A mandible repositioning appliance is provided comprising an anterior member adapted to receive anterior teeth first and second posterior members, each adapted to receive posterior teeth, wherein each posterior member comprises an occlusal pad support and a positioning guide formed between the anterior member and each of the first and second posterior members, wherein said guide functions to position the users mandible into an anatomically correct position achieved when each positioning guide is in position resting between the third and fourth upper and lower anterior teeth when the appliance is in place in the users mouth.