Dental Sleep Medicine

LAREE FORDYCE

NOTE: This chapter corresponds to Chapter 38 in Fundamentals of Sleep Technology, 2nd edition.

1. After a patient with obstructive sleep apnea has been treated with an oral appliance, sleep testing should be repeated. True or false?

2. Oral appliances or dental devices can be used to treat which type of sleep-disordered breathing?

A. Mild-to-moderate obstructive sleep apnea

B. Cheyne-Stokes respiration

C. Central sleep apnea

D. Obesity hypoventilation syndrome

3. The most commonly used type of oral appliance is a:

A. Tongue-retaining device

B. Palate expanding device

C. Mandibular advancement device

D. Maxillomandibular advancement device

4. An oral appliance should ideally be fitted by a/an:

A. Family dentist

B. Sleep-trained dentist

C. Sleep medicine physician

D. Orthodontist

5. A 49-year-old male has a respiratory disturbance index (RDI) of 27 events per hour and a past medical history of hypertension. His BMI is 29 kg/m². He tries continuous positive airway pressure (CPAP) therapy for 2 months but reports that he could not wear it. Is he a suitable candidate for oral appliance therapy (OAT)? Explain your answer.

6. Contraindications for using oral appliance therapy include all of the following except:

A. Temporomandibular joint (TMJ) disorder

B. Central sleep apnea

C. Severe obstruction

D. Obesity hypoventilation syndrome

7. A 44-year-old male has a respiratory disturbance index (RDI) of 27 events per hour. A majority of his respiratory events consist of Cheyne-Stokes respiration. Is he an ideal candidate for oral appliance therapy? Explain your answer.

8. Which of the following is an indication for oral appliance therapy?

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