Dentaltown February 2018 - 84
Sleep,
Why dentists need
to pay attention
Breathing
and Children
by Dr. Diana Batoon
Dr. Diana Batoon combines
passion and expertise to
challenge the way dentistry is
done. She graduated from Tufts
University School of Dental
Medicine with specialized training
in 1996, and the following
year founded Bonita Dental in
Scottsdale, Arizona. She later
created the Arizona Center for
Breathing and Sleep Wellness, inspired by her interest in
sleep medicine and TMJ conditions.
Batoon is a member of the American Dental Association,
the Academy of General Dentistry, the American Academy
of Craniofacial Pain and the American Academy of Dental
Sleep Medicine. She has extensive training in full-mouth
rehab, sleep medicine and TMJ, and CAD/CAM dentistry.
Batoon would like to thank Ortho-Tain for its assistance with
this case.
84
FEBRUARY 2018 // dentaltown.com
P
racticing dentistry means going
beyond just looking at a child's
dentition; now, dentists must
look at the whole child and
his or her overall health. We
should evaluate our patients,
screen for possible sleep issues, and have
the expertise and knowledge of the oral
cavity in terms of prevention and care.
Now, the opportunity arises to expand
this expertise to include airway, habits,
and improper growth and development
as factors that affect a child's ability to
breathe and sleep well.
In October 2017, the American Dental
Association presented and voted on a new
policy regarding the pediatric patient, the
evaluation of the airway, and identifying
improper growth and development. This
was approved, and the policy statement
on sleep-related breathing disorders
(SRBD) is available on the ADA website.
Dental professionals will be responsible
for educating themselves in these new
policies and implementing them into
their practices. A collaborative effort
requires doctors to diagnose sleep apnea
and dental professionals to treat their
patients accordingly. This protocol sets a
precedent on a growing area in dentistry,
and will only improve the quality of care
in our profession.
How to treat sleep apnea
Every dentist needs to understand
SRBD, their outward symptoms, the
underlying root causes and the tools
available to evaluate pediatric patients.
Every dental professional has the expertise
to diagnose clinical conditions, which
can include narrow arches or constriction
of the maxilla, vaulted palate, tongue
posture, improper swallowing, mouth
breathing, poor jaw relations and the
underdeveloped mandible and/or maxilla.
All can contribute to an unhealthy airway.
A dentist can begin this evaluation
with a pediatric sleep questionnaire,
which identifies symptoms of sleep-related
breathing disorders. (Fig. 1, p. 86, shows
the questionnaire for the patient in my
case study, and includes before and after
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Table of Contents for the Digital Edition of Dentaltown February 2018
Dentaltown February 2018 - Intro
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Dentaltown February 2018 - Cover3
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