September 2018 DSM Insider 28 | Page 7

HOME SLEEP TESTING & DENTISTRY HOME SLEEP TESTING & DENTISTRY THE GREAT DIVIDE TURF WAR: WHAT IS IT GOOD FOR? ABSOLUTELY NOTHING! Elias Kalantzis “Sleep Medicine belongs to those who practice it.” - Dr. William Charles Dement Does anyone “really” believe that dentists aim to rival physicians when it comes to helping patients with Sleep Related Breathing Disorders (SRBD)? Let’s take a step back and look at the definition of the term “Turf War” defined as “an acrimonious dispute between rival groups over territory or a particular sphere of influence.” Unfortunately this term seems apropos regarding the current debate centered on Home Sleep Testing (HST). How did we get here? 1. What forces are involved? 2. What do they have to gain (or lose)? 3. What impact does this have on the Dental Sleep Medicine (DSM) industry and the patients we all have the honor of serving? Within the last year the American Academy of Sleep Medicine (AASM) ended its decades-long “consulting” relationship with the American Academy of Dental Sleep Medicine (AADSM). Shortly afterward, the AASM sent correspondence to the American Medical Association (AMA) and all 50 state medical boards. The announcement included the following language, “…defend the scope of practice of physicians and advanced care providers who manage patients with obstructive sleep apnea from encroachment by dentists and other practitioners, who are not trained or qualified to diagnose a medical disease.”