Apnea: diagnostics and treatment. Dental sleep medicine

4.76
468 оценок
Derek Mahony
Marco Rosa
Larry Wolford
Roger Price
Eduardo Castrillon
Anna Colonna
Rajesh Raveendranathan
Soroush Zaghi
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  • 9 премиум-уроков этого курса

Детали

9 уроков + 4 бесплатно (11ч 55мин)

8.75 CE Credits

8.75 CE Credits

Английский

Доступ к записи на 180 дней или без ограничений с Premium

Описание

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.

Урок 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 CO₂.


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

Урок 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.

Урок 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.

Урок 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.

Урок 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. 

Урок 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.  

Урок 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.

Урок 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. 

Урок 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.

Урок 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.

Урок 11.Diagnosis and Management of Upper Airway Obstruction and Sleep Apnea

– Obstructive sleep apnea syndrome: classification, symptoms and diagnosis

– Zones and effects of upper airway obstruction: nose, mouth, oropharyngeal region

– Cephalometric factors of obstructive sleep apnea

– Appliances for the treatment of sleep apnea: an overview

– Surgical treatment of upper airway obstruction

– Removal of nasal conchae: radiological assessment and indications

– Adenoid tissue hypertrophy: surgical tactics

– Modified UPPP technique

– Macroglossia: glossotomy technique

– Posterior respiratory space: ways to increase

– Counter-clockwise rotation of the maxilla-mandibular complex for the treatment of sleep apnea

– TMJ pathologies associated with sleep apnea

– Orthognathic surgery and additional manipulations for the treatment of upper airway obstruction and sleep apnea.

 

Recommended for: Orthodontist, Oral and Maxillofacial Surgeons, Prosthetist, Gnathologist, General Dentist.

Урок 12.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.

Урок 13.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

 

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

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Лекторы 8

Specialist Orthodontist
BDS (Syd), MScOrth (Lon), DOrthRCS (Edin), MDOrthRCPS (Glas), MOrthRCS (Eng), FRCD (Can), MOrth RCS (Edin), FICD, IBO, FACD, FICCDE, FIADFE, FPFA, Grad Dip Dental Sleep Medicine (WA), Grad Dip Dent (Ortho)

Derek Mahony is a Sydney based Specialist Orthodontist who has spoken to thousands of practitioners about the benefits of interceptive orthodontic treatment. Early in his career Dr Mahony learned from leading clinicians the dramatic effect functional appliance therapy can afford patients in orthodontic treatment. He has been combining the fixed and functional appliance approach ever since. His lectures are based on the positive impact such a combined treatment approach has had on his orthodontic results and the benefits this philosophy provides from a practice management viewpoint.
After completing his Dental Degree at the University of Sydney Dr. Mahony proceeded to the United Kingdom where he completed his Masters Degree in Orthodontics at the Eastman Dental Hospital, Institute of Dental Surgery, London.

Further studies led to the successful completion of a Diploma in Orthodontics at the Royal College of Surgeons, Edinburgh. Dr. Mahony has also passed the Royal College of Dentists in Canada post graduate examination in the field of orthodontics.

Dr. Mahony has passed examination leading to a postgraduate qualification in Dentofacial Orthopaedics from the Royal College of Physicians and Surgeons in Glasgow. He has also attained his Membership in Orthodontics qualification from the Royal College of Surgeons, England.

Dr. Mahony has been seeing an average of 250 patients per week for the last decade and has gained a vast amount of experience which he can pass on to clinicians so that they can come to appreciate the key elements of his combined treatment approach. He currently has over 3000 orthodontic patients in active treatment and has been a key note speaker at the International Orthodontic Summit meetings, the International Association of Orthodontics meetings, and the American Association of Functional Orthodontics meetings. He is considered by some to be the "next leading lecturer on functional/fixed orthodontics." Dr Mahony will provide a stimulating presentation for clinicians wishing to advance their treatment results via a simplistic step by step approach.

Dr. Mahony approaches his orthodontic diagnosis from a "facial profile" point of view. He sets his treatment goals to create not just straight teeth, but beautiful faces and healthy temporomandibular joints.

Dr. Mahony is contributing editor to the Journal of Clinical Paediatric Dentistry, International Orthodontic Journal and Spanish Journal of Dentofacial Orthopaedics.

 
Creator of the Marco Rosa appliance. Former President and Active Member of the Angle Society of Europe. Member of the European Board and the Italian Board of Orthodontics. Visiting professor at Insubria University, Italy. Scientific interests: early orthodontic treatment, space closure in case of upper missing incisors.
 

Dr. Larry M. Wolford is a Clinical Professor in the Departments of Oral and Maxillofacial Surgery and Orthodontics at Texas A&M University College of Dentistry, and in full time private practice at Baylor University Medical Center, Dallas, TX. He has been involved in resident training and education for 46 years. He sponsored and directed a Fellowship program for TMJ and Orthognathic surgery for 28 years at Baylor University Medical Center. He has co-authored two text books, co-edited 2 other text books, written over 45 book chapters for other books, has over 225 other publications, and over 150 published scientific abstracts. He has received the William J. Gies Award and the W. Harry Archer Award (two of the highest awards in Oral and Maxillofacial Surgery) for major contributions to the specialty. He is internationally known for his expertise in orthognathic surgery, TMJ surgery, and sleep apnea surgery. He has developed many of the surgical techniques, philosophies, and evidence-based treatment protocols that are used in these surgical areas.

 

Professor. Functional Medicine and Integrative Health Educator.

Head of international programs for the rehabilitation of patients with respiratory impairment. 50 years of practice in physiology.

International specialist in rehabilitation of patients with respiratory impairment.

 

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