BREATHE EASY – SLEEP TIGHT: THE DENTIST & SLEEP APNEA
A few weeks back, we reached out to our dentists with a call for speakers; dentists who would like to try out or enhance their speaking abilities, by presenting a topic of their choice, clinical or professional, on our website CDA Oasis.
Dr. Randy Patch, general dentist from BC, responded to the call with a presentation on the management of obstructive sleep apnea by a dentist. He initially presented the topic at the Pacific Dental Conference which attracted the attention of many dentists attending the conference.
We are grateful to Dr. Patch for sharing his expertise on the topic on CDA Oasis and we hope more and more of you, our viewers and colleagues, come forward with your own content to share and present. We always welcome your contributions, feedback, and suggestions. You can get in touch with us through email firstname.lastname@example.org and/or our toll-free number 1-855-716-2747.
Until next time!
Chiraz Guessaier, CDA Oasis Manager
- Obstructive sleep apnea (OSA) is a breathing disorder during sleep that is characterized by intermittent collapse of the airway, causing incomplete reduction or complete cessation of airﬂow.
- Upper airway obstruction during sleep may occur at any area between the nasopharynx and the larynx. The etiology could be related to physiologic or anatomical factors.
- Several adverse outcomes could be associated with OSA, including motor vehicle accidents, depression unnecessary daytime sleeping, and metabolic and cardiovascular disturbances.
- The diagnosis involves medical history, thorough sleeping history, clinical examination, and objective testing.
Treatment modalities for OSA include surgical and nonsurgical approaches. Surgical protocols include tracheostomy (the most commonly used surgery for OSA in the past), nasal surgery, tonsillectomy, mandibular osteotomy, genioglossus advancement with hyoid myotomy, and maxillomandibular advancement osteotomy.
The nonsurgical protocols consist of behavioral management, continuous positive airway pressure (CPAP) therapy, and oral appliances (OAs).
Oasis Moment – Take-Away Message (2.55″)
OSA is more prevalent than diabetes in middle to elderly aged folks, with the same dire health risks for an early death or severe disability such as a stroke if not adequately treated.
There are only two effective and acceptable treatments for this common, severe disability, C-Pap or Mandibular Repositioning Appliances (MRAs). MRAs are far more tolerated (90% plus) vs. C-Pap (at best 29% and worst 83% failure rates for compliance) and that only qualified licensed dental practitioners are able and mandated to fabricate and follow-up these appliances.
Therefore, as a profession, dentistry must get more involved with their physician colleagues in diagnosing and treating this life threatening ‘epidemic! The lives of the eighty or seventy or even sixty per-cent OSA patients who have been fitted with and are being persuaded to buy Continuous Air Pressure machines but do not end up using them effectively over time are still at serious risk. Our profession and individual practitioners really have a golden opportunity to make a tremendous contribution to treat this serious health issue.
Full Presentation (17.03″)