Dentaltown February 2013 - (Page 58)

sleep dentistry feature by Michael J. Krahe, PhD, and Jennifer A.E. Krahe, PhD(c) Healthcare in the United States is undergoing a dramatic transformation. Prevailing national and international healthcare policy, reform and initiatives are demonstrating that care is no longer based solely on practitioners’ perspectives, but instead is the result of dialogue between patients and practitioners. Central to this dialogue is the navigation of both the scientific evidence and the needs of the patient and family. Taking into account diverse expectations of care, this patientcentric dialogue requires extensive teamwork and an approach to health and healing from a multidisciplinary perspective. This multidisciplinary perspective considers the patient and the patient’s family an integral part of the healthcare team. This re-envisioning of care demonstrates that there is increased interest in engaging patients and their families as part of the healthcare team, and ensuring that care is safe, patient-centric, evidence-based and cost-effective while focusing on prevention. What Can Dentists Do to Be Part of This Transformation? Dentists can begin to explore dental sleep medicine. Dental sleep medicine is the medical/dental identification and management of sleep breathing disorders like snoring and obstructive sleep apnea (OSA) with oral appliance therapy. Approximately one-third of your patients over age 15 are at 1. 2. 3. risk for a sleep breathing disorder1 and, according to the American Academy of Pediatrics, between 10-15 percent of the pediatric population. Of those suffering from a sleep breathing disorder, 80-90 percent remain undiagnosed.2 Virtually every system of the body is affected by sleep breathing disorders, from the neurologic and cardiovascular systems to the metabolic and reproductive systems. Why Dental Sleep Medicine? Dental sleep medicine with oral appliance therapy is noninvasive, non-pharmacologic and very well tolerated by patients. It requires close collaboration between the physician who diagnoses the sleep breathing disorder and the dentist who treats it. Other relevant healthcare practitioners who treat the patient are also involved, such as nurse practitioners, ENTs, chiropractors, nutritionists and many others. The gold standard of treatment for these conditions was continuous positive airway pressure (CPAP) up until 2006. However, as the research concentrates more on patient-centric, evidence-based options that take the preferences of the patient into consideration, this has changed. According to the 2005 Practice Parameters for Dental Sleep Medicine,3 oral appliances are now indicated for patients with mild to moderate sleep breathing disorders, and those with severe sleep breathing disorders who elect not to use CPAP. Michael J. Krahe, PhD and Jennifer A.E. Krahe, PhD(c) Finkle et al., 2009; Young et al., 1993 Kushida et al., 2006 continued on page 60 58 FEBRUARY 2013 » dentaltown.com http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown February 2013

Dentaltown.com Highlights
Howard Speaks: The SWOT Analysis
Professional Courtesy: Get Off the Hamster Wheel
Continuing Education Update
Second Opinion: Predicting the Future of Dental Amalgam Use and FDA Regulation
Nuts & Bolts Full Arch Case Dissected… Tips, Tricks & Stuff
Employee Embezzlement, Not Sure Which One
Corporate Profile: GC America
Sleep Dentistry Section
Product Profile: Sleep Optima
Breathe Easy: The Advent of CPAP
ACSDD Consortium
Sleep Apnea
Townie Meeting 2013 Last Call!
Do-it-Yourself Finance, Part III: Debt
The Most Effective Presentation Process Ever
“Patient Friendly Dentistry” to the Rescue
Does Kissing Affect Oral Health?
Can Groundhog Day Make a Difference?
Top 10 Tips to a Successful Practice Start-up
How to Build Up the Perfect Tooth
Why We See Problems with Teeth Whitening: The Science of Whitening Part IV – Whitening Sensitivity Solutions
Continuing Education: Full-Arch Appliance Use for Nighttime Parafunction Management
Ad Index
In This Issue: Implants Are Growing in Popularity
Perio Reports
Continuing Education: A.I.M. for Implant Success
Scaling on Patients with Implants
Dentally Incorrect

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