Dental Sleep Medicine -
State-of-the-Art 2012
Can it really be profitable?
At the Dental Sleep Network, we believe that dentists can play
a significant role in improving the quality of life of their patients
afflicted with severe snoring and obstructive sleep apnea. By implementing
sleep dentistry into their practices, dentists can create a new revenue stream that
is augmented by health insurance reimbursement.
The treatment of severe snoring and obstructive sleep apnea
(OSA) is one of the fastest growing segments in dentistry today.
Although the dental labs that make custom oral appliances for
sleep apnea have seen tremendous growth and profits, many
dentists are wondering whether their own practices can profitably
enter this new market.
Most health insurance guidelines stipulate that oral appliances
must be provided by dentists. The AASM has also recommended
oral appliances for patients who are intolerant to
traditional OSA therapy. For decades, the primary treatment for
sleep apnea has been continuous positive airway pressure
(CPAP). Across the U.S. it is estimated that as many as 50 percent
of the patients who begin CPAP therapy discontinue its use
for a variety of reasons. Dentists are now positioned to provide
a therapy that is effective and highly compliant.
With the dentist's oversight and the involvement of a properly
trained sleep specialist, patients can now quickly obtain a
medical diagnosis and be given multiple therapy options,
including oral appliances.
Although home sleep testing is 10 to 40 percent of the cost
of specialty lab tests, patients still might have concerns about
cost. An interim step can be to have patients take a home test
that can be administered for pennies on the dollar when compared
to traditional lab testing.
One out of five of your adult patients are at risk
for OSA. Many of these patients will have already
been diagnosed with sleep apnea and have discontinued
treatment with their CPAP machine. A
well-trained practice can convert 25 percent of
their at-risk patients to oral appliances. This does
not include patients who are desperate to "get off the couch" and back into their own beds with a realistic
snoring solution.
Oral appliances are typically priced between $1,500-2,500.
Taking a conversion rate of 25 percent of at-risk patients will
produce between $7,500-12,500 a month in new revenue. The
average cost of an appliance with disposables and shipping
charges is just less than $400. That equates to between $5,500-
10,500 in gross profit. On an annual basis, that means $66,000-
126,000 in additional gross profit. Obtaining the proper training
and equipment and dedicating ample time to learning how
to implement sleep dentistry properly should cost well under
$8,000. That means a small one-doctor practice can realize a
payback of one to two months.
The diagnosis and treatment of sleep apnea is an industry
that generates more than $5 billion a year. The current pathway
for patients is expensive and inconvenient and ends in a therapy
that is only used 50 percent of the time. It is not a stretch of the
imagination to see dentists capturing 25 percent or more of this
market in the next three to five years.
The Dental Sleep Network is a company that helps general
dentists grow the sleep apnea treatment segment of their practices.
The Dental Sleep Network partners with dental practices
by providing education and training, screening and diagnostic
services, physician specialists and medical billing services.
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