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Step 1: Screening Paperwork Epworth Scale Berlin Questionnaire SGS Questionnaire Are they positive? Move to step 2 Step 2: Initial Consultation Dental Sleep Medicine Protocol Pharyngometer Test Rhinometer Test STOP questions Bed Partner Report Still Positive? Move to step 3 Step 3: Sleep Study Home Sleep Study Or In Lab PSG Test Positive Diagnosis? Move to step 4 Step 4: Consultation Sleep MD interprets sleep study results and provides diagnosis and recommendations to be presented. Patient said "Yes" Move to step 5 Step 5: Appliance Records Impresssions Bite Registration Re-test w/ Pharyngometer Almost done! Step 6: Appliance Delivery Deliver and test appliance Follow up w/ step 1 questionnaires Follow up w/ home study once there is a subjective improvement Step 3a: Verify Benefits for case presentation Work with a third party Medical Biller to determine oral appliance is a covered benefit. Prepare financial presentation to be a presented to the patient in Step 4

Dental Sleep Medicine Protocol

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Page 1: Dental Sleep Medicine Protocol

Step 1: Screening Paperwork

Epworth ScaleBerlin QuestionnaireSGS Questionnaire

Are they positive?Move to step 2

Step 2: Initial Consultation

Dental Sleep Medicine Protocol

Pharyngometer TestRhinometer TestSTOP questionsBed Partner Report

Still Positive?Move to step 3

Step 3: Sleep Study

Home SleepStudyOrIn Lab PSG Test

Positive Diagnosis?Move to step 4

Step 4: Consultation

Sleep MD interprets sleepstudy results and providesdiagnosis andrecommendations to bepresented.

Patient said "Yes"Move to step 5

Step 5: Appliance RecordsImpresssionsBite RegistrationRe-test w/Pharyngometer Almost done!

Step 6: Appliance DeliveryDeliver and testappliance Follow up w/ step 1questionnaires Follow up w/ homestudy once there is asubjectiveimprovement

Step 3a: Verify Benefits for case presentationWork with a third party Medical Biller to determine oral appliance is a covered benefit.Prepare financial presentation to be a presented to the patient in Step 4