I tried SilentNite sl for sleep apnea - this is what happened
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I found out I had snoring and daytime sleepiness I was treated with a SilentNite sl oral appliance. The resulting clinical journey was excellent. I shared the result with the team here at Glidewell Dental and this was the presentation
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How to discuss dental snoring and sleep apnea treatment with patients
Snoring and sleep apnea are common signs of disturbed sleep patterns. However, it can be difficult to talk to patients about snoring and sleep apnea treatment, particularly when patients see negative or humorous portrayals of continuous positive airway pressure (CPAP) on social media and elsewhere. Patients might assume CPAP is the only option and not realize that dental sleep apnea treatment is an effective alternative. Patients may also feel strange talking to a dentist about a medical condition that has no obvious connection to the teeth, jaws or gums.
for more detail click https://glidewelldental.com/company/blog/how-to-discuss-sleep-apnea-treatment-with-patients
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Hospitals are no longer reimbursed for treatment of most healthcare-associated infections. Value-based purchasing rewards hospitals that achieve clinical and patient satisfaction metrics—at the expense of those that do not.
Regulatory pressures, such as ventilator-associated event reporting and meaningful use, also create new work and may result in lower revenues.
Frontline clinicians are spending more and more time documenting their work and have less time left to focus on patients.
The result? Hospitals and health systems have an increasing urgency to eliminate waste and inefficiency from the care delivery process in order to improve outcomes and lower the cost of care.
So that’s a financial problem. Let’s talk a little bit about how that relates to the clinical problem and the clinical goals that hospitals have. One of the opportunities, one of the neat things about this analytics and mechanical ventilation is that the clinical goals and the financial goals in ventilation are perfectly aligned. The best clinical thing to do for a patient is to get them off the vent breathing on their own as quickly as possible. The best financial thing to do is to get them off the vent breathing on their own as quickly as possible. And there are really only three goals in mechanical ventilation, it’s a complex clinical therapy with complex patients but the goals are simple. It’s to provide life support, prevent or at least reduce patient harm, and minimize time on vent.
Vyaire tri flo subglottic suctioning external presentation v4
This is a presentation that I gave recently on the value of subglotic suctioning vs Sub Glottic ET tube placement. Key to the use of this system is reduced hospital acquired condition and positive impact on hospital length of stay. This is a system that should be evaluated by any respiratory dept that is interested in reducing hospital acquired infections associated with Mechanical ventilation
Setting up a New Nox T3 for Dental Offices
This is a step by step guide to setting up the Nox T3 with an overview of the features of this device that fits the in office home sleep diagnostic needs as well as functioning as a sleep bruxism monitor in the Dental office.
Snoring for women_and_children_final
Women and Children are at risk of the same co morbid conditions as Men with OSA. Partial Airway Collapse which is key to the condition of snoring is often overlooked in this population. This requires objective diagnostic testing to determine the impact of snoring on sleep disturbance in these populations.
The Truth About Snoring
Snoring has a much greater clinical impact on Women and Children. The condition we know as snoring is in fact much more serious. Snoring is the sound that partial airway obstruction makes.
Nox t3 complete review final
This is a complete review of the Nox T3 distributed by Carefusion. This level 3 home sleep diagnostic system is a best in class device which also qualifies as a medical grade sleep bruxism monitor.
Spirometry for Primary Care Physician Office
Step by step description of how to collect spirometry tests for Asthma and COPD. Quality control tips supported by literature with links to NIH, NIOSH and the Mayo Clinic. This is a presentation that I use to discuss hand held spirometry products from Carefusion. Micro Loop, Micro Lab, Micro 1 and Pulmolife
Heart rate variability guide carefusion
Heart rate variability (HRV) is the physiological phenomenon of variation in the time interval between heartbeats. It is measured by the variation in the beat-to-beat interval.
Other terms used include: "cycle length variability", "RR variability" (where R is a point corresponding to the peak of the QRS complex of the ECG wave; and RR is the interval between successive Rs), and "heart period variability".
See also Heart rate turbulence, Sinus rhythm.
Methods used to detect beats include: ECG, blood pressure, ballistocardiograms,[1][2] and the pulse wave signal derived from a photoplethysmograph (PPG). ECG is considered superior because it provides a clear waveform, which makes it easier to exclude heartbeats not originating in the sinoatrial node. The term "NN" is used in place of RR to emphasize the fact that the processed beats are "normal" beats.
Henry Schein dental nox t3 presentation current
Randy Clare, a senior consultant at CareFusion Corporation, presented on the Nox T3 device. The Nox T3 is a preferred home sleep test device that is growing in popularity, with over 15,000 units already in use worldwide. It provides 18 channels of data collection in a small, lightweight package, including audio, respiratory effort, oximetry, and other biometric data. The accompanying Noxturnal software allows for immediate analysis, reporting, and review of sleep study recordings. The Nox T3 is well-suited for pediatric studies and detecting bruxism.
Apnea rx diagnostic protocol final
ApneaRx is the current leader in the diagnostic oral appliance space. this device will allow the physician to predict success with an oral appliance to treat obstructive sleep apnea. This presentation lays out the need and the solution and references all of the literature
ApneaRx - Kaiser_Final
Can Success with a Prefabricated Appliance predict success with a Custom appliance?
Feasibility Pilot Evaluating the Use of Pre-Fabricated Titratable Mandibular Advancement Device for Management of Obstructive Sleep Apnea.
Flow volume loop quick loop guide
C Rip allows the generation of flow volume loops which increases ease of workflow. Titrating CPAP and evaluating flow limitation during sleep becomes a simple matter of shape recognition.
C RIP educational_presentation
Respiratory inductance plethysmography (RIP) has been used for over 50 years in research and clinical applications such as sleep studies. RIP can be calibrated to provide quantitative measurements of lung volumes or used without calibration. Recent advances include software that generates flow-volume loops and Konno-Mead loops from RIP signals, allowing more accurate detection of respiratory events and improved CPAP titration by targeting a baseline breath shape. Calibrated RIP provides benefits over other effort sensors by quantifying respiratory effort and distinguishing event types.
ProPlayer Health Alliance
The Pro Players Health Alliance (PPHA) is an organization dedicated to helping former NFL players, through providing testing and treatment options for those who suffer from sleep apnea. In addition, the PPHA is dedicated to integrating education and raising sleep apnea awareness
Transitional dental sleep apnea apnea rx training
Complete overview of the transitional oral appliance for sleep apnea the ApneaRx. This is an excellent device to
1. manage jaw position in order to decrease CPAP pressure
2 support the mandible to reduce cpap mask leaks
3 evaluate a patients response to jaw position relative to their Snoring or OSA
Brux audio case_study
Jeffory Wyscarver created this presentation to illustrate the relationship between audio and sleep bruxism
A bi 2012_general_presentation_(rev4.2)
DDMEonline prepared this material to train dentists on the use of the Nox T3 to identify sleep bruxism patients who may have OSA a much more serious condition. Bruxism can have idiopathic cause or may occur in conjunction with interruptions in ventilation.
Home Sleep Testing...Striking perfect balance
This presentation seeks to layout the key features of home diagnostic testing devices. It further sets out the points of comparison that will give the clinician the ability to make an informed decision one unit over another. The devices in the comparison are the Ares, Watch Pat, Stardust, Apnealink, Embletta, Easy ApneaTrak and the Nox T3
ABI 2012_general_presentation
Jeff Wyscarver with DDMEonline.com developed this presentation to describe in detail Apnea Bruxism Index (ABI). ABI is the newest index in the vocabulary of the sleep diagnostician and references the relationship between Obstructive sleep Apnea and Sleep Bruxism
Role of Dentist in Sleep Therapy
1) The document discusses guidelines for comprehensive sleep therapy, including positive airway pressure being the primary treatment for mild, moderate, and severe obstructive sleep apnea.
2) It also discusses the importance of weight loss, positional therapy, and lifestyle changes like avoiding alcohol and sedatives as secondary or supplemental treatments.
3) Home sleep testing devices are presented as alternatives to in-lab polysomnography for diagnosing sleep apnea, with minimum requirements for measuring airflow, respiratory effort, and blood oxygenation.
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I tried SilentNite sl for sleep apnea - this is what happened
- 1. I Tried SilentNite sl – This is What Happened Randy Clare Sr Director Brand and Product Management – Team Huddle Presentation March 2019
- 2. Snoring… • Snoring is noisy breathing during sleep. Snoring affects 90 million Americans, 35 million on a regular basis • Snoring is the sound that a partially obstructed airway makes. • As the patient falls asleep the muscles of the airway relax, the tongue falls backward and the airway narrows. As air passes through the narrow airway the tissues vibrate which makes the characteristic sound of snoring. The narrower the airway becomes the greater the vibration and the louder the snoring.
- 3. STOP-Bang
- 4. SilentNite sl • Dentist fabricated Custom Mandibular Advancement Device • FDA 510(k) Snoring and Mild sleep apnea • Adjustable in 1mm Increments • Maintains consistent jaw relationship during sleep to achieve a patent airway
- 5. Home Sleep Test to Monitor Treatment • Tested in my own home • Used Nox T3-18 channel Home Sleep Testing device • Setup was easy and I slept well with the device
- 6. SilentNite sl Titration • Establish Baseline Sleep Condition with STOP-Bang or HST monitor • Deliver SilentNite sl with 3mm advancement • Test for titration efficacy with Stop-Bang or HST • Adjust appliance if required • Test for titration efficacy with Stop-Bang or HST • Once a satisfactory jaw position is established based on AHI follow-up titration annually
- 7. Baseline AHI 13.5 Mild Apnea
- 8. Initial Treatment AHI 7.1 Mild Apnea
- 9. Final Treatment AHI 4.7 Normal Range
- 10. Sleep Bruxism… • Sleep Bruxism including tooth grinding, tapping and clenching, is a primarily sleep related movement disorder with a yet to be discerned Multifactoral etiology • Sleep Bruxism is no longer simply relatedto mechanistic factors such as occlusal discrepancies, or psychological issues such as stress, anxiety or depression
- 11. Baseline Bruxism EMG Bursts 308
- 12. Initial Treatment Bruxism EMG Bursts 608
- 13. Final Treatment Bruxism EMG Bursts 282
Editor's Notes
- In the 20 years I have been involved in the treatment of sleep disordered breathing I have talked to hundreds of dentists their staff and their patients about daytime sleepiness and sleep quality. Frankly I was starting to feel a little judgy. How is it possible that people cannot tell that they are sleepy and that they need to get treatment. Well then I noticed I was falling asleep at my desk in the afternoon and I noticed that I was closing my eyes while driving home (very dangerous). I realized I needed to get treated with a Silent Nite SDB oral appliance if possible or CPAP if necessary. I have become the guy I have been describing in talks for over 20 years middle age, moderate snorer, sleepy and in need of treatment. My first step was to fill out a questionnaire I chose the STOP-Bang and I scored a 5 out of 8 which means I have high risk of OSA. Interesting but not a huge surprise. The questionnaire is an interesting tool however being a male over 50 with a neck size over 17” would make me a 3 out of 8 so, while an indicator of risk I still was not very alarmed or surprised.