Oral appliance therapy for the treatment of obstructive sleep apnea (OSA) should be limited to patients whose dental health is sufficiently robust to allow the mouth and teeth to withstand the forces created by use of the designated device.
The treating dentist should have a good understanding of the signs and symptoms of OSA, be able to interpret and understand a polysomnography report and be aware of any parasomnias which may impact resolution of symptoms with an oral orthotic. The dentist should not attempt to diagnose OSA or attempt to establish themselves as the only treatment provider. Diagnosis and treatment planning can only be done by a licensed medical provider. A dentist who refers patients for polysomnography should ensure that each patient has a primary care physician and that the primary care physician also gets a copy of the polysomnography report.