Oral evaluation and upper airway anatomy associated with snoring and obstructive sleep apnea.

The evaluation of the patient with sleep-related breathing disorders is best accomplished with a comprehensive examination. In this manner the major factors and conditions will be determined so that any therapy that is planned will be carried out with the minimum risk of any complications or unexpected results. In addition, by uncovering the conditions that exist before initiating treatment, the practitioner who participates in the management of these patients will be better able to address any concerns before they arise, resulting in more effective management overall. Understanding the anatomy with which one is dealing enhances the opportunity for more effective treatment. Because the muscles are so critical to mandibular and airway management, their role must be completely understood. As the roles of the various muscles becomes better understood, the ability to resolve airway problems related to sleep will improve.