Ebook Dental management of sleep disorders: Part 2
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Ebook Dental management of sleep disorders: Part 2
CONCEPTUAL OVERVIEWThe dentist is called on today, more than ever, to be cognizant of related health care issues of their patients and not just of the Ebook Dental management of sleep disorders: Part 2eir 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 Ebook Dental management of sleep disorders: Part 2the blood pressure was elevated, the patient was advised to contact their physician and have this evaluated more thoroughly. This heightened awarenessEbook Dental management of sleep disorders: Part 2
led to the recognition of many people who were at risk for hypertension and who otherwise would have been undetected.More recently, the association bCONCEPTUAL OVERVIEWThe dentist is called on today, more than ever, to be cognizant of related health care issues of their patients and not just of the Ebook Dental management of sleep disorders: Part 2ntal 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 associat Ebook Dental management of sleep disorders: Part 2ed with systemic illnesses such as diabetes, leukemia, and many of the autoimmune diseases (e.g., Sjogren's syndrome).Sleep disorders, and particularlEbook Dental management of sleep disorders: Part 2
y obstructive sleep apnea (OSA), are no exception. Not only are sleep disorders prevalent in the general population, but they also have a potential foCONCEPTUAL OVERVIEWThe dentist is called on today, more than ever, to be cognizant of related health care issues of their patients and not just of the Ebook Dental management of sleep disorders: Part 29and 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 Ebook Dental management of sleep disorders: Part 2 just as likely to identify a patient who is at risk for OSA as is the physician.1 However, a study found that dentists had a general deficiency in thEbook Dental management of sleep disorders: Part 2
eir ability to recognize a patient at risk for OSA, and they also knew very little about the use of oral appliance (OA) therapy for the management of CONCEPTUAL OVERVIEWThe dentist is called on today, more than ever, to be cognizant of related health care issues of their patients and not just of the Ebook Dental management of sleep disorders: Part 2or the management of OSA. The study demonstrated the need for more education related to OSA and the use of an OA as an option for the management of the patient diagnosed with OSA.WHAT THE DENTIST SEES THAT INDICATESTHE RISK FOR SRBDThe dentist as well as the dental hygienist sees patients regularly Ebook Dental management of sleep disorders: Part 2who have signs of SRBD. However, unless the practitioner is knowledgeable of and recognizes the potential for these findings to suggest that there isEbook Dental management of sleep disorders: Part 2
a risk for SRBD, the sleep disorder may go undetected. Many of the conditions that may be identified by both the dentist and the dental hygienist thatCONCEPTUAL OVERVIEWThe dentist is called on today, more than ever, to be cognizant of related health care issues of their patients and not just of the Ebook Dental management of sleep disorders: Part 2own merit as being stand-alone, and thus they may not be considered as potentially being related to some other health issue.Once any of these conditions are recognized, then it becomes imperative to do the following: (1) determine if the risk for snoring or OSA is present, (2) inform the patient of Ebook Dental management of sleep disorders: Part 2the findings, and (3) consult with them regarding the appropriate measures needed for a complete diagnosis and management plan.Many intra- and extraorEbook Dental management of sleep disorders: Part 2
al conditions have an association with risk for SRBD that warrant in-depth consideration (Table 7.1).ASKING THE PROPER QUESTIONSThe addition of a few CONCEPTUAL OVERVIEWThe dentist is called on today, more than ever, to be cognizant of related health care issues of their patients and not just of the Ebook Dental management of sleep disorders: Part 2individual who is at risk for snoring or having OSA, but they may’ also assist in the identification of someone who has been previously diagnosed with SRBD.130 Assessment of the sleep-related breathing disorder patientTable 7.1 Conditions that indicate the risk for a sleep-related breathing disorder Ebook Dental management of sleep disorders: Part 2: sleep apnea and snoring.Observed conditionwhat this may indicateWear on the teethScalloped borders Jcrenations) of the tongueEnlarged tongueCoated tEbook Dental management of sleep disorders: Part 2
ongueEnlarged, swollen, or elongated uvulalarge tonsilsNarrow airwayGingival recession and/or obfractionTongue obstructs view of airway (Mallampoli scCONCEPTUAL OVERVIEWThe dentist is called on today, more than ever, to be cognizant of related health care issues of their patients and not just of the Ebook Dental management of sleep disorders: Part 2upper airway obstructionPossible gastroesophageal reflux diseaseIncreased potential for snoring or sleep apneaHigher incidence of airway obstructionGreater risk for snoring or sleep apneaGreater potential for sleep bruxism (grinding or clenching) Ebook Dental management of sleep disorders: Part 2CONCEPTUAL OVERVIEWThe dentist is called on today, more than ever, to be cognizant of related health care issues of their patients and not just of theGọi ngay
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