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Oral appliance therapy (OAT) is a treatment modality that can be offered to adults diagnosed with all severities of obstructive sleep apnea (OSA). The patient is referred to a trained dentist who can custom make an oral appliance (adjustable mouthpiece) which is worn by the patient during sleep. The mouthpiece works to keep the lower jaw in a forward position to ensure that the upper airway does not collapse during sleep causing obstructed breathing and sleep disruption (Fig.1). OAT Therapy is not indicated in patients who have mandibular deficiencies that would prevent proper fit.