Position Paper by Canadian Dental Sleep Medicine Professionals Regarding the Role of Different Health Care Professionals in Managing Obstructive Sleep Apnea and Snoring with Oral Appliances
The present Canadian position paper contains recommendations for the management by dentists of sleep-disordered breathing in adults with the use of oral appliances (OAs) as a treatment option for snoring and obstructive sleep apnea (OSA). The recommendations are based on literature reviews and exper...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Canadian Respiratory Journal |
| Online Access: | http://dx.doi.org/10.1155/2012/631803 |
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| author | Luc Gauthier Fernanda Almeida Patrick Arcache Catherine Ashton-McGregor David Côté Helen Driver Kathleen Ferguson Gilles Lavigne Philippe Martin Jean-François Masse Florence Morisson Jeffrey Pancer Charles Samuels Maurice Schachter Frédéric Sériès Glendon Sullivan |
| author_facet | Luc Gauthier Fernanda Almeida Patrick Arcache Catherine Ashton-McGregor David Côté Helen Driver Kathleen Ferguson Gilles Lavigne Philippe Martin Jean-François Masse Florence Morisson Jeffrey Pancer Charles Samuels Maurice Schachter Frédéric Sériès Glendon Sullivan |
| author_sort | Luc Gauthier |
| collection | DOAJ |
| description | The present Canadian position paper contains recommendations for the management by dentists of sleep-disordered breathing in adults with the use of oral appliances (OAs) as a treatment option for snoring and obstructive sleep apnea (OSA). The recommendations are based on literature reviews and expert panel consensus. OAs offer an effective, first-line treatment option for patients with mild to moderate OSA who prefer an OA to continuous positive airway pressure (CPAP) therapy, or for severe OSA patients who cannot tolerate CPAP, are inappropriate candidates for CPAP or who have failed CPAP treatment attempts. The purpose of the present position paper is to guide interdisciplinary teamwork (sleep physicians and sleep dentists) and to clarify the role of each professional in the management of OA therapy. The diagnosis of OSA should always be made by a physician, and OAs should be fitted by a qualified dentist who is trained and experienced in dental sleep medicine. Follow-up assessment by the referring physician and polysomnography or sleep studies are required to verify treatment efficacy. The present article emphasizes the need for a team approach to OA therapy and provides treatment guidelines for dentists trained in dental sleep medicine. Many of the dentists and sleep physicians who contributed to the preparation of the present article are members of the Canadian Sleep Society and the authors reached a consensus based on the current literature. |
| format | Article |
| id | doaj-art-e5da9a926bf64e9dae20b4a5b25eeae9 |
| institution | Kabale University |
| issn | 1198-2241 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Respiratory Journal |
| spelling | doaj-art-e5da9a926bf64e9dae20b4a5b25eeae92025-02-03T01:21:06ZengWileyCanadian Respiratory Journal1198-22412012-01-0119530730910.1155/2012/631803Position Paper by Canadian Dental Sleep Medicine Professionals Regarding the Role of Different Health Care Professionals in Managing Obstructive Sleep Apnea and Snoring with Oral AppliancesLuc Gauthier0Fernanda Almeida1Patrick Arcache2Catherine Ashton-McGregor3David Côté4Helen Driver5Kathleen Ferguson6Gilles Lavigne7Philippe Martin8Jean-François Masse9Florence Morisson10Jeffrey Pancer11Charles Samuels12Maurice Schachter13Frédéric Sériès14Glendon Sullivan15Centre de santé et de services sociaux de Chicoutimi, Saguenay, CanadaFaculty of Dentistry, University of British Columbia, Vancouver, British Columbia, CanadaFaculté de Médecine dentaire, Université de Montréal, Montréal, Québec, CanadaTMJ and Sleep Therapy Centre of Eastern Ontario, Lyndhurst, Ontario, CanadaPrivate practice, Gatineau, Québec, CanadaDepartment of Medicine, Queen’s University, Kingston, CanadaSchulich School of Medicine, University of Western Ontario, London, Ontario, CanadaFaculté de Médecine dentaire, Université de Montréal, Montréal, Québec, CanadaUnité de médicine familiale, Université Laval, Laval, CanadaInstitut universitaire de cardiologie et de pneumologie de Québec, Sainte Foy, CanadaPrivate practice, St-Hubert, Québec, CanadaPrivate practice, Toronto, Ontario, CanadaCalgary Institute of Population and Public Health, Centre For Sleep And Human Performance, Calgary, Alberta, CanadaPrivate practice, Maple, Ontario, CanadaInstitut universitaire de cardiologie et de pneumologie de Québec, Sainte Foy, CanadaAtlantic Sleep Centre Horizon, Health Network, Saint John, New Brunswick, CanadaThe present Canadian position paper contains recommendations for the management by dentists of sleep-disordered breathing in adults with the use of oral appliances (OAs) as a treatment option for snoring and obstructive sleep apnea (OSA). The recommendations are based on literature reviews and expert panel consensus. OAs offer an effective, first-line treatment option for patients with mild to moderate OSA who prefer an OA to continuous positive airway pressure (CPAP) therapy, or for severe OSA patients who cannot tolerate CPAP, are inappropriate candidates for CPAP or who have failed CPAP treatment attempts. The purpose of the present position paper is to guide interdisciplinary teamwork (sleep physicians and sleep dentists) and to clarify the role of each professional in the management of OA therapy. The diagnosis of OSA should always be made by a physician, and OAs should be fitted by a qualified dentist who is trained and experienced in dental sleep medicine. Follow-up assessment by the referring physician and polysomnography or sleep studies are required to verify treatment efficacy. The present article emphasizes the need for a team approach to OA therapy and provides treatment guidelines for dentists trained in dental sleep medicine. Many of the dentists and sleep physicians who contributed to the preparation of the present article are members of the Canadian Sleep Society and the authors reached a consensus based on the current literature.http://dx.doi.org/10.1155/2012/631803 |
| spellingShingle | Luc Gauthier Fernanda Almeida Patrick Arcache Catherine Ashton-McGregor David Côté Helen Driver Kathleen Ferguson Gilles Lavigne Philippe Martin Jean-François Masse Florence Morisson Jeffrey Pancer Charles Samuels Maurice Schachter Frédéric Sériès Glendon Sullivan Position Paper by Canadian Dental Sleep Medicine Professionals Regarding the Role of Different Health Care Professionals in Managing Obstructive Sleep Apnea and Snoring with Oral Appliances Canadian Respiratory Journal |
| title | Position Paper by Canadian Dental Sleep Medicine Professionals Regarding the Role of Different Health Care Professionals in Managing Obstructive Sleep Apnea and Snoring with Oral Appliances |
| title_full | Position Paper by Canadian Dental Sleep Medicine Professionals Regarding the Role of Different Health Care Professionals in Managing Obstructive Sleep Apnea and Snoring with Oral Appliances |
| title_fullStr | Position Paper by Canadian Dental Sleep Medicine Professionals Regarding the Role of Different Health Care Professionals in Managing Obstructive Sleep Apnea and Snoring with Oral Appliances |
| title_full_unstemmed | Position Paper by Canadian Dental Sleep Medicine Professionals Regarding the Role of Different Health Care Professionals in Managing Obstructive Sleep Apnea and Snoring with Oral Appliances |
| title_short | Position Paper by Canadian Dental Sleep Medicine Professionals Regarding the Role of Different Health Care Professionals in Managing Obstructive Sleep Apnea and Snoring with Oral Appliances |
| title_sort | position paper by canadian dental sleep medicine professionals regarding the role of different health care professionals in managing obstructive sleep apnea and snoring with oral appliances |
| url | http://dx.doi.org/10.1155/2012/631803 |
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