Dental Tribune United Kingdom Edition

7FeatureJuly 2014United Kingdom Edition significance of the signs with which they present. For exam- ple, evidence of nocturnal brux- ism, dental erosion and snoring. Often on further investigation they are found to have some degree of sleep disruption and they see immediate benefits with the oral appliances – which also benefits their dental health. “In keeping with our ethos of evidence-based treatments and measurable outcomes, all the mandibular repositioning devices we use are adjustable and titratable. We provide fol- low-up with further home sleep studies and are delighted to find that the anecdotal improve- ments reported by patients and their partners are backed up with genuine improvements in measurable sleep function and a reduction in the Apnoea Hypo- pnea Index. “The ability to offer a worth- while service to patients with a home sleep study has intro- duced a new income stream to the practice, improved our communication with GPs, medi- cal specialists and the hospital services, and is a welcome dem- onstration to our patients that our role as dentists in the health and wellbeing mix stretches well beyond the maintenance of good looking smiles.” One of the objectives of the BSDSM is to ‘educate and sup- port practitioner dentists’ and in pursuit of this it runs regular one-day workshops which are virtually essential for dentists wishing to introduce DSM to their practice. Each workshop provides an overview of sleep- disordered breathing, shows how mandibular appliances work (with examples and the advantages and disadvantages of each) and how participants should assess and monitor their patients. Custom and non-cus- tom devices are described as well as pre-treatment screening and medico-legal issues. Hands on George Gauge™ sessions provide a quick, easy and reli- able method of recording a pro- trusive registration. The workshops includes tips on how to introduce a dental sleep medicine service into a practice and delegates receive a comprehensive course manual, as well as the BSDSM screening protocol – accepted by Dental Protection (UK) Ltd, the Dental Defence Union and the Associa- tion of Respiratory Physiology and Technology (Standards of Care doc relating to MRD ther- apy). The next BSDSM course is on 18 October in central London and information about this and membership of the society is on: www.dentalsleepmed.org.uk/ Ten tips for introducing dental sleep medicine (DSM) to your practice: 1. Go to www.dentalsleepmed. org.uk for more information and details of BSDSM courses. 2. Educate yourself with non- commercial courses in DSM. 3. Explore a variety of custom-made mandibular repo- sitioning devices (MRDs). 4. Introduce yourself to local medical practitioners and specialists in respiratory medi- cine and ENT 5. Add a simple screening ques- tion to your patient medical his- tory form: ‘Do you snore?’ 6. Decide on your fee scale – a standard initial assessment fee then an overall fee for provid- ing an MRD (each device will have a different cost) and initial follow-up visits for adjustment. 7. Obtain a selection of tools such as a George Gauge™ 8. Educate your reception staff and nurses in the practice’s new dental sleep medicine service. 9. 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Dental Tribune United Kingdom Edition

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