An oral appliance includes an upper arch, a lower arch, and an electronic device. The upper arch is configured to be positioned within a users mouth proximate the users maxillary dentition when the upper arch is positioned in the users mouth. The lower arch is configured to be positioned proximate the users mandibular dentition when the lower arch is positioned in the users mouth. The electronic device is coupled to one or more of the upper arch and the lower arch, the electronic device configured to monitor a feature of the environment proximate one or more of the upper arch and the lower arch.