Treatment
Developed in the 1980’s and considered the gold standard for OSA treatment
What is C-PAP
A common cause of friction between spouses and sign of OSA
What is loud persistent snoring
Name the sleep disorder in which throat muscles relax and block the flow of air into the lungs
What is Obstructive Sleep Apnea (OSA)
A patient that is high risk for OSA will have this many yes answers on their STOP-BANG questionnaire
What is 5-8?
A patient screened high risk for OSA will receive this
What is a sleep medicine referral
Compliance rates for C-PAP use range from 17-71%. This device offers an alternative for OSA patients.
What is an oral appliance
Early morning headaches, poor concentration and irritability are examples of this
What are daytime symptoms of OSA
Obstructive sleep apnea has this effect on blood oxygen levels
What is lowers blood oxygen levels?
Identify the level of risk for OSA given this scenario:
Amity is a 35 yo female and in for her cleaning and her BP is 170/100. She says that she often feels tired, fatigued, and sleepy during the daytime but has a 1 year old that sometimes wakes up in the middle of the night and is still nursing. You ask her if she snores, or if Tom has seen her stop breathing in her sleep. She says she does snore from time to time, but never been told that she has stopped breathing.
What is low risk? (2 yes answers)
After a sleep medicine referral a patient will be scheduled for this
What is a 30 minute phone consultation
Oral appliances are used for these levels of OSA
What is mild to moderate OSA
3 nighttime symptoms of OSA
Loud persistent snoring, observed apnea, choking or gasping, restless sleep, frequent trips to the bathroom
The liver disease most commonly associated with Sleep Apnea
What is Fatty Liver Disease?
Identify the level of OSA risk given the following scenario:
Nancy is a 55 year old women, with a BMI of 36 and is in for her dental cleaning. Her BP was 148/87 today. She reports that her memory has been off and almost forgot her appointment today as well as decreased levels of sexual desire. You go through the STOP-BANG and she answers yes to snoring, feeling tired, and having high blood pressure. During her intra-oral exam you note heavy signs of bruxism, scalloped tongue, and a narrow airspace.
What is high risk of OSA (5 yes answers)?
Who is Emily Wescott at TMB
Efficacy rate of oral appliances for OSA treatment
What is 77%
Classification for tonsils which pass the midline and touch
What is grade 4
OSA has this systemic effect on blood pressure
What is increase risk for high blood pressure, what is patient does not respond to BP meds?
From the following scenario, identify the level of risk for OSA using STOP-BANG.
Jamal is a 52 year old male, has a BMI of 45, and a neck circumference of 18 inches. He answered yes to high bp and stroke on his health history form. You question him on his sleep and he reports that he no longer shares a room with his wife due to snoring so loudly as well as constantly feeling sleepy during the day. He also reports familial history of sleep apnea.
What is high risk of OSA?
A place you can find evidence of an existing sleep apnea diagnosis
What is the patient’s health history
Diagnosis for patients experiencing greater than 30 events per night during their sleep study
What is severe OSA
This classification system was developed to predict the ease of intubation and runs higher in OSA patients
What is the Mallampti classification
People with sleep apnea are more likely to have high levels of this type of cholesterol. ("hint it is the bad cholesterol")
What is high levels of LDL?
Identify the level of OSA risk using the following scenario:
Berenstein is a 21 yo male, has a BMI of 18, and no history of high bp. He reports snoring but overall feels very rested after a good night sleep.
What is low risk of OSA?
A diplomate of the American Board of Dental Sleep Medicine
Who is Dr. Shelly Bedayse DDS, D.ABDSM