Master of Science in Dentistry
Purpose: The purpose of this study is to determine the number of VCU pediatric dental patients screened for obstructive sleep apnea (OSA) relative to the number of referrals made for a pediatric sleep study.
Methods: This was a retrospective chart review of children between the ages of 1-18 years seen at the VCU Pediatric Dental Clinic between 2016-2020. Patients with a completed sleep apnea screening questionnaire in the health history form or sleep apnea form/referral were identified. The data was used to determine how many referrals were made for a pediatric sleep study in patients screening positive for sleep apnea.
Results: A total of 1,265 patients were included in the analysis. Only 147 of the 1,265 patients had a PM-STOP-Bang form in their dental record (12%). There was a significant relationship with the number of “yes” responses from the screening questions and completion of the PM-STOP-Bang form (p-value <0.0001). Of the 147 patients with a PM-STOP-Bang form, 37 were referred to a physician for an evaluation (25%). Having a documented referral was significantly associated with the PM-STOP-Bang score (p-value < 0.0001).
Conclusion: The purpose of this study is to determine the number of VCU pediatric dental patients screened for Obstructive Sleep Apnea using the Pediatric Modified (PM) STOP-Bang questionnaire relative to the number of referrals made for a sleep study. The screening questions from the patient’s electronic health record proved to be useful in aiding the dental provider to complete a PM-STOP-Bang. The PM-STOP-Bang proved to be a useful tool in providing referral to a patient’s physician following a positive screening for Obstructive Sleep Apnea. Based on the results of this study, this tool has an important role not only in pediatric dentistry, but when modified to serve the adult dental patient.
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