Dental Management of Sleep Disorders. Ronald Attanasio
of the Oral Appliance Conceptual Overview The Impression Process Interocclusal Record – The Therapeutic Bite Registration Conclusion References 19 Follow‐up Care and Titration in Oral Appliance Therapy Conceptual Overview Conclusion References 20 Adverse Effects and Their Management in Oral Appliance Therapy Conceptual Overview Conclusion References
11 Section 5: Other Management Strategies for Sleep‐Related Breathing Disorders 21 Positive Airway Pressure Therapy Conceptual Overview Conclusion References 22 Surgical Management for Sleep‐Related Breathing Disorders Conceptual Overview Conclusion References 23 Alternative and Adjunctive Options for the Management of Sleep Disorders Conceptual Overview Alternative Therapies Cognitive Behavioral Therapy for Insomnia (CBT‐I) Conclusion References
12 Appendix A: Abbreviations in Sleep Medicine Conceptual Overview List of Abbreviations
13 Appendix B: Glossary of Terms in Sleep Medicine
14 Appendix C: Sample Patient Screening Questionnaires Epworth Sleepiness Scale Berlin Questionnaire STOP‐Bang Questionnaire NOSE Scale (nasal obstruction symptom evaluation) Pittsburgh Sleep Quality Index (PSQI) Insomnia Risk Questionnaire Dental Sleep Medicine (DSM) Quality of Life Survey References
15 Appendix D: Sample Evaluation Format for SRBD and Airway Clinical Evaluation Introduction
16 Index
List of Tables
1 Chapter 1Table 1.1 Common risk factors.Table 1.2 Prevalence of sleep problems with comorbid illness (age 55–84)....Table 1.3 Common health issues associated with sleep disorders.
2 Chapter 2Table 2.1 Recommended hours of sleep by age.Table 2.2 Neurotransmitters of sleep and wake.
3 Chapter 3Table 3.1 Muscles involved with the soft palate.Table 3.2 Muscles involved with the oropharynx.Table 3.3 Muscles related to the hyoid.Table 3.4 Muscles involved with the oropharynx.Table 3.5 Nerve supply to the muscles of the upper airway.
4 Chapter 5Table 5.1 Risk of coronary artery disease (CAD) based on hours of sleep....Table 5.2 Risk for symptomatic diabetes based on hours of sleep.Table 5.3 Common symptoms of GERD.
5 Chapter 6Table 6.1 Effects of common medications on sleep.
6 Chapter 7Table 7.1 Evidence of an association and/or causality between SB and OSA [6...
7 Chapter 8Table 8.1 Health‐related conditions associated with SRBD in children and ad...Table 8.2 More common congenital conditions that predispose the child to SR...Table 8.3 General pediatric sleep questionnaire.Table 8.4 Symptoms and findings in children with SBD.Table 8.5 Clinical manifestations of sleep‐related breathing disorders in t...Table 8.6 Diagnostic values (AHI) for children and adolescents from PSG....
8 Chapter 9Table 9.1 Historical review of the dentist's role in sleep medicine.Table 9.2 Criteria for “qualified dentist” status – include at least one of...Table 9.3 Summary of hours of education in sleep medicine in dental educati...
9 Chapter 10Table 10.1 Common symptoms of narcolepsy (acronym for symptoms is CHESS).Table 10.2 Commonly encountered circadian rhythm sleep disorders.Table 10.3 Commonly encountered parasomnias in REM and NREM sleep.Table 10.4 Description of movement disorders (RLS, PLMD, and SB).Table 10.5 Appendix A – related medical and neurologic disorders.
10 Chapter 11Table 11.1 Comparison of limited and comprehensive involvement in OAT by th...
11 Chapter 12Table 12.1 Sleep Questionnaire for Pediatrics and Adolescents.
12 Chapter 13Table 13.1 Conditions that indicate the potential risk for a sleep breathin...Table 13.2 Steps for assessment of the patient at risk for the SRBD and sle...Table 13.3 Example of effect of Malampati score on OSA and AHI.
13 Chapter 14Table 14.1 Imaging options related to SRBD and mandibular repositioning....
14 Chapter 15Table 15.1 Levels of sleep studies.Table 15.2 Parameters of the polysomnogram (PSG).Table 15.3 Specifics of the MSLT and MWT.
15 Chapter 16Table 16.1 Guidelines for the use of HSAT devices.
16 Chapter 17Table 17.1 Basic history related to oral appliance therapy.Table 17.2 Various