-
polysomnogram
- gold standard
- EEG: brain
- EOG: eye
- Capnography: airflow, breating
- EMG: bruxism
-
Non-rem
- 2: 40-55%TST, bruxism
- 3: delta
-
sleep disorders epidemiology
- 1/3 population
- ones dentist should treat:
- SRBD: OSA
- SRMD, Bruxism
- Isolated: snoring
- SRBD is subset of SDB
-
CSA
- cheynes stokes,
- altitude
- medical condition
- drug substance
-
BANG
- BMI > 28
- Age > 50
- Neck > 17 male, 16 female
- Gender = M
-
STOP
- Snore
- Tired
- Obstruction
- Pressure (BP)
-
snoring progression
- no
- responsive(alcohol, cold)
- infrequent
- positional
- habitual
- chronic daily snoring
- loud snoring
- snoring with pauses
- snoring with EDS (UARS)
- mild OSA
- moderate OSA
- mixed OSA
- CSA
-
OAT
- oral appliance therapy
- more compliance, preference
-
apnea
- cessation >10 secs
- hypopneas: SaO2 dec 4%, 30% diminished airflow
- AHI of >30 is severe
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