Bruxism and OSA Dental Sleep Medicine in Practice Informed Consent JournaCALIFORNIA DENTAL ASSOCIATION Pediatric OSA The Dentist’s Role in Sleep-Related Breathing Disorders: Impact, Implications and Implementation Jamison R. Spencer, DMD, MS Good for both the planet and your budget. SAVE MORE ON ECO-FRIENDLY DENTAL SUPPLIES. The Dentists Supply Company can help you save some green. Get negotiated discounts on eco-friendly supplies from only authorized sources at TDSC.com. As a dental association member, you benefit fromfree shipping and 20% average savings*. Stock up on supplies you can feel good about: • Products responsibly packaged with recycled materials • Equipment and water testing kits to be EPA compliant • Toxin-free sterile supplies and biodegradable solutions See how much you can save at TDSC.com/ecofriendly. Just look for the orange leaf icon next to our environmentally-friendly supplies. SHOP ONLINE AND START SAVING TODAY * Savings compared to the manufacturer’s list price. Actual savings on TDSC.com may vary. All trademarks used herein are the property of their prospective owners in the United States and abroad. April 2020 CDA JOURNAL, VOL 48, Nº4 DEPARTMENTS 177 The Editor/Bluetooth and Mondegreens 181 Impressions 225 RM Matters/Workers’ Compensation: Quick Reporting Required With Employee Injuries 231 Regulatory Compliance/Texting Patients? Collecting Patient Information on a Website? Know the Rules 235 Ethics/What Would You Do If Your Patient Cheated on You? 238 Tech Trends 181 FEATURES 185 The Dentist’s Role in Sleep-Related Breathing Disorders: Impact, Implications and Implementation An introduction to the issue. Jamison R. Spencer, DMD, MS 189 What Every Dentist Should Know About Sleep-Related Breathing Disorders This essay helps the dental team understand the details about what they should be doing to make the biggest difference for their practice’s and community’s health. Steve Carstensen, DDS 195 Bruxism, Obstructive Sleep Apnea and Dentistry This article discusses how the dental professional can be an integral part in working with the medical community to identify and manage patients with obstructive sleep apnea. Cameron A. Kuehne, DMD, MS 199 Incorporating Dental Sleep Medicine Into Your Practice: S.E.T.U.P. for Success in Sleep This article provides insight into systems for incorporating or improving a dental sleep medicine program into the dental practice. Marty R. Lipsey, DDS, MS 205 Informed Consent for Dental Sleep Medicine This article explains how taking the time to obtain an informed consent can reduce clinician liability and result in a more motivated patient. Ken Berley, DDS, JD 213 Pediatric Obstructive Sleep Apnea: An Interdisciplinary Approach to Treatment This manuscript highlights the opportunities medical and dental professionals have to collaboratively manage obstructive sleep apnea in children and teens. Thomas Stark, DDS, LTC(P); Peter O’Connor MD, COL; and Tracey Fischer, MA, MA, CCC-SLP Cover apnea illustration: Habib M’henni/Wikimedia Commons APRIL 2 0 2 0 175 CDA JOURNAL, VOL 48, Nº4 Volume 48 Number 4 April 2020 JournaCALIFORNIA DENTAL ASSOCIATION published by the Management Blake Ellington Manuscript Journal of the California Dental Association California Peter A. DuBois Tech Trends Editor Submissions Editorial Board Dental Association Executive Director Jack F. Conley, DDS www.editorialmanager. Charles N. Bertolami, DDS, DMedSc, Herman Robert 1201 K St., 14th Floor com/jcaldentassoc Fox dean, NYU College of Dentistry, New York Carrie E. Gordon Editor Emeritus Sacramento, CA 95814 Chief Strategy Officer 800.232.7645 Robert E. Horseman, DDS Letters to the Editor Steven W. Friedrichsen, DDS, professor and dean, Western University of Health Sciences College of Dental cda.org Kristine Allington Humorist Emeritus www.editorialmanager. Medicine, Pomona, Calif. Chief Marketing Officer com/jcaldentassoc Production CDA Officers Mina Habibian, DMD, MSc, PhD, associate professor Alicia Malaby Richard J. Nagy, DDS Randi Taylor Subscriptions of clinical dentistry, Herman Ostrow School of Dentistry Communications Director President Senior Visual Designer Annual subscriptions are of USC, Los Angeles [email protected] Editorial available to association Upcoming Topics members at a rate of $36. Robert Handysides, DDS, dean and associate professor, Judee Tippett-Whyte, DDS Kerry K. Carney, DDS, CDE May/TDSC To manage your printed department of endodontics, Loma Linda University School President-Elect Editor-in-Chief June/Health Literacy Journal subscription of Dentistry, Loma Linda, Calif. [email protected] [email protected] July/Licensure online, log in to your cda. Bradley Henson, DDS, PhD , associate dean for research org account or email Ariane R. Terlet, DDS Ruchi K. Sahota, DDS, CDE and biomedical sciences and associate professor, Western Advertising [email protected] Vice President Associate Editor University of Health Sciences College of Dental Medicine, Sue Gardner for assistance. View the [email protected] Pomona, Calif. Brian K. Shue, DDS, CDE Advertising Sales publication online at John L. Blake, DDS Associate Editor [email protected] cda.org/journal. Paul Krebsbach, DDS, PhD, dean and professor, section Secretary 916.554.4952 of periodontics, University of California, Los Angeles, Gayle Mathe, RDH [email protected] School of Dentistry Senior Editor Permission and Steven J. Kend, DDS Jayanth Kumar, DDS, MPH, state dental director, Jamison R. Spencer, Reprints Treasurer Sacramento, Calif. DMD, MS [email protected] Andrea LaMattina, CDE Guest Editor publications manager Lucinda J. Lyon, BSDH, DDS, EdD, associate dean, oral Debra S. Finney, MS, DDS [email protected] health education, University of the Pacific, Arthur A. Dugoni Andrea LaMattina, CDE Speaker of the House 916.554.5950 School of Dentistry, San Francisco Publications Manager [email protected] Nader A. Nadershahi, DDS, MBA, EdD, dean, Kristi Parker Johnson R. Del Brunner, DDS University of the Pacific, Arthur A. Dugoni School of Senior Communications Immediate Past President Dentistry, San Francisco Specialist [email protected] Francisco Ramos-Gomez, DDS, MS, MPH, professor, section of pediatric dentistry and director, UCLA Center for Children’s Oral Health, University of California, Los Angeles, School of Dentistry The Journal of the California Dental Association (ISSN 1043–2256) is published monthly by the California Dental Association, 1201 K St., 14th Floor, Sacramento, CA 95814, 916.554.5950. Periodicals postage paid at Sacramento, Calif. Postmaster: Michael Reddy, DMD, DMSc, dean, University of Send address changes to Journal of the California Dental Association, 1201 K St., 14th Floor, Sacramento, CA 95814. California, San Francisco, School of Dentistry The California Dental Association holds the copyright for all articles and artwork published herein. Avishai Sadan, DMD, dean, Herman Ostrow School of The Journal of the California Dental Association is published under the supervision of CDA’s editorial staff. Neither the editorial Dentistry of USC, Los Angeles staff, the editor, nor the association are responsible for any expression of opinion or statement of fact, all of which are published solely on the authority of the author whose name is indicated. The association reserves the right to illustrate, reduce, revise or Harold Slavkin, dean and professor emeritus, division of reject any manuscript submitted. Articles are considered for publication on condition that they are contributed solely to the biomedical sciences, Center for Craniofacial Molecular Biology, Journal of the California Dental Association. The association does not assume liability for the content of advertisements, nor Herman Ostrow School of Dentistry of USC, Los Angeles do advertisements constitute endorsement or approval of advertised products or services. Brian J. Swann, DDS, MPH, chief, oral health services, Copyright 2020 by the California Dental Association. All rights reserved. Cambridge Health Alliance; assistant professor, oral health policy and epidemiology, Harvard School of Visit cda.org/journal for the Journal of the California Dental Association’s policies and procedures, author Dental Medicine, Boston instructions and aims and scope statement. Richard W. Valachovic, DMD, MPH, president emeritus, American Dental Education Association, Washington, D.C. Connect to the CDA community by following and sharing on social channels @cdadentists 176 APRIL 2 0 2 0 Editor CDA JOURNAL, VOL 48, Nº4 Bluetooth and Mondegreens Kerry K. Carney, DDS, CDE y brother, a retired network administrator, As dentists, how can we not pause and wonder likes to tell me that his hearing loss is just an about this blue tooth? Most of us use Bluetooth “undocumented feature” every day, but why is it blue and what does it Mof aging. But sometimes, conversations have to do with dentition? seem more interesting and surprising as our auditory function declines and the brain substitutes for words that are misheard. This auditory accommodation But what about the reverse? Two engineers working on the is sometimes called a mondegreen. What about when we hear a word project to unify devices attended a The term was coined in 1954 by or words that are so familiar that conference in the summer of 1997 and a writer who had misheard the lyric we do not think twice about their then went out for drinks afterward.1,2 in a Scottish ballad about a knight meaning, even when they make In addition to discussing the project, and substituted words that made no