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TREATMENT PROTOCOL FOR ORAL APPLIANCE THERAPY:

1. Examination by a physician must be completed before Oral Appliance Therapy (OAT) is initiated.

2. A medical sleep specialist analyzes the diagnostic sleep study.

3. The dentist performs a complete clinical examination and X-rays.

4. The dentist communicates the proposed plan for OAT to the physician.

5. The dentist provides the patient with a consent form prior to delivery of the oral appliance.

6. The dentist constructs and delivers a custom-made oral appliance.

7. The dentist refers the patient back to the physician for medical evaluation and assessment.

8. Patients diagnosed with primary snoring may be treated without objective, follow-up data but should be reevaluated at least annually.

9. Follow-up protocol includes an evaluation every 6 months for the first year and at least annually thereafter.

10. Knowledge of various devices is essential since no single appliance is effective for treatment of all patients.

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