Hi Neurotony, Wondering if you ever found a solution to this. I am in a very similar situation. Underwent maxillary expansion with Vivos MRNA, but had to stop after 5 months due to extreme headaches. Finishing up expansion with Invisalign now. I could not tolerate cpap so I had relied on oral appliance therapy. And now with the Invisalign, I have not had any treatment for my OSA for months. So my dentist refined my Invisalign by adding rubber bands to wear at night while I sleep. He said it would keep my jaw from sliding back while I sleep. All it has done was keep my jaw extremely clenched which aggravated my bruxism and TMD. I found out about the Aligner Sleep Appliance in a google search, which let me to your post. Have you resolved your situation? I am in pain and exhausted. Any advice or guidance would be extremely appreciated! Thanks. Best, JBA