New Clinical Trial Data Published Showing Positive Results from Use of Vivos Technology to Treat Obstructive Sleep Apnea in Children

Important Study Shows Vivos Technology to be a Safe and Highly Effective, Non-Surgical Alternative to Surgical Removal of Tonsils and Adenoids in Children

LITTLETON, Colo., June 26, 2025 (GLOBE NEWSWIRE) — Vivos Therapeutics, Inc. (“Vivos” or the “Company”) (NASDAQ: VVOS), a leader in proprietary, non-invasive treatments for obstructive sleep apnea (OSA), today announced that the European Journal of Pediatrics has published the results of a groundbreaking multicenter clinical trial evidencing positive results for the treatment of OSA in children using Vivos’ patented Daytime-Nighttime Appliance (DNA).

The study importantly noted that “This is the first study demonstrating that the [Vivos DNA] device is safe and efficacious in treating children with OSA.” In September 2024, Vivos received an unprecedented FDA 510(k) clearance for the DNA device to treat moderate to severe OSA in children. This latest study confirms and reinforces the safety and efficacy underlying that clearance.

In the study, 79% of patients showed OSA improvement, with 61.7% improving by 50% or more, and 17% experiencing resolution of their OSA. Ninety three percent (93%) of children in the study with severe OSA saw their symptoms decrease by at least 50%. There were no safety issues or concerns. The study examined recognized endpoints for measuring treatment of OSA, including a Pediatric Sleep Questionnaire (PSQ), apnea-hypopnea index (AHI), and intermolar width. Forty-seven participants were included in the analytic dataset following trial completion after 12–24 months.

Dr. Tammarie Heit, co-author of the study, said “I have been treating and having success in resolving OSA in my pediatric patients using Vivos oral medical devices for nearly a decade. In my clinical practice, my patients have experienced life-changing results and have avoided the need for risky, painful, and invasive surgeries. The findings of this study are not surprising to me and validate my many years of real world experience with Vivos treatment technologies that generate positive OSA treatment results in both children and adults.”

The Problem of OSA and Current Treatment

An estimated 10 million (20.4%) of children in the United States suffer from a breathing and sleep disorder such as OSA, with up to 90% currently undiagnosed and untreated. Such disorders have been highly correlated with many common childhood health challenges such as ADD/ADHD, bedwetting, chronic allergies, mouth breathing, snoring, crowded and crooked teeth, lower IQ, anxiety, delayed onset puberty, and more.

Currently, the main treatment for pediatric OSA has been adenotonsillectomy surgery (removal of tonsils and adenoids). Over 500,000 children receive adenotonsillectomies each year in the United States. Although 51% to 83% of those children experience initial relief from OSA symptoms, 68% see their OSA symptoms relapse and return by the three-year mark.

In stark contrast, the current study concluded that “…it is expected that the [Vivos] treatment will have a permanent effect past the 24-month study duration. Compared to CPAP, adenotonsillectomy, and [rapid maxillary expansion], which have limitations such as adherence, complications, and 24/7 use, respectively, [the Vivos DNA device] offers a new option for pediatric OSA treatment.”

The MAHA Report, released on May 22, 2025 by Health and Human Services Secretary, Robert F. Kennedy Jr. and recently covered in the journal Sleep Review, delivers a stark warning about the dangers of overtreatment in pediatric healthcare, particularly adenotonsillectomies for sleep apnea. “There exists a robust evidence base demonstrating significant and costly (both financially and in terms of human suffering) harms experienced by children due to overtreatment at the hands of American healthcare,” the report states. For parents seeking alternatives to risky surgeries, the Vivos DNA appliance offers a non-invasive solution—addressing airway obstruction through natural jaw development without the financial burden or physical trauma of unnecessary procedures. As the report urges a shift toward safer, evidence-based care, Vivos provides a way to address debilitating OSA in children without resorting to irreversible interventions.

“The significance of this study and what it means for children with OSA cannot be overstated,” said R. Kirk Huntsman, Chairman and CEO of Vivos. “This is welcome news for all parents with children who suffer from OSA. No longer is their only option to subject their children to a painful and often ineffective surgical procedure with a high relapse rate. They and their OSA healthcare providers now have further confirmation that a safe, effective, and non-surgical treatment option with lasting results is available. Moreover, the study comes at an excellent time as we work to integrate our recent Sleep Center of Nevada acquisition and pursue other sleep medical practice collaborations or acquisitions to significantly increase the number of patients who have access to our cutting-edge treatments.”

About Vivos Therapeutics

Vivos Therapeutics, Inc. (NASDAQ: VVOS) is a medical technology company focused on developing and commercializing innovative diagnostic and treatment methods that promote sleep wellness and health for patients suffering from breathing and sleep issues such as obstructive sleep apnea (OSA) and snoring in adults. Vivos’ Complete Airway Repositioning and/or Expansion (CARE) devices are the only oral appliances cleared by the U.S. Food and Drug Administration (FDA) for adult patients diagnosed with all severity levels of OSA (including severe OSA) and moderate-to-severe OSA in children ages 6 to 17 within the FDA cleared usage for such devices.

Obstructive sleep apnea (OSA) affects over 1 billion people worldwide, yet 90% remain undiagnosed and unaware of their condition. This chronic disorder is not just a sleep issue—it’s closely linked to many serious chronic health conditions. While the medical community has made strides in treating sleep disorders, breathing and sleep health remain areas that are still not fully understood. As a result, solutions are often mechanistic and fail to address the root causes of OSA.

Vivos Therapeutics, founded in 2016 and based in Littleton, CO, is changing this. Through innovative technology, education, and collaborations with or acquisitions of functional medicine doctors, and sleep specialists, Vivos is empowering healthcare providers to more thoroughly address the complex needs of patients suffering with OSA.

Vivos’ portfolio of cutting-edge oral appliances offer a proprietary, clinically effective OSA solution that is nonsurgical, noninvasive, and nonpharmaceutical, providing hope to allow patients to Breathe New Life. For more information, visit www.vivos.com.

Cautionary Note Regarding Forward-Looking Statements

This press release, including statements of the Company’s management and other parties made herein, contain “forward-looking statements” (as defined in Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended) concerning future events. Words such as “may”, “would”, “should”, “expects”, “projects,” “potential,” “intends”, “plans”, “believes”, “anticipates”, “hopes”, “estimates”, “goal”. “aim” and variations of such words and similar expressions are intended to identify forward-looking statements. In this press release, forward-looking statements include, without limitation, those relating to the anticipated benefits to Vivos of the new published study data as described herein. These statements involve significant known and unknown risks and are based upon several assumptions and estimates, which are inherently subject to significant uncertainties and contingencies, many of which are beyond Vivos’ control. Readers are cautioned that actual results may differ materially and adversely from those expressed or implied by such forward-looking statements. Factors that could cause actual results to differ materially include, but are not limited to: (i) the risk that Vivos may be unable to successfully integrate the Sleep Center of Nevada business into its own or otherwise implement sales, marketing and other strategies that increase revenues, (ii) the risk that some patients may not achieve the desired results from using Vivos’ products, (iii) the risk that the study data described herein may not be predictive of results with Vivos treatment for all patients, (iv) risks associated with regulatory scrutiny of and adverse publicity in the sleep apnea diagnosis and treatment sector; (v) the risk that Vivos may be unable to secure additional financing when needed, if at all, or maintain its Nasdaq listing, (vi) market and other conditions that could impact Vivos’ business or ability to obtain financing, and (vii) other risk factors described in Vivos’ filings with the Securities and Exchange Commission (“SEC”). Vivos’ filings can be obtained free of charge on the SEC’s website at www.sec.gov. Except to the extent required by law, Vivos expressly disclaims any obligations or undertaking to release publicly any updates or revisions to any forward-looking statements contained herein to reflect any change in Vivos’ expectations with respect thereto or any change in events, conditions, or circumstances on which any statement is based.

Media Inquiries: Karla Jo Helms JOTO PR™ 727-777-4629 jotopr.com

Vivos®

Breathe New Life

The Vivos CARE appliances (DNA, mRNA, mmRNA) are FDA 510(k) cleared (K230947) to treat mild-to-severe obstructive sleep apnea (OSA) in adults. The DNA appliance is FDA cleared (K234089) for moderate-to-severe pediatric OSA (Ages 6-17).

Copyright © 2026 Vivos Inc. All rights reserved.

Pursuant to a March 2026 Settlement Agreement between Vivos and Ortho-Tain, the parties have agreed to post the following Corrective Statement for a period of not less than six (6) months:

Corrective Statement

In 2020, Vivos Therapeutics, Inc. filed a lawsuit in Colorado, Case No. 20 cv 1637. In July of 2020, Ortho-Tain, Inc. filed a lawsuit against Vivos in Illinois, Case No. 20 cv 0301.

Vivos and Ortho-Tain have agreed to settle and dismiss their respective lawsuits and, as part of the settlement, have agreed to issue this joint, Corrective Statement.

Vivos believes it made reasonable attempts to make proper disclaimers and disclosures in its continuing educational programs stating, in effect, that the patient cases shown had been treated with a variety of oral appliances from several different manufacturers, including naming the product companies. Ortho-Tain disagrees and claimed that Vivos failed to make proper attribution for certain cases being treated with Ortho-Tain products and further failed to give proper credit to Ortho-Tain’s founder, Dr. Earl Bergersen on a single specific handwritten drawing.

Between the latter part of 2019 and into 2021, Vivos’ continuing educational programs included the display of certain before-and-after-treatment photographs of select pediatric dental patients. Such continuing educational programs were entitled “Learn How the Vivos System Induces the Remodeling of Human Airway Tissues” and “2020 Wellness Summit” (the “Continuing Ed programs”). A Vivos “Patient Education Video” (PEV) that has been available from 2019 through the present that included images of pediatric dental patients along with a single handwritten drawing on pediatric craniofacial growth and development. Some of the names of children whose photographs were included in the Continuing Ed programs and PEV were: Isaac, Nicholas, Hunter, Paige, Michael, Allie, Emma, Ava, Mattthew, Ella and Ian. None of the aforementioned children had been treated with a Vivos appliance.

Vivos has agreed to stop using the photographs demonstrating those pediatric outcomes. Some, but not all, of the children depicted in the Continuing Ed programs and the PEV had used oral appliances supplied by Ortho- Tain, Inc.