Comprehensive Assessment

The first visit is specifically designed to take a detailed history of the sleep disorder, review the sleep study (if available) and to do a thorough clinical examination that is specific to the mouth, face and associated structures, in anticipation for oral appliance therapy. As part of the evaluation, testing will be done to determine if the repositioning of the lower jaw will have an input on your breathing and snoring.  Following the examination and testing, a discussion of the findings as well as a review of the available oral appliances will be done, and a specific management plan will be reviewed.

How is OSA diagnosed?

The following types of overnight sleep studies can be performed to investigate whether a person has sleep apnea.

  • Sleep studies performed at specialized sites monitored by a sleep medicine technician
    When sleep studied are performed at specialized sites monitored by a sleep medicine technician.
     
  • Home Sleep Apnea Testing
    A common way to assess sleep apnea from the comfort of your own bed and home.

Screening, Initial Evaluation, Consultation

These questions may help determine if you are at risk for sleep apnea or if a sleep study may be needed.

  1. Do you Snore loudly (louder than talking or loud enough to be heard through closed doors)?
     
  2. Do you often feel Tired, fatigued, or sleepy during daytime?
     
  3. Has anyone Observed you stop breathing during your sleep?
     
  4. Do you have or are you being treated for high blood Pressure?
     
  5. Is your BMI greater than 35kg/m2?
     
  6. Age: Are you over 50 years old?
     
  7. Is your Neck circumference greater than 16 inches?
     
  8. Gender: Are you male?

If three or more of the above questions had a ‘yes’ answer, a consultation with the Snoring & Sleep Apnea Treatment Centers.

Epworth Sleepiness Scale

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you haven’t done some of these things recently try to work out how they would affect you.

Use the following scale to choose the most appropriate number for each situation:

Chance of dosing
Situation None Slight Moderate High
Sitting and reading
Watching TV
Sitting, inactive in a public place (e.g. a theatre or meeting)
As a passenger in a car for an hour without a break
Lying down for a rest in the afternoon when permits
Sitting and talking to someone
Sitting quietly after a lunch without alcohol
In a car, while stopped for a few minutes in the traffic

 

Your Result: