L Epstein et al. 2009. Clinical Guideline for the Evaluation, Management and Long-term Care of Obstructive Sleep Apnea in Adults. Journal of Clinical Sleep Medicine; Vol 5(3) 263-276.
“The diagnostic strategy includes a sleep-oriented history and physical examination, objective testing, and education of the patient. The presence or absence and severity of OSA must be determined before initiating treatment in or to identify those patients at risk of developing the complications of of sleep apnea, guide the selection of appropriate treatment, and to provide a baseline to establish the effectiveness of subsequent treatment.”
“All patients with OSA should have ongoing, long-term management for their chronic disorder. Those on chronic therapy (PAP, Oral Appliance, positional therapy) should have regular, ongoing follow-up to monitor adherence to therapy, side effects, development of medical complications related to OSA and continued resolution of symptoms.”Â
Ramar et al. (2015) Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015. Journal of Clinical Sleep Medicine. Vol 11(7) 773-792.
The authors provide a clinical practice guideline that was adopted by the American Academy of Sleep Medicine (AASM) and American Academy of Dental Sleep Medicine (AADSM) for the use of Oral Appliance Therapy. They conclude that the AASM and AADMS expected the guidelines to have a positive impact on patient outcomes and potentially health care costs.