An oral anterior guidance system including: a mandibular retention piece a mandibular guidance component coupled to the mandibular retention piece, the mandibular guidance including a convex outer surface proximate a first end a maxillary retention piece and a maxillary guidance component coupled to the maxillary retention piece, the maxillary guidance component including a concave inner surface, wherein the concave inner surface and the convex outer surface are configured to interact to guide movement of a patients mandibular dental arch when the mandibular retention piece and the maxillary retention piece contact as the patients mandibular dental arch closes, and wherein the mandibular guidance component is positioned anteriorly to an anterior of the anterior wall of the mandibular retention piece.