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Recently there was discussion about oral appliance therapy (OAT) and OSA. Today I came across this illustration, but I don't know its origin.

Rock

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Where did you get the illustration from? Do you have questions in regards to oral appliance therapy and it's beneifts to the treatment of OSA? I would be more than happy to send you any information I have or to answer any questions that you may have in repect to this subject.

Regards,

Tanina
Hi Tanina--glad to have now become aware of your presence on SleepGuide. I missed your coming on in August--I was in the middle of apnea fog and CPAP adjustment at the time!

We need a voice of reason and common sense here--there have been very few, if any, people on SG who are knowledgeable about dental appliance treatment. As you obviously know, there's a lot of misunderstanding about various kinds of treatment options, and the benefits of each.

So thanks for coming onboard!

Susan McCord :-)
Hi Tanina:

I have since learned that the graph is part of an ongoing & as-yet unpublished study, so must remain for the time being unattributed. I don't know much about OAT, but I have been impressed with some outcomes in our program.

Rock C.

Tanina Agosto said:
Where did you get the illustration from? Do you have questions in regards to oral appliance therapy and it's beneifts to the treatment of OSA? I would be more than happy to send you any information I have or to answer any questions that you may have in repect to this subject.

Regards,

Tanina
Hi, Rock!

I'm happy to know that you are open to learning more about OAT. Have you been on the American Academy of Dental Sleep Medicine website? (www.aadsm.org) You can find the Practice Parameters for OAT on there as well as more research and publication information.

-Tanina

Rock Conner RRT said:
Hi Tanina:

I have since learned that the graph is part of an ongoing & as-yet unpublished study, so must remain for the time being unattributed. I don't know much about OAT, but I have been impressed with some outcomes in our program.

Rock C.

Tanina Agosto said:
Where did you get the illustration from? Do you have questions in regards to oral appliance therapy and it's beneifts to the treatment of OSA? I would be more than happy to send you any information I have or to answer any questions that you may have in repect to this subject.

Regards,

Tanina
Yes, I am familiar w/ AADSM as one of our dental providers was recently boarded.

Tanina Agosto said:
Hi, Rock!

I'm happy to know that you are open to learning more about OAT. Have you been on the American Academy of Dental Sleep Medicine website? (www.aadsm.org) You can find the Practice Parameters for OAT on there as well as more research and publication information.

-Tanina

Rock Conner RRT said:
Hi Tanina:

I have since learned that the graph is part of an ongoing & as-yet unpublished study, so must remain for the time being unattributed. I don't know much about OAT, but I have been impressed with some outcomes in our program.

Rock C.

Tanina Agosto said:
Where did you get the illustration from? Do you have questions in regards to oral appliance therapy and it's beneifts to the treatment of OSA? I would be more than happy to send you any information I have or to answer any questions that you may have in repect to this subject.

Regards,

Tanina
For even more information you can visit our web site at www.snoringisntsexy.com. We're proud to say that we have slected as a resource on the Find a sleep Specialist page at WebMD.com

Dr. Barsh
That's great news, Dr. Barsh! I'm sure Dr. Eng will be excited to hear that.

-Tanina

Larry Barsh, DMD said:
For even more information you can visit our web site at www.snoringisntsexy.com. We're proud to say that we have slected as a resource on the Find a sleep Specialist page at WebMD.com

Dr. Barsh
To date I have very little experience with the oral devices. I have participated in only 3 studies that have incorporated these into the therapy. 2 were oral devices by themselves. While in both of these studies we did see some improvement in AHI it was very little. We did not make any adjustments to either device. In the 3rd study the pt used both CPAP and the OAT. An RPSGT adjusted the device in this study. This is the only pt that I have seen able to manage a consistant AHI<1.

How does a Sleep Tech aquire training on these devices? I am sure that we will be seeing more and more of these in the future.
Great question, Rock!
Dr. Eng has created an illustrated for sleep techs to follow when performing Oral Appliance Titration Studies. She has also provided formal training for techs in 2 offices and is on-call if the techs have questions on how to titrate the appliance when the patient is receiving their studies. I would say your best bet is to schedule a training with a dentist that is either certified or a diplomate of the ABSDM to come in & train you and the other techs in the office.


Rock Hinkle said:
To date I have very little experience with the oral devices. I have participated in only 3 studies that have incorporated these into the therapy. 2 were oral devices by themselves. While in both of these studies we did see some improvement in AHI it was very little. We did not make any adjustments to either device. In the 3rd study the pt used both CPAP and the OAT. An RPSGT adjusted the device in this study. This is the only pt that I have seen able to manage a consistant AHI<1.

How does a Sleep Tech aquire training on these devices? I am sure that we will be seeing more and more of these in the future.

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