Lecture 2- Invisalign and sleep medicine alternatives Flashcards
apnea is defined as the cessation of airflow for more than or equal to …
10 seconds
hypopnea is defined as decreased airflow for more than or equal to … and is associated with…
10 seconds
O2 desaturation and/or arousal
The apnea-hypopnea Index (AHI) calculation is…
total # of (apneas + hypopneas) / hours of sleep
Normal AHI for an adults is less than…
5
Mild AHI for adults is…
5-14
Moderate AHI for adults is…
15-30
Severe AHI for adults is more than…
30
… is defined as AHI greater than or equal to 5 PLUS daytime hypersomnolence
Obstructive Sleep apnea Syndrome (OSAS)
What is a normal score on the Epworth sleepiness scale?
0-10
What is borderline range on the Epworth Sleepiness scale?
10-12
What is abnormal on the Epworth sleepiness scale?
12-24
2 medical screening instruments for osa
stopbang
ares (watermark)
what does Stop-BANG questionnaire stand for?
S- Snore? T- Tired? O- Observed apnea? P- treated for high BP? B- BMI greater than 35 kg/m^2 A- Age over 50? N- Neck circumference greater than 40 cm or 16 in? G- gender, male?
What score on the stopbang questionnaire is high risk for OSA?
3-5
primary treatment for OSA?
cpap
Should you diagnose OSA?
no, just refer
T/F oral appliances can be prescribed as 1st choice for mild, moderate and severe sleep apnea
False. can be for mild and moderate but you only can for severe IF patient refuses CPAP or ‘fails’
T/F An oral appliance that is meant to help OSA change occlusion?
yes