Systems for manufacturing oral-based hearing aid appliances utilizing variousmanufacturing methods and apparatus are described herein. The oral appliancemay have an electronic and/or transducer assembly for receiving incoming soundsand transmitting processed sounds via a vibrating transducer element coupledto a tooth or teeth. The oral appliance may be formed or fabricated via three-dimensionaldigital scanning systems or via impression molding to create a housing for theelectronics and/or transducer assembly as well as to securely conform the applianceto the users dentition.