Dentaltown October 2020 - 45

and he decided to personally train me as if
I were his apprentice. He has since passed
away, but there are courses that have begun
to fill the void left in his absence. I am
a member of the American Academy of
Dental Sleep Medicine and the Academy
of Clinical Sleep Disorder Disciplines, and
passed the diplomate exam for the latter. I
attend the AADSM annual meeting, but
there are many other CE courses available.
DG: Was there any other motivation
besides your abundance of free time and
the desire to balance your practice offerings?
DC: I found that I myself felt tired
during the day and had what I perceived
to be low energy, but I attributed that to
working long weeks to pay overhead for
my startup practice. But I also was made
aware that I snored loudly. So, as advised, I
took a sleep test and found out I had sleep

apnea. I've been wearing a sleep appliance
for the past 9 or 10 years now, and after
that experience, I decided to push forward
and make it a part of my practice.
DG: Describe sleep apnea, in a nutshell.
DC: Let me start with some definitions
and parameters that physicians use to
diagnose sleep apnea. It's important to
understand that many factors go into the
medical diagnosis of this chronic condition.
* Apnea (A) is complete cessation of
breathing for 10 seconds.
* Hypopnea (H) is a 4% decrease in
oxygen saturation from baseline.
* An AHI score, or apnea-hypopnea
index, represents the average number
of apneic or hypopneic episodes
experienced per hour during a
polysomnographic evaluation or
home sleep test. A score of 0-5 is

normal; 5-15 mild; 15-30 moderate;
and anything over 30 is severe.
The long-term effects of apnea include
heart disease-hypertension, A-fib, stroke,
myocardial infarction, etc.-because the
heart works harder while not resting, because
of desaturations and apnea events to maintain
elevated oxygen. It's also correlated to other
health problems because the body doesn't
get the restorative sleep cycles necessary.
DG: Is there a method to screen patients
in a typical dental or specialty practice?
DC: Orthodontists see a diversity of
individuals, from kids to adults, who have
malocclusions that could predispose to
the problem. Wives often complain that
their husband snores and is tired. Family
or specialty dentists can screen in hygiene
recalls and refer to medical specialists if
suspected apnea has not been diagnosed.

FREE FACTS, circle 13 on card

dentaltown.com \\ OCTOBER 2020

DT1020_Grob_Croft_Sleep_MM.indd 45

45

9/18/20 1:03 PM



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Dentaltown October 2020

Table of Contents for the Digital Edition of Dentaltown October 2020

Dentaltown October 2020 - Cover1
Dentaltown October 2020 - Cover2
Dentaltown October 2020 - 1
Dentaltown October 2020 - 2
Dentaltown October 2020 - 3
Dentaltown October 2020 - 4
Dentaltown October 2020 - 5
Dentaltown October 2020 - 6
Dentaltown October 2020 - 7
Dentaltown October 2020 - 8
Dentaltown October 2020 - 9
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Dentaltown October 2020 - Cover3
Dentaltown October 2020 - Cover4
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