Update
To update this thread. I went to Beltone, not realizing that they are basically a franchise operation (it seems to me) that outsources the fabrication. I think I could have gotten the same product cheaper by going to an audiologist directly. That being said.....
I went to the Beltone guy and had moulds made, they go past the 2nd cochlear bend, which the DIY one-step ones probably don't do. Before going I had memorized exactly where my jaw sits in a relaxed state with my mic boom on when flying. NOTE, for me this was a different position that just sitting around slack jawed in front of the idiot box. I purse my lips a little when flying
When I had the mould made I eschewed the foam bite guards and held my jaw in the memorized position.
Beltone had a myriad of different materials to choose from, I went with the recommendation, which was a hard acrylic material. I got 48" stereo lead. I asked for an in-line volume control, but instead got an adapter with a volume control. Its an additional connector to fail, but I wire-tied the two together so hopefully it won't pull out.
I also got (on recommendation from the Dr) vented ear pieces. this was to supposedly help with equalizing air pressure on ascent and descent. However I'm not sure its needed as working my jaw seemed to accomplish the same thing. The vents also reduce the noise reduction. for the last couple of flights I have plugged the vent holes, with no problem. With the vent holes plugged and the ear pieces properly inserted (this takes a few insertions to learn) the noise reduction is almost as good as my ANR headsets. They are very comfortable for 2 hour legs, more comfortable than my Headsets inc headsets, and excellent for acro.
The ear pieces themselves were made by Westone, and came in a really cool Pelican-like air tight case with some desiccant. I think they are really made for gigging musicians.
The ended up costing well over $300, however since Beltone messed up my order twice, and took almost 2 months to deliver the product, I got a substantial discount.
All in all I would recommend the product with the following caveats:
1) Shop around, but get an audiologist to make the moulds
2) Memorize where your jaw sits when you fly and make the moulds in this position
3) Don't bother with the vented ear pieces
4) Shop around for someone to make them