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Circadian Rhythm Sleep–Wake Disorders

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These disorders are ones that the dentist will not typically encounter. Having an understanding of these and being able to explain their presence and significance to the patient may prove helpful in some circumstances.

 Delayed sleep–wake phase disorder

This is a disorder associated with the delay of sleep onset by at least two hours relative to what is considered socially acceptable. There is typically a delay in the wake up time as well. Oftentimes this is found in the adolescent population and possibly in some young adults.

 Advanced sleep–wake phase disorder

In this situation, the onset of sleep is typically two or more hours earlier than what might be considered acceptable. This is more typically seen in older people and may be more prevalent in people who are retired or do not have a daily routine.

 Shift work disorder

This may impact many aspects of life such as reported sleep time, sleep quality, reduced work performance, safety issues, drowsy driving at the end of a shift, mood swings, and even health‐related consequences.

 Jet lag disorder

This causes a disruption in the sleep–wake schedule and is typically worse when more time zones are involved. Typically this is worse when traveling east as opposed to the west. This can be impacted by alcohol and caffeine. The typical estimate is that it takes one day per time zone to adjust to the new local time.

Dental Management of Sleep Disorders

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