True partnership between medicine and dentistry must exist if we are to make any headway treating the exponential increase in breathing disordered sleep. The days where a one page medical history in a paper chart sufficed are long gone. It has been replaced by behemoth electronic/cloud based systems with digital forms compiling massive amounts of patient health data; … [Read more...]
Pushing Air or Pulling the Jaw: Which is better for which patient?
The “halcyon days” of CPAP Thirty years ago, nasal continuous positive airway pressure (CPAP) became established as standard therapy for obstructive sleep apnea (OSA). At that time clinicians were faced with horribly sick, massively obese folks having extremely severe OSA. They died regularly and often required a tracheostomy. That all changed in 1982, when Sullivan … [Read more...]
Eeny Meeny Miny Moe: Selecting an Appropriate Appliance for Your Patients
by David B Schwartz, DDS, D.ABDSM When it comes to ice cream flavors I like chocolate, my wife likes vanilla, my kids like mint chip, you get the point. We have many choices in everything that we do in life as well as dental sleep medicine and until we have conclusive evidence that one oral appliance works better in our hands than another, we will be left selecting the … [Read more...]
Where Do We Start?
by Robert C. Williams, DDS, FAGD You just took a course in “Treating Sleep Apnea in the Dental Practice” and you are ready to start. Your patient is ready to start. Start where? You learned all kinds of terms and acronyms (AHI, RDI ...). You were shown this new device called a George Gauge – which you supposedly set at 60-70% of maximum protrusion, send to the lab, and … [Read more...]
What Sets a Successful DSM Practice Apart?
Experts from Nierman Practice management discuss why some practices implement dental sleep medicine (DSM) quickly while others struggle to get going. Rose: We have helped thousands of practices acquire success in DSM treatment and notice some practices soar while others struggle to get going. You both work with all types of practices day in and out. What major differences … [Read more...]
Getting Connected by Robert R. Rogers, DMD, ABDSM
As I pen this article, I am amazed at the intense interest in dental sleep medicine and the widespread good it is doing for millions of patients worldwide. The efficacy of oral appliances is well supported in the scientific literature, physicians are actively seeking dentists to become part of the treatment team, insurance carriers cover a significant proportion of the cost … [Read more...]
Treating sleep disorders with oral appliances
Dr. Ronald Perkins discusses symptoms of sleep disorders and his treatment protocol An as an orthodontist since the early 1970s, I typically recommended the surgical removal of the enlarged tonsils and adenoids that caused airway blockage in young children. The results of this well-known surgical procedure were immediate: Parents reported that their children were … [Read more...]
Holding a Mirror to Your Patients: Using the Lamberg Questionnaire
You may think you know your patients, but if your attention is focused only on their teeth and gums, you could actually be treating ‘strangers.’ When you start learning how to treat medical problems such as sleep apnea, you take on the need and desire to know more about the whole person! The Lamberg Questionnaire (LQ) evolved from a closing slide in my 2-day seminar titled … [Read more...]
Doc, my kid snores. Should I be worried?
With the increased awareness about sleep apnea among the public at large, more and more parents are raising questions about their kids’ snoring. DSP recently spoke with Dr. Rolf Maijer, an orthodontist who lectures on sleep problems and sleep disordered breathing (SDB) in kids and teenagers in North America and Europe. DSP: “What prompted you to focus on the younger … [Read more...]
Pediatric Sleep Disorders
by Ping-Ru Ko, MD, and Maida Lynn Chen, MD Pediatric sleep disorders describe a wide range of dysfunctional sleep and, because of their often subtle and exclusive occurrence in sleep, are often under-recognized by the child, by parents and caretakers, and even by pediatricians. All pediatric healthcare providers should be generally familiar with the weighty implications on … [Read more...]
