<p>Methods and systems for tinnitus treatment arc described where a device is coupled to a surface of a bone or to a tooth or several teeth. Such a device may comprise an oral appliance having an electronic and/or transducer assembly for generating sounds via a vibrating transducer clement. Generally, the transducer may be programmed to adjust any number of settings and treatment options to generate one or more frequencies of sound via the actuatable transducer to transmit a modified audio signal via vibratory conductance to an inner ear of the patient to mask the tinnitus. The audio signal is also modified to account for any hearing loss of the patient as well as a bone sensitivity threshold measured from the patient and calibrated by the programming device.</p>