Oral Appliances for Sleep Apnea: What’s Happening in 2014? John M McCrillis, DMD Diplomate American Board of Dental Sleep Medicine March 14, 2014 So What is Happening? • Today – Obstructive Sleep Apnea overview – Oral Appliance designs and Selection – Administrative and Insurance Approaches Lots of Interest • More awareness in the general population • More media attention • More interest among physicians and dentists • Survey ourselves More attention by physicians • More diagnostic centers – In 1995, only two sleep centers (Audubon and University) in Metro Louisville – In 2014, there are twenty-two – Were 23. KentuckyOne saw fit to close their Jewish East Sleep Center • More use of Home Sleep Test (HST) units – Insurance driven – Sleep centers have bought in: they stock the units, provide instruction and interpretation. – Promoted to dentists as a marketing strategy. General Population • More media coverage • More articles, features, and products Online Resources • Searching for Obstructive Sleep Apnea (OSA) on YouTube yielded 23 videos on the first look. • Topics from Exercises to Off-the shelf Oral Appliances (OA’s) to Vitamins to Surgery Disclosures • I do business with all of the Laboratories mentioned in this presentation • I have treated patients using all of the custom made Oral Appliance designs included in this presentation • I have been in full time practice limited to Oral Appliances for OSA since October 2005 My Previous Job