Guidelines

Clinical Practice Guidelines, Consensus, and Policy & Position Papers: Authoritative guidance that define best practices across dental sleep medicine.

Standards

Official AADSM standards outlining clinical expectations for screening, treatment, and management in dental sleep medicine practice.

Current Standards

Dental Sleep Medicine Standards for Screening, Treatment, and Management of Sleep-Related Breathing Disorders in Adults Using Oral Appliance Therapy: An Update (2025)

This document establishes the newest standards for screening, treatment, and management of sleep-related breathing disorders in adults using oral appliance therapy, published in the Journal of Dental Sleep Medicine (2025).

What's Inside:

  • Guidance for patient screening and comprehensive examination
  • Oral appliance selection, fabrication, and calibration protocols
  • Management of side effects and long-term follow-up care
  • Clear pathways for dentist-physician collaboration

2025 Teledentistry Update:  New guidance balances innovation with patient safety, clarifying that while virtual appointments can improve access for screening, education, and follow-up, three critical components require in-person care to ensure treatment accuracy and success: comprehensive examination, precise dental impressions, and bite registration.

View Full Standards (PDF)     Watch Video Summary 


Consensus Papers

Consensus papers are developed by an expert panel developed through a scientific literatuer review process and formal consensus agreement to to provide direction on nuanced clinical topics and areas of evolving practice in dental sleep medicine

Consensus Paper on Novel Therapies for Preventing, Managing and Treating Obstructive Sleep Apnea and Snoring in Pediatric and Adult Patients (2024)

This document provides guidance on several emerging therapies for OSA and snoring in both adults and children including expansion, myofunctional orthodontics, buccal or lingual frenum releases, myofunctional therapy, and ablative or nonablative laser therapy.

View Consensus Paper on Novel Therapies (PDF) 

Consensus Paper on Compliance with Oral Appliance Therapy (2021)

This document defines compliance with oral appliance therapy and reviews appropriate ways of measuring compliance.

View Consensus Paper on Compliance (PDF) 

Consensus Paper on Identifying the Appropriate Therapeutic Position of an Oral Appliance (2020)

This document outlines the most clinically useful methods for identifying the therapeutic position of an oral appliance and provides a protocol on how to use each method.

View Consensus Paper on Therapeutic Position (PDF) 

Management of Side Effects of Oral Appliance Therapy for Sleep-Disordered Breathing (2017)

This document provides recommendations for managing side effects of OAT.

View Consensus Paper on Side Effects Management (PDF) 

Definition of an Effective Oral Appliance (2019)

This document provides guidance on what key design features an effective oral appliance should include. The definition and consensus report were originally published in 2014 and was updated in 2019 to reflect latest evidence and clinical practice.

View Current Definition (PDF)     View Consensus Conference Report 


Policy and Position Papers

Policy and position statements address an organizational stance on external issues, regulatory matters, or interdisciplinary relationships. These documents may or may not incorporate evidence synthesis or expert consensus, but their primary purpose is to establish AADSM’s institutional perspectives on issues relevant to the specialty.

Reimbursement of Oral Appliance Therapy (2019)

The AADSM has issued statements on reimbursement of oral appliance therapy (OAT), both as a first-line therapy for obstructive sleep apnea and in cases of CPAP intolerance.

These special articles were first published in the Journal of Dental Sleep Medicine in 2019.

OAT Should be Reimbursed as a First-Line Therapy for OSA (PDF)   OAT Should be Reimbursed After CPAP Intolerance (PDF) 


Clinical Practice Guideline Development Process (NEW FOR 2026)

AADSM has adopted a rigorous, evidence-based methodology for developing clinical practice guidelines (CPGs) using the internationally recognized GRADE framework.

Guidelines are currently in development and will be posted once finalized and approved. In the meantime, we are committed to a transparent process that supports trustworthy clinical guidance for dental sleep medicine.

AADSM Guideline Development Process

AADSM clinical practice guidelines will be developed using the Core GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) framework, the international standard for translating evidence into actionable clinical recommendations. For more info on Core GRADE, please visit: https://www.clarityresearch.ca/core-grade.

Archive

Archive of AADSM Clinical Documents

AADSM clinical practice guidelines are periodically reviewed for content and relevance to ensure the field has the most up-to-date information and guidance. When more current guidelines are available, outdated guidelines are archived. A list of archived guidelines can be accessed below.

View Archived Guidelines