September 2018 DSM Insider 28 | Page 8

HOME SLEEP TESTING & DENTISTRY There are less than 9,000 practicing Board-certified Sleep physicians in the U.S. and approximately 30,000,000 Americans suffering from OSA. Each year, there are only ~150 new board-certified sleep physicians credentialed to combat this pandemic. 9,000 Sleep Physicians 30,000,000 OSA Patients There are currently hundreds, maybe thousands of dentists that provide HST services to their patients for subsequent diagnosis by a physician. These dentists are strong proponents of a multi-disciplinary approach to diagnosis and treatment. Do the math. Does it seem prudent to restrict access to care by relegating dentistry to the upper deck bleachers? One might think that DSM professional organizations would lobby, rally, or otherwise protest this damaging overreach. One of these organizations has MILLIONS of dollars in their coffers. One would be wrong to think any of the funds you’ve contributed would be used for this purpose. Unfortunately, too many of these organizations don’t seem to truly represent the needs of the profession or more importantly, the patients. Why are so many dentists disinterested in DSM upon leaving an Academy- based dental DSM course? Today, there is a multitude of dentists in the U.S. ordering and/or providing HST services with an appropriate diagnosis from a physician. However, these organizations and certain self-interested individuals share hypothetical legal situations that ultimately manifest into fewer DSM providers that screen, test, treat, and coordinate care with medical peers for their shared patients. A Doctor of Dental Surgery or Dental Medicine can perform sinus elevation procedures, bone grafting, implant placement, prescribe opioids, but they are not deemed “qualified” to administer a sleep test for their patients? Does this seem sensible? Does it seem to be in the best interest of public health? This isn’t rhetoric and that isn’t a rhetorical question. Dental licenses are not administered or overseen by the AADSM, AASM, or the AMA. Regardless of any written position statements or recommendations made by some of these organizations, dentists should always follow the laws and guidelines of their local state dental board. Say it again.