Dental Sleep Medicine Insider November 2016 | Page 9

STACEY LAYMAN BREAKING THROUGH DENIAL Pulse Oximetry for OSA Screening P racticing sleep dentistry can be an incredibly rewarding profession but how do you handle the patients that are in DENIAL?  When I first introduced dental sleep medicine into my practice, I found that many patients did not want to “know” if they had sleep issues, and even more didn’t seem to care! They didn’t want to hear about it.  No matter how much I educated them about the serious issues associated with untreated sleep apnea, it seemed there was nothing I could do to get them to acknowledge the issue and consider the next steps of diagnosis and disease management. They just would NOT get a sleep study. I needed to break through to these patients.   I discovered overnight pulse oximetry from Dr. Keith Thornton and everything changed!   I purchased my first pulse ox unit and immediately starting sending it home with patients. I changed my verbiage and tweaked my approach. I began informing patients that I thought they might have an issue with maintaining their oxygen while they slept and that I wanted them to go home with a simple device that they wear on their finger while they slept. I stressed that there was no fee for the service but it was so important because we had to be sure they were breathing.  NO ONE SAID “NO!”  Literally no one. Once I got the results back, I could show them (in bold red ink) that it was glaringly apparent they had a problem.  This opened the door to more discussion and provided compelling Join us February 17th & 18th at the Hilton Clearwater Resort for the North American Dental Sleep Medicine Symposium where Dr. Layman will present this topic in greater detail. objective data that helped erode their reluctance to get tested and treated appropriately.   When I was able to explain they could have a test in their own bed and that IF they did indeed have a problem, the solution didn’t have to be a “CPack” or “mask”, we turned a 10% conversion rate into an 80 % conversion rate almost overnight.  I also use pulse oximetry to screen the patient in their appliance to make sure they are ready for their follow-up sleep test.  This keeps all the control in my hands and unnecessary tests out of the patients’ pockets.  It’s a WIN-WIN for everyone.  CLICK HERE TO REGISTER ONLINE AT WWW.DENTALSLEEPSYMPOSIUM.COM STACEY LAYMAN Dental Sleep Practitioner and DSM Lecturer