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www.aegisdentalnetwork.com/cced/2016/03/Diagnostic-Evaluation-and-Treatment- Approaches- Used-in-Dental-Sleep-Medicine Š Prehn, R. S., & Colquitt, T. (2016). Fabrication technique for a custom face mask for the treatment of obstructive sleep apnea. Journal of Prosthetic Dentistry, 115 (5), 551-555. Š Qian Y, Xu H, Wang Y, Yi H, Guan J, Yin S. Obstructive sleep apnea predicts the risk of metabolic syndrome independently of obesity: a meta-analysis. Archives of medic al science: MAS 2016;12(5): 1077-1087. Š Reutrakul Sirion and Mokhlesi. Can Long-Term Treatment of Obstructive Sleep Apnea With CPAP Improve Glycemia and Prevent Type 2 Diabetes? Diabetes Care. Volume 43, August 2020. https://diabetesjournals.org/care/article/43/8/1681/35613/Can-Long-term- Treatment-of- Obstructive-Sleep-Apnea Š Rodrigues Marcos Marques, Pereira Valfrido Antonio, Gabrielli Mario Francisco Real, de Oliveira Talles Fernando Medeiros, Batatinha Julio Americo Pereira and Passeri Luis Augusto. Volumetric evaluation of pharyngeal segments in obstructive sleep apnea patients. Brazilian Journal of Otorhinolaryngology, vol. 84, no.1, pp. 89-94, 2018. Š Rouse, J. S. (2016). Autonomic nervous system trial: Control and resolve for sleep- breathing disorders. Compendium of Continuing Education in Dentistry, 37 (5), 316-321. Š Rouse Jeffrey. Should Dentists Recommend Wearing Dentures During Sleep? Spear Education, LLC. June 16, 2017. https://www.speareducation.com/spear-review/2017/06/ should-dentists-recommend-wearing-dentures-during-sleep Š Rudolph MA, Rotsides JM, Zapanta, PE. The patient's perioperative perspective during the treatment of obstructive sleep apnea: a pilot study. Sleep Breath. 2018; 22:997-1003. Š Schell TG. Avoiding and managing oral appliance therapy side effects. Sleep Med Clin 2018; 13(4):503-12. Š Schwartz, M., Acosta, L., Hung, Y. L., Padilla, M., & Enciso, R. (2017). Effects of CPAP and mandibular advancement device treatment in obstructive sleep apnea patients: A systematic review and meta-analysis. Sleep and Breathing , [Advance online publication]. doi:10.1007/s11325-017-1590-6 Š Semelka Michael, Wilson Jonathan and Floyd Ryan. Diagnosis and Treatment of Obstructive Sleep Apnea in Adults. American Academy of Family Physicians. © 2016. https://www.aafp.org>afp Š Serra-Torres, S., Bellot-Arcís, C., Montiel-Company, J. M., Marco-Algarra, J., & Almerich- Silla, J. M. (2016). Effectiveness of mandibular advancement appliances in treating obstructive sleep apnea syndrome: A systematic review. Laryngoscope, 126 (2), 507-514. Š Sharma, R. Obstructive sleep apnea. Reference Article. Radiopaedia.org. December 1, 2019. https://radiopaedia.org/articles/obstructive- sleep-apnoea?lang=us Š Sharples, L. D., Clutterbuck-James, A. L., Glover, M. J., Bennett, M. S., Chadwick, R., Pittman, M. A., & Quinnell, T. G. (2016). Meta- analysis of randomized controlled trials of oral mandibular advancement devices and continuous positive airway pressure for obstructive sleep apnoea-hypopnea. Sleep Medicine Review, 27 , 108-124. Š Shrivastava Deepak, Bixby John K., Livornese Douglas S, Urena Felix, Bixby Michael J and Jain Vikrum. Efficacy of Oral Appliance Therapy in Treatment of Severe OSA in CPAP-

Resistant Cases. Sleep and Vigilance. June 8, 2018. https://www.dreamsystemsdentallab. com>2018/10 Š Singh Anand, Meshram Harsh and Srikanth Milk. American Academy of Sleep Medicine Guidelines, 2018. International Journal of Head and Neck Surgery, Volume 10 Issue 4. (October-December 2019). https://www.ijhns.com>jp-journals-1001-1379 Š Stanford Health Care. Oral Appliances-Sleep Apnea Treatments. © 2021 Stanford Health Care. https://stanfordhealthcare.org/Medical- Treatments/o/oral-appliances.html Š Strohl, K. P. (2018). Overview of obstructive sleep apnea in adults. UpToDate . Retrieved from https://www.uptodate.com/contents/overview- of-obstructive-sleep-apnea-in-adults Š Summer Jay and Vyas Nilong. Oral Appliances for Sleep Apnea. Sleep Foundation. March 11, 2022. https://www.sleepfoundation.org/sleep-apnea/oral-appliance-for- Š Sunwoo Bernie Y, Light Matthew and Malhotra Atul. Strategies to augment adherence in the management of sleep-disordered breathing. Respirology. (2020) 25,363-371. https:// onlinelibrary.wiley.com/doi/full/10.1111/resp.13589 Š Tsukada Eriko, Kitamura Shingo, Enomoto Minori, et.al. Prevalence of childhood sleep apnea syndrome and its role in daytime sleepiness Š PloS One. 2018; 13(10): e204409. https://www.ncbi.nlm.nih.gov>articles>PMC2645255 Š University of Wisconsin, Department of Population Health Sciences. (2017). The Wisconsin Sleep Cohort . Retrieved from https://pophealth.wisc.edu/Research/WSC Š Vago Eliana Lottenberg, FRANGE Cristina, OLIVEIRA Giuliano DA PAZ, JULIANO Maria Ligia, MACHADO Marco Antonio, COELHO Fernando Morgadinho Santos. The association between sleep disturbances and tooth loss among post-stroke patients. Arq. Neuro- Psiquiatr. 80 (02) February 2022. https://www.scielo.br/j/anp/a/ vqjwdSK7Mjf8kjfXKc3Nb6f Š Vila_Nova TEL, Vasconcelos B, Leao RS, Gomes JML, Feitosa RSC, Pellizzer, et al. Does nocturnal use of a complete denture interfere with the degree of obstructive sleep apnea? A systematic review and a meta-analysis. Sleep Breath. 2021 Dec; 25(4): 2289-96. https:// doi.org/10.1007/s/11325-020-02265-0 Š Villines Zawn. What are the types of sleep apnea? Medical News Today. February 26, 2021. https://www.medicalnewstoday.com/articles/types-of-sleep-apnea Š Walia Harneet. Beyond Heart Health: Consequences of Obstructive Sleep Apnea. The Cleveland Clinic Journal of Medicine. 2019 September; 86 (9 suppl 1): 19-25). Š Wilkerson, D. C. (2018, February). Treating airway and breathing disorders. A key focus of integrative dental medicine for patients of all ages. Inside Dentistry, 65-68 . Retrieved from https://id.cdeworld.com/courses/5125-Treating_Airway_and_Breathing_Disorders Š Xu Hang Pei, Hui Christopher K.M., Lui Macy M.S., Lam David C. L., Fong Daniel Y.T. and Ip Mary S.M. Incident Type 2 Diabetes in OSA and Effect of CPAP Treatment: A Retrospective Clinic Cohort Study. American College of Chest Physicians. Volume 156, Issue 4, October 2019, Pages 743-753. https://sciencedirect.com>Science>article>pii Š Yilmaz Metin, Duzlu Mehmet, Ucar Murat, Tutar Hakan, Karamert Recep, Ciftci Tansu Ulukavak, Tokoz Nil and Kokurk Oguz. Magnetic Resonance Imaging of Upper Airway Soft Tissue Structures in Obstructive Sleep Apnea. GMJ 2021; 32:166-70.

OBSTRUCTIVE SLEEP APNEA: A COMPREHENSIVE REVIEW FOR DENTAL PROFESSIONALS, 3RD EDITION Final Examination Questions Select the best answer for each question complete your test online at EliteLearning.com/Book

157. According to the 2014 Behavioral Risk Factor Surveillance System (BRFSS) survey, the percentage of adult respondents who reported fewer than 7 hours of sleep during a typical 24-hour period was: a. 18.6%. b. 27.8%. c. 35.2%. d. 46.5%. 158. Obstructive sleep apnea (OSA) is usually caused by: a. Gastric reflux. b. Size or position of the tongue or soft palate. c. Nightmares occurring during rapid eye movement sleep. d. Central nervous system-mediated sleep center discharges. 159. Obstructive sleep apnea (OSA) is defined as: a. An apnea-hypopnea index (AHI) of 5 or greater, with associated symptoms, or an AHI of 15 or greater, regardless of symptoms. b. An overall nighttime oxygen saturation index (OSI) of 4% or greater, with associated symptom, or an OSI of 12% or greater, regardless of symptoms. c. An AHI greater than 30, regardless of symptoms. d. The presence of at least three main symptoms of OSA. 160. The estimated percentage of adults 30 to 70 years of age who currently have moderate to severe sleep apnea is: a. 6% of men and 2% of women. b. 9% of men and 7% of women. c. 13% of men and 6% of women. d. 19% of men and 9% of women. 161. In both males and females, the strongest risk factor for OSA is: a. Obesity. b. Excessive tobacco and alcohol use. c. A family history of OSA. d. Stress.

162. Longitudinal and cross-sectional studies have shown a strong association between OSA or hypopnea and: a. Hypertension. b. Gastroesophageal reflux disease. c. Parkinson’s disease. d. Type 1 diabetes mellitus. 163. OSA appears to be an independent risk factor for which of the following diseases? c. Type 1 diabetes mellitus. d. Type 2 diabetes mellitus. 164. The incidence of depression per 1,000 person was 18% compared to 8% of individuals without OSA: a. Hypothyroidism. b. Hyperthyroidism. 165. The American Association of Sleep Medicine guidelines stress that the diagnosis of OSA starts with a sleep history that can be obtained as part of: a. A routine health maintenance evaluation. b. Specialized sleep testing. c. A recall exam with the dentist. d. A visit with a sleep specialist. 166. What is a common orofacial characteristic of a patient with OSA? a. A reduced, compressed, or shortened uvula. b. Gingival inflammatory changes in the mandibular anteriors. c. An enlarged tongue with scalloped borders. d. Moderate to severe dental attrition. a. One month after an OSA diagnosis. b. Six months after an OSA diagnosis. c. Nine months after an OSA diagnosis. d. One year after an OSA diagnosis.

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