title: Autonomic Nervous System Trial: Control and Resolve for Sleep-Breathing Disorders.
abstract: Conventional approaches to sleep dentistry concentrate on apneas/ hypopneas that cause periodic desaturations and fragmentations, a strategy that may be leading healthcare professionals to overlook many patients in dental practices with breathing-disturbed sleep. Recent studies have explored a new chronic "stress" paradigm rather than the apnea/hypopnea model to explain damage from sleep-breathing disorders and the progressive nature of this problem. This article will discuss the shortcomings of traditional approaches for dealing with obstructive sleep apnea and other sleep-breathing conditions and provide a protocol, which involved the autonomic nervous system trial, for improving control and management with mandibular advancement appliances. Most importantly, an algorithm for interdisciplinary resolution strategies is presented.
authors.affiliation: Private Practice, San Antonio, Texas, and Seattle, Washington; Adjunct Assistant Professor, Department of Prosthodontics, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Rouse
mesh_terms: D000465:Algorithms; D017742:Dental Care for Chronically Ill; D006801:Humans; D012891:Sleep Apnea Syndromes / Q000175:diagnosis* / Q000628:therapy*