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This perspective is from a multidisciplinary panel of experts from sleep medicine, dental sleep medicine, and otolaryngology that aims to identify the current role of oral appliance therapy and hypoglossal nerve stimulation for the treatment of OSA with emphasis on the US practice arena. A secondary aim is to identify\u2014from an implementation science standpoint\u2014the various barriers and facilitators for adoption of non-PAP treatment that includes access to care, multidisciplinary expertise, reimbursement, regulatory aspects, current treatment guidelines, health policies, and other factors related to the delivery of care. The panel has contextualized the review with recent events\u2014such as a large-scale PAP device recall compounded by supply chain woes of the pandemic\u2014and emerging science in the field of OSA and offers solutions for multidisciplinary approaches while identifying knowledge gaps and future research opportunities.<\/jats:p>","DOI":"10.1093\/sleepadvances\/zpae035","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T14:37:32Z","timestamp":1718375852000},"source":"Crossref","is-referenced-by-count":2,"title":["Oral appliance therapy and hypoglossal nerve stimulation as non-positive airway pressure treatment alternatives for obstructive sleep apnea: a narrative expert review"],"prefix":"10.1093","volume":"5","author":[{"given":"Sairam","family":"Parthasarathy","sequence":"first","affiliation":[{"name":"Department of Medicine,\u00a0University of Arizona Health Sciences Center for Sleep and Circadian Sciences, University of Arizona , Tucson, AZ , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najib T","family":"Ayas","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of British Columbia , Vancouver, BC , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7043-2974","authenticated-orcid":false,"given":"Richard","family":"Bogan","sequence":"additional","affiliation":[{"name":"Department of Psychaiatry and Behavioral Sciences,\u00a0Medical University\u00a0of South Carolina , Charleston, SC , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Hwang","sequence":"additional","affiliation":[{"name":"Division of Sleep Medicine, Kaiser Permanente Southern California , Fontana, CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9430-3752","authenticated-orcid":false,"given":"Clete","family":"Kushida","sequence":"additional","affiliation":[{"name":"Division of Sleep Medicine, Department of Psychiatry and Behavioral Sciences, Stanford University , Stanford, CA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan S","family":"Lown","sequence":"additional","affiliation":[{"name":"Delta Sleep Center of\u00a0Long Island , Commack, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph M","family":"Ojile","sequence":"additional","affiliation":[{"name":"Clayton Sleep Institute , St. Louis, MO , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imran","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Medicine,\u00a0University of Arizona Health Sciences Center for Sleep and Circadian Sciences, University of Arizona , Tucson, AZ , USA"},{"name":"Dental Sleep Service Line, Banner University Medical Center - 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