DDMEonline prepared this material to train dentists on the use of the Nox T3 to identify sleep bruxism patients who may have OSA a much more serious condition. Bruxism can have idiopathic cause or may occur in conjunction with interruptions in ventilation.

1. Apnea Bruxism Index ABi™ Jeffory Wyscarver, RPSGT

2. ABi™ Apnea Bruxism Index The number of bruxism associated with obstructive sleep apnea High ABi™ indicates teeth grinding is an arousal response secondary to OSA Low or no ABi™ indicates a separate and distinct disorder Apnea Associated with Bruxism Idiopathic bruxism or TMD The wisdom to know the difference

3. Bruxism associated with OSA Correlated teeth grinding

4. Idiopathic Bruxism - TMD Idiopathic teeth grinding

5. The wisdom to know the difference Knowing the difference can influence whether you are treating 2 separate disorders or OSA with a symptom of teeth grinding as an arousal response.

6. Setting up for an OSA+Abi™ Study Place a check for “Channel 1” Select “Cheek 200Hz Collecting the data

7. Attaching the Bruxism lead

8. Attaching the Bruxism lead

12. Tonic Phasic

13. Phasic

14. Tonic