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Self Scoring RESULTS Section 1 1. Do you snore? A) Yes C) Don't know B) No 2. How loud is your snoring? A) Breathing D) Very loud - can be B) Talking heard in adjacent C) Louder than talking room 3. How often do you snore? A) Nearly every day D) 1-2 / month B) 3-4 / week E) Almost never C) 1-2 / week 4. Has your snoring ever bothered others? A) Yes C) Don't know B) No 5. Do you stop breathing during sleep? A) Nearly every day D) 1-2 / month B) 3-4 / week E) Almost never C) 1-2 / week Section 2 6. How often do you feel tired after sleep? A) Nearly every day D) 1-2 / month B) 3-4 / week E) Almost never C) 1-2 / week 7. While awake, do you feel tired? A) Nearly every day D) 1-2 / month B) 3-4 / week E) Almost never C) 1-2 / week 8. Have you ever fallen asleep while driving? A) Yes B) No 9. If yes, How often does this occur? A) Nearly every day D) 1-2 / month B) 3-4 / week E) Almost never C) 1-2 / week Section 3 10. Do you have high blood pressure? A) Yes C) Don't know B) No Score yourself on the back! THE BERLIN QUESTIONNAIRE: Section 1 Section 2 Section 3 Are you suffering from snoring and obstructive sleep apnea? High Risk = 2-3 sections with Two or More points Low Risk = 0-1 sections with Two or More points Bring these results to your next dental appointment. Your dentist can prescribe you The EMA ® , Serene Silensor or Moses ® Elite which can help you and your bed partner get restful sleep – without snoring. FOR MORE DETAILS: If you answered YES, then you need to take this test... Is SNORING a problem in your household? Are you TIRED of not getting restful sleep? Oral appliances FDA cleared for the treatment of snoring & obstructive sleep apnea EMA® Serene Silensor Moses® Elite Selection A B C D E 1 1 0 0 - - 2 0 0 1 1 - 3 1 1 0 0 0 4 1 0 0 - - 5 2 2 0 0 0 Selection A B C D E 6 1 1 0 0 0 7 1 1 0 0 0 8 1 0 - - - 9 Note only Selection A or BMI > 30 B C 10 2 0 0

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Page 1: SNORING Self Scoring Is THE BERLIN QUESTIONNAIRE: a … · 2016-02-25 · Snoring and OSA are similar respiratory sleep disorders: • Snoring occurs when the air you breathe vibrates

Self Scoring

RESULTS

Section 11. Do you snore? A) Yes C) Don't know B) No

2. How loud is your snoring? A) Breathing D) Very loud - can be B) Talking heard in adjacent C) Louder than talking room

3. How often do you snore? A) Nearly every day D) 1-2 / month B) 3-4 / week E) Almost never C) 1-2 / week

4. Has your snoring ever bothered others? A) Yes C) Don't know B) No

5. Do you stop breathing during sleep? A) Nearly every day D) 1-2 / month B) 3-4 / week E) Almost never C) 1-2 / week

Section 26. How often do you feel tired after sleep? A) Nearly every day D) 1-2 / month B) 3-4 / week E) Almost never C) 1-2 / week

7. While awake, do you feel tired? A) Nearly every day D) 1-2 / month B) 3-4 / week E) Almost never C) 1-2 / week

8. Have you ever fallen asleep while driving? A) Yes B) No

9. If yes, How often does this occur? A) Nearly every day D) 1-2 / month

B) 3-4 / week E) Almost never

C) 1-2 / week

Section 310. Do you have high blood pressure?

A) Yes C) Don't know B) No

Score yourself on the back!

THE BERLIN QUESTIONNAIRE:Section 1

Section 2

Section 3

Are you suffering from snoring and obstructive sleep apnea?

High Risk = 2-3 sections with Two or More pointsLow Risk = 0-1 sections with Two or More pointsBring these results to your next dental appointment. Your dentist can prescribe you The EMA®, Serene Silensor or Moses® Elite which can help you and your bed partner get restful sleep – without snoring.

FOR MORE DETAILS:

If you answered YES, thenyou need to take this test...

Is SNORING a problem in your

household?

Are you TIRED of not getting restful sleep?

OralappliancesFDAclearedforthetreatmentofsnoring&obstructivesleepapnea

EMA®Serene Silensor

Moses® Elite

Selection A B C D E1 1 0 0 - -2 0 0 1 1 -3 1 1 0 0 04 1 0 0 - -5 2 2 0 0 0

Selection A B C D E6 1 1 0 0 07 1 1 0 0 08 1 0 - - -9 Note only

Selection A or BMI > 30 B C10 2 0 0

Page 2: SNORING Self Scoring Is THE BERLIN QUESTIONNAIRE: a … · 2016-02-25 · Snoring and OSA are similar respiratory sleep disorders: • Snoring occurs when the air you breathe vibrates

Serene Silensor

Why is Obstructive Sleep Apnea a serious problem?Your body is being deprived of the rest it needs to function proper ly dur ing the day when you are constant ly awoken throughout the night.

Frequently Asked Questions:

What can I do about Snoring?

If you feel your snoring is a problem, discuss it with your dentist or doctor. You may be a suitable candidate for The EMA®, Serene Silensor or Moses® Elite appliance (oral airway dilator), which is one of the most efficient and effective methods for treating primary snoring and obstructive sleep apnea.

How do Anti-snoring devices work?

Anti-snoring devices are provided by your dentist and work by moving your lower jaw and tongue forward, thereby creating more space for you to properly breathe during the night. This reduces or eliminates snoring. However, you must be aware that snoring can indicate a more serious problem called Obstructive Sleep Apnea (OSA).

How does snoring indicate Obstructive Sleep Apnea?

Snoring and OSA are similar respiratory sleep disorders:

•Snoringoccurswhentheairyoubreathevibratesthetissues of the airway due to a blocked or narrowed airways (nose, mouth, or throat).

•OSAoccurswhenyourbreathingregularlystopsorisslowed for 10 seconds or longer due to blocked or narrowed airways (nose, mouth, or throat).

Treatment Options:

In addit ion to l i festyle changes such as good sleep hygiene , exercise, and weight loss, there are three primary ways to treat snoring and OSA:

•CPAP(ContinuousPositiveAirwayPressure) •Surgery •OralApplianceTherapy

Anti-snoring devices are indicated for:

•PatientswithprimarysnoringormildtomoderateOSAwho areintolerantoforrefusetreatmentwithCPAP.

•Donotrespondtobehavioralmeasuressuchasweightloss or sleep position change.

•Patientswithmoderateto severe OSA who are intolerant of or refuse treatmentwithCPAP.

•Patientswhoarenot candidates for surgery.

©2016ModernDentalLaboratoryCo.,Ltd.Allrightsreserved.

www.moderndentallab.comClosed airway; withoutan oral appliance.

Open airway; with an oral appliance.

Moses® Elite

EMA®

九龍長沙灣永康街 77 號環薈中心 17 樓 1708-16 室 Suite 1708-16, 17/F CEO Tower, 77 Wing Hong StreetCheung Sha Wan, Kowloon Customer service hotline: +852 3766 0777 Fax: +852 3766 0700

Airway blockage may be caused by excess tissue in the throat or nasal passages, large tonsils, and/or adenoids. Prior orthodonticscan also result in airway blockage, especially if permanent teeth were extracted, or i f there have been changes to the actual structure of the jaws.

OSA symptoms include:

•Snoring •Excessivedaytimesleepiness •Unrefreshingsleep •Nighttimechoking/gasping •Frequentsleeparousals •Insomnia •Morningheadaches •Heartburn •Obesity •Frequentnocturnalurination •Limbmovement •Difficultyconcentrating •Memoryloss •Anxiety/Depression

Symptoms that your bed partner is likely aware of:

•Frequentepisodesofobstructedbreathingduringsleep •Snoring,gasps,chokingorgurglingsound •Bruxism(toothgrinding)

Long term consequences include risk of:

•Hypertension,stroke,andcardiovasculardisease •Diabetes •Compromisedimmunesystem •Irritability •Learningandmemoryproblems •Mentalandemotionalhealthissues •Sexualdysfunction

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自我計分

測試結果

第 1 節1. 你有鼻鼾嗎? a) 有 c) 不知道 b) 没有

2. 你的鼻鼾聲有多大?像 ...... a) 呼吸 c) 比講話聲量要大 b) 講話 d) 很響 - 可以在隔壁房間聽到

3. 你經常有鼻鼾嗎? a) 幾乎每天 d) 1-2 / 月 b) 3-4 / 周 e) 幾乎沒有 c) 1-2 / 周

4. 你的鼻鼾聲打擾別人嗎? a) 有 c) 不知道 b) 没有

5. 你在睡眠中有停止呼吸嗎? a) 幾乎每天 d) 1-2 / 月 b) 3-4 / 周 e) 幾乎沒有 c) 1-2 / 周

第 2 節6. 你是否經常睡醒時依然感到很困倦? a) 幾乎每天 d) 1-2 / 月 b) 3-4 / 周 e) 幾乎沒有 c) 1-2 / 周

7. 雖然睡醒了,你還是覺得很累? a) 幾乎每天 d) 1-2 / 月 b) 3-4 / 周 e) 幾乎沒有 c) 1-2 / 周

8. 你駕駛時有沒有曾經睡著? a) 有 b) 没有

9. 如有,會經常發生嗎? a) 幾乎每天 d) 1-2 / 月 b) 3-4 / 周 e) 幾乎沒有 c) 1-2 / 周

第 3 節10. 你有高血壓嗎? a) 有 c) 不知道 b) 没有

請在後頁計分!

柏林問卷:THE BERLIN QUESTIONNAIRE: 第 1 節

第 2 節

第 3 節

你是否容易患上鼻鼾和阻塞性睡眠窒息症

高危 = 2-3 節有兩分或以上低危 = 0-1 節有兩分或以上

將這些結果帶給你的牙醫,他可以給你配製依瑪、靜斯或摩氏輕型防鼾器,它可以幫助你和你的伴侶得到舒適的睡眠 - 鼻鼾不再。

如欲獲取更多資料 :

如果你有這些問題的話,那麼你可以嘗試進行以下測試 ......

鼻鼾是你家的問題嗎?

你是否因為沒有得到舒適的睡眠而感到

困倦?

是用於治療鼻鼾和阻塞性睡眠窒息症的防鼾器

依瑪 EMA®靜斯 Serene Silensor摩氏輕型 Moses® Elite

選擇 A B C D E1 1 分 0 分 0 分 - -2 0 分 0 分 1 分 1 分 -3 1 分 1 分 0 分 0 分 0 分4 1 分 0 分 0 分 - -5 2 分 2 分 0 分 0 分 0 分

選擇 A B C D E6 1 分 1 分 0 分 0 分 0 分7 1 分 1 分 0 分 0 分 0 分8 1 分 0 分 - - -9 僅供知悉,不用計分

選擇 A 或 身高體重指數 (BMI) > 30 B C

10 2 分 0 分 0 分

Page 4: SNORING Self Scoring Is THE BERLIN QUESTIONNAIRE: a … · 2016-02-25 · Snoring and OSA are similar respiratory sleep disorders: • Snoring occurs when the air you breathe vibrates

為什麼阻塞性睡眠窒息症(OSA)是個嚴重的問題?你的身體需要在睡醒時正常運作;但是整個睡眠時間裏都不斷 醒覺而被剝奪了應有的休息。

OSA 的症狀包括 :

● 鼻鼾 ● 白天過度嗜睡 ● 毫不提神的睡眠 ● 夜間嗆 / 喘氣 ● 經常睡眠覺醒 ● 失眠 ● 晨起頭痛 ● 胃灼熱 ● 肥胖 ● 夜間尿頻 ● 肢體運動 ● 注意力不集中 ● 記憶喪失 ● 焦慮 / 抑鬱

常見問題 :

有鼻鼾,我應該怎麼辦 ?

如 果 你 覺 得 你 的 鼻 鼾 是 個 問 題, 請 與 你 的 牙 醫 或 醫 生 討 論。

依瑪、靜斯或摩氏輕型防鼾器可能適合你,這是治療原發性鼻鼾

和阻塞性睡眠窒息症最有效的方法之一。

防鼾器如何有效 ?

該防鼾器是由你的牙醫提供,通過將你的下顎和舌頭前移,從而

創造更多的空間,讓你在睡眠時可以有更適當的呼吸;並減少

或消除鼻鼾。但你必須意識到鼻鼾可能是一個更嚴重的問題 ―

阻 塞 性 睡 眠 窒 息 症( 又 稱 阻 塞 性 睡 眠 呼 吸 暫 停,Obstructive

Sleep Apnea, OSA )

鼻鼾如何表明為阻塞性睡眠窒息症 ?

鼻鼾和阻塞性睡眠窒息症(OSA )是相似的呼吸睡眠障礙 :

● 由於氣道(鼻、口或咽喉)阻塞或收窄,而你呼吸的空氣

振動有關組織時,便會出現鼻鼾。

● 由於氣道(鼻、口或咽喉)阻塞或收窄,使你的呼吸定期

出現停止或減慢 10 秒或更長的時間時,便會出現 OSA。

治療選擇 :除了改變生活方式,如良好的睡眠衛生、運動和減肥,有三種 主要的方法來治療鼻鼾和阻塞性睡眠窒息症(OSA ): ●�持續氣道正壓通氣 (Continuous Positive Airway Pressure, CPAP) ● 手術 ● 防鼾器

防鼾器適用於 : ●�原發性鼻鼾、或輕至中度、不能耐受或拒絕 CPAP 治療的 OSA 患者 ● 行為上的更改,如減肥或睡眠姿勢的變更亦不能改變狀況 ●�中至重度、不能耐受或 拒絕 CPAP 治療的 OSA 患者 ● 不適合手術的患者

©2016 Modern Dental Laboratory Co., Ltd. All rights reserved.

www.moderndentallab.com沒有防鼾器;氣道封閉 有防鼾器;氣道打開

摩氏輕型 Moses® Elite

依瑪 EMA®

靜斯 Serene Silensor

你的伴侶很可能知道的症狀 :

● 睡眠時阻塞性呼吸頻繁發作 ● 鼻鼾、喘息、窒息或腸鳴音 ● 磨牙

長期 OSA 的風險包括 :

● 高血壓、中風和心血管疾病 ● 糖尿病 ● 免疫系統受損 ● 易怒 ● 學習和記憶問題 ● 心理和情緒健康問題 ● 性功能障礙

九龍長沙灣永康街 77 號環薈中心 17 樓 1708-16 室 Suite 1708-16, 17/F CEO Tower, 77 Wing Hong StreetCheung Sha Wan, Kowloon Customer service hotline: +852 3766 0777 Fax: +852 3766 0700

氣道阻塞可能由於在喉部或鼻道、大扁桃體和 / 或腺樣體有過量

的組織引起。現有的牙齒矯正治療也可以導致氣道阻塞,尤其是

如果需要剝落恆齒,或顎骨的實際結構發生變化時。