Untreated Sleep Disordered Breathing is a costly issue; for the individual, for society and for your organization. Find out how easily this issue can be managed.

1. John Viviano BSc DDS D ABDSM

2. Long Distance
Truck Drivers…
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3. Highest on-the-job mortality rate!
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4. DOT: 200,000 MVA’s/year may be sleep-related
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5. NTSB: Trucker fatigue is primary cause in
31% of accidents where driver died
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6. Are you at risk?
How do you find out?
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7. Epworth Sleepiness Scale
Score >10 suggests a Sleep Disorder
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8. • If you scored higher than 10…
• You Should
• See your Doctor…
• You may need an overnight sleep study…
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9. Spectrum of Disease & Recommended Therapy
*for patients that cannot be managed with Lifestyle Changes
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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10. Consider:
State / Province specific regulations
RE sleep apnea and CMV operators
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11. Treatments…
What do I do…
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12. Most Common Surgery:
UPPP or UP3
Success; 25-50% for OSA, 75% for Snoring
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13. nCPAP
Pumps air into nose under pressure to
expand collapsed airway
.
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14. Example of
Orthotic in
Mouth
Example of
Orthotic in
Hand
Mandibular Advancement Devices
Airway Orthotic Worn in Mouth
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15. Thank You & Sweet Dreams
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