21 ADVANCE FOR RESPIRATORY CARE & SLEEP MEDICINE JANUARY 2017 follow-up visits give the dentist an opportunity to inspect the device for wear and function, as well as the patient’s compliance with daily cleaning of the appliance,” Moreno-Hay said. “If the patient has failed to properly clean his or her device, the initial instructions should be reinforced. In addition, professional cleaning and disinfection of the oral appliance can be performed as needed.” CHANGING DEVICES As OSA is often a chronic condition, patients can often expect to switch between treatments throughout their lifetime. When changing from one oral appliance to another, it’s critical that the patient is made aware of the cleaning process for the new appliance. “There are many different designs and materials utilized for the fabrication of mandibular advancement devices, ranging from acrylic appliances with stainless steel hardware, to appliances that utilize acrylic with soft methyl methacrylate lining,” Moreno-Hay said. “Therefore, in order to properly maintain the device, both the manufacturer and dentist’s recommendations should be followed to increase the useful life of the appliance.” While instructing patients to keep their oral appliances hygienic may seem relatively simple, clinicians working with OSA patients must be diligent about issuing directions. “Oral appliance therapy has demonstrated to be an effective treatment for the management of sleep-related breathing disorders such as primary snoring and obstructive sleep apnea,” Moreno-Hay said. “The success of oral appliance therapy relies on a multidisciplinary approach and regular follow-ups with the sleep physicians and sleep medicine dentists.” Sarah Sutherland is on staff at ADVANCE. Contact: firstname.lastname@example.org References 1. American Sleep Apnea Association. OSA Treatment Options. FOR MEDICAL EQUIPMENT Regular follow-up visits give the dentist an opportunity to inspect the device for wear and function, as well as the patient’s compliance with daily cleaning of the appliance.” RELATED CONTENT Oral Appliance Therapy for OSA Physician-dentist collaboration supports oral appliance therapy for patients with OSA.
Advance for Respiratory Care & Sleep Medicine • January 2017
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