Screening and Treating Sleep Apnea: The Evidence of What Works-Screening and Treating Sleep Apnea Video

Video Transcription

Video Summary

In this video, Aaron Glick discusses evidence-based practices and the screening and treatment of obstructive sleep apnea (OSA). He emphasizes the importance of gathering and evaluating rigorous scientific research to inform clinical decisions and maximize patient outcomes. Glick acknowledges the challenges in keeping up with the rapidly evolving field of dental sleep medicine and highlights the difficulties in prioritizing reading and implementing evidence-based changes due to competing priorities and the large volume of literature.<br /><br />He then delves into the pathophysiology of OSA, explaining how relaxation and collapse of the upper airway during sleep leads to restricted breathing and apnea events. He outlines the four main reasons behind OSA, which include impaired anatomy, ineffective dilator muscles, low arousal threshold, and high loop gain. Glick discusses various treatment modalities, such as myofunctional therapy, frenectomy, maxillary mandibular advancement, rapid palatal expansion, and sleep bruxism. He reviews the evidence supporting these treatments and their impact on reducing the severity of OSA.<br /><br />The video also covers different screening tools for OSA, including questionnaires, home sleep tests, comim CT, and acoustic reflection. Glick analyzes the accuracy of these screening methods in predicting sleep apnea and discusses the advantages and limitations of each.<br /><br />Lastly, he addresses the claim that sleep apnea can be cured and emphasizes that while treatments can improve the condition, there is currently no known cure for OSA. Glick stresses the importance of ongoing research and evidence-based practices in the field of dental sleep medicine.

Keywords

evidence-based practices

screening

treatment

obstructive sleep apnea

pathophysiology

treatment modalities

screening tools

sleep apnea

research