Konig Center for Cosmetic & Comprehensive Dentistry
Thursday, March 25, 2010
American Academy of Sleep Medicine Guidelines for Dental Appliances
American Academy of Sleep Medicine Guidelines for Dental Appliances
There are many advertisements and promotions with regards to dental appliances for sleep apnea. This is certainly not a subject to be taken lightly as it is a health issue in which patients can die from.
The guidelines proposed by the AASM (American Academy of Sleep Medicine) states that:
"Oral appliances should be fitted by qualified dental personnel who are trained and experienced in the overall care of oral health,the temporomandibular joint, dental occlusion and associated oralstructures. Dental management of patients with OSA should be overseen by practitioners who have undertaken serious training insleep medicine and/or sleep related breathing disorders with emphasis on proper protocol for diagnosis, treatment,and follow up." Followup should include the use of home sleep monitors to assist in proper adjustment o f the appliance.
This very important statement really sums up what needs to be considered when utilizing dental sleep apnea appliances. The AASM acknowledges that these correctly fabricated appliances are not quite as effective as the CPAP, they are indicated in cases of mild to moderate obstructive sleep apnea and for cases when patients cannot tolerate the use of a CPAP.
Almost all doctors recognize that CPAP compliance is not good with patients as they are not comfortable and are difficult to sleep with. Whereas correctly fabricated oral appliances are much more comfortable, less invasive, and have a much higher level of compliances with patients.
If you have any questions about sleep apnea or TMJ, please feel free to call our office,
Ronald W. Konig DDS, FAGD, LVIF, who is a Houston TMJ Dentist and Houston Sleep Dentist.
We welcome your calls and questions. 713-668-2289
There are many advertisements and promotions with regards to dental appliances for sleep apnea. This is certainly not a subject to be taken lightly as it is a health issue in which patients can die from.
The guidelines proposed by the AASM (American Academy of Sleep Medicine) states that:
"Oral appliances should be fitted by qualified dental personnel who are trained and experienced in the overall care of oral health,the temporomandibular joint, dental occlusion and associated oralstructures. Dental management of patients with OSA should be overseen by practitioners who have undertaken serious training insleep medicine and/or sleep related breathing disorders with emphasis on proper protocol for diagnosis, treatment,and follow up." Followup should include the use of home sleep monitors to assist in proper adjustment o f the appliance.
This very important statement really sums up what needs to be considered when utilizing dental sleep apnea appliances. The AASM acknowledges that these correctly fabricated appliances are not quite as effective as the CPAP, they are indicated in cases of mild to moderate obstructive sleep apnea and for cases when patients cannot tolerate the use of a CPAP.
Almost all doctors recognize that CPAP compliance is not good with patients as they are not comfortable and are difficult to sleep with. Whereas correctly fabricated oral appliances are much more comfortable, less invasive, and have a much higher level of compliances with patients.
If you have any questions about sleep apnea or TMJ, please feel free to call our office,
Ronald W. Konig DDS, FAGD, LVIF, who is a Houston TMJ Dentist and Houston Sleep Dentist.
We welcome your calls and questions. 713-668-2289
posted by
Ron Konig
at
5:48 AM
Ronald W. Konig, DDS 866-918-7221
Konig Center for Cosmetic & Comprehensive Dentistry
2201 West Holcombe, Suite 300, Houston, TX 77030
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