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(BQ) Part 2 book “Dental management of sleep disorders” has contents: Evaluation by the dentist, imaging for sleep-related breathing disorders, oral appliance therapy for sleep-related breathing disorders, and other contents. | 7 Evaluation by the dentist CONCEPTUAL OVERVIEW The dentist is called on today, more than ever, to be cognizant of related health care issues of their patients and not just of their dental and oral health status. This understanding and subsequent formal training in dental education began several decades ago with the recognition of hypertension when the blood pressure was taken at an initial visit or at a periodic visit for reevaluation, such as a dental hygiene visit. When the blood pressure was elevated, the patient was advised to contact their physician and have this evaluated more thoroughly. This heightened awareness led to the recognition of many people who were at risk for hypertension and who otherwise would have been undetected. More recently, the association between periodontal disease and cardiovascular disease has been identified, and more aggressive steps are being taken clinically to resolve the periodontal condition in order to reduce the risk for cardiovascular disease. More than any other health care provider, oral cancer screening is another action that the dentist implements during the initial and follow-up care visits. Other examples are related to the recognition of oral conditions associated with systemic illnesses such as diabetes, leukemia, and many of the autoimmune diseases (e.g., Sjogren’s syndrome). Sleep disorders, and particularly obstructive sleep apnea (OSA), are no exception. Not only are sleep disorders prevalent in the general population, but they also have a potential for significant impact on an individual’s health as well as on society. Sleep disorders may impair one’s quality of life 128 Evaluation by the dentist 129 and daily performance relative to schooling, driving or operating any other machinery, the workplace, and relationships. The role of the dentist in the recognition of patients at risk for OSA and other sleep-related breathing disorders (SRBD), such as snoring, is now well established. The dentist is just as
