This document discusses sleep disorders and their risks and costs to organizations. It notes that sleepiness contributes to motor vehicle accidents costing $29.2 billion annually and workplace accidents costing $10.3 billion. Common sleep disorders include narcolepsy, insomnia, sleep apnea, and shift work schedules. Left untreated, these disorders can increase risks of accidents and injuries. The document recommends screening employees for sleep disorders using the Epworth Sleepiness Scale and treating disorders through methods like CPAP machines or dental appliances. Effective treatment of sleep disorders in an organization can help reduce accidents and increase productivity.

1. Sleep Disorders Risk Management
for Your Organization
John Viviano BSc DDS D ABDSM

2. 160
140
120
Motor Vehicle
Accidents
$29.2 Billion
100
80
Workplace
Accidents
$10.3 Billion
60
40
20
0
Estimated Annual
Losses in BILLION
DOLLARS U.S. from
Workplace Sleepiness
Lost
Productivity
$150 Billion
Losses Approaching: 200 Billion Dollars Yearly
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3. Sleepiness often cited as a primary Cause…
Space Flight Disasters
space shuttle Challenger exploded
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4. What Exactly is a
SLEEP DISORDER? …
Non Breathing Related
Breathing Related
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5. Common Non Breathing Related Sleep Disorders:
Narcolepsy
Insomnia
Night/Rotating Shift Work Schedules
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6. Narcolepsy
 Excessive Daytime Sleepiness
 Sudden loss of muscle tone (cataplexy)
 Usually begins in late childhood
 80% undiagnosed
 Genetically linked
Industrial injuries: 19% of inadequately
or untreated narcoleptics
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7. Insomnia
 Difficulty initiating or maintaining sleep
 35% Occasional,17% Frequent
 13 million-US: take sleep medication
 Impairs alertness and functioning
Causes a 2.5-fold increased risk of
motor vehicle accidents
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8. Night / Rotating Shift Work Schedules
 70% of shift workers: trouble falling asleep
50% of night shift workers fall asleep
on the job at least weekly
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9. Common Breathing Related Sleep Disorder:
Sleep Apnea:
 Malfunction of Normal Breathing During Sleep
 Sleep Disordered Breathing
Swedish study: Apneics12X as many
accidents as controls
British study: 93% of Apneics “at fault”
in one or more accidents
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10. Recommended Therapy
for Sleep Disordered Breathing
*for patients that cannot be managed with Lifestyle Changes
nCPAP
Airway
Orthotics
Snoring
UARS (Sleepy Snorer)
Mild Sleep Apnea (5-15 Events/h)
Moderate Sleep Apnea (15-30 Events/h)
Severe Sleep Apnea (Over 30 Events/h)
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11. Are you at risk?
How do you find out?
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12. Epworth Sleepiness Scale
Score >10 suggests a Sleep Disorder
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13. If you scored higher than 10…
You Should
See your Doctor…
You may need an overnight sleep
study…
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14. Sleep Apnea Treatments…
What do I do…
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15. Most Common Surgery: UPPP or UP3
Success; 25-50% for OSA, 75% for Snoring
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16. nCPAP
Pumps air into nose under pressure to
expand collapsed airway
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17. Mandibular Advancement Devices
Airway Orthotic Worn in Mouth
Example of
Orthotic in
Mouth
Example of
Orthotic in
Hand
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18. Airway Orthotics… the Facts…
Airway Orthotics considered First Line Therapy
for Snoring, Mild, Moderate Sleep Apnea Sleep 2006:29:2
90% patient compliance after 2 ½ years Cranio 2000:18:2
Ten of eleven prefer an Airway Orthotic over
nCPAP for their long term treatment. Thorax 1997, 52:362-368
Know the Facts Before You Decide Which Therapy is For You
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19. The Dentist, Physician and Sleep Specialist work together
in the treatment of Snoring and Sleep apnea.
Communication is Key to Optimum Treatment
.
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20. Thank You & Sweet Dreams
SnoreSolutions@aol.com
SleepDisordersDentistry.com