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Sleep medicine content in dental hygiene education
Brittany C Minichbauer1, Rose D Sheats2, Rebecca S Wilder2
1Ms. Minichbauer is Adjunct Professor of Dental Hygiene, University of North Carolina at Chapel Hill School of Dentistry; Dr. Sheats is Adjunct Associate Professor, Department of Endodontics, Oral Facial Pain Group, Dental Sleep Medicine Unit, University of North Carolina at Chapel Hill School of Dentistry; Prof. Wilder is Professor and Director of Faculty Development, University of North Carolina at Chapel Hill School of Dentistry; Dr. Phillips is Professor, Department of Orthodontics, University of North Carolina at Chapel Hill School of Dentistry; and Dr. Essick is Professor, Department of Prosthodontics and Center for Neurosensory Disorders, University of North Carolina at Chapel Hill School of Dentistry. brittanyminichbauer@gmail.com.
Abstract:
According to the National Research Council, 70 million Americans chronically suffer from approximately 60 medically recognized sleep disorders. With most clinicians unaware of these disorders, many individuals remain undiagnosed. To effectively address this issue, health care professionals must work collaboratively to educate, identify, and treat patients with sleep disorders. However, medical and dental clinicians do not receive adequate education in sleep medicine. On the frontline regarding prevention and counseling, dental hygienists play an important role in patient education, screening, and management of sleep disorders. The aim of this study was to assess the amount of sleep medicine content in U.S. dental hygiene programs. An electronic survey was emailed to all 334 accredited U.S. dental hygiene programs. The 18-question survey assessed the sleep medicine content presented during the 2012-13 academic year. A total of 35.3% (n=118) of the programs responded. The mean number of hours devoted to sleep medicine in their curricula was 1.55 hours (SD=1.37). Although 69% (n=79) of the responding programs reported spending time on sleep bruxism (mean=1.38 hours, SD=0.85), only 28% (n=32) reported spending time on other topics such as snoring and obstructive sleep apnea (mean=1.39 hours, SD=0.72). These results suggest that sleep medicine is included in the majority of U.S. dental hygiene programs, but the content is limited and focused on sleep bruxism. This level of training is inadequate to prepare dental hygienists for their potential role in patient education, screening, and management of sleep-related breathing disorders.