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Sleep Apnea in Dentistry: Practical Screening, OAT & Follow-Up

Sleep Apnea in Dentistry: Practical Screening, OAT & Follow-Up

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Professors

Target audience

General dentists

Nb of lessons

9

Nb of modules

Course duration

7 h

Delivery method

Google Drive Link, Offline

Course Overview

We welcome you to this online video course on the management of sleep-related breathing disorders: from screening to treatment and follow-up.

Obstructive Sleep Apnea (OSA) has been on the rise and continues to grow, with research showing that 93% of women and 82% of men with moderate OSA have not been clinically diagnosed. Globally, there are almost one billion people with OSA. Furthermore, many OSA patients are intolerant to the CPAP (Continuous Positive Airway Pressure) treatment, and are not aware that Oral Appliance Therapy (OAT) is a suitable dental solution for their medical disease.

This course provides the general practitioner with an overview of the available dental treatments for sleep apnea, as well as of the progression in diagnosis and outcome predictability. The aim is to provide strategies and indications to easily implement dental sleep medicine and treat a broader range of patients by offering an affordable, well-tolerated therapy.

Topics covered in this course:

  • Screening for OSA in the dental practice
  • Oral Appliance Therapy for PAP-intolerant OSA patients
  • How to communicate with physicians and handle patient objections

At the end of the course, you will be able to:

  • Learn the Dental Sleep Medicine terminology that will enable you to communicate directly with sleep disease specialists
  • Understand the key role of dentists in detecting OSA patients
  • Understand the anatomy of the upper airway and the pharyngeal dilator muscle
  • Be able to identify the ideal treatment: non-surgical (CPAP) vs surgical (OAT)
  • Be able to market your dental sleep practice and build your team for success

Who the course is for:

  • All oral health specialists who wish to get a deeper understanding of the many facets of Sleep Dentistry and sleep-related breathing disorders, from diagnosis to treatment strategies.

Full Course Program

Basics of Sleep

Topics:

  • Learn the sleep community proper terminology that will allow you to communicate directly to sleep disease diagnostic specialists such as physicians
  • Discover how to increase patients’ quality of life by taking care of their snoring
  • Understand the key role of dentists in detecting patients affected by sleep apnea
  • Start looking beyond teeth and focusing on the oral cavity
  • What is sleep: SAS diagnostic tests, sleep active ingredients, effects of sleep deprivation

Duration: 1 h 09 min

Comorbidities of Obstructive Sleep Apnea

Topics:

  • Presentation of some definitions, useful criteria and index : Apnea, Hypopnea, RER
  • As, AHI, RDI, CPAP machine
  • Explanation and analysis of the most common OSA comorbidities such as obesity, diabetes, coronary disease, stroke, cardiovascular disorders, behavior problems
  • An innovative point of view: the relation between OSA and cancer
  • The relation between sleep disorders,age, weight, and gender
  • Discussion on the impact of the nasal breathing on sleep quality

Duration: 1 h 35 min

Anatomy of the Upper Airway

Topics:

  • An anatomy overview: presentation of the upper airway and its section and its pharyngeal dilator muscle
  • Explaining the tongue and the surprising fact that we only see a small part of it
  • Fat tongue and its relationship with OSA

Duration: 19 min

Screening for Sleep Related Breathing Disorders

Topics:

  • View of different videos of sleep apnea with a focus on the paradoxical breathing and the physiological response of the patient’s body
  • Sleep apnea symptoms and the relation between severe OSA and severe tooth wear
  • Presentation of PSG: the diagnostic device that specialists use in their labs
  • Presentation of HST (Home Sleep Testing), a class of devices available for private people for domestic OSA diagnosis

Duration: 23 min

The Role of 3D Imaging

Topics:

  • A very short video focused on the presentation of the 3D scan-technique, CBCTA brief explanation of the differences between a 2D scan and a 3D scan
  • Pros&Cons : Can CBCT change my diagnosis? No. Can CBCT change my treatment? Yes because you can see if there’s some dentistry to do!

Duration: 6 min

Treatment options

Topics:

  • Some tips to track Sleep Related Breathing Disorders; the Stop Bang, Mallampatti system, BMI, ESS
  • Learn to pay attention to some clinical signs in order to detect in time SRBD on time
  • Non-surgical treatment of OSA: CPAP (Pros&Cons)
  • Surgical treatment of OSA: Tracheostomy, somnoplasty, UPPP, MMA
  • How to manage medical billing regarding of OSA treatment

Duration: 45 min

Treatment of Sleep Related Breathing Disorders with Oral Appliance Therapy We have a dental solution for a medical disease and this means that the dentist has to speak frequently with the physician and a strong work relationship with him is needed.

Topics:

  • How oral appliances work; what’s the goal of OAT?
  • Side effects of oral appliance therapy
  • There are over 190 cleared designs; How can we choose a successful appliance for a specific patient?

Comparison between OAT and surgery/ non-surgery techniques like CPAP

Duration: 38 min

Bite registration and treatment of oral appliance

Topics:

  • Presentation of a clinical video of a bite registration using Airway Metrics System and “Mute” nose dilator
  • How to find out the proper vertical and horizontal position for a patient’s bite to mitigate his snoring
  • How to calibrate the oral appliances (mandibular and tongue position)
  • Complications and side effects: OAT can impact the oral structures; what could you do to prevent this?

Treatment protocol for pre-diagnosed patients (appointment by appointment)

Duration: 1 h 31 min

How to start your sleep dentistry practice - Marketing advices

Dentistry is changing and it’s time to bring an evolution on your practices. In this video you’ll learn the importance of teaching the patients how to connect their oral health to their overall health. This is the key of contemporary dentistry for Dr. Tucker.

Topics:

  • Discover how to market the fact you’re treating sleep related breathing disorders patients successfully
  • Some tips to start your sleep practice; focus on the importance of having relationships with sleep labs and physicians
  • Learn how to organize your sleep dentistry team in order to start working on this new business

Duration: 33 min

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