Related Experiment Video
Updated: Dec 11, 2025
07:54
Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
20.3K
Diagnostic paths for a mouth-breathing patient
Silké Cummings1, David W Chambers2
1Private practice, Colorado Springs, Colo.
Summary
Orthodontists show significant variation in using obstructive sleep apnea screening tools like STOP-Bang and cone-beam computed tomography (CBCT) for patient referral and treatment planning. This highlights differences in interpreting diagnostic data.
Area of Science:
- Dental diagnostics
- Sleep medicine
- Orthodontic treatment planning
Background:
- Clinical decisions rely on the cost-benefit analysis (warrant) and usefulness of diagnostic tests.
- Obstructive sleep apnea (OSA) screening involves questionnaires and imaging like CBCT.
- Orthodontic treatment may be influenced by airway conditions and patient breathing patterns.
Purpose of the Study:
- To determine the diagnostic warrant and usefulness of the STOP-Bang questionnaire and CBCT for referring mouth-breathing patients.
- To assess how these diagnostic tools influence orthodontic treatment modifications.
- To evaluate orthodontists' decision-making processes regarding airway assessment.
Main Methods:
- A branching survey was employed to map decision paths.
- A hypothetical case of a mouth-breathing teenage girl was presented to 125 orthodontists.
- Path analysis quantified the diagnostic warrant and usefulness of selected tests.
Main Results:
- Significant variation was observed in orthodontists' choices and interpretations of diagnostic tests.
- The use of STOP-Bang and CBCT altered referral and treatment decisions.
- CBCT ownership strongly influenced its in-office and study-related utilization.
Conclusions:
- Orthodontists exhibit considerable variability in utilizing diagnostic tests for airway-related referrals and treatment.
- Diagnostic path analysis offers a model to study practitioner decision-making independent of research evidence.
- Personal interpretation of data significantly impacts diagnostic test application in orthodontics.
Related Concept Videos
01:26Assessment of the Mouth
832
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
832
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.4K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.4K
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
367
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
367
01:27Physical Assessment of the Respiratory Tract II: Inspection
725
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
725
01:23Assessment of Respiration
1.7K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.7K
01:28Physical Assessment of the Respiratory Tract I: Health History
728
Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
728