Low Cost – High Value “Predictor Device” for Oral Appliance Therapy – Economics of Oral Appliance Therapy

I have been working in the field of dental sleep medicine since 1993. The most consistently asked question by patients and clinicians alike is. ” how can I tell if a custom oral appliance will work for me or not?” To rephrase from the clinicians point of view “How can I guide my patient in their care if I cannot predict whether they are going to respond to the therapy or not?”

Central to this discussion is the fact that a custom oral appliance can be expensive and many Dentists do not take medical insurance resulting in an average $2K to $4K out of pocket expense for the patient. When treatment is successful this is a fantastic outcome. If the patient is not a responder to the therapy then it’s red faces all around. Over time dentists have tried all kinds of ways to predict success with an oral appliance from cone beam imaging to acoustic resonance to kinesiology there just never seemed to be a low cost predictor of success with an oral appliance for obstructive sleep apnea. The challenge has always seemed to be that the patient was fitted while awake and treated while asleep.

Two years ago I saw the following poster at the AADSM meeting in Baltimore. I was really impressed that a simple boil and bite appliance could accomplish so much. Naturally I have read some of the previous articles about the predictive ability of temporary appliances. Please take a moment to review the following poster and form your own conclusions.

Dr Hwang Kaiser Poster


Sleep Diagnosis and Therapy magazine recently interviewed Dr Hwang. I think the article really makes a great case for predicting success with oral appliances in the sleep lab Economics_Oral_Apps_LR-

I prepared the following slide presentation to help explain the use of the as a Low Cost – High Value “Predictor Device” for titratable Oral Appliance Therapy http://bit.ly/1xw6Lxl

For more information on the product ore to try it contact Carefusion estore at http://bit.ly/10VEqxi , email tiarasales@carefusion.com , http://www.homesleepstudy.com or talk to your Henry Schien Dental representative

Randy Clare

Randy Clare

Randy Clare brings to The Sleep and Respiratory Scholar more than 25 years of extensive knowledge and experience in the sleep and pulmonary function field. He has held numerous management positions throughout his career and has demonstrated a unique view of the alternate care diagnostic and therapy model. He is considered by many an expert in the use of oral appliances like Silent Nite, EMA and TAP to treat snoring and sleep apnea in the dental office. Mr. Clare's extensive sleep industry experience assists Sleepandrespiratoryscholar in providing current, relevant, data-proven information on sleep diagnostics and sleep therapies that are effective for the treatment of sleep disorders. Mr Clare is director of business development for Glidewell a dental solutions company his focus is on dental treatment for sleep disordered breathing.

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