Figure 1

The four head and mandibular positions. (A) Neutral position: the ala-tragus line is perpendicular to the floor and the operating table. (B) Head extension position: 20-degree head extension from the neutral position. (C) Mouth-open position: 30 mm of interincisal distance in the neutral head position. (D) Mandibular advancement position: maximum mandibular advancement using a custom-made mandibular advancement appliance in the neutral head position.