The Pill Is Coming. Are You Prepared?

June 21, 2026
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For years, dental sleep medicine has lived in a relatively quiet corner of dentistry.

Some took courses.  Some dabbled.  Some went all in.  Some threw their hands up in frustration.

The ecosystem surrounding sleep and the mouth is about to change…in a big way.

And those who prepare for it can benefit.  Limited practices and general practices alike.

A pill for obstructive sleep apnea, currently called AD109 is coming in 2027. Pharmaceutical treatment for OSA is moving closer to the mainstream, and when that happens, the conversation around sleep apnea will no longer belong only to sleep physicians, ENTs, pulmonologists, cardiologists, CPAP companies, and dentists who have chosen to enter the dental sleep medicine space.

It will belong to everyone because it will explode the Sleep Apnea market and that presents opportunity for dentists.

The pill is coming. Are you prepared?

For some dentists, this will feel threatening. After all, if theres a medication for sleep apnea, won’t patients simply take the pill and bypass the dentist altogether?

Thats certainly possible in some cases.

But its not the whole story and it’s certainly not the opportunity.

When a pharmaceutical company enters a market, it doesn’twhisper. It doesn’t quietly educate a few doctors and hope the message trickles down. It creates awareness. It creates demand. It creates language. It teaches patients what to ask about, what to wonder about, and what to look up after they leave the physician’s office.

Weve already seen how this plays out this with GLP-1 drugs.

Weight loss wasn’t new. Obesity medicine was not new. Diets, exercise programs, bariatric surgery, coaching, and behavior change had all existed for years. But when, in 2021, medications like Ozempic and Wegovy, entered the cultural conversation, the entire market changed. Patients who had never before discussed medical weight loss with their physicians suddenly had questions. Physicians had to respond. Businesses that were built around the old model had to adapt.

Some adapted quickly.

Some, like Weight Watchers didn’t.

That had consequences.

Weight Watchers finally reacted in 2023 and after a 2025 bankruptcy, is now irrelevant.

Dental sleep medicine may be approaching its own version of that moment.

The pill is coming. Are you prepared?

The wrong response would be to panic.

The better response is to understand where the opportunity is.

A pill may reduce some airway obstruction. It will most likelybecome part of the medical conversation, a big part. It will be prescribed by physicians whose current system involves solving problems by prescribing a pill.  

More importantly, it will be attractive to patients who hate CPAP or who were never willing to get tested for fear of being told they need CPAP. More people will get tested and hence diagnosed.  And therein lies the opportunity.

There are questions the pill won’t answer and problems it won’t solve.  Plus, there will be side effects, some so onerous they resulted in 20% dropout rate in the ongoing study.  They didn’t appreciate the insomnia (20%), nausea (11%), and dry mouth (35%).

So, with increased awareness of Sleep Apnea, how can a dental practice capitalize on the opportunity?

The pill will come out in 2027.  Now is the time to prepare.

That’s why I’m hosting a webinar this coming Friday called:

He Who Controls the Narrative, Controls the Outcome;  How Dentists Can Own the Smile, TMJ &Airway Conversation Before the Market Passes Them By

REGISTER NOW

Because this opportunity will not automatically land in the lap of the dentist. Physicians are not going to refer to a dental office simply because the dentist once took a weekend course in sleep medicine. Patients are not going to trust a practice simply because the website says “we treat the whole patient.” AI search tools are not going to identify a practice as a local authority simply because a page was added five years ago and forgotten.

Authority has to be built before its needed. By 2027, it might be too late.

That means dentists must begin preparing now, to control, or at least, become a part of the upcoming conversation.

Dentists must know how to speak with physicians in a way that inspires confidence rather than confusion. They must develop patient-facing content that answers the questions patients will begin asking. They must create FAQ pages, videos, screening tools, physician-facing resources, and landing pages that position the practice as part of the solution rather than as a competitor to medicine.

That last point matters.

The goal isn’t to fight the pill.  It’s not to promote oral appliance therapy.

The goal is to understand where the pill fits, where it does not fit, what questions might be asked, and how a properly trained dental team can become an essential collaborator in the new sleep medicine ecosystem.

This is not about defending turf.

Its about expanding relevance.

The goal is to go where DSO’s won’t.

The pill is coming. Are you prepared?

REGISTER NOW

A patient may soon walk into a physician’s office and ask, “Should I take the sleep apnea pill?”

Once pharmaceutical marketing begins to educate the public, more patients will become aware of OSA. More physicians will be asked about it. More conversations will happen. More patients will search. More people will wonder whether their symptoms are connected.

And the dental practices that have already positioned themselves as knowledgeable, collaborative, medically aware, and AI searchable, will have a tremendous advantage.

Not because they resisted change.

Because they prepared for it.

Thats the focus of my upcoming webinar:

The Pill Is Coming… Are You Prepared?

REGISTER NOW

Well discuss what this emerging treatment could mean for dental sleep medicine, why general dental practices should alsobe paying keen attention, and how practices can use this moment to strengthen physician collaboration, improve team communication, educate patients, and become a trusted local authority before the market shifts.

Well also discuss what the pill will not do and the opportunity that presents.

The real question is; will your practice will be ready?

Join me for the upcoming webinar and learn how to position your practice for the next great opportunity for dentistry.

REGISTER NOW

Only Registrants will be given access to the replay.

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Dr. Michael Goldberg is one of the leading educators on dental practice management in the United States.

Michael ran and sold a prestigious group practice in Manhattan and has been on Faculty at Columbia University and New York-Presbyterian Medical Center for 30 years including Director of the GPR program and Director of the course on Practice Management.

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