The GEMPro Wellness Monitor is a collection of purpose-built devices with sensors to record oxygen saturation, heart rate, masseter activity, snore sounds and body position.

The next graph is the Heart Rate Analysis (Fig. 2). Once again, we see the patient’s maximum and minimum readings on the right-hand side, as well as boxes below the graph that show the amount of time the patient spent with a heart rate outside of the normal range. For this patient, the graph did not reveal any information that we would consider to be concerning. We do, however, get the opportunity to cross-reference graphs to better understand the relationship between all these data sets. For instance, if this patient were experiencing abnormal increases or decreases in heart rate, we could then see how it affects — or is affected by — SpO2 levels, parafunctional activity and snoring.

The Bruxism Analysis graph allows us to see not only if the patient is clenching or grinding, but also the number of events and the amount of force measured per event, as compared to the baseline measurement (Fig. 3). Prior to the screening, as part of the calibration steps, patients are asked to clench their masseters a few times to assess the force they can produce while awake, as shown in the Bio Cal Analysis graph (Fig. 4). This patient’s maximum force while awake was measured at 77 microvolts, and the maximum force during sleep was measured at 47 microvolts. The maximum force while asleep is divided by the maximum force while awake to find the Max Bio Cal Ratio. Patients with severe nighttime bruxism will have a ratio well above 1.0, while patients with minimal nighttime bruxism, much like this patient, will have a ratio below 1.0, as shown in the lower right. Across the bottom of the graph are boxes noting the number of clenching events the patient had, which are categorized by the amount of force measured compared to the patient’s waking force measurement. From right to left, the five boxes show 100, 75, 50, 25 and 10 percent of the patient’s maximum force. Patients with severe clenching will have events with higher force readings, while patients with nighttime grinding habits will have a higher number of events with lower force readings.

In the Audio Signal graph, we see the patient’s audio readings during sleep (Fig. 5). The GEMPro Wellness Monitor’s BioBrux Amplifier measures the intensity and frequency of snoring sounds and plots them on the graph as they occur. It is clear this patient suffers from snoring, as the readings are well above the ambient noise benchmark that was established prior to the screening and are off the charts in many instances. We’re also given the number of minutes the patient’s snore sounds went beyond the set snore threshold, which was a total of 56.3 minutes, as well as the percentage of time spent snoring, which came in at 34 percent.

The last report from the patient’s screening is the Position Analysis graph (Fig. 6). Here, the patient’s body position and time spent in each position is recorded and color-coded. The same color-coding is also featured in the SpO2, Heart Rate, Bruxism and Audio reports, and can provide more information for dentists or physicians to use in their recommendations. For instance, we know that this patient does not often sleep on the right side and instead favors sleeping in the supine position and on the left side. We can also see that, despite snoring the loudest while sleeping in the prone position, the patient bruxes much less — if at all — compared to other positions. This information is useful in some cases where a patient may brux, experience lower oxygen saturation, or have an irregular heart rate in one specific sleeping position.

By conducting a preliminary screening test, you will be able to make the proper physician referral for patients at risk from OSA.