an intubation tube oral appliance system for providing a semi - customized support for an intubation tube that protects the intubation tube and facilitates the delivery of oral hygiene materials to reduce the incidences of ventilator associated pneumonia . the intubation tube oral appliance system generally includes a tube support , a first tray extending from the tube support and a second tray extending from the tube support . the tube support is formed to receive an intubation tube and a strap secures the intubation tube to the tube support . the first tray and the second tray include a thermoplastic layer that is formed to the ventilation patient &# 39 ; s teeth . an antibacterial solution and / or fluoride solution is placed within the first tray and second tray prior to insertion into the ventilation patient &# 39 ; s mouth to reduce dental plaque and vap .