services

1. Identification and Screening

• Screening for Sleep Apnea: We can screen patients for sleep apnea through questionnaires (e.g., Epworth Sleepiness Scale, STOP-Bang questionnaire) and clinical examination. Signs like bruxism (teeth grinding), scalloped tongue, large neck circumference, and retrognathia (receding jaw) can indicate a higher risk of sleep apnea.
• Patient History: Asking about symptoms like snoring, daytime sleepiness, and observed apneas can help identify at-risk patients.

2. Diagnosis

• Referral to Sleep Physicians: We typically refer patients to sleep physicians for a definitive diagnosis. This usually involves polysomnography (PSG) or home sleep apnea testing (HSAT).
• Interpreting Sleep Studies: We have received training to interpret some HSAT results, but collaboration with a sleep physician is essential for accurate diagnosis and comprehensive care.

3. Treatment Options

• Oral Appliance Therapy (OAT): We can design, fit, and manage mandibular advancement devices (MADs) to treat mild to moderate OSA. These devices reposition the lower jaw forward to keep the airway open during sleep.
  • Custom-Made Devices: These are typically more effective and comfortable than over-the-counter options.
  • Follow-Up and Adjustments: Regular follow-ups are necessary to ensure effectiveness and make adjustments for comfort and efficacy.

4. Collaboration with Other Health Professionals

• Sleep Physicians: Coordination with sleep specialists is crucial for comprehensive care and monitoring the effectiveness of treatments.
• ENT Specialists: Referrals to otolaryngologists may be needed for patients with anatomical issues contributing to sleep apnea.
• Primary Care Physicians: Collaboration with primary care doctors helps manage comorbid conditions like hypertension, diabetes, and obesity, which are often associated with sleep apnea.

5. Patient Education and Lifestyle Modifications

• Education: We educate patients about sleep hygiene, the importance of consistent sleep schedules, and the impact of sleep disorders on overall health.
• Lifestyle Changes: Advising patients on weight loss, smoking cessation, and avoiding alcohol and sedatives that can exacerbate sleep apnea.

6. Continuous Education and Training

• Specialized Training: Dentists interested in sleep medicine often pursue additional training and certification in dental sleep medicine.
• Professional Organizations: Joining organizations like the American Academy of Dental Sleep Medicine (AADSM) can provide resources, education, and networking opportunities.

7. Addressing Side Effects and Complications

• Monitoring for Side Effects: Oral appliances can cause side effects like jaw pain, teeth shifting, and bite changes. Dentists monitor and manage these issues through regular follow-ups.
• Alternative Treatments: If OAT is ineffective or poorly tolerated, dentists may assist in exploring other treatments like Continuous Positive Airway Pressure (CPAP) therapy or surgical options.

By integrating sleep medicine into their practice, dentists can play a vital role in improving patients’ sleep quality and overall health, providing a multidisciplinary approach to managing sleep-related disorders.