Our Process
At Custom Sleep Solutions we understand your time is valuable, so we use a combination of telehealth and in person consultations to optimise treatment timings while maintaining our high standards.
Our process involves the following consultations:
1. Telehealth - Initial 30 minute consultation.
- Review of your symptoms and diagnosis (as per your medical specialist/ general practitioner)
- Explain the rationale of oral appliance treatment based on your individual diagnosis.
- Review of dental screening radiographs (referral for imaging will be e-mailed to you prior to appointment)
- Discuss the different oral appliance options available.
- Collaborate with you to pre-select the right oral appliance for your needs (design will require confirmation after clinical examination of oral structures).
- Confirmation of treatment plan including item numbers and cost of appliance (quote will be e-mailed to you prior to appointment)
- Appointment booked for in-person record taking.
2. In person 30-45 minute consultation.
- Oral, airway and jaw examination to ensure an oral appliance is suitable for you.
- Confirm oral appliance design.
- Digital scan and measurement of your jaw position to take a record of your teeth. These will be sent to the dental laboratory to fabricate a custom fit oral appliance. Allow 4-5 weeks for your oral appliance to be manufactured.
3. In person 30 minute visit to collect your oral appliance
- Fit and adjust of your custom oral appliance.
- Detailed information and education about the use, care and adjustment of your oral appliance.
4. Reviews - combination of telehealth and in person consultations
Time frame and type of review may vary however usually:
- One week - telehealth/phone review to check in and troubleshoot any issues.
- Three - four weeks - In person consultation to review and adjust appliance with guidance on further adjustments required.
- Two - three months - Telehealth or in person review to finalise appliance position. Report sent to your referring medical specialist/general practitioner.
5. Regular annual in person reviews.
12 monthly reviews are recommended to:
- Check your appliance for warranty purposes.
- Monitor for any tooth movement or bite changes and troubleshoot any issues.
References:
2. Sarkis et al (2023). ASA position paper - Consensus and evidence based treatment for primary snoring.
https://onlinelibrary.wiley.com/doi/10.1111/resp.14443
3. Ramar et al. Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance - Therapy: An Update for 2015.
https://jcsm.aasm.org/doi/10.5664/jcsm.4858
4. Ellender et al (2024). Management of obstructive sleep apnoea in primary care. Australian Journal of General Practice. 53(6) 363-369
https://doi: 10.31128/AJGP-08-23-6933
5. Treatment of OSA and its Impact on Cardiovascular Disease, Part 2: JACC State-of-the-Art Review
https://doi.org/10.1016/j.jacc.2024.07.024