Mandibular Advancement vs Home Treatment for Primary Snoring

Inclusion Criteria: * Age ≥ 18 * Report of snoring * Prior polysomnogram (PSG) within the past 60 months showing AHI (Apnea Hypopnea Index) \< 5 and no more than 10% gain in body weight since the prior polysomnogram OR reasonable clinical suspicion that the participant does not have sleep apnea \[Reasonable Clinical Suspicion is defined as: BMI \<35, Neck circumference \<16.5 inches, lack of uncontrolled hypertension, no witnessed episodes of apnea, or multiple sleep studies in the past all showing lack of sleep apnea but with \>5 years since the most recent one.\] * Possess a sleeping partner who sleeps in the same room as the participant for \>= 4 nights a week and who can report outcomes * Access to the internet * Ability to follow up within 1 month after adequate fitting of MAD or 4 weeks of Mometasone Inclusion criteria for the sleeping partner: * Age ≥ 18 * Possess a sleeping partner who sleeps in the same room as the participant for \>= 4 nights a week and who can report outcomes * Access to the internet Exclusion Criteria: Individuals will not be allowed to participate in this study if they meet one or more of the exclusion criteria: * Significant hypoxemia as defined as SaO2 (oxygen saturation) below 89% for ≥ 12% of the total nocturnal monitoring time * Inability to wear a MAD defined as missing more than 50% of their dentition or their dentition is not in good condition. * Prior intolerance of MAD * Current treatment for OSA * Concurrent use of sedatives or \…