For Referring Physicians

Dentistry’s Role

The role of the sleep-disorders dentist in the management of sleep-disordered breathing is expanding and most medical sleep teams are including a properly trained dentist.

The duties of the dentist include:

• Case detection (not diagnosis)
• Assess candidacy for oral appliance (OA) therapy
• Select OA design
• Construction, delivery of OA
• Titration of OA
• Treatment follow-up and monitoring
• Collaboration with MD

When to Refer

The recently revised American Academy of Sleep Medicine Practice Parameters indicates that physicians may refer patients to an experienced sleep disorders dentist for oral appliance therapy as first-line treatment for primary snoring and for mild and moderate OSA.

The ideal patients include those that are:

• Less obese
• Primary snoring
• Mild and moderate OSA
• Adequate dentition
• Asymptomatic TMJ
• Motivated
• Failures of CPAP or surgery at any OSA severity

However, even obese patients with sleep apnea have been shown to benefit significantly from oral appliance therapy. In addition, oral appliances can be utilized in tandem with CPAP for a "combination" approach.

To refer a new patient to our practice, please fax documentation to:

(717)995-3591

or mail to

Pennsylvania Dental Sleep Medicine
4813 Jonestown Road, Suite 104
Harrisburg, PA  17109
P:  (717)995-3590
F:  (717)995-3591

Thank you for entrusting Dr. Beck Fox with your patient care.