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: An apparatus and method for treating sleep apnea and/or snoring is provided. The apparatus includes an appliance sized and structured to be placed in the pharyngeal region of a human or animal and being effective in treating sleep apnea and/or snoring, for example in maintaining openness of an oropharyngeal region of a human or animal during natural sleep, advantageously while not interfering with normal functioning of the epiglottis. Preferably, the appliance is non-circumferential in form and includes rounded, spaced apart end portions.

Abstract: A system, method and kit for treating obstructive sleep apnea. The system includes a first implant adapted for implantation in an inframandibular region and having at least one aperture therethrough, and a ribbon-like element having first and second ends and a substantially uniform, non-circular cross section along its length. The ribbon-like element is adapted for implantation in a tongue with the first and second ends extending through the at least one aperture in the first implant for coupling the ribbon-like element with the first implant.

Abstract: Magnetic devices and implantation methods are provided for use in the treatment of obstructive sleep apnea. The devices include a sheet-like element having ferromagnetic qualities. The device may also include a permanent magnet attached to the sheet-like element by magnetic forces. The devices are implanted in soft tissue surrounding the airway and in tissue space beneath the pharyngeal wall to exert forces on and/or change the shape of the soft tissue. The magnetic devices may also include a bladder containing a magnetorheological fluid that stiffens soft tissue when exposed to a magnetic field.

Abstract: Systems and methods for detecting an obstructive sleep apnea event are disclosed herein. The systems and methods may use an electrical output generating ionic polymer metal composite sensor attached to a region in an airway passage in an oral cavity. The electrical output may be wirelessly transmitted as a signal for indication of an obstructive sleep apnea event. The signal may be further analyzed for treatment of the obstructive sleep apnea event.

Abstract: A magnetic force system uses a magnetic implant sized and configured to be inserted in the pharynx and another magnetic implant sized and configured to be inserted in the tongue, palate, or pharynx. The system establishes different regions of magnetic interaction between the two implants across the airway, attracting and repelling, such that attractive interaction in one region of the implants combines with repelling interaction in another region of the implants, to provide a “hinge” structure. Alternatively, a magnetic force system that uses three magnetic implants sized and configured to be inserted in the tongue, pharynx, and palate, respectively. The tongue implant is attracted to the palatal implant, and repels the pharyngeal implant, forming a modified “hinge” structure. Forces of magnetic attracting bring tissue together to form a magnetic hinge joint, providing an anchor to stabilize the regions where repelling forces work to separate tissue to keep the airway open.

Abstract: An orthotic obstructive sleep apnea treatment device is provided that includes a hyoid bone attachment element disposed to attach a ferric element to a hyoid bone, where the ferric element is disposed to face along a treatment vector from the hyoid bone, and the treatment vector is oriented relative to a sagittal plane of a human. The orthotic obstructive sleep apnea treatment device further includes an external orthotic neck device having a contoured housing with a shape disposed to conform about a neck of the human subject, where the housing includes a force delivery element disposed at an exterior-front neck region of the human subject and is disposed to provide an attractive force to the ferric element along the treatment vector. A force sensor is disposed to measure a force exerted on the hyoid bone, a skin contact pressure, tissue compression between the ferric element and the force delivery element.

Abstract: A system for treating obstructive sleep apnea includes an anchoring element having scar tissue located in an inframandibular region, and a tongue implant having at least one arm extending therefrom, whereby the tongue implant is implantable in a tongue with the at least one arm being connectable with the anchoring element for coupling the tongue implant with the anchoring element. In one embodiment, the anchoring element includes a first implant part such as a flexible layer implantable in the inframandibular region and the scar tissue is formed on, in, and/or around the first implant part. The tongue implant is coupled with the anchoring element and/or the scar tissue through the at least one arm. The length of the at least one arm may be adjusted for shifting the tongue anteriorly.

Abstract: Condoms having an elastomeric layer and coating containing an anhydrous warming lubricant and at least one or more ingredients dispersed therein, the coating being disposed on one or both surfaces are provided. The ingredients disposed on the elastomeric layer can be solid particles or encapsulated ingredients that are insoluble in the anhydrous warming lubricant and soluble in water. Methods of producing and using these condoms are also provided.

Abstract: A mouth guard that may be used to treat temporomandibular disorder (TMD) is configured to eliminate pressure on an individual's back teeth. Such a mouth guard may also be configured to prevent a subject's lower jaw from moving in a posterior direction, or from “distalization.” Methods for treating TMD include spacing the top teeth at the back of a subject's mouth from the bottom teeth at the back of the subject's mouth without applying pressure to either the top teeth or the bottom teeth.

Abstract: Devices, systems and methods develop static and/or kinetic and/or pressure forces to fixate or brace tissue in targeted pharyngeal structures and individual anatomic components within the pharyngeal conduit.

Abstract: A device for prevention of snoring in the form of a neck collar (1) with a middle section (2) for placement under the chin of a user, side sections (3, 4) connecting to said middle section and end parts (5, 6), optionally connectable to each other, consisting of a core of foam plastic contained in a covering. The foam plastic is a soft foam plastic, an opening (7) is formed in said middle section (2) and resilient means (14; 15; 27; 28) for adjustment of the height of the opening (7) and thereby the height of the middle section (2) are arranged in said opening (7).

Abstract: A TemporoMandibular Joint (TMJ) balancing appliance and a method for using the same are provided, in which a first base portion accommodates incisor teeth, a second base portion is extended from a left side of the first base portion and accommodates left molar teeth, and a third base portion is extended from a right side of the first base portion and accommodates right molar teeth. The first base portion includes an upper part for accommodating upper incisor teeth and a lower part for accommodating lower incisor teeth and has a center for accommodating the upper and lower incisor teeth higher than the left and right sides.

Abstract: According to one embodiment, a dental device is provided. The dental device includes an arched frame configured to be positioned proximate to the occlusal surface of a user's dental arch such that the arched frame extends beyond the cuspids of the user's dental arch. The arched frame defines a plurality of apertures, and the arched frame includes an adjustment mechanism. The dental device further includes a moldable tray coupled to the arched frame. The moldable tray engages the plurality of apertures and includes a channel configured to engage at least some of the teeth of the user's dental arch.

Abstract: The invention is an oral appliance for prevention of sleeping problems including snoring, sleep apnea and bruxism, and may also be used to protect the teeth and gums from surgical instruments during surgery. Specifically, the appliance alters the position of the user's mandible, which is known as a method for reducing the restriction of the flow of air through the pharyngeal passageway. The appliance is a one-piece device molded from a flexible polymer. It includes an upper maxillary tray and a lower mandibulary tray. Both upper and lower trays include inner and outer walls which increase contact area with the teeth. The hinge mechanism of the device includes a positive positioning system comprised of opposed interlocking ridges. The ridges serve to create offset between the position of the upper tray and lower tray relative to each other, therefore advancing the user's mandible.

Abstract: The present technology provides a mandibular repositioning device (MRD) which may be self titratable. The MRD may be repositioned relative to the maxilla, e.g., the mandible may be brought, via the device, to a position forward of a neutral resting and/or bite position. The MRD allows for adjusting the maintained forward position by simply biting-down to preserve the desired degree of mandibular advancement. The present technology also allows for movement of the mandible in a lateral direction. The lateral movement is allowed for any forward longitudinal positioning of the mandible. The MRD may use a plurality of components that are coupled together and allow for lateral and longitudinal motion between each other. The present technology may be used in MRDs which may be self-fitted, typically by immersing the device in hot water and then biting into the device, making an impression of the teeth in the softened thermoplastic polymer.

Abstract: Magnetic structures develop a magnetic force between a tongue and a posterior pharyngeal wall to stabilize an orientation of the tongue.

Abstract: A method of treating obstructive sleep apnea includes providing an elongated element having a central buttress area and first and second arms extending from opposite ends of the central buttress area. The method includes implanting the central buttress area in a tongue so that a longitudinal axis of the central buttress area intersects an anterior-posterior axis of the tongue. The first and second arms are advanced through the tongue until the first and second arms engage inframandibular musculature. Tension is applied to the first and second arms for pulling the central buttress area toward the inframandibular musculature for moving a posterior surface of the tongue away from an opposing surface of a pharyngeal wall. The first and second arms are anchored to the inframandibular musculature for maintaining a space between the posterior surface of the tongue and the opposing surface of the pharyngeal wall.

Abstract: An implant for treating obstructive sleep apnea includes an elongated body having a central region, a first end, and a second end opposite the first end. The central region of the elongated body engages inframandibular musculature that extends between a mandible and a hyoid bone. The first and second ends of the elongated body are optionally anchored to the mandible. The elongated body is under tension for urging the inframandibular musculature in an inferior direction, which, in turn, pulls the hyoid bone anteriorly for minimizing the likelihood of occurrence of obstructive sleep apnea episodes.

Abstract: A fastener suitable for connecting two parts of a dental splint together in a prearranged or predetermined spatial relationship to treat a person suffering from a sleep disorder is described. In one form the fastener comprises a base member and a cover member arranged to define a cavity therebetween. A movable connector is located within the cavity, the movable connector interconnecting the two parts of the dental splint. The fastener has an adjustor movably connected to the connector such that the position of the connector is moved in response to movement of the adjustor by adjusting the position of the adjustor, the connector in the form of a hook moves the other part of the dental splint so as to reposition the jaws of a person being treated for the sleep disorder.

Abstract: A mouthpiece for reducing snoring is provided. The mouthpiece includes an upper guard configured to fit over the upper teeth of a user, a lower guard configured to fit over the lower teeth of the user, a spacer assembly provided between the upper guard or the lower guard to provide an air passage at a middle section of the mouthpiece, a first adjustable assembly attached to the left side of the upper guard and the left side of the lower guard, and a second adjustable assembly attached to the right side of the upper guard and the right side of the lower guard. The first adjustable assembly and the second adjustable assembly are operable to move the lower guard relative to the upper guard.

Abstract: Devices, systems, and methods employ at least one ferromagnetic structure sized and configured for placement in a tissue region. A component is attached to the structure to stabilize its placement in the tissue region. An anchoring structure holds the component in a state of tension. The anchoring structure can, e.g., take the from of an anchoring body that expands in situ. The anchoring structure can be adjustable for adjusting the state of tension. The component can be elastic, to deflect under load in a prescribed manner and to recover an initial shape when unloaded.

Abstract: A patient's obstructive sleep apnea is treated by placing a fibrosis-inducing agent is placed within the tongue in a region extending substantially from a hyoid bone rearward toward a back surface of the tongue and upwardly along the back wall toward a free end of a soft palate of the patient.

Abstract: Devices, systems, and methods resist posterior movement of the tongue during sleep, thereby keeping an airway open. An implant device has a ferromagnetic structure that, when implanted, occupies only one lateral side of the tongue when implanted. The ferromagnetic structure magnetically interacts with a magnetized material placed in a desired relationship with the tongue to stabilize a preferred tongue orientation.

Abstract: Systems and methods place a first structure and a second structure in or on different tissue regions for magnetic interaction. The first structure comprises at least one ferromagnetic component, and the second structure comprises an array of magnetic components. The first and second structures are separated during use by a distance, which is defined as a separation between the centers of mass of the ferromagnetic and magnetic components. The distance varies within a working range as a result of native movement of the tissue regions on which the first and second structures are placed. The systems and methods titrate the size and orientation of the magnetic and ferromagnetic components to maintain a relatively constant magnetic field between the two structures within the working range, thereby accommodating relative movement of the tissue regions in the normal performance of bodily functions.

Abstract: An oral device for use in radiotherapy of the head and neck includes a base member and a bite member or “mouthpiece,” which is selectively positionable relative to the base member. The device provides immobilization of the tongue for accurate reproducible administration of radiation therapy. The device fits within the oral cavity of a patient and is maintained in position by a bite member that fits over the maxillary teeth of the patient. The position of the bite member relative to the base member may be adjustable to accommodate differences in mouth cavities and bite profiles. For example, the base member may include a platform or series of members configured to be removably coupled to the bite member in multiple different positions.

Abstract: An oral appliance includes a frame for mounting to a user's teeth and a tongue contacting retaining member extending from the frame and configured in use to limit movement of the tongue toward the user's throat when the user is exercising or sleeping to maintain an open air passageway. The retaining member is positioned relative to the frame such that in use the retaining member contacts the tongue in a zone behind the second molars and in front of the pharyngeal reflex region of the tongue. The retaining member is further configured to lightly contact the tongue, and to apply a restraining force to the tongue as the tongue begins to move toward the user's throat during exercise or as the user falls asleep.

Abstract: A mouthpiece includes a first body configured to be secured over one or more teeth of a user. The first body comprises a frame for location about at least one of a molar or a premolar of user, as a first bite pad between upper teeth and lower teeth. The first bite pad is molded in the frame while in situ in the mouth of the user and the first bite pad is formed by a PVS material. The first bite pad is in contact with at least one of a molar or a premolar of user, and the first bite pad defines an exterior shape of at least a portion of the teeth of a user. There is a similar second body with a connector between the first body and the second body and together these form the appliance for the user.

Abstract: Magnetic devices and implantation methods are provided for use in the treatment of obstructive sleep apnea. The devices include a sheet-like element having ferromagnetic qualities. The device may also include a permanent magnet attached to the sheet-like element by magnetic forces. The devices are implanted in soft tissue surrounding the airway and in tissue space beneath the pharyngeal wall to exert forces on and/or change the shape of the soft tissue. The magnetic devices may also include a bladder containing a magnetorheological fluid that stiffens soft tissue when exposed to a magnetic field.

Abstract: In certain embodiments, an apparatus for treating a breathing condition includes a body, a threaded member, a hook, and a receiver. The body comprises a front stop, a rear stop, and a guide extending between the stops. The threaded member couples between the stops and rotates relative to the body. The hook couples to the guide, comprises a threaded passage and an arm that engages a lower arch, and travels in a forward direction along the guide to adjust the position of the lower arch. The receiver couples to the lower arch and comprises a shelf that engages the arm of the hook. The apparatus may include an extender coupled to the receiver and providing a shelf that is more rearward than the shelf of the receiver. The apparatus may include a post that couples the apparatus to another device.

Abstract: An automated tissue retention system generally comprises an oral appliance retractably coupled to a covering which is secured to an anterior portion of the tongue. Once placed within a subject's mouth, the appliance may be maintained in a closed configuration while the subject's mouth remains closed. However, as the subject sleeps and the tongue becomes hypotonic, the subject's mouth typically opens during a sleep disordered event. The appliance may be actuated by the separation between the mandible and maxilla to have greater tension and thus retract or pull anteriorly the covering adhered to the tongue. As the covering pulls the tongue anteriorly or maintains a position of the tongue, the base of the tongue may be inhibited or prevented from collapsing posteriorly against the phryngeal tissue walls and thereby allow the subject to breathe normally.

Abstract: An oral orthosis includes a holder in the shape of a mouthpiece, including a curved arcuate trough-like upper section which receives a formable material. The formable material does not occupy the entire trough but rather includes voids between the formable material and the inner surfaces of trough of the holder to allow expansion of the formable material into the voids during the molding process when tooth pressure is placed on the formable material. This design results in elimination of the excess formable material which otherwise would require removal by trimming. Additionally, the formable material is placed in the trough in a configuration which includes indexing indentations along the centerline of the material, such that, during the molding process, the mouthpiece containing the formable material is easily centered along the edges of the user's teeth to provide a precise fitting.

Abstract: An apparatus for use in treating a breathing condition includes a first dental arch, a second dental arch, two bodies coupled to the first dental arch, and two receivers coupled to the second dental arch. The first dental arch is configured to receive at least some of a wearer's teeth. The second dental arch is configured to receive at least some of a wearer's teeth. Each body includes a front stop, a rear stop, a threaded member, and a hook. The threaded member is configured to be coupled between the front stop and rear stop of the body and configured to rotate relative to the body. The hook comprises a threaded passage configured to engage the threaded member, and an arm configured to engage a second dental arch. The hook is configured to travel between the front stop and rear stop of the body in response to rotational adjustment of the threaded member to adjust the lower dental arch relative to the upper dental arch.

Abstract: In certain embodiments, an apparatus for treating a breathing condition includes an oral appliance, a mask, and a tensioning device. The oral appliance is configured to receive at least some of a wearer's teeth and a mask. The mask is configured to deliver gas to the wearer. The mask includes a chamber configured to cover the wearer's mouth. The chamber is at least partially enclosed by an interior of the mask. The tensioning device couples the mask to the oral appliance and includes a flexible tension element at least partially disposed between the oral appliance and the mask and within the chamber. The flexible tension element is configured to apply a tensile force between the mask and the oral appliance.

Abstract: An intra-oral device used for people that snore or have sleep apnea is designed to move a user's lower jaw forward relative to the user's immovable upper jaw and to prevent the user's mouth from inadvertently opening while sleeping. The device includes upper and lower appliances fitted to the user's respective upper and lower dental arches. The lower appliance possesses a partially embedded bracket. An adjustment element is integrated into the upper portion of the bracket. With the user's mouth closed and the upper and lower appliances positioned over the user's respective dental arches, the adjustment element is moved rearward by worm action into load bearing contact against the forward facing immovable vertical contact wall of the upper appliance. This action moves the lower appliance forward, and thus, the user's lower jaw with its anatomically attached tongue are also moved forward relative to the mouth which in turn opens the user's airway.

Abstract: A system for treating obstructive sleep apnea includes a body implantable in a soft palate, and a fastening element at a proximal end of the body for connecting the body with a hard palate. In one embodiment, the body is curved and has a convex top surface and a concave bottom surface. The curved body is adapted to support and/or change the shape of the soft palate for minimizing the likelihood of airway obstructions during sleep. The fastening element, secureable to the hard palate, includes at least one barb adapted to engage the hard palate for anchoring the body to the hard palate. In one embodiment, the body has a surface adapted to promote tissue in-growth. The implant body may be made of materials including nitinol, stainless steel, biocompatible polymers, temperature-sensitive materials, and shape memory materials.

Abstract: In accordance with the principles of the present invention, breathing aid is provided. The breathing aid includes a middle portion that defines a breathing aperture that provides air flow out of the mouth of the user. An incisor is defined on the top of the middle portion and sized to receive the upper incisors teeth of the user. The location of the incisor aperture along the middle portion providing proper placement of the breathing aid in the user's mouth. An inside end of the middle portion is provided at an angle. A pair of wing-like protrusions extend sideward from the middle portion, the protrusions sized to extend outwardly beyond the sides of a user's mouth in order to prevent the breathing aid from entering the mouth.

Abstract: The present embodiment relates to the use of a musculoskeletal repositioning device in physical rehabilitation and athletic training by causing increased muscular strength and power and decreased muscular tension especially during the physical rehabilitation and athletic training. The device guides the condyles and articulating discs of the temporomandibular joint from a neutral or passive position into an active power position.

Abstract: A device for treating sleep apnea, the device comprising a tongue attachment member and a maxilla attachment subassembly. The tongue attachment member is fabricated having a sheath interlock member extending upward from a dorsal side of a sheath. The sheath is shaped to conform to a surface of an individual's tongue. A tongue receiving cavity is formed within the sheath, the cavity comprising an opening provided at a proximal end for receiving the individual's tongue. The sheath is referenced having a dorsal side and a ventral side. A sheath interlock member extends outward from the dorsal side. The maxilla tray is shaped to conform to and removably engage with an individual's upper dental arch. A tray interlock member extends from an interlock side of the maxilla tray and is positioned to interlock with the sheath interlock member, whereby the system extends an individual's tongue forward to treat sleep apnea.

Abstract: An upper tray adapted to receive a wearer's maxillary teeth. A lower tray adapted to receive the wearer's mandibular teeth. A first upper ridge is carried on a maxillary occlusal surface of the upper tray. A second upper ridge is carried on the maxillary occlusal surface of the upper tray posterior to and spaced from the first upper ridge. A lower ridge is carried on a mandibular occlusal surface of the lower tray received between the first upper ridge and the second upper ridge. The lower tray is movable to a forward position where the lower ridge abuts the first upper ridge to limit forward movement of the lower tray in relation to the upper tray, and the lower tray is movable to a rearward position where the lower ridge abuts the second upper ridge to limit rearward movement of the lower tray in relation to the upper tray.

Abstract: The invention is an oral appliance for prevention of sleeping problems including snoring, sleep apnea and bruxism. Specifically, the appliance alters the position of the user's mandible, which is known as a method for reducing the restriction of the flow of air through the pharyngeal passageway. The appliance is a one-piece device molded from a flexible polymer such as Kraton®. It includes an upper maxillary tray and a lower mandibulary tray. Both upper and lower trays include inner and outer walls which increase contact area with the teeth. The hinge mechanism of the device includes a positive positioning system comprised of opposed interlocking ridges. The ridges serve to create offset between the position of the upper tray and lower tray relative to each other, therefore advancing the user's mandible. Additional features include airflow posts to keep the mouthpiece from sealing completely, a cleft contour, and a tooth retention tab.

Abstract: Apparatus and methods are provided for treating sleep apnea, snoring, and the like using an implant within an oropharyngeal region adjacent an anterior longitudinal ligament. The implant includes an endless loop defining a curved central region between first and second regions in a horizontal plane. The central region is vertically narrow relative to the first and second regions, and the first and second regions are compressible vertically to allow the first region to be directed through or behind the ligament adjacent the oropharyngeal region such that the central region is disposed within or behind the ligament. The first region is resiliently expandable after passing through or behind the ligament to contact tissue adjacent the oropharyngeal region. The first and second regions are compressible into a “C” shape within the horizontal plane, yet biased to expand and apply a force to dilate the tissue adjacent the oropharyngeal region.

Abstract: A bite block is to be positioned between opposing upper and lower teeth in a patient's mouth. The bite block includes an elongate member having a top and a bottom. First and second sidewalls are coupled to the elongate member on opposite sides thereof. Each sidewall extends above and below the top and bottom of the elongate member to define upper and lower teeth spaced apart transverse notches defined in an upper surface thereof. In addition, the second sidewall has a second set of spaced apart receiving channels. The first sidewall has a first set of transverse notches defined in an upper surface thereof. The first sidewall may also have a third set of spaced apart transverse notches defined in a lower surface thereof. In addition, the second sidewall may also have a fourth set of spaced apart transverse notches defined in a lower surface thereof.

Abstract: Systems and methods incorporate implant structures, and/or implantation devices, and/or surgical implantation techniques, to make possible the treatment of physiologic conditions, such as sleep disordered breathing, with enhanced effectiveness.

Abstract: A prophylactic device providing the wearer with increased protection against slippage and ruptures. The device has a tubular body with an extra strength tip and a band. The band is elastic and has a ring that stretches to pass comfortably over a wearer's testicles. The band secures the prophylactic device to the wearer and prevents the device from slipping off of the wearer. Both the extra strength tip and the band are thicker than the tubular body and provide the wearer protection against ruptures.

Abstract: Magnetic structures develop a magnetic force between a tongue and a posterior pharyngeal wall to stabilize an orientation of the tongue. The magnetic structures include magnetic materials that are sized, configured, and arranged on at least one of the first and second magnetic structures, to maintain a substantially mutually repelling orientation between the first and second magnetic structures during a native range of movement of the tongue relative to the pharyngeal wall, i.e., during swallowing and/or drinking/and or speech.

Abstract: The present invention provides a system for treating a mammalian patient having obstructive sleep disordered breathing, e.g., sleep apnea. The system has a set of appliances including a first appliance being adapted to displace a mandible of the patient by a first predetermined geometry relative to a maxilla of the patient. The set also includes at least a second appliance adapted to displace the mandible of the patient by a second predetermined geometry relative to the maxilla of the patient. In a specific embodiment, the first predetermined geometry is substantially different from the second predetermined geometry. Preferably, either one of the first appliance or at least the second appliance is worn by the patient based upon a predetermined treatment plan that includes one or more provisions for wearing at least the first and the second appliances.

Abstract: In one embodiment, an oral appliance includes a first arch adapted to receive at least some of a user's teeth and a second arch adapted to receive at least some of the user's teeth. The first arch includes an anterior substantially planar region. The second arch includes an anterior bearing point that contacts the anterior substantially planar region of the first arch when the user bites down with the oral appliance inserted in the user's mouth and the user's temporomandibular joint in its proper natural position. In a more particular embodiment, the oral appliance may be used to help maintain stability of one or more aspects of the user's masticatory system, including at least helping to maintain proper positioning of the user's temporomandibular joint.

Abstract: The present invention provides a system for treating a mammalian patient having obstructive sleep disordered breathing, e.g., sleep apnea. The system has a set of appliances including a first appliance being adapted to displace a mandible of the patient by a first predetermined geometry relative to a maxilla of the patient. The set also includes at least a second appliance adapted to displace the mandible of the patient by a second predetermined geometry relative to the maxilla of the patient. In a specific embodiment, the first predetermined geometry is substantially different from the second predetermined geometry. Preferably, either one of the first appliance or at least the second appliance is worn by the patient based upon a predetermined treatment plan that includes one or more provisions for wearing at least the first and the second appliances.

Abstract: Systems and methods are provided for resisting posterior movement of the tongue during sleep, thereby keeping an airway open. The systems and methods employ a first structure that can be placed either in or on a tongue within an oral cavity and/or in a region of hyoid muscle. The first structure includes a ferromagnetic material. The systems and methods employ a second structure that can be placed either in or on external tissue outside the oral cavity and/or in or on external tissue outside the oral cavity in a desired relationship with the first structure. The second structure includes a magnetic material that magnetically interacts with the ferromagnetic material by attracting the ferromagnetic material, thereby resisting posterior movement of the tongue.