The GSS experience

Doctor evaluates and prescribes overnight sleep study

better sleep

PSG (Polysomnography test) or OCST (Out of Centre Sleep Test)

better sleep

Results and referal to the doctor or dentist

better sleep better sleep

Serious case - referral to a doctor

Non-serious case - referral to a dentist

better sleep better sleep

Treatment options:

Treatment options:

Surgery or
CPAP (continuous positive airway pressure)

Dental appliance, which
consist of

better sleep better sleep

Results

 

Next steps

Successful and sustainable

Continue
with treatment

Unsuccessful and unsustainable

Referal to the dentist for treatment options

Oral appliance therapy

Impressions

Insertion

Titration

HST or PSG to test effectiveness and titrate id necessary

AHI – Target

better sleep

Results

 

Next steps

Yes (SDB reduces to acceptable level)

Recall at 6 and 12 months, yearly thereafter

No (SDB NOT reduces to acceptable level)

Dentist and doctor coordinate combined OA-PAP therapys

No (SDB NOT reduces to acceptable level

Consultaion with a denstist