Archives for posts with tag: Mallampati

This Dental Sleep Training course may be the most valuable CE Seminar you have taken. *

Here’s one example of a very useful test that anyone can do to determine the likelihood of Obstructive Sleep Apnea.
The  Mallampati Score is a very simple exam and is an effective indicator of a compromised airway.   The subject can be sitting or standing with a vertical axis of their body and head.  As long as the tongue is protruding we are able to see the airway. The variables are, above, the soft palate and uvula, laterally, the walls of the fauces (or the tonsils and adenoids), and below, the base of the tongue.
The tongue is the most common offender for obstructive sleep apnea. Macroglossia can be effectively dealt with by oral appliance therapy- a mandibular advancement device (MAD).
Imagine trying to breathe with an obstructed airway… and a nasal obstruction!
Your Sleep Coordinator or Hygienist can do this exam as part of routine screening on every patient. Class III and IV must be treated.

About the SGS Course Instructor: Dr. Jeff Horowitz

Dr. Jeff Horowitz, a native of Old Bridge, New Jersey, completed his undergraduate studies at the University of Pittsburgh , receiving early admission to dental school after his junior year. In 1991 he earned his Doctorate of Dental Medicine degree from the Medical University of South Carolina. Dr Horowitz has dedicated himself to continuing education, earning him the fellowship award from the Academy of General Dentistry.  Dr. Horowitz is also a member of the American Association of Dental Sleep Medicine.

* You will receive 16 CE credits and a training in the most exciting and rewarding dental service.

Read the course outline and register here with Promo Code TN500 to get a 50% tuition saving:    

http://join.sleepgroupsolutions.com/seminars/nashville-tn-4/

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You are in an excellent position to screen for sleep apnea and to help identify your undiagnosed (and therefore, untreated) OSA patients.

How can you miss these clinical signs?

You…..

• have direct observational access to the physiological structures of your patients’ upper airways

• are already screening chair side for other health conditions that can be easily spotted during a dental visit

• may see these patients more frequently than primary care physicians will, with nearly one quarter more likely to see a dentist than a physician over any given time period. 

Your field of operations is right next to the opening of the airway.

Clinical signs of Obstructive Sleep Apnea:
~constricted airway – measured by a Mallampati score *
~ large neck circumference

          Over 15 inches in women
          Over 16 inches in men
  
~ oversized and/or inflamed uvula
~ extra large tongue
~ scalloped tongue edges-caused by tongue forced against the teeth, gasping for breath.
~ enlarged tonsils     
~ a droopy soft palate
 ~ retrognathic mandibular jaw.
~ obesity
~ heavy or struggled breathing
~ bruxism
~ obvious lack of energy
~ lack of focus in children causing ADHD -in 20% of ADHD victims.
~ sleepiness during dental appointment.
                                                                                                   *MALLAMPATI CLASSIFICATION

   Want more information, email me cskdoc@aol.com.