Abstract: An oral appliance compliance monitoring system and method comprises an oral appliance suitable for wearing in a patient's oral cavity during sleeping periods, the oral appliance having one or more sensors measuring a variety of conditions such as oxygen saturation levels in the oral cavity mucosa. The data generated by the sensor is continuously transmitted to a local scanner which is in communication with a central computer. The computer interprets the data to determine if the patent is wearing the oral appliance in compliance with a prescribed treatment regimen for breathing-related sleep disorders. Remotely located computers are authorized to receive the streamed data to enable remote monitoring of compliance in real time by a plurality of patients with treatment regimens.