The American Sleep and Breathing Academy Dental Division is an organization dedicated to enriching our members knowledge and skill in the treatment of sleep disordered breathing. Our goal is to provide current evidence based information to our members and enable them to provide optimal treatment for their patients. The Academy offers Certification to its members as a confirmation of their knowledge, skill and experience. There are multiple levels of Certification within our organization. The requirements for Certification, are as follows:


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  • Kushida CA, Morgenthaler TI, Littner MR, et al. Practice parameters for the treatment of snoring and OSA with oral appliances: an update for 2005. sleep. Feb 1 2006:29 (2): 240-243
  • Calvin AD, Somers UK. OSA and cardiovascular disease. Curr Opin Cardiol. Nov 2009; 24 (6): 516-520
  • Clark GT, Blumenfield I, Yoffe N, Peled E, Lavine P. A crossover study comparing the efficacy of CPAP with anterior mandibular positioning devices on patients with OSA. Chest. Jun 1996; 109(6): 1477-1483
  • Silber MH, Ancoli- Israels, Bonnet MH et al. The visual scoring of sleep in adults. JCSM. March 15 2007; 3(2) 121-131
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  • Won CH, Li KK, Guilleminault C. Surgical treatment of OSA: Upper airway and maxillomandibular surgery. Proceedings of the American thoracic society 2008; 5: 193- 199
  • Vanderveken OM, Devolder A, Marklund M, et al. Comparison of a custom made and a thermoplastic oral appliance for the treatment of mild sleep apnea. An J Respir crit care med. July 15 2008; 178(2): 197-202


ASBA Dental Exam Sample Questions


  1. Sleep disordered breathing(SDB) has adverse effects on the cardiovascular health of adults, partly due to changes in autonomic activity. What adverse autonomic changes occur in children with (SDB)?
  2. None
  3. Increase of sympathovagal balance during slow wave sleep
  4. Significant reduction in heart rate variability
  5. Significant increase in heart rate variability


  1. Some studies show that left side sleeping position decreased the frequency of obstructive respiratory events in patients with moderate and severe OSA.
  2. True
  3. False


  1. The prevalence of SDB is almost three times higher in men compared with pre-menopausal women.
  2. True
  3. False


  1. Slow wave sleep appears to render the upper airway less susceptible to occlusion, suggestive of a protective effect.
  2. True
  3. False


  1. The primary mechanism of action of a mandibular advancement device is anterior movement of the tongue and:
  2. Consequent increase in the anterposterior dimensions of the oropharynx
  3. Consequent increase in the cross sectional area of the velopharynx in both the lateral and anteroposterior dimensions
  4. consequent increase in the lateral dimension of the oropharynx
  5. A and B are correct
  6. B and C are correct


  1. The tongue retaining device produces more favorable changes in the retroglossal region than the mandibular advancement device.
  2. True
  3. False


  1. Pediatric OSA is often treated with?
  2. Palatal expansion
  3. Adenotonsillectomy
  4. CPAP
  5. A and B
  6. All of the above


  1. Complete treatment success, with OAT is defined by (AHI) of fewer than 5 events per hour and resolution of symptoms. This occurs:
  2. 70-90% of the time
  3. 50% of the time
  4. 65% of the time
  5. 19-75% of the time


  1. In OAT the final extent of jaw repositioning depends all but one of the following:
  2. The patient’s ability to protrude
  3. The severity of OSA
  4. Tongue position
  5. Occlusal diagnosis
  6. Type of appliance
  7. Patients ability to breathe through the nose


  1. Zolpidem, Zaleplon, and Zopiclone are?
  2. Three men from Mars
  3. Nonbenzodiazepines
  4. Benzodiazepines
  5. Hypnotic drugs
  6. Less likely to exacerbate OSA
  7. B, D, and E are correct
  8. C, D and E are correct



Reading List for 2015 American Sleep and Breathing Academy, Dental Division Certification Exam


  1. Dental Management of Sleep Disorders (Attanasio and Bailey)
  2. Sleep Medicine for Dentist: A Practical Overview (Levigne, Cistulli, and Smith)
  3. Principles and practice of Sleep Medicine (Krygere, Roth, and Dement)
  4. Sleep Medicine and Dentistry (2012 Vol. 56 #2 Dental Clinics of North America)
  5. Snoring and Obstructive Sleep Apnea (Fairbanks and Woodson)
  6. Bruxism Theory and Practice (Paesani)
  7. Somnology (T. Lee-Chiong)
  8. The Integrated Dental Medical System (Chase)



  1. Journal of Clinical Sleep Medicine (AASM)
  2. Journal of Dental Sleep Medicine (AADSM)


The 2015 ASBA Dental Diplomate Exam will be given Sunday April 12 2015 at the Doubletree hotel in Scottsdale AZ from 8 AM to 12 PM. To register for the Exam Click Here.