Appendix D: Periodic Assessment of the LEO Using Oral Appliances - Public Safety Medicine

SECTIONS

Introduction to Sleep Disorders

Overview of the Medical Evaluation

Obstructive Sleep Apnea

Shift Work Disorder

Restless Legs Syndrome and Periodic Limb Movement Disorder

Idiopathic Hypersomnia

Appendix A: Definition of Terms

Appendix B: Literature Search Method

Appendix C: Early Warning Systems

Appendix D: Periodic Assessment of the LEO Using Oral Appliances

Appendix E: OSA Worksheet Data Elements

Appendix F: Sleep Hygiene and Shift Work | Suggested Checklist

Periodic Assessment of the LEO Using Oral Appliances

The American Academy of Sleep Medicine provides the following follow-up guidance regarding the use of an oral appliance (OA):

“Once a satisfactory improvement in snoring and subjective OSA symptoms has taken place, the patient is referred back to the attending sleep clinician for a clinical assessment and/or repeat overnight assessment. Medical follow-up is also necessary to evaluate treatment response and to assess for recurrence of symptoms of OSA. It is recommended that a follow-up polysomnogram or an attended cardiorespiratory sleep study verify effectiveness of the OA.”34

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