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?

Attend a future lecture for improved knowledge

Education is the future. If you are searching for was to advance your practice or if you are looking for further guidance for your dental sleep medicine and/or craniofacial pain practice, lectures are available. By attending a lecture, you will take the necessary steps toward improving the services you offer while providing your patients with the care they deserve to live healthy, happy lives.

For your reference, take a look at some of my upcoming lectures:

 

August 11-12, 2017

Topic: Dental Sleep Medicine

Location Toronto, Canada

September 2, 2017

Topic: Dental Sleep Medicine Study Club

Location: Johns Creek GA

September 15-16, 2017

Topic: Pinpoint the Pain: TMD, Cranofacial Pain

Location: Phoenix, AZ

September 29-30, 2017

Topic: Sleep & Pain Mini Residency Session 2

Location: Atlanta, GA

October 5-6, 2017

Topic: Dentistry and dental marketing International conference

Location: Las vegas, NV

October 19, 2017

Topic: ADA 2017 Meeting -Sleep Medicine Panel: Ask the Experts

Location: Atlanta, GA

October 13-14, 2017

Topic: Advancing your Dental Sleep Medicine Practice

Location: Atlanta, GA

November 3-4, 2017

Topic: Dental Sleep Medicine and TMD

Location: London, England

November 10-11, 2017

Topic: Sleep, TMD, & Craniofacial Pain Symposium

Location: Las Vegas, NV

December 1-2, 2017

Topic: Sleep & Pain Mini Residency Session 3

Location: Atlanta, GA

You can also view other upcoming lectures by visiting my website. Choose the lectures that align with your practice’s needs and don’t forget to bring your staff with you! Some of these courses would be great for the whole team!

Infographic: The Journey to Dentistry Success

What are your next steps after graduation?

Dental Students typically spend eight years total in college preparing for clinical practice. It’s only in the last year that there is any mention about sleep apnea or craniofacial pain treatment. And, with just a few hours dedicated to these services where do you turn to advance your dental career? Postgraduate education is vital for procuring a successful sleep apnea and craniofacial pain practice–it’s the first step in your dental journey to success.

After graduation, it is important to take the right steps in establishing your success in dentistry. In the infographic below we will look at the next steps you should be taking after graduation:

 

Contact me to learn more about this exceptional journey and how we can continue to remain ahead of the game in dentistry and our patients!

International Board Member of British Society of Dental Sleep Medicine

Over the past year, I have been working closely with Dr. Aditi Desai and her team at the British Society of Dental Sleep Medicine (BSDSM) to educate dentists. Together we have created an effective lecture series to better provide advanced information for dentists in the UK.

Last summer I flew to London to lead an “Introduction to Dental Sleep Medicine” with the BSDSM. This group of dentists were so interested in dental sleep medicine that we worked together to ensure we could continue to provide these courses every year. In the introduction course, I worked with Dr. Desai on a module for temporomandibular joint dysfunction (TMD), craniofacial pain (CFP), and sleep bruxism (SB).

After working with Dr. Desai at the British Society of Dental Sleep Medicine, it is my pleasure to announce my new position as International Board. I look forward to working more with Dr. Desai, other board members and the dentists in London, as well as surrounding countries. Together we can continue to provide exceptional education on dental sleep medicine, TMD and craniofacial pain.