Using various embodiments, methods and systems for a respiratory airway assistive device are described. In one embodiment, the device includes an airway maintenance body comprising an dorsal surface and an ventral surface, a first end, a first aperture having a first opening positioned at or near the first terminus, a second end, a second aperture positioned at or near the second terminus and that is in fluidic communication with the first aperture, wherein the first end is configured to be accommodated inside the mouth of a human subject, and wherein the second end is configured to be outside the mouth, and wherein the first end includes a curvature, the curvature at the ventral surface accommodating a cavity. The device further includes a vestibular guard coupled to the airway maintenance body forming an occlusal rest portion on the dorsal surface or the airway maintenance body.
