How can I set up a sleep test at the hospital?
Doctor Answers 4
Proper diagnosis leads to best treatment
Your PCP (primary care physician) can assist in the proper referral. Hospital sleep tests normally require a referral from an MD, so perhaps contact the hospital directly.
CPAP will be the first thing suggested, but oral appliance therapy is very effective as well. Be sure to find a dentist experienced/trained in sleep apnea treatment to learn more about your condition and learn about all of your options.
Sleep Test - Oral & Maxillofacial Surgeon
The first step in treatment resides in recognition of the symptoms and seeking appropriate consultation. Oral and maxillofacial surgeons offer consultation and treatment options.
Setting up a sleep study?
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Obstructive sleep apnea
The physician may refer the patient for an overnight polysomnography study in a Sleep Clinic. The polysomnography can determine the existence, the type (Central, Obstructive or Mixed), the severity of any existing apnea, and the effectiveness of any completed treatment.
Medical conditions resulting from apnea are many including bradycardia, tachycardia, systemic hypertension, pulmonary hypertension, acute pulmonary edema, reversible high grade proteinuria and possibly sudden infant death syndrome (SIDS).
Symptoms of an adult patient with OSA may include chronic snoring, obesity, hypertension, excessive daytime sleepiness, cognitive dysfunction, memory and judgment impairment, irritability, decreased libido, nocturia, sweating, fatigue, headaches, depression, and an increased tendency for accidents.Children may also exhibit poor school performance and hyperactivity.
Dental participation in management of the patients through oral prosthesis therapy has been accepted as an appropriate treatment modality by the American Sleep Disorders Association in a “Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances” document. The recommendations include that patients with primary snoring or mild OSA who do not respond to behavioral changes and also those patients with moderate to severe OSA but who cannot tolerate Continuous Positive Airway Pressure (CPAP) be treated with oral prostheses. Not only is dental care appropriate but should be considered before other medical means in patients with primary snoring or mild OSA and who do not respond to behavioral changes!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.