Approximately 50–70 million people in the United States are chronic sufferers from sleep disorders, who have impaired health and daily functioning issues as a result of those disorders. The societal economic impact of sleep disorders is estimated at $16 billion annually for health care expenses and $50 billion annually regarding lost productivity. Sleep disorders are considered to be one of the most common health problems, and yet it has been demonstrated that between 82 and 98% of adults with sleep-related breathing disorders (SRBD) are undiagnosed.
As it relates to the recognition of health issues, the role of the dentist as well as auxiliary staff is becoming more apparent. No longer is the dentist solely relegated to only the management of dental structures and dentalrelated conditions. The dentist now has an ever-increasing role in the recognition of a patient who may be at risk for a sleep disorder. Epidemiologic data support the increasing awareness of the relationship of sleep disorders and other health issues. Clinical treatment and decision making now emphasize sound evidence based on documentation that relies on wellresearched epidemiologic studies to assist in determining the coexistence of a sleep disorder, which in turn is impacting the health of a patient.
The dentist is more significant in comanaging these SRBD patients, especially those with snoring and/or obstructive sleep apnea (OSA). Not only does the dental practitioner have the opportunity to recognize a potential sleep disorder issue in their patients, but he or she also has the opportunity to interact with the sleep medicine field through both the referral and the provision of oral appliance therapy when indicated.
The present time is very exciting for dentistry regarding its contribution and participation in the field of sleep medicine. This book has been structured to provide the reader with an overview of sleep medicine as well as the assessment and management of the SRBD patient. There is an ever-increasing volume of research findings regarding sleep medicine and dentistry as each year passes. It is our intent to have readers use this book as a stepping-stone along their path of lifelong learning.
As it relates to the recognition of health issues, the role of the dentist as well as auxiliary staff is becoming more apparent. No longer is the dentist solely relegated to only the management of dental structures and dentalrelated conditions. The dentist now has an ever-increasing role in the recognition of a patient who may be at risk for a sleep disorder. Epidemiologic data support the increasing awareness of the relationship of sleep disorders and other health issues. Clinical treatment and decision making now emphasize sound evidence based on documentation that relies on wellresearched epidemiologic studies to assist in determining the coexistence of a sleep disorder, which in turn is impacting the health of a patient.
The dentist is more significant in comanaging these SRBD patients, especially those with snoring and/or obstructive sleep apnea (OSA). Not only does the dental practitioner have the opportunity to recognize a potential sleep disorder issue in their patients, but he or she also has the opportunity to interact with the sleep medicine field through both the referral and the provision of oral appliance therapy when indicated.
The present time is very exciting for dentistry regarding its contribution and participation in the field of sleep medicine. This book has been structured to provide the reader with an overview of sleep medicine as well as the assessment and management of the SRBD patient. There is an ever-increasing volume of research findings regarding sleep medicine and dentistry as each year passes. It is our intent to have readers use this book as a stepping-stone along their path of lifelong learning.
Contents
Section 1 OVERVIEW OF SLEEP MEDICINE
1 Impact of sleep disorders on society 3
2 Human sleep 15
3 Classification of sleep disorders 33
4 Pediatrics and sleep-related breathing disorders 70
5 Medical and dental conditions related to sleep-related breathing disorders 91
Section 2 ASSESSMENT OF THE SLEEP-RELATED BREATHING DISORDER PATIENT
6 Sleep assessment/studies 113
7 Evaluation by the dentist 128
8 Imaging for sleep-related breathing disorders 150
Section 3 MANAGEMENT OF THE SLEEP-RELATED BREATHING DISORDER PATIENT
9 Positive airway pressure therapy for sleep-related breathing disorders 167
10 Surgical treatment for sleep-related breathing disorders 196
11 Oral appliance therapy for sleep-related breathing disorders 221
APPENDICES
Appendix 1: Abbreviations for sleep medicine 263
Appendix 2: Glossary of terms for sleep medicine 265
Index 268