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Screening for Sleep Apnea in the Dental Practice

Dr. Zachary Korwin, DMD, FICOI, AADSM QD

Explore the critical role of dentistry in managing sleep-disordered breathing with Dr. Zachary Korwin in this comprehensive clinical session. Drawing on his expertise from Sleep Connecticut, Dr. Korwin details how dental professionals can effectively screen for and manage obstructive sleep apnea (OSA) using Oral Appliance Therapy (OAT).

Because dental professionals routinely examine the oral cavity, they are uniquely positioned to spot undiagnosed airway issues. Dr. Korwin explains the mechanical causes of airway obstruction, such as excess tissue or a large tongue narrowing the oropharynx, and outlines specific visual markers to evaluate chairside. By assessing the Mallampati score, tonsil size, high-arched palates, and signs of compensatory behaviors like a scalloped tongue, practitioners can easily flag at-risk patients.


For patients who refuse or cannot tolerate CPAP therapy, Mandibular Advancement Devices (MADs) offer a comfortable and effective alternative. This presentation decodes the entire digital chairside process from start to finish, highlighting:

  • Evidence of Obstruction: Learn how to spot telltale signs of sleep apnea in the chair, including large tonsils, retrognathia, and high-arched palates. Dr. Korwin explains how unconscious compensatory behaviors, such as clenching and forward head posture, act as red flags for airway issues.

  • TMJ and Airway Correlation: Discover the connection between temporomandibular joint disorders and sleep apnea. Understand how the lateral pterygoid and masticatory muscles work overtime to protrude the mandible during sleep, often resulting in bruxism, jaw pain, and disc displacement.

  • Practical Office Integration: Follow a guided walkthrough of the clinical workflow, from initial consultation and scans to telemedicine follow-ups and pulse oximeter testing. The session also outlines how to navigate medical insurance reimbursement for OAT as durable medical equipment.

  • Mitigating Complications: Explore clinical tips for managing common side effects like jaw pain and relative tooth movement. Dr. Korwin demonstrates how to utilize a morning aligner to reset the patient’s jaw position and prevent long-term bite changes.

How to obtain your CE credit

In order to get your CE credit, follow these steps:

  1. Head over to the following link
  2. Fill out the form 
  3. Click “Submit”
  4. You’ll receive an email with a link to the recording. Follow it and check the box saying, “mark as complete”
  5. Click on “Next Lesson”
  6. Answer the quiz

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