A study done by Tufts University School of Dental Medicine, 2011, 92 pages; 1491, Revealed that OSA was present in 35.56% TMD subjects. As a conclusion 58% of TMD subjects with two or more risk factors (snoring, over weight) tested positive for OSA. TMD Along with Ambulatory home sleep study screening, could improve treatment outcomes for this group of pain sufferers and should be considered as the minimum standard of care.