Pre-Course Zoom Lecture

  1. Evidence-Based Medicine and Dentistry

  2. How To Read a Paper

  3. How to Submit Literature

L1 Review of Basic Sleep Medicine and Dental Sleep Medicine

I. The Model Change Required for Successful Dental Sleep Medicine Implementation

  1. Overview of the Role of Dentistry in Sleep

  2. Brief History of Sleep and Dental Sleep Medicine

  3. The Model Change

    1. The Initial Appointment

    2. Introduction to the Four Agreements

    3. Practice Management Concepts

    4. New Patient Concepts

    5. History Taking and Clinical Exam

    6. Patient and Physician Consultations

II. Sleep Medicine Intro to Physiology and Epidemiology

  1. Adult Sleep Stages

  2. Initiation of Sleep

  3. Sleep/Wake Homeostasis

  4. Epidemiology

III. Obstructive Sleep Apnea

  1. Continuum of Sleep Disorders Definitions

    1. Snoring

      • Benign

      • Pathological

    2. Upper Airway Resistance Syndrome

    3. Obstructive Sleep Apnea and OSA Syndrome

    4. Common Co-morbidities

  2. Introduction to Diagnosis of OSA

    1. Polysomnogram channels

    2. EEG definitions of sleep staging

    3. Adult vs. Pediatric Diagnostic Criteria

    4. Screening

      • Imaging

      • Pharyngometry

      • Validated Screeners

      • Role of Clinical Exam

  3. Central Sleep Apnea

    1. Definitions

    2. Pathology and Physiology

    3. Associated Comorbidities

      • Congestive Heart Failure

      • Stroke

  4. Hypoventilation and Overlap Syndrome

  5. Common Non-Obstructive Sleep Disorders

IV. Introduction to Oral Appliance Therapy

  1. Physiology

  2. Types of Appliances

  3. Insertion

  4. Follow up visits

  5. Titration

  6. Post Insertion Testing

V1

  1. Review of Evidence-Based Medicine

  2. Review of Physiology of Oral appliances

  3. Oral appliance History and Integration of Oral appliance Therapy into Sleep Medicine in coordination with Physicians

  4. Oral Appliance Selection Process

  5. Combination Therapy Concepts

V2

  1. Pharmacology and Sleep (Neurotransmitters)

  2. Bite Registrations

    • Goals

    • Techniques

    • Pharyngometry

    • Vertical Dimension and Temporary Appliances

L2.  

  1. Review of Model Change and Four Agreements

  2. In-depth Pathophysiology of Central and Obstructive Sleep Apnea

  3. Live Demonstrations of History taking

  4. Live Demonstrations of Clinical Examinations

  5. Live Demonstrations of Patient Consultations

V3.

  1. Nightmares and Night Terrors

  2. Dreams

  3. Movement Disorders and Parasomnias

  4. Insomnias

    • Diagnosis

    • Sleep Hygiene

    • Oral Appliance Insertions and difficulty initiating sleep

V4.  Complications of Oral Appliance Therapy

  1. Muscle injury

  2. Joint Injury

  3. Ligament Insertion Injury

  4. Occlusal Changes

L3.   Orofacial Pain, Headache, and temporomandibular Joint Dysfunction

  1. Orofacial Pain

    1. Classification

    2. Role of Occlusion

    3. Role of Bruxism

    4. Treatment options

  2. Headache

    1. Classification

    2. Role of Occlusion

    3. Role of Bruxism

    4. Treatment options

  3. Temporomandibular Joint Dysfunctions

    1. Internal Derangements

    2. Degenerative Joint Disease

    3. Other intracapsular disorders

    4. Role of Occlusion

    5. Role of Bruxism

    6. Treatment Options

  4. Occlusal Dysesthesia

  1. Myofunctional Therapy

  2. Supportive Therapy

    1. Postural Therapy

    2. ExciteOSA

    3. Vertical Dimension Review

    4. Anterior midpoint stop Review

    5. Nasal support including stents and nasal surgery

    6. Review of combination therapy

V5

V6

  1. Practice Management Review

  2. Physician Communications

  3. Dentist Communications

  4. Patient Communications

  5. Medical Billing and Record Keeping

V7 and V8.    Literature Presentations on Specific Topics To be Chosen

L4

  1. Day One AM: Review

  2. Day One PM: Examination: Learning Exercise

  3. Day Two: Review Continued; Review of Exam