Integrated oral appliance for sleep-disordered breathing

1. An oral appliance comprising a tray shaped to engage at least a portion of dentition and a tongue restraint coupled as a cantilever through a spring-force applying attachment to a rigid bracket coupled to the tray; wherein the spring-force attachment is a flexible bracket adjustably coupled to the rigid bracket for anterior and posterior adjustment of the flexible bracket and tongue restraint along forward and rearward positions within a mouth.

2. The oral appliance of claim 1 , wherein the tongue restraint includes one or more projections.

3. The oral appliance of claim 2 , wherein the one or more projections include bristles.

4. The oral appliance of claim 3 , wherein one or more bristles are hollow and contain at least one treatment of a medical treatment and nutritional treatment.

5. The oral appliance of claim 4 , wherein the at least one treatment is a time-release treatment.

6. The oral appliance of claim 2 , wherein the spring-force applying attachment applies adjustable force.

7. The oral appliance of claim 2 , wherein the tongue restraint includes an end including the one or more projections that is distance-adjustable relative to a front of the tray.

8. The oral appliance of claim 2 , wherein the rigid bracket is coupled to points on opposing halves of the tray.

9. The oral appliance of claim 1 , further comprising an air conduit.

10. The oral appliance of claim 9 , further comprising a filter material in the air conduit.

11. The oral appliance of claim 10 , wherein the filter material includes at least one of a medicine and nutrient.

12. The oral appliance of claim 10 , wherein the filter material absorbs heat and moisture from expired air and releases heat and moisture into inspired air.

13. The oral appliance of claim 10 , wherein the filter material is removable and replaceable.

14. The oral appliance of claim 1 , further comprising an air conduit in the tongue restraint traversing both an outermost and innermost wall of the tray wherein the conduit includes a front air opening in an end of the tongue restraint positioned forward of the tray.

15. The oral appliance of claim 14 , further comprising a filter material in the air conduit.

16. The oral appliance of claim 15 , wherein the filter material is removable and replaceable.

17. The oral appliance of claim 15 , wherein the filter material includes at least one of a medicine and nutrient.

18. The oral appliance of claim 15 , wherein the filter material absorbs heat and moisture from expired air and releases heat and moisture into inspired air.

19. The oral appliance of claim 1 , wherein said tray is one of a lower and upper tray coupled to each other, and wherein each tray is shaped to engage a dentition.

20. The oral appliance of claim 19 , wherein a front of the lower tray is forward adjustable relative to a front of the upper tray.

21. The oral appliance of claim 20 , further comprising an air conduit with a front air opening in an end of the air conduit positioned forward of the trays.

22. The oral appliance of claim 1 , wherein the tongue restraint comprises a non-slip material.

23. The oral appliance of claim 22 , further comprising an air conduit traversing both an outermost and innermost wall of the tray wherein the conduit includes a front air opening in an end of the air conduit positioned forward of the tray.

24. The oral appliance of claim 23 , wherein the air conduit is within the tongue restraint.

25. The oral appliance of claim 1 , wherein the tongue restraint includes an end with material for contacting the tongue that is distance-adjustable relative to a front of the tray.

26. The oral appliance of claim 1 , wherein the spring-force applying attachment applies adjustable force.

27. The oral appliance of claim 1 , wherein the rigid bracket is coupled to points on opposing halves of the tray.