Why Dental Sleep Programs Struggle to Scale
This is what teams experience day to day and exactly why good programs stall

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Whether you're launching a new dental sleep program or optimizing an existing one, we keep the workflow simple so your team can focus on patients, not process.
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Find answers to frequently asked questions about our technology and services.
Dentists are uniquely positioned to identify OSA risk. You see patients far more regularly than their primary care physicians - often twice a year for preventive care and more often during restorative treatment. During every visit, you examine the oral and craniofacial anatomy most directly linked to airway risk: jaw structure, tongue size and position, palate shape, dental wear (bruxism), and TMJ patterns. The American Dental Association established in 2017 that all dentists should screen patients for sleep apnea.
Key indicators include: scalloped tongue edges (tongue scalloping), a high and narrow palate, macroglossia (enlarged tongue), restricted airway visibility (Mallampati classification), evidence of bruxism or tooth wear, TMJ discomfort, retrognathia (recessed jaw), and patients reporting frequent morning headaches or dry mouth. Any combination of these warrants a structured screening conversation.
No - screening is categorically different from diagnosing. Dentists do not diagnose OSA; that remains the responsibility of a licensed medical provider following a sleep study. Your role is to identify patients at risk and refer them for appropriate medical evaluation. This is explicitly supported by the American Dental Association, the American Academy of Dental Sleep Medicine (AADSM), and current dental sleep medicine standards published in 2025.
Soliish integrates into the chair-side visit without changing your clinical scope or adding meaningful time. A patient completes the face scan in under 60 seconds - during check-in, intake, or while waiting. The AI generates an immediate risk score that the dentist or hygienist can review, flag, and use as the basis for a brief conversation. For at-risk patients, the platform guides next steps: referral to a sleep physician, home sleep test, or telehealth consult.
Soliish is specifically designed to reduce administrative workload, not add to it. Practices using Soliish have reported up to a 60% reduction in manual administrative tasks across the patient screening and onboarding process. The platform automates risk scoring, documentation, and referral routing - your team doesn't need to manually track or coordinate screening follow-ups.
Best practice (per AADSM 2025 standards) is to refer patients to a licensed medical provider for diagnostic evaluation - either via a home sleep apnea test (HSAT) ordered by the dentist or referred to a sleep physician. Soliish's platform facilitates this referral workflow, ensuring the patient's risk score and clinical context transfer appropriately to the receiving provider. The dentist's role is completed at referral; diagnosis and treatment planning belongs to the sleep medicine team.
No. Per current AADSM standards, a definitive diagnosis from a medical provider is required before initiating oral appliance therapy. The face scan and screening results are triage tools - they identify who needs the sleep study, not who should start treatment. Your practice's involvement in OAT begins after a medical diagnosis is established.
Soliish's risk score can serve as a patient education tool. Showing a patient an objective, AI-generated risk assessment grounded in their own facial anatomy is often more persuasive than a questionnaire alone. The face scan creates a visual and data-based conversation starter that many patients find compelling. Home sleep tests also reduce the most common barrier - patients no longer need to spend a night in a lab.
Soliish generates structured screening records that can be integrated into your practice management system or EHR. This supports consistent documentation of screening conversations, risk scores, and referral actions - important for both clinical continuity and liability purposes. The platform is designed with API-ready integration for existing healthcare workflows.
Reimbursement pathways for dental OSA screening are evolving. Some CDT codes exist for sleep apnea screening and oral appliance therapy. We recommend consulting your billing specialist and reviewing current American Dental Association guidance, as payer policies vary by state and plan. Soliish's team can also provide guidance on how the platform supports documentation that may facilitate reimbursement.