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NEW PATIENT PROMOTION | FREE Invisalign® Smile Analysis (Valued $477)*
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NEW PATIENT PROMOTION | FREE Invisalign® Smile Analysis (Valued $477)*

THE FIRST STEP ON YOUR SMILE JOURNEY

STOP BANG Questionnaire

We are looking forward to meeting you very soon to discuss your smile. To help us understand your concerns, we hope you can spare a moment to return this questionnaire with as much detail as possible.

What is the STOP-BANG questionnaire?

The STOP-BANG questionnaire is a simple and effective screening tool used to identify individuals who may be at risk of Obstructive Sleep Apnoea (OSA). OSA is a common sleep disorder where breathing repeatedly stops and starts during sleep, often without the person realising. Left untreated, it can lead to serious health issues including high blood pressure, heart problems, and fatigue.

This questionnaire asks about common symptoms and risk factors such as snoring, tiredness, and medical history. Your answers will help your dentist determine whether further assessment or referral is recommended.

Please answer the following questions to determine if you might be at risk.
Rate the following statements:
Calculate your total score above, then use the guide below to interpret your OSA score:
OSA low risk: 0–2 Yes
OSA intermediate risk: 3–4 Yes
OSA high risk: 5–8 Yes OR
Yes to 2 or more questions and any of the following:
– Male
– BMI over 35 kg/m²
– Neck circumference over 40 cm
Once you've reviewed your score, please submit the form to share your results with your dentist for further assessment.

Get In Touch With Us Today

Simply fill out the form below and a member from Smile Studio Newstead will be in touch shortly.

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