Dental Sleep Medicine Insider May 2016 | Page 29

Brandie: How does this lack of awareness manifest itself with your patients and what do you do to increase their awareness? Lack of awareness among the medical community and the public is the biggest hurdle we face... Dr. Harris: Lack of awareness among the medical community and the public is the biggest hurdle we face as dentists. A person with a sleep apnea is own research. Now they are asking us questions about apnea for them and their family members. INTERVIEWED BY Brandie Havell Senior Account Manager [email protected] 877.95.SNORE 4x more likely to have a stroke and 3x more likely to have heart disease. In the medical field, many of the PCP’s just don’t deal with sleep and want to refer it up the chain. Once they do make it up the chain they want the patient to use CPAP. Then, a person who comes in to have their teeth cleaned is not ready to hear they may have sleep apnea. We use the DS3 Screener and many times the subsequent conversation is the first time anyone has discussed sleep with them. We then explain the only way to know is to test for it. I even had one man who said “I don’t have apnea. My son does but that’s cause he’s too fat.” We’re starting to see patients that we screened six months ago are now open to the sleep discussion because their last appointment showed them to be at risk and then they did some of their Brandie: How do you see this lack of awareness manifesting itself among your dental colleagues and what do/can you do to address it? We’re starting to see patients that we screened six months ago are now open to the sleep discussion because their last appointment showed them to be at risk and then they did some of their own research. Dr. Harris: I see the awareness growing rapidly. Treating a medical condition is far different than typical dentistry. Someone breaks a tooth and you place a crown. Fixed. A medical condition like OSA is far different in how we manage the condition. There is no permanent fix. The charting & billing required for OSA is far more complicated than dental and is a bottleneck for most offices. Fortunately, DS3 solves that problem. Brandie: Despite the hurdles inherent to DSM, you continue to provide the service. Why? Dr. Harris: Awareness is key. If somebody has been told they may have a dangerous condition and they refuse that falls on them. Yet, as a healthcare provider if we fail to screen for this dangerous condition, we need to take the blame. I believe treating sleep disor- dered breathing and increasing awareness can have a significant impact on the health of the community I serve. No crown or filling has ever changed a life. Keeping an airway open at night is life changing. Even eliminating snoring and bringing a husband and wife back in the same bedroom is a really big deal. Educating the medical community and patients about the benefits of dental devices is an important part of the equation. I see dental devices as a potentially life-saving alternative to CPAP. There are many who use CPAP but refuse to travel with it or simply can’t tolerate it. Oral appliance therapy has a higher efficacy for mild and moderate patients mostly due to the compliance rate of 77% which far exceeds CPAP compliance. [email protected] www.markharrisdds.com