HIGHClinicalTier 1

Airway health is becoming a core part of general practice, not just a referral

SourceDental EconomicsTier 1Hard News

By Erin Elliott, DDS, DASBA

Originally at dentaleconomics.com

Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.

Why it matters for dental

General dentists who integrate airway screening and in-office therapies can capture previously referred revenue and reduce patient leakage to specialists, but must document medical necessity and coordinate with sleep physicians to avoid payer denials.

Key points

  • Dr. Erin Elliott outlines four in-house services—screening protocols, custom oral appliance therapy, laser-assisted soft-tissue procedures, and myofunctional exercises—now positioned as core general-dentistry offerings rather than automatic referrals.
  • Reimbursement hinges on linking treatment to a confirmed sleep-related breathing disorder; practices without medical-billing infrastructure risk high denial rates or Stark-law exposure if cash-pay models are used indiscriminately.
  • Laser-assisted procedures require state-specific scope-of-practice review; several dental boards have issued guidance distinguishing “gingival contouring” from “airway surgery” that may require additional training or permits.
  • Early adopters report 15–25 % of hygiene patients qualify for airway evaluation, creating both new production and the need for updated informed-consent forms and medical-history templates.

Who should care

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