Hi everyone. I wanted to update you on my TMJ and sleep apnea issues. Since the dental appliance aggravated my TMJ in 2009, I could not wear it. I was eligible for jaw surgery from my medical HMO (Kaiser) due to my extreme overbite, cross bite and open bite. I had to wear specialty braces for 3 years ($10,400 - none of which was covered by my dental insurance due to I selected a top related orthodontist who works closely with my jaw surgeon which is important for this type of surgery). In Oct 2012 I had the maxillofacial jaw surgery to correct my bite. Since the surgeon was going to move my upper jaw forward anyway in order to correct my bite, I asked him if he could move it forward a little more to open up the airway, which he did. Post-surgery was somewhat rough due to it was hard to breathe (since your nasal passages become swollen when your upper jaw is moved) and the post-surgery 4-week liquid diet was not very fun. The fact that my upper jaw is alittle farther forward now is not cosmetically noticeable. But the great news is that the surgeon completely eliminated my sleep apnea per my recent follow-up sleep test. Although Kaiser does NOT do TMJ surgery (or so they say and they won't promise any TMJ pain reduction from any other procedures that they might do for you), my TMJ pain on the left side of my face at my temples was eliminated as well. I think this occurred since my jaw is now in a normal alignment. My advice is - if you have severe jaw problems like I did and can afford the braces required before you can have jaw surgery, your medical provider might be willing to open your airway and so reduce or eliminate your sleep apnea as well (and maybe your TMJ if you are lucky). The surgery was outpatient and cost me $250 out of pocket. I was lucky to have one of the top maxillofacial surgeons in the US working for Kaiser in San Diego. Also, I purchased a "My Pillow" online which keeps my neck and face in proper alignment to reduce the pressure on the side of my face when I sleep on my side.