Physicians

Options for Adding Dental Sleep Medicine and the Silent Sleep to your Sleep Lab

Work with a knowledgable dentist: The easiest way to help your patients take advantage of oral appliance therapy as a treatment for their OSA is to work with a local dentist trained in dental sleep medicine. Some dentists are more knowledgeable and experienced than others. Try to find a dentist that is familiar with and comfortable using several different custom oral appliances and also has lower cost options, such as the Silent Sleep. The dentist should always refer the OSA patient back to you for consideration of titration of the oral appliance in the sleep lab to confirm maximum therapeutic benefit. If you know a dentist, but they are not up to speed with regard to dental sleep medicine yet, we can help with their training.

Fit the Silent Sleep within your lab: You can start fitting the Silent Sleep in your sleep lab. The Silent Sleep is easy to use after a little practice or hands on training from our team. Many sleep doctors are providing non-custom appliances to their patients to confirm that they are candidates for a custom oral appliance, billing the Silent Sleep out using code E0485, and typically getting the patient in to the sleep lab to confirm efficacy. Once the patient is shown to be a responder, a referral is made to a qualified dentist to fit the custom appliance. We can show you how to fit the Silent Sleep in 3 different positions in order to determine the most effective jaw position in the lab. This model allows the sleep doctor to confirm that the patient will most likely do well with a custom appliance, before referral is made.

Work with a Dentist directly in your lab: We have found it successful to connect a trained dentist directly with the sleep lab. There are multiple advantages to this model of care, not the least of which is the significant advantage to the patient that their insurance benefits will be used at "in-network" rates. The fact that the dentist is part of the treatment team also typically results in greater patient satisfaction and a higher percentage of successful outcomes.

Oral appliances aren't just for CPAP failures! You know that oral appliances may be used in mild to moderate OSA cases as first line therapy. Insurance companies virtually never require a trial of CPAP before covering an oral appliance. The problem tends to be that you're not sure about how much the patient will have to pay, if it will be covered by their insurance or not, and if the patient will ever come back to make sure the appliance is working. These are all reasons to bring control of these matters in to your own practice. We can help you do this. And oral appliances may also be used as an adjunct to CPAP (such as for travel) or in combination with CPAP to reduce necessary pressures. Increase your CPAP compliance by offering oral appliance therapy.