LOCAL SERVICES

Innovative Treatment Programs

The individualized screening process, staff expertise and specialized treatment programs increases our success in treating obstructive sleep apnea (OSA). Some of the treatment programs available through Sleep Medicine Network's Dental Sleep Medicine Associates are:

Therapy

• Snoring
• Excessive daytime sleepiness
• Sleep Apnea

Oral Appliances

• Sleep Apnea (mild to moderate)
• Snoring
• CPAP failure, severe OSA patients that can't tolerate CPAP
• Hybrid Therapy Oral Appliance and CPAP = decreased treatment pressure and increased comfort
• CPAP without strap

CPAP/BiPAP Therapy with DENTAL HPAP interface for previous CPAP failures (strapless mask!)

• Sleep Apnea (moderate to severe)

Surgical Intervention Referral Network/Weight Loss Program

• Referrals for appropriate treatment are available when needed

Screening Oximetry/Home Sleep Studies

When combined with other clinical data, pulse oximetry recording can help identify those patients who are unlikely to have Obstructive Sleep Apnea before they are referred for unneeded polysomnographic studies.

SCREENING FOR SLEEP APNEA

The following questions should guide clinical suspicion:

1. Snoring:
a) Do you snore on most nights (more than 3 times/week)?
Yes (2) No (0)

b) Is your snoring loud (can it be heard through a door or
wall)?
Yes (2) No (0)

2. Has it ever been reported to you that you stop breathing
or gasp during sleep?
Never (0) Occasionally (3) Frequently (5)

3. What is your collar size?
Male: less than 17 inches (0) 17 inches or greater (5)
Female: less than 16 inches (0) 16 inches or greater (5)

4. Have you had, or are you currently being treated for, high
blood pressure?
Yes (2) No (0)

5. Do you occasionally doze, or fall asleep during the day
when:
a) You are not busy or active?
Yes (2) No (0)

b) You are driving or stopped at a light?
Yes (2) No (0)

SCORE:

9 points or more

6-8 points

5 points or less

Order Sleep study or refer to sleep specialist

Gray area - use clinical judgment

Low probability of sleep apnea

For Questions and Referrals,
Call Toll Free

Developed by David White, Boston, Massachusetts, 1998

OBSTRUCTIVE SLEEP APNEA
Sleep apnea is a common disorder characterized by repetitive
collapse of the pharyngeal airway during sleep.

CONSEQUENCES INCLUDE:
sleep disruption, waking sleepiness, poor job performance, decreased quality of life, and/or increased motor vehicle accidents. In addition, sleep apnea may contribute to systemic hypertension, mild pulmonary hypertension, arrhythmias and, possibly, myocardial infarction & stroke.

DIAGNOSIS:
In a patient with a reasonable probability of sleep apnea, sleep study is indicated. Call a SMN Dental Sleep Medicine Associates to make a referral or for more information.

TREATMENT:
For complete testing and treatment options, call:
Toll Free

Developed by David White, Boston, Massachusetts, 1998

Remmers Recorder/Watchpat 100/ Ares/ Medibyte- up to 5 channel home study for therapeutic assessment of sleep disordered breathing and effectiveness of oral appliance therapy

Hypnosis/Self Hypnosis Referrals

• Biofeedback (via referral)
• Cognitive behavior therapy (via referral)
• Insomnia treatment (via referral)
• Relaxation training (via referral)
• Self hypnosis (via referral)
• Stress management (via referral)
• Weight loss (via referral)
• Smoking cessation (via referral)