A user-customizable orthopedic alignment device (OAD) that includes a formable mouthpiece which has an alignment gap that is aligned with the user's canine teeth when the device is placed in the user's mouth. The OAD has moldable material that cover the user's molars and may cover the front teeth. The alignment gap is provided to allow an alignment member to be positioned laterally between the user's canine teeth during molding of the moldable material. The moldable material may be positioned on a frame that includes living hinges that allow the frame and mouthpiece to flex and adjust to the specific spacing between a user's right and left molars. After the moldable material has been molded to the user's teeth, inserts can be positioned in the alignment gap in some embodiments to provide cushioning between the canine teeth when the OAD is used.
