Oral appliance therapy for OSA/Snoring Questions
and Correct Answers | Latest Update
True or False, patients with mild to moderate OSA can choose to get a
CPAP as their first line treatment after behavioral treatment? Ans: True
What year was the first oral appliance used to reposition the mandible?
Ans: 1934
In what year were oral appliances first written into the sleep medicine
guidelines? Ans: 1995
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All the studies used to show the use and results of oral appliances for
sleep were what level of evidence? Ans: Level 5
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How the oral appliances for OSA work? Ans: They prevent he
oropharyngeal tissues and the base of the tongue from collapasing and
obstructing the upper airway
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Describe the process of a medical diagnosis for OSA Ans: - Medical
evaluation prior to oral appliance therapy
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- Provide baseline and establish effectiveness of treatment
What are some indications for oral appliances? Ans: - Primary snoring
without OSA that do not respond to behavioral changes
- CPAP intolerance
- Surgical contraindications
What are the indications for oral appliances in severe OSA? Ans: - Only
after the initial trial of nasal CPAP
- After consideration/performance of upper airway surgery
When may upper airway surgery supersede appliance therapy in OSA?
Ans: When surgery is predicted to be a highly effective treatment
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What was added in 2009 into the AASM clinical guidelines? Ans: A
thorough dental exam must be performed prior to oral appliance therapy
True or False, a cephalometric evaluation of a patient is needed prior to
oral appliance therapy? Ans: False, they are not always required and only
performed when deemed necesary
What is the follow up testing for oral appliance therapy in primary
snorer's and OSA patient's? Ans: - No follow up sleep testing for primary
snorer's
- Repeat sleep study for OSA patients
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After optimal fit and efficacy for OAT's has been established what is the
follow-up protocol? Ans: Follow up with a dental specialist every 6
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months and at least annually therafter
What is ambulatory sleep testing? Ans: Unattended portable monitors
which may be indicated to monitor response to non-CPAP treatments,
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including appliances
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Who must apply or directly educated the patient on the use of
ambulatory sleep testing monitors? Ans: - Appropriately trained
healthcare practicioner
What is the treatment objective for primary snorer's using OAT's? Ans:
Reduce snoring to subjectively acceptable level
What is the treatment objective for OSA patients using OAT's? Ans: -
Resolution of clinical signs and symptoms
- Normalization and improvement of AHI and O2 saturation
What are some contraindications for OAT's? Ans: - As a first line
treatment for severe oSA
- Central apnea