We just started using a new sleep appliance called MicroO2 with great success. This appliance seems to be much more comfortable than the Somnomed appliance. We have stopped significant snoring and improved oxygenation almost immediately, even in very severe cases. The appliance also does not constrict the tongue space- a common problem with other sleep appliances. When we call our patients after a few days of wear they are amazed with the results. We use a neuromuscular bite as the starting point for the appliance. This allows a much more comfortable jaw position. There is a greater than 70% overlap between TMD and sleep apnea so by combining neuromuscular dentistry techniques into the design of the appliance makes sense. We begin to treat both problems at the same time and find this to be integral to success. I will post some pictures and some sleep studies showing how the appliance works.