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Sleep disorders and oral devices.

J R Ivanhoe1, R Attanasio

  • 1Department of Oral Rehabilitation, School of Dentistry, Medical College of Georgia, Augusta, Georgia, USA. jivanhoe@mail.mcg.edu

Dental Clinics of North America
|November 9, 2001
PubMed
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Dentists can effectively manage snoring and sleep-related breathing disorders using oral appliance therapy. Proper diagnosis by a physician, including a sleep study, is crucial before dental treatment begins.

Area of Science:

  • Dental Sleep Medicine
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Oral appliance therapy is a viable treatment for many patients with upper airway sleep disorders.
  • Dentists play a critical role in identifying patients who may benefit from this therapy.
  • Collaboration between dentists and physicians is essential for optimal patient outcomes.

Purpose of the Study:

  • To outline the responsibilities of dentists in managing patients with sleep-related breathing disorders.
  • To emphasize the necessity of physician diagnosis and sleep studies prior to oral appliance therapy.
  • To highlight the importance of dentists adhering to established protocols for oral appliance fabrication and management.

Main Methods:

  • Review of current clinical guidelines and best practices for oral appliance therapy.

Related Experiment Videos

  • Analysis of the collaborative roles between dental professionals and physicians.
  • Discussion of diagnostic requirements, including polysomnography (sleep study).

    • Main Results:

    • Dentists should identify potential candidates for oral appliance therapy and refer them to physicians.
    • Physicians are responsible for diagnosis, typically requiring a sleep study.
    • Dentists must follow specific procedures for appliance fabrication, titration, and follow-up care.

    Conclusions:

    • Oral appliance therapy is an effective treatment for certain sleep-related breathing disorders when managed appropriately.
    • Dentists must recognize their role as part of a healthcare team, not primary diagnosticians.
    • Increased awareness of oral appliance therapy's benefits within medical and patient communities is needed.