Episode 4 of the Airway First podcast is now out! You can catch it on SoundCloud, Podbean, Anchor, Spotify, or wherever you listen to your favorite podcasts.
My guest in today's episode is Dr. Stephen Cartsensen. Dr. Carstensen has treated sleep apnea and snoring in Bellevue, WA since 1988. He’s the Consultant to the ADA for sleep-related breathing disorders, has trained at UCLA’s Mini-Residency in Sleep, and is a Diplomate of the American Board of Dental Sleep Medicine.
He lectures internationally, directs sleep education at Airway Technologies and the Pankey Institute, and is a guest lecturer at Spear Education, University of the Pacific, and Louisiana State Dental Schools. He was a Board Member for the AADSM, Editor of Dental Sleep Practice Magazine, and co-authored “A Clinician’s Handbook of Dental Sleep Medicine.”
You can find out more about Dr. Carstensen at seattlesleepeducation.com and stevecarstensendds.com.
I Didn’t Choose Sleep. Sleep Chose Me. ~ Dr. Steve Carstensen
Show Notes:
TAP System: https://tapintosleep.com/why-tap/
Why We Sleep, by Matthew Walker
Brave Parent, by Susan Maples
Sleep-wrecked Kids, by Sharon Moore
Collaboration Cures 2022 (AAPMD and AAOSH): https://www.aapmd.org/collaboration-cures-2022
American Dental Association Adopts Policy on Dentistry's Role in Sleep-Disordered Breathing 2017 - Full Article from Sleep Review
Cranio-facial-respiratory-complex article by Dr. Kevin Boyd - Full Article from PubMed
SPOTLIGHT BOOK RESOURCE FOR Clinicians
It has been estimated that 20 million Americans suffer from moderate to severe OSA, and at least one patient in five has mild OSA. The primary treatment prescribed by sleep physicians is CPAP, but patient compliance with this therapy is unacceptably low, between 25% and 50%. There is a significant opportunity for dentists to provide a viable alternative therapy-oral appliance therapy (OAT). OAT results in much better adherence to therapy than CPAP, and while OAT is not as efficacious as CPAP, this increased compliance results in comparable therapeutic results.
Currently, a board-certified sleep physician is the only medical professional qualified to diagnose OSA and other sleep-related breathing disorders (SRBDs), so dentists must coordinate with a sleep physician to provide OAT. This book is the how-to guide, a gateway to a successful dental sleep medicine practice. Written by two experts in the field, it clearly delineates the dentist s role in the treatment of SRBDs and gives practical advice for how to incorporate dental sleep medicine into an existing dental practice, not to mention how to work with sleep physicians to best support patient care.
In addition to step-by-step instructions for examination, appliance selection, and follow-up care, complications of OAT, legal issues, and medical insurance and Medicare considerations are included to fully prepare the dentist for the journey into dental sleep medicine. 60 illustrations Contents: 1. Clinical Guide for the Practice of Dental Sleep Medicine 2. An Overview of Sleep & Sleep Disorders 3. Dental Sleep Medicine Protocol and Practice 4. Integrating Dental Sleep Medicine into Your Practice 5. Treatment Decisions and Appliance Selection 6. Delivery of a Custom MAD 7. Complications of Oral Appliance Therapy 8. Evaluating Therapy and Ongoing Care 9. The New Reality 10. Legal Issues Related to the Practice of Dental Sleep Medicine 11. Medical Insurance and Medicare 12. Pediatric Airway Problems