OVERVIEW

Apnea: Diagnostics and Treatment. Dental Sleep Medicine is organized by OHI-S.

Total Lecture Time: 11h 55 min

Description:
A dentist of any specialty must understand the diagnosis and treatment of obstructive sleep apnea.

We have prepared a comprehensive training on dental sleep medicine and apnea. During the course you will learn:

the role of the dentist in the diagnosis and treatment of apnea and respiratory dysfunction
the relationship between the condition of the respiratory tract and occlusion pathology
conservative and surgical methods of treating apnea
apnea treatment protocols in the neuromuscular concept.

Each course topic is required to be studied. This will allow you to comprehensively understand and be able to treat this pathology in all age groups of patients from a dental point of view.

Lesson 1.Breath. Norm and pathology

– Dispelling the myths

– The main functions of the airways

– Normal breathing: main characteristics

– Breath at rest and under load

– Physico-chemical process of breathing

– Protective barriers of the airways

– The effect of stress on the occurrence of the pathology of the airways

– The effect of the state of other systems on the functioning of the airways

– Measuring CO?.

Recommended for: Orthodontist, Orthopedist, Gnathologist, General dentist.

Lesson 2.A Functional Approach to Sleep and Breathing: Tongue-Tie, Tongue-Tone, and Tongue-Space

– The modern clinical definition of ankyloglossia

– The impact of restricted tongue-mobility (tongue-tie), oral dysfunction (tongue-tone), and maxillofacial underdevelopment (tongue-space) on:

- mouth breathing, clenching, and grinding

- sleep issues, fatigue, depression, and anxiety

- neck tension, pain, postural dysfunction, and fascial restrictions.

– Ankyloglossia and its effect on the development of narrowed dental arches and dental crowding

– The contribution of the tongue in the development of the maxilla

– The spectrum of obstructive sleep disordered breathing

– Upper airway resistance syndrome (UARS)

– Obstructive sleep apnea syndrome

– The differential diagnosis of sleep-related breathing disorders and sleep bruxism in pediatric and adult populations

– The clinical signs of mouth breathing, tongue-tie, limited tongue-space, sleep-disordered breathing, and myofunctional disorders among patients in your practice

– Orofacial myofunctional therapy

– The 5 dimensions of tongue-tie diagnosis

– Kotlow's free-tongue measurement

– Assessment of anterior and posterior tongue mobility: the tongue range of motion ratio

– The role and limitations of tongue-tie surgery in the broader context of myofunctional (tongue-tone) and maxillofacial (tongue-space) issues

– CBCT protocols for airway and tongue-space analysis

– Functional treatment approach to sleep, breathing, tongue-tie, and maxillofacial development

– Clinical cases.

Recommended for: Orthodontists, Functional dentists, General dentists.

Lesson 3.Sleep apnea. What are the dentist's roles and responsibilities?

– Dental sleep medicine: a concept

– Groups of sleep disordered breathing (SDB):

- Obstructive sleep apnea syndrome (OSAS)

- Central sleep apnea syndrome (CSAS)

- Sleep-related alveolar hyperventilation.

– Complications of obstructive sleep apnea

– OSA diagnostics: polysomnography, polygraphy, apnea/hypapnea index

– BAVENO classification

– Identification of patients with apnea at a dental appointment: questionnaire

– Principles of apnea treatment:

- Behavioral therapy

- Surgical treatment

- Oral appliances.

– The role of the dentist in the treatment of apnea

– Intraoral devices for the treatment of apnea: monoblock and duoblock, titrable and non titrable

– Categories of patients with apnea at a dental appointment

– Criteria for dental evaluation of a patient with apnea

– Mandibular advancement device (MAD): indications, advantages and working mechanism

– CPAP vs MAD: which is more effective?

– Side effects of MAD: long-term and short-term

– OSAS and Bruxism: possible scenarios of interrelation

– Neuroplasticity and methods of brain stimulation

– Myofunctional therapy for obstructive sleep apnea

– Clinical stage of MAD manufacturing and oral examination.

Recommended for: Orthodontists, Prosthetists, Gnathologists, General dentists.

Lesson 4.Scissor-bite. The relationship of the airways tract and malocclusion

– Characteristic of airways and nasal bones expansion

– Infra-occluded first permanent molars and resorbed deciduous molars

– Scissor-bite of permanent molars and premolars

– Overcorrection

– Rational timing of treatment.

Recommended for: Orthodontist, General dentist.

Lesson 5.Airway First. Comprehensive Approach to Pediatric Orthodontics

– Literature review on craniofacial growth modification

– Craniofacial growth modification and sleep disordered breathing in children

– Multidisciplinary approach to craniofacial growth modification

– Palatal expansion protocols for management of obstructive sleep apnoea (OSA)

– Orthodontic treatment for management of obstructive sleep apnoea (OSA)

– Clinical application of Continuous Positive Airway Pressure (CPAP) in children.

Lesson 6.Airway-Driven Pediatric Orthodontics. Diagnosis and Treatment Planning Protocols

– Diagnosis. The 6 red flags exam finding for pediatric sleep-disordered breathing (SDB)

– Daytime and night time symptoms of sleep-disordered breathing (SDB)

– Orthodontic interventions for managing pediatric sleep-disordered breathing

– Tongue-tie and its relation to sleep-disordered breathing (SDB)

– The tongue range of motion ratio (TRMR)

– Analysis of clinical cases.

Lesson 7.Management of Sleep-Disordered Breathing. Myofunctional and Airway-Driven Approaches

– The spectrum of sleep-disordered breathing (SDB)

– Protocols and analysis of polysomnography (PSG)

– Maxillary deficiency: narrow vs. wide maxillary

– Orofacial myology and tongue position

– Oropharyngeal exercises for the management of obstructive sleep apnea(OSA) in children

– Treatment of pediatric obstructive sleep apnoea with oral appliances.

Lesson 8.Myofunctional Orthodontics. Management of Pediatric Sleep-Disordered Breathing

– Epidemiology and treatment of obstructive sleep apnoea (OSA)

– Bimax advancement for OSA management

– Craniofacial growth modification of the nasomaxillary complex and the mandible

– Treatment protocols of Dr. Derek Mahony

– Application of Advanced Lightwire Functional (ALF) appliance for arch development

– Application of myobrace for arch development

– Analysis of clinical cases

– Q&A session.

Lesson 9.Diagnosis and treatment of airways dysfunctions and sleep problems. Role of the dentist

– Role of the dentist in supervising the diagnosis and treatment of airways dysfunctions

– Reasons for failure in the diagnosis and treatment of airways dysfunctions

– Diagnosis and treatment of sleep problems

– Dentistry post-covid.

Recommended for: Orthodontist, Orthopedist, Gnathologist, General dentist.

Lesson 10.Modern approaches to sleep apnea syndrome treatment

– Modern medicine. How is a dentist different from a general practitioner?

– Symptomatic treatment

– Prevention of diseases of the airways

– Devices for the treatment of sleep apnea syndrome

– Methods of treatment of night apnea syndrome

– Opinions of various doctors in the treatment of night apnea syndrome

– Evidence-based medicine.

Recommended for: Orthodontist, Orthopedist, Gnathologist, General dentist.

Lesson 11.Bruxism and Obstructive Sleep Apnea Syndrome

– Obstructive Sleep Apnea Syndrome: definition

– Etiology of respiratory disorders: craniofacial anatomical factors

– Physiopathology of obstruction

– Mechanism of an obstructive apnea episode

– 4 levels of polysomnographic examination

– Characteristics of mixed apnea.

Recommended for: Orthodontists, Prosthodontists, Functional dentists, General dentists.

Lesson 12.Sleep dentistry. Sleep apnea treatment in neuromuscular concept

– Sleep apnea: definition
– Causes of insufficient airway volume
– The relationship of the airways and posture
– The role of malocclusion pathology in the sleep apnea development
– Sleep apnea diagnosis: STOP BANG questionnaire, polysomnography
– Review of surgical methods for the sleep apnea treatment in children and adults
– Sleep bruxism: definition and causes
– Expansion techniques of the maxillo-mandibular structures:
- ALF appliance
- MARPE appliance
- DNA appliance.
– The use of basic TENS bite for fabrication of sleep appliances