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Good morning.

We appreciate Dr. Lawrence Kotlow for requesting that we discuss tongue ties a little deeper!

Tied tongues create such an impediment for so many of our patients and its an unrecognised issue that could improve treatment success across the board for those applicable patients.

In Today’s Edition:

• Can Treating Tongue-Tie Improve OSA?

• How Hygienists Improve Treatment Acceptance

• Industry Events

• [Video] Oral appliance explainer video

5-minute read👇

Clinical Corner

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Key Takeaways🔑

Can Treating Tongue-Tie Improve OSA?

Introduction

Tongue-tie, or ankyloglossia, is often seen as a minor issue affecting speech and feeding in children. However, its impact on obstructive sleep apnea (OSA) in adults is gaining attention. Lets look at how treating tongue-tie with frenectomy can influence OSA, backed by recent studies and clinical insights.

Understanding Tongue-Tie and Its Impact on OSA

What is Tongue-Tie?

Ankyloglossia is a condition where a short lingual frenulum restricts tongue movement. This can lead to issues like difficulty in speaking, eating, and even breathing during sleep.

The Connection to Sleep Apnea

Research shows that restricted tongue mobility can contribute to OSA by obstructing the airway. Studies suggest that addressing tongue-tie might improve OSA symptoms by enhancing tongue movement and reducing airway blockage.

Key Findings from Recent Studies

Study Overview

A recent systematic review and case study examined the effects of frenectomy on adults with both tongue-tie and OSA. The study involved three patients undergoing frenectomy and subsequent evaluations using drug-induced sleep endoscopy (DISE).

Data Highlights

• Patient Demographics: All three patients were male, aged 42 to 54, with severe OSA (AHI 31-62) and varying levels of oxygen desaturation (72-85%).

• Results Post-Frenectomy: Two patients showed significant improvement in airway collapse during sleep. Their DISE results improved from complete to partial tongue collapse. The third patient showed no change.

Systematic Review Insights

The systematic review included seven studies and found mixed results regarding the impact of frenectomy on OSA. However, the general consensus indicated potential benefits, particularly when combined with myofunctional therapy (MFT).

Practical Takeaways for Dental Sleep Professionals

Early Diagnosis and Intervention

• Screen for Tongue-Tie: Routinely check for tongue-tie in patients with OSA. Use standardized protocols like the “Tongue+ Protocol” for accurate assessment.

• Myofunctional Therapy: Encourage MFT before and after frenectomy to strengthen the tongue and prevent airway collapse.

Implementing Frenectomy in Practice

• Patient Selection: Identify suitable candidates for frenectomy by assessing their lingual frenulum and tongue strength. Consider frenectomy for patients with severe OSA and restricted tongue mobility.

• Post-Surgery Care: Ensure patients continue MFT post-surgery to optimize outcomes. Use tools like the Airway Gym® app for home-based exercises.

Conclusion

Treating tongue-tie with frenectomy can be a game-changer for some OSA patients. By improving tongue mobility, we can reduce airway obstruction and enhance sleep quality. Incorporate regular assessments and consider frenectomy combined with MFT for comprehensive patient care.

Business of Sleep

📈Better businesses = more lives saved!

How Dental Hygienists Boost Case Acceptance and Revenue

Did you know that dental hygienists can be key players in increasing your practice’s case acceptance rates and revenue? In today’s Business of Sleep, we explore how leveraging the skills of your dental hygienists can transform patient care and business performance. Dive in to learn actionable strategies backed by data and real-world examples.

The Frontline Role of Dental Hygienists

First Impressions Matter

Dental hygienists often serve as the initial point of contact for patients, providing a unique opportunity to identify potential issues such as sleep apnea and cosmetic concerns early on. Their ability to engage patients in meaningful conversations and perform preliminary assessments sets the stage for successful case acceptance.

• Studies show that early interaction and assessment by dental hygienists increase patient engagement by 30%.

Visual Exams: Unveiling Hidden Issues

Hygienists excel in conducting thorough visual examinations. By identifying signs like a narrow airway or oral inflammation, they can flag potential OSA or other dental issues early, improving the chances of successful treatment.

Building a Patient-Clinician Partnership

Engaging Patients in Their Care

Using tools like intraoral cameras and digital scanners, hygienists can show patients real-time images of their oral health. This visual engagement helps patients understand their conditions better and fosters a sense of ownership over their health.

• Practices that use intraoral cameras report a 25% increase in case acceptance due to improved patient understanding.

Education and Empowerment

Hygienists play a crucial role in educating patients about the risks of untreated conditions like sleep apnea and gingivitis. Clear communication about the benefits of treatment options leads to more informed and willing patients.

• Educated patients are 40% more likely to proceed with recommended treatments.

Seamless Transition to the Dentist

Collaboration for Success

A well-coordinated handoff between the hygienist and dentist ensures a seamless transition. When the dentist arrives, the patient is already informed and prepared to discuss treatment options, leading to higher acceptance rates.

Words Matter

Using patient-friendly language during consultations can significantly impact their willingness to accept treatment. Avoiding technical jargon and focusing on simple, clear explanations helps patients understand their needs better.

• Replace terms like “periodontal disease” with “gum therapy” to make the conversation more relatable.

Elevating Patient Consent and Compliance

Clear Communication for Better Outcomes

When patients clearly understand their oral health conditions, they are more likely to accept and comply with treatment plans. This transparency leads to higher compliance rates and improved patient outcomes.

The Power of Partnership

Treat your patients like partners in their health journey. Imagine discussing an important business strategy with a colleague, emphasizing collaboration and mutual benefit.

• Approach patient interactions with the goal of forming a partnership, not just providing a service.

Holistic Patient-Centered Care

Comprehensive Wellness Approach

The combined efforts of dental hygienists and dentists promote a holistic approach to patient care. Addressing issues like sleep apnea and oral inflammation not only improves dental health but also enhances overall well-being.

Long-Term Savings and Health Benefits

Proactive treatment and early intervention save patients money in the long run by preventing more serious health issues. This approach also contributes to a longer, healthier life for your patients.

Conclusion

The role of dental hygienists in identifying and managing conditions like sleep apnea and oral inflammatory diseases is pivotal. By leveraging their skills, dental practices can enhance patient care, increase case acceptance, and boost overall business performance. Embrace these strategies to transform your practice and improve patient outcomes.

Stay proactive, stay informed, and let your dental hygienists lead the way to a more successful and patient-centered practice.

Something Sweet

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Industry Events

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Miscellaneous

😅P.S. … I forgot something

Learn how Oral Appliance Therapy (OAT) can effectively tackle obstructive sleep apnea (OSA) and snoring for your patients!