Dental sleep medicine mini-residencies: Prepare for 2019

To help you better serve your patients and provide advanced care in your dental office, mini-residencies might be just what you need. For 2019, make the most of your year by signing up for dental sleep medicine mini-residencies. These residency series are a 4-part, 64 CE credit programs that provide a completely comprehensive educational experience for implementing dental sleep medicine in your dental practice.

Mini-residency overview

These sessions are taught by leading educators in dental sleep medicine, Mayoor Patel, DDS, MS, and Terry Bennett, DMD. Each course will emphasize hands-on and practice learning. Dentists who attend these sessions will gain the skills and confidence you need to incorporate sleep apnea treatment into practice successfully.

Dentists will receive two sleep apnea oral appliances and will go through the entire experience of examination, impression and bite registrations, appliance delivery and fitting, and follow-up/calibration exams. There is also an opportunity to shadow an American Academy of Sleep Medicine accredited sleep lab throughout the program.

After each session dentists will be given homework assignments to complete, but don’t worry, these won’t be too hard. The assignments will include literature to read and cases to prepare. Team members will also be given tasks to work on, including communication scripts and physician outreach goals.

At the end of the fourth session, each dental practice should feel confident in their ability to:

  • Treat obstructive sleep apnea patients.
  • Have referral networks in place.
  • Medical insurance reimbursement implemented.
  • Ready for various dental sleep medicine accreditation programs.

Sign up for our dental sleep medicine mini-residency programs in 2019. We look forward to seeing you at an upcoming lecture!

Join us in New York for our First Annual Dental Sleep Continuum

We are excited to announce our first annual Dental Sleep Continuum in New York City starting this July!

What is the dental sleep continuum?

I will be joined by Dr. Bennett and Dr. Gelb for the first annual Dental Sleep Continuum in conjunction with Nierman Practice Management. This continuum offers practicing dentists a comprehensive program aimed at providing hands on clinical experience in all aspects of oral appliance therapy (OAT). Through this continuum, dentists will gain expertise in successfully treating obstructive sleep apnea and disruptive snoring.

This 3-session, 6-day program is ideal for those just beginning to implement dental sleep medicine, as well as anyone that wants to expand their knowledge and increase their experience in providing oral appliance therapy to more patients in their dental practice.

3 weekends of lectures and hands on learning

Nationally known experts in the field of dental sleep medicine will lead the sessions. At completion of the 3-session course, you will leave with the knowledge to properly evaluate patients for sleep disordered breathing problems, as well as how to screen for temporomandibular joint disorders.

We will take a look at several different oral appliances and you will have the opportunity to make three different custom-made devices specifically for you. It will help you gain a better understanding of how to create these appliances. The lab breakout sessions will help participants:

  • Learn standard patient examination techniques.
  • Be proficient in taking impressions and bite relationships for different appliances.
  • With the proper fitting of the oral appliances.
  • Make adjustments to the appliances.
  • Properly manage potential side effects.

This course will provide 48 hours of CE credit, along with a solid foundation for participants in studying for Dental Sleep Medicine board exams. Register now and we look forward to seeing you in New York beginning in July! Please contact me if you have any questions.

For further guidance, check out this educational book on TMD

In November “Take a Bite Out of Pain: A Journey to Overcoming Temporomandibular Joint Dysfunction (TMD)” was released and available for purchase. It is exciting to have both a book on TMD and sleep apnea for further outreach and education on topics that are often overlooked. This new educational book serves many purposes. It can be put on display at your office for your patients or it can be gifted to a friend or family member that might be suffering from pain.

This educational book is now available for purchase at Lulu.com, Amazon and Barnes & Noble. Pick your favorite website to go to and purchase it!

What can you expect from the book?

I wrote this book in collaboration with Sara Berg, my writer. As many of you know, she has been writing for me for almost five years now and this is our second book together. We decided to write about pain and TMD to better educate patients on these symptoms and what to do. As dentists, we are in a unique position to help our patients feel better, so why not continue to provide them with the resources they need to better understand their condition?

To help you get a better understanding of what the book is about, here is a brief description:

“Pain should never be ignored. Whether it is pain in your jaw, or what seems like a headache, don’t ignore the discomfort. Ignoring pain would be a waste of time, leading to further complications with your health.

Search for the underlying cause of your pain with help from qualified dentists that treat such cases. Finding the source of your nagging pain will help you continue on with your daily activities—hopefully eliminating any discomfort present.

Don’t just “put up with” pain—seek proper treatment. Pain is a complex and complicated symptom tuned by your brain, as it triggers every painful sensation. Are you just going to sit there and wish the pain away? No, absolutely not.

Educate yourself on the cause or causes, and treatment options. Pain isn’t a singular problem, it can be so much more.”
I look forward to hearing your thoughts and I hope that you utilize this book to help your patients before, during or after their visits to your dental office!

Minimizing mandibular advancement in oral appliance therapy

In a recent study from the journal Sleep Medicine researchers looked at the treatment of obstructive sleep apnea (OSA) with an oral appliance (OA). There is currently no gold standard method to fine-tune the mandibular advancement. This study was created to analyze the effect of gradual increment of mandibular advancement on the evolution of the apnea.

What were the results?

The researchers proposed the use of a multiparametric titration protocol to optimize the mandibular advancement. Thirty percent of the sample population exhibited the best results without any mandibular advancement and low frequency of side effects were observed. There were 36 patients involved in this study (22 were men) with a mean age of 57 years.

The mean mandibular advancement was between 1.7 and 1.5 mm achieving about 50 percent reduction in AHI in 72 percent of the patients. There were also 27 patients with an AHI of 10. Of the 21 patients with moderate to severe OSA, 17 had the highest decrease in the AHI in a mandibular advancement of about three millimeters.

Researchers found that monitoring the subjective symptoms of the patient and objective evolution in the AHI could minimize the mandibular advancement needed for proper treatment of OSA. What are some other ways to help improve oral appliance therapy results with our patients?