Abstract: An oral appliance comprises interacting upper and lower dental encasing components formable to overlay portion of the patient's upper and lower teeth. The dental encasings each comprise sheets of a heat softenable and moldable over-mold material on substrates comprising one or more pieces of a stiffening material. The over-mold material is heated to a moderately elevated temperature which will not cause tissue damage when placed in the patient's mouth. While still warm the material can be shaped to conform the patient's teeth but is non-deformable once cooled to body temperature. The stiffening material is non-deformable when heated to the same elevated temperature.

Abstract: An oral appliance for the treatment of sleep disorders, such as obstructive sleep apnea, in a user is presented. The oral appliance may include a mouthpiece configured to receive a user's dentition. The mouthpiece may include an oxygen sensor, a pressure sensor, an airflow sensor, an actigraphy sensor, a noise detector, and at least one stimulator for providing stimulation to a user's tongue in the event of decreased oxygen saturation levels, increased pressure applied to occlusal surfaces of the user's dentition, decreased actual airflow levels and/or increased noise levels. The mouthpiece may be provided with pharmaceutical compound reservoirs that deliver pharmaceutical compounds to the oral mucosa of the user, which compounds treat symptoms of sleep apnea. The mouthpiece may further include a microprocessor that receives data from the oxygen sensor, pressure sensor, airflow sensor, actigraphy sensor and noise detector, and activates the at least one stimulator and/or pharmaceutical compound reservoirs.

Abstract: A nasal valve implant delivery system includes a delivery tool having a handle and a needle extending distally therefrom and configured to hold an implant therein. When loaded in the needle, the implant proximally abuts or is disposed adjacent to a pusher member disposed partially within the needle. A light source disposed within the delivery tool is coupled to an optical fiber carried within a lumen of the pusher member. The delivery tool includes a moveable needle shuttle disposed in the handle that is coupled to the needle. An actuator disposed in the handle is configured to releaseably engage with the moveable needle shuttle, wherein the needle shuttle is coupled to one or more springs configured to apply a proximal tensioning force on the needle shuttle, wherein actuation of the actuator retracts the needle proximally into the handle and releases the implant.

Abstract: Suture passer systems for tissue suspension and tissue compression, and more particularly for tongue suspension, are described. The system can include at least a first elongate tubular body or shaft, a needle having a lateral bias carried by the elongate body, and a retrieval element operably connected to the elongate tubular body. The needle can have a substantially straight configuration when located within the elongate tubular body, and be configured to exit an opening at or near a distal end of the elongate tubular body and assume a laterally biased or curved shape to form a path through tissue. The needle is configured to carry a suture. The retrieval element can be configured to retrieve the suture carried by the needle after the needle has formed a curved or otherwise angled path through tissue. The system can also include one or more bone anchors to secure the suture loops. Methods of placing one or more suture loops into tissue, such as the base of the tongue, are also described.

Abstract: A method and apparatus for the amelioration of sleep apnea and other obstructive breathing disorders in a patient includes a collar configured to encircle the patient's neck, and a jaw-engagement mechanism carried by the collar. The jaw-engagement mechanism includes a pad configured to contact the underside of the patient's lower jaw in the area of the anterior triangle behind the mandibular symphysis and to be received in a small hollow of the patient's jaw. In use, the pad can apply force against a surface of the patient's lower jaw in order to push it forwardly and upwardly. The pad preferably is secured to a movable post that can be positioned such that a desired amount of force is applied to the patient's lower jaw.

Abstract: Systems, devices and methods are disclosed for concurrently treating temporomandibular joint dysfunction (TMD) and orthodontically moving teeth. The devices can have an orthodontic aligner and a TMD treatment device. The devices can be configured to concurrently reposition a mandible and orthodontically move one or more teeth.

Abstract: A device for treatment of sleep apnea or snoring of a user which has an upper oral splint adapted for an upper jaw of the user, and a lower oral splint adapted for a lower jaw of the user. At least one of the oral splints has adjustment devices on them, with a fixation device for adjustable and detachable fixation of an abutment element. Since the abutment elements are adjustable and detachable, a flexible device is provided where the setting can be adjusted and parts can be replaced when needed.

Abstract: Disclosed is a mandibular advancement device including a first frame, a second frame, a first rib on the first frame, the first rib extending generally from a front side of the first frame to a back side of the first frame, a first upstanding sidewall facing the first rib, a first channel on the second frame, the first channel in relative position to interface with the first rib, and an opening of the first channel, the opening of the first channel having a width that is narrower than a width of the first rib.

Abstract: Herein disclosed are methods of using nasal inserts for various different ailments. Easy modification of the insert allows for treatment of various ailments that can readily be treated via the nose, such as ailments triggered by smell. Specifically, the insert can direct air into or out of the nasal cavity and/or delivers medicinal substances to the appropriate regions, thereby providing the appropriate therapeutic effect, depending on the ailment being treated.

Abstract: A method of treating sleep disorder breathing in a patient, the method comprising in a first step providing a set of oral appliances comprising a first and at least a second oral appliance (30). Each of the first and at least second oral appliances comprises a generally U shaped appliance body including an inner wall (34), an outer wall (36), and a web (38) interconnecting the inner wall and the outer wall. The web has a front section and two arms with trailing ends. The web comprises at least one breathing hole (80) so as to define a total cross sectional area for breathing and the total cross sectional area for breathing of the first oral appliance is larger than the total cross sectional area for breathing of the second oral appliance. In a second step, a patient wears the first oral appliance in a first treatment stage whilst sleeping for a first period of time and in a third step the patient wears the second oral appliance in a second treatment stage whilst sleeping for a second period of time.

Abstract: A hands-free grooming device configured to align with a center point on a user's chin and secure to the user's face via tension created between the user's face when a plurality of tabs are secured to form head and neck straps. Once secured, the grooming device enables the user to perform grooming operations without holding the grooming device in place, resulting in a consistently shaped beard with defined edges.

Abstract: An oral device for preventing sleep apnea is provided. The oral device maintains an opening between the anterior teeth, resulting in a wider upper airway, while allowing the mouth to also open for yawning and normal talking. The oral device provides an upper plate and lower plate, each adapted to retain the biting surface of the respective set of maxilla and mandible teeth, wherein curved rods pivotally interconnecting both plates are adapted for maintaining an operable spaced apart relationship therebetween. The oral device is a unitary construction made from FDA-approved elastomers.

Abstract: Disclosed is a full movement jaw advancement oral appliance that is worn in the mouth of a user to reduce the effects of snoring and/or sleep apnea. The oral appliance includes an upper arch tray assembly against which the user's upper teeth carried are received, a lower arch tray assembly against which the user's lower teeth are received, and an intermediate guide post support tray that is connected at the bottom thereof to the lower arch tray assembly and at the top thereof to the upper arch tray assembly by an upper arch tray retaining post that extends therebetween. The upper arch tray assembly is movable in both horizontal and vertical directions relative to the lower arch tray assembly so that the positions of the user's upper and lower jaws can be adjusted relative to one another and the upper arch tray assembly will remain in receipt of the user's upper teeth when he opens his mouth during sleep.

Abstract: An oral device (2) is designed to be worn in the mouth by a person and to stress the trigeminal nerve during swallowing. A method of learning the performance of an action, which includes the wearing of an oral device (2) by a person in order to stress the trigeminal nerve during swallowing.

Abstract: A sleep apnea prevention sleep-aid mask is described. The sleep-aid mask is configured to secure the lips of a user together in a natural state, in order to encourage the respiratory system of the user to employ the nasal passages rather than the mouth for respiration. A pad equipped with a perforated mesh or channel is positioned over the lips and mouth of the user, and secured in position on the user via an adhesive, which temporarily affixes the pad to the face of the user. The sleep-aid mask is preferably shaped and sized according to the specific size of the user's face, and is configured to limit the effective diameter of the mouth of the user, in order to cause continued use of respiration via the nasal passages.

Abstract: A tongue manipulation device (10) has a tissue anchor (20) for attachment to the tongue, a bone anchor (22) typically for attachment to the mandible and a tether line (24) which fixes the tissue anchor to the bone anchor. The bone anchor comprises a tether line spool arrangement which comprises a spool (46) rotatable about a spooling axis and a spooling locking arrangement (54). The spooling locking arrangement is controlled by rotation about the spooling axis between spooling locking and permitting configurations. In this way, the physician implanting and setting the device can perform titration and subsequent locking as two independent operations.

Abstract: A mandible support device comprising a structural member comprising a support component and an adhesive component. The support component is configured to extend from the head or face above the mandible to the region of the gonial angle. The adhesive component is configured such that the structural member can be temporarily attached to the skin.

Abstract: A method or apparatus comprising monitoring a user's sleep, and turning on a microphone to record sounds, ensuring that the recording occurs in all sleep phases. The method in one embodiment further comprising making the sounds available to the user for later review.

Abstract: An oral device for temporary placement in a patient's oral cavity includes upper and lower jaw braces and a tongue-engaging member. The upper and lower jaw braces are connected so that the lower jaw brace is advanced in an anterior direction relative to the upper jaw brace when the upper and lower jaw braces are closed together. A partial vacuum is drawn in the oral cavity and the vacuum and lower jaw displacement together control the position of the tongue in order to clear the patient's airway to reduce sleep apnea or treat other conditions.

Abstract: An anti-snoring mouth guard for insertion into a mouth of a user for decreasing snoring and the effects of sleep apnea includes a mouthpiece portion having a bottom wall and a pair of upstanding side walls displaced and opposite one another and extending upwardly from the bottom wall, said mouthpiece having a hemispherical configuration that is complementary to a shape of the user's teeth. Collectively, the bottom wall and pair of side walls define a channel operable to receive teeth of a user's upper pallet. The anti-snoring mouth guard includes tongue depressor portion having a proximal end coupled to the mouthpiece and having a body extending rearwardly at a generally downward angle. A brace may extend between rear ends of the mouthpiece portion and define levels by which the tongue depressor may be inserted such that the tongue depressor may be adjusted vertically and front-to-back.

Abstract: Embodiments of methods and mandibular protruders and positioning devices, comprising, for example: an upper mounting bracket having an upper dental appliance; a lower mounting bracket having a lower dental appliance; and a rail system configured to couple the upper mounting bracket to the lower mounting bracket. Some embodiments comprise a drive motor and/or an initial position adjustment mechanism.

Abstract: A device and a method for creating and/or maintaining an obstruction free upper respiratory passages. The device is configured to fit under the chin of a subject adjacent to the subject's neck at an external location corresponding approximately with the subject's internal soft tissue associated with the neck's anterior triangle. The device is capable of exerting negative pressure on the surface of a subject's neck, displacing the soft tissue forward and enlarging the airway.

Abstract: Disclosed herein are splints for a mandibular advancement device, each splint comprising one or more guided fins, wherein each guided fin is located at a distance D from back of the splint; a back post; at least one threaded rod connecting the back post to the guided fin, wherein the distance between the guided fin and the back post is changed when the threaded rod is turned either clockwise or counterclockwise; and a guiding mechanism.

Abstract: Improved systems, methods, and devices for treating sleep apnea are provided herein. In one aspect, an intraoral appliance for treating sleep apnea in a patient comprises an appliance shell comprising a plurality of cavities shaped to receive teeth of a jaw of the patient. The appliance shell can comprise an advancement structure arranged to interact with an opposing jaw of the patient so as to displace the lower jaw anteriorly relative to the upper jaw. The plurality of cavities can comprise cavity geometries shaped to reduce repositioning of one or more received teeth elicited by displacement of the lower jaw anteriorly relative to the upper jaw.

Abstract: A computationally implemented method includes, but is not limited to: determining an incrementally progressive series of adjustment appliances, each of the series of adjustment appliances having geometries selected to progressively reposition teeth; and determining for each of the series of adjustment appliances, a vertical displacement and a forward mandibular position for treating sleep apnea. In addition to the foregoing, other method aspects are described in the claims, drawings, and text forming a part of the present disclosure.

Abstract: A method of forming oral orthotic systems includes providing an upper dental member adapted to be placed in connection with upper dentition of the patient, providing a lower dental member adapted to be placed in connection with lower dentition of the patient and providing a plurality of posterior mounting structures. Each of the posterior mounting structure is configured to be attached to one of the upper dental member or the lower dental member at a posterior, buccal position thereon. Force may be applied to the mandible of the patient via at least one of a plurality of different types mechanisms via attachment of a component of a selected type mechanism to at least one of the posterior mounting structures.

Abstract: Sleep monitoring and stimulation comprises collecting actigraphy data from a user. The user's sleep phase is determined using the actigraphy data. At least one stimulation, determined at least in part on the sleep phase, is directed towards the user. Subsequent actigraphy data is collected from the user. The actigraphy data and subsequent actigraphy data is used to determine the user's subsequent sleep phase. The stimulation is modified, based at least in part upon the subsequent sleep phase.

Abstract: The present invention provides a bed set for inhibition of obstructive sleep apnea, which includes: a sound receiving module, is used to receive a respiratory sound signal obtained from a user during a time period; a sound analyzing processor, which is connected with the sound receiving module, is used to obtain a snoring sound characteristic from the spectrum of respiratory sound signal; a database, which has a plurality of snoring image characteristics corresponding to a plurality of basic snoring sound characteristics for different respiratory actions; a control processor, which is connected with the sound analyzing processor and the database, is used to compare the snoring sound characteristic with the basic snoring sound characteristics to select one of the snoring image characteristics in the same waveform, and provides the first angle control order and the second angle control order corresponding to the selecting snoring image characteristic; a first pillow, which is connected to the control processor,

Abstract: An oral appliance for the treatment of sleep disorders, such as obstructive sleep apnea, in a user is presented. The oral appliance may include a mouthpiece configured to receive a user's dentition. The mouthpiece may include an oxygen sensor, a pressure sensor, an airflow sensor, an actigraphy sensor, a noise detector, and at least one stimulator for providing stimulation to a user's tongue in the event of decreased oxygen saturation levels, increased pressure applied to occlusal surfaces of the user's dentition, decreased actual airflow levels and/or increased noise levels. The mouthpiece may further include a microprocessor that receives data from the oxygen sensor, pressure sensor, airflow sensor, actigraphy sensor and noise detector, and activates the at least one stimulator.

Abstract: A medical appliance for the treatment of one or more sleep disorders such as obstructive sleep apnea in a patient, the appliance comprising: a biasing member for inserting behind and exerting a force upon the patient's soft palate or tongue, wherein the biasing member is inserted in a reduced or minimized form and then expanded or firms once in place to exert the force. The appliance may be nasally inserted or be placed through the mouth. In a particular configuration, both the soft palate and tongue are biased to prevent obstruction of the flow of air in the nasopharyngeal airway.

Abstract: Apparatuses and methods for improving airway patency are provided. A medial surface of the patient's tongue is constrained with a tongue constraint of an oral device placed in the oral cavity to generate a clear region between the medial surface and the hard palate. The clear region is in fluid communication with the soft palate. The tongue constraint has superior surface and inferior surfaces configured to generate the clear region. Negative pressure is applied within the oral cavity to hold the soft palate in a position in which the airway is at least partially open. The negative pressure is applied through one or more ports of the oral device. The one or more ports remain unobstructed by the tongue when the negative pressure is applied. The applied negative pressure causes the soft palate and tongue form a seal whereby the patient's airway is substantially fluidly isolated from the clear region.

Abstract: A retainer with a block extending downwards from an otherwise generally flat surface is disclosed. The block corresponds to a region of one or more of the cuspids or pre-molars. A side block or other device on the upper retainer also abuts a wing or other abutment device of a lower retainer, causing the lower jaw to be pushed forward relative to the upper jaw and resting position (regular organic closing position) of the upper and lower jaw together. Thus, the upper teeth are pushed forward and a space is created between the teeth behind the (lower) block preventing an apnea during sleep.

Abstract: A jaw advancement oral appliance is disclosed to be inserted in the mouth of a user to maintain an airway to the user's throat during sleep. The appliance includes an upper tray assembly against which the user's teeth carried by his upper jaw are seated and a lower tray assembly against which the user's teeth carried by his lower jaw are seated. Each tray assembly includes a bite impression tray having a plurality of holes formed therein and arranged in a honeycomb pattern. The bite impression trays are manufactured from a soft material so that a custom impression of the user's teeth is created when the appliance is heated and the user bites into the bite impression trays.

Abstract: A sleep apnea treatment/anti-snoring device optionally having controlled positive air-flow using a micro-blower to maintain an individual's upper airway unobstructed (pharynx area). Optionally the device includes a lower jaw mandibular advancement component. The device has built-in sensors, microprocessor and other items required for data acquisition and transfer.

Abstract: A person support apparatus includes sensors for monitoring aspects of a person positioned thereon. The outputs from the sensors are used to distinguish between new and prior occupants of the support apparatus, automatically zero an integrated scale system, distinguish between objects and humans on the support apparatus, determine if a person is sleeping or awake, monitor and characterize movement levels of the person, record a log of likely events regarding a support surface of the apparatus, propose identifications of objects added to or removed from the support surface, record force outputs, and/or other purposes. A person's sleep state may also be obtained and forwarded to a remote location. The sleep state data may be used to mute and/or control alerts or indicators, and/or to predict when a person is going to wake up and likely exit the support apparatus.

Abstract: In an adjuster for an airway securing device, a base member fixed to one of an upper jaw side attachment body and a lower jaw side attachment body is provided with a base member side half tube part and a slide member fixed to the other of the upper jaw side attachment body and the lower jaw side attachment body is provided with a slide member side half tube part. The base member side half tube part and the slide member side half tube part form a tube part in which an adjusting bolt is disposed on its inner peripheral side. A base member side flange part is formed at a base end of the base member side half tube part and a slide member side flange part shape is formed at a base end of the slide member side half tube part.

Abstract: An oral appliance includes an upper arch, a lower arch, and an electronic device. The upper arch is configured to be positioned within a user's mouth proximate the user's maxillary dentition when the upper arch is positioned in the user's mouth. The lower arch is configured to be positioned proximate the user's mandibular dentition when the lower arch is positioned in the user's mouth. The electronic device is coupled to one or more of the upper arch and the lower arch, the electronic device configured to monitor a feature of the environment proximate one or more of the upper arch and the lower arch.

Abstract: The present invention relates to a layered soft palate support and an implantation method for treating sleep apnea/hypopnea syndrome or snoring. The layered soft palate support is a layered structure formed by two or more supporting plates. The layered soft palate support has a hard palate connecting end and a soft palate insertion end, where the soft palate insertion end is configured for insertion into a soft palate, and the hard palate connecting end is configured to be fixed to a hard palate. At least two of the two or more supporting plates have distinct lengths with respect to a longitudinal axis.

Abstract: A dental appliance apparatus is disclosed herein. In various aspects, the dental appliance may include a body removably attachable to one or more teeth selected from premolars and molars, and a flange extending forth from lingual portions of the body to contact a tongue at one or more locations proximate the premolars and the molars in order to cause a contraction of the genioglossus that positions the tongue anteriorly and downward toward the mandible by stimulation of the hypoglossal nerve. The dental appliance may include a connector connected to the body, and the connector may pass about buccal-labial sides of the anterior teeth. A bumper may be included on a labial side of the connector, and the bumper may contact the lips to promote pursed lips breathing. An anterior flange may extend lingually from the connector to stimulate the hypoglossal nerve proximate a tip of the tongue in order to cause contraction of the genioglossus to position the tongue anteriorly and downward toward the mandible.

Abstract: A magnetic tooth alignment device includes a first magnetizable element configured to be adhered to a tooth. The magnetizable element may be a magnet, a metal, or another magnetizable material. An aligner tray is configured to partially encase a plurality of teeth and the first magnetizable element. A secondary magnet holder is configured to partially encase the aligner tray. The secondary magnet holder includes a secondary magnet configured to magnetically interact with the first magnetizable element when the secondary magnet holder is partially encasing the aligner tray. An inner wall of the aligner tray includes a cavity and the inner wall is configured to stop movement of the tooth when the first magnetizable element enters the cavity and contacts the inner wall of the aligner tray. The aligner tray in implementations couples with the plurality of teeth using only a friction fit.

Abstract: A set of occlusal splints includes a maxillary splint engageable over a maxillary superior dental arch of a mouth; and a mandibular splint engageable over a mandibular dental arch of the mouth. Each one of the maxillary splint and the mandibular splint is substantially U-shaped with an anterior section and two posterior sections extending from opposite ends of the anterior section. Each one of the maxillary splint and the mandibular splint has an inner wall surface defining a cavity shaped and configured to encase teeth of the corresponding one of the dental arches and an opposed outer wall surface, the outer wall surface having a contact surface at the anterior section. The maxillary and mandibular splints are operable in a contact configuration, wherein the contact surfaces of the maxillary and mandibular splints are abutted one against the other, and wherein an occlusal face of the posterior sections are spaced apart from one another.

Abstract: A sleep apnea treatment/anti-snoring device optionally having controlled positive air-flow using a micro-blower to maintain an individual's upper airway unobstructed (pharynx area). Optionally the device includes a lower jaw mandibular advancement component. The device has built-in sensors, microprocessor and other items required for data acquisition and transfer.

Abstract: A tray appliance system is usable for obtaining a bite registration and includes a maxillary tray appliance and optionally a mandibular tray appliance. The maxillary tray appliance includes a first contacting portion that extends downwardly from a first base portion. The first contacting portion includes a first contacting surface, a first ridge line, and a first ridge line midpoint. The optional mandibular tray appliance includes a second contacting portion that includes a second contacting surface, a second ridge line, and a second ridge line midpoint. The first contacting portion and second contacting portion contact each other when a patient bites down with the maxillary tray appliance and the mandibular tray appliance situated in the patient's mouth.

Abstract: A neck support apparatus (10) has a base portion (21) for positioning on the torso (18) of the user (11) and a support portion (23) extending from the base portion and having a rest (25) upon which the mandible (17)) of the user (11) can rest when the head (13) of the user is at the forwardmost tilted position. The rest (25) has two rest members (27) configured to receive the mandible (17), typically adjacent the underside of the posterior mandibles (17a) of the user (11). The support portion (23) further comprises two struts (31) which are mounted on the base portion (21) and on which the rest members (27) are mounted. The two struts (31) are adapted to be disposed angularly with respect to each other.

Abstract: A device reduces breathing obstructions of a user. A base member removably couples to the upper or lower jaw of the user. An elastic support member couples to the base member and includes at least one contact surface for contacting at least one region of tissue. The elastic support member moves between a retracted state and a deployed state. In the retracted state, the at least one contact surface spatially separates from the at least one region of tissue. In the deployed state, at least a portion of the elastic support member extends such that the at least one contact surface contacts the at least one region of tissue preventing at least partial collapse of at least a section of the upper airway. A control unit actuates an electro-mechanical drive arrangement to move the elastic support member between the retracted and deployed states.

Abstract: The invention is a method for reducing regurgitation through a mitral valve. The device and method is directed to an anchor portion for engagement with the heart wall and an expandable valve portion configured for deployment between the mitral valve leaflets. The valve portion is expandable for preventing regurgitation through the mitral valve while allowing blood to circulate through the heart. The expandable valve portion may include apertures for reducing the stagnation of blood. In a preferred configuration, the device is preferably configured to be delivered in two-stages wherein an anchor portion is first delivered and the valve structure is then coupled to the anchor portion. In yet another embodiment, the present invention provides a method of forming an anchor portion wherein a disposable jig is used to mold the anchor portion into a three-dimensional shape for conforming to a heart chamber.

Abstract: The present disclosure provides methods, computing device readable medium, devices, and systems having a dental appliance binding structure. One method can include to create a treatment plan based on a virtual model of a jaw of a patient, wherein the treatment plan includes use of a dental appliance having a first surface that defines a plurality of cavities shaped to receive a plurality of teeth, modify the virtual model of the jaw in a first configuration to include a virtual binding structure on a second surface, the platform shaped to receive a specialized feature that provides one or more force characteristics, select a particular specialized feature as an attachment to the dental appliance, and adjust the virtual model of the jaw from a first configuration to a second configuration, based at least in part on a modeled force provided by the virtual binding structure and the particular specialized feature.

Abstract: An embracing attachment member or sheath and a maxilla attachment subassembly for retaining at least one of a patient's tongue and lip in a desired position. A sheath interlock member extends upward from a dorsal side of a sheath. A tongue receiving cavity is formed within the sheath for insertion and attachment to the patient's tongue. An interlock member is integrated into an accessory for attachment to the sheath interlock member. The accessory can be used to treat sleep apnea, restrain a patient's tongue in a desired position, restrain a patient's upper or lower lip in a desired position, and the like. The interlock design includes a wedge and a retention member that engages with the wedge. The retention member and wedge compress friction surfaces against one another, retaining the sheath interlock and the accessory interlock in a fixed position respective to one another.

Abstract: A device for treating nosebleeds includes a mouth insert having a horizontally extending elongated portion, a center portion extending downward from a bottom surface of the elongated portion and a bite tab extending backward from the center portion. The elongated portion is shaped and dimensioned to be inserted into a buccal cavity of a user's mouth and to fit behind the user's upper lip and in front of the user's upper gums. The center portion is shaped and dimensioned to be positioned in front of the user's upper front teeth and the bite tab is shaped and dimensioned to provide a biting surface for the user's front teeth. Biting down onto the bite tab pushes the elongated portion upward and applies pressure upward to the user's buccal cavity and towards an anterior portion of the user's nose.

Abstract: Methods and apparatus for performing system validation and providing predictive criteria during remote titration of mandibular protrusion are disclosed herein. The effectiveness of oral appliance therapy can possibly be improved by screening obstructive sleep apnea subjects and prospectively identifying subjects suitable for oral appliance therapy. The methods and apparatus for performing system validation on an oral appliance therapy titration system are disclosed. In addition, methods and apparatus for providing predictive criteria during remote titration of mandibular protrusion are disclosed. Further, methods and apparatus for display results of remote titration of mandibular protrusion are disclosed.