you.

There are numerous products available to choose from, so if you are feeling overwhelmed this is perfectly normal. I have written several reviews on products I have personally tried and you can always use the chart I compiled for comparison purposes.