A mandibular advancement device used in the management of snoring, obstructive sleep apnea, TMD and bruxism, comprises a maxillary tray for receiving/retaining maxillary teeth, a mandibular tray for receiving/retaining mandibular teeth, and at least two advancement members/prongs located on the mandibular tray at the anterior-lateral regions thereof. The advancement members/prongs, when in use, contact the outer surface of the maxillary tray in an anterior-lateral region thereof, thereby advancing/retaining the mandible and tongue in a protrusive position. Raised occlusal surfaces/bite pads in a region contiguous and posterior to the advancement prongs allow a passive tongue retaining gap or space to be formed in the anterior and posterior regions of the device. A lingual retaining strap may be provided between opposite posterior portions of the mandibular tray to passively retain the tongue in a protruded, non-obstructive position.