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Sleep Apnea is responsible for Billions of dollars in loss yearly. This presentation discusses how easily controllable this problem is; for society, for your organization and for the individual.
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Sleep Disorders Risk Management
for Your Organization
John Viviano BSc DDS D ABDSM
Losses Approaching: 200 Billion Dollars Yearly
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Estimated AnnualLosses in BILLION
DOLLARS U.S. fromWorkplace Sleepiness
Motor VehicleAccidents$29.2 Billion
WorkplaceAccidents$10.3 Billion
LostProductivity$150 Billion
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Sleepiness often cited as a primary Cause…
Nuclear Plant Disasters
Chernobyl, Three Mile Isla
nd and Bhopal
Space Flight Disastersspace shuttle Challenger exploded
Airline Disasters
NTSB: multiple cases, sleepiness cause of crash
Shipping Disasters
World Prodigy, Exxon Valdez
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What Exactly is a
SLEEP DISORDER? … Non Breathing Related
Breathing Related
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Common Non Breathing Related Sleep Disorders:
NarcolepsyInsomniaNight/Rotating Shift Work Schedules
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Narcolepsy Excessive Daytime Sleepiness Sudden loss of muscle tone
(cataplexy) Usually begins in late childhood 80% undiagnosed Genetically linked
Industrial injuries: 19% of inadequately or untreated
narcolepticsText your questions to 416 500 2901
Insomnia Difficulty initiating or maintaining
sleep 35% Occasional,17% Frequent 13 million-US: take sleep medication Impairs alertness and functioning
Causes a 2.5-fold increased risk of motor vehicle accidents
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Night / Rotating Shift Work Schedules
70% of shift workers: trouble falling asleep
50% of night shift workers fall asleep on the job at least weekly
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Sleep Apnea: Malfunction of Normal Breathing During SleepSleep Disordered Breathing
Swedish study: Apneics12X as many accidents as controls
British study: 93% of Apneics “at fault” in one or more accidents
Common Breathing Related Sleep Disorder:
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nC
PA
PA
irw
ay
Ort
ho
tics
Recommended Therapy
for Sleep Disordered Breathing*for patients that cannot be managed with Lifestyle Changes
Snoring
UARS (Sleepy Snorer)
Mild Sleep Apnea (5-15 Events/h)
Moderate Sleep Apnea (15-30 Events/h)
Severe Sleep Apnea (Over 30 Events/h)
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Are you at risk?
How do you find out?
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Epworth Sleepiness ScaleScore >10 suggests a Sleep Disorder
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If you scored higher than 10…You Should
See your Doctor…You may need an overnight sleep
study…
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Sleep Apnea Treatments…
Surgery? nCPA
P?Oral Appliance?Life
style
Changes?
What do I do…Text your questions to 416 500 2901
Most Common Surgery: UPPP or UP3
Success; 25-50% for OSA, 75% for Snoring
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nCPAP
Pumps air into nose under pressure to expand collapsed airway
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Example of Orthotic in
Mouth Example of Orthotic in
Hand
Mandibular Advancement DevicesAirway Orthotic Worn in Mouth
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Airway Orthotics… the Facts…
Airway Orthotics considered First Line Therapy for Snoring, Mild, Moderate Sleep Apnea Sleep 2006:29:2
90% patient compliance after 2 ½ years Cranio 2000:18:2
Ten of eleven prefer an Airway Orthotic over nCPAP for their long term treatment. Thorax 1997, 52:362-368
Know the Facts Before You Decide Which Therapy is For You
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The Dentist, Physician and Sleep Specialist work together in the treatment of Snoring and Sleep apnea.Communication is Key to Optimum Treatment
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