In addition to being able to wear his oral appliance comfortably all night and based upon the narrative, What other reasonable goals of treatment should the dentist discuss with Larry and record in the plan?
1) patient is able to sleep with his spouse without disrupting her sleep. Awakens refreshed without feeling a need for napping and all apneas are eliminated without further need for CPAP
2) Patient is able to sleep with his spouse without disrupting her sleep, is able to wear his CPAP in combination with his OA for at least a portion if not all night, awakens more refreshed, and continues to see progress in weight loss
3) Patient is able to sleep with his spouse without disrupting her sleep, is able to sleep through the night, awakens more refreshed, and is able to lose 50 lbs in 3 months
4) Patient continues to sleep separately from his spouse so that if he has persistent snoring or apneas it does not bother her sleep