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This talk will review the methods of diagnosis of obstructive sleep apnea, including polysomnography and home sleep apnea testing, controversies about how obstructive sleep apnea is defined, and some thoughts about the future of potential consumer sleep apnea testing.
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Although pediatric sleep disorder breathing is not highly prevalent, early potential identification and proper referral for full assessment by pediatric sleep specialists is important. The impact of timely diagnosis and multidisciplinary management of these cases can have a life changing outcome with significant overall health and craniofacial implications. This presentation will present a few different simple screening options that are available for orthodontist that will help them identify potential cases.
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Orthodontists are health care providers and as health care evolves so does our role. While the primary focus remains correcting malocclusions, orthodontists are increasingly receiving requests to deliver oral appliances to patients diagnosed with obstructive sleep apnea by their physician. The risks, benefits, scope of care, and treatment needs are critical for the orthodontist to understand prior to incorporating oral appliance treatment into their practice.
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Recently, there have been much attentions toward OSA among orthodontic communities. Children with OSA can often develop distinctive facial characteristics. Adults with OSA can result in serious morbidity and mortality. Treating these patients presents unique opportunities for orthodontists to collaborate with other medical specialties to improve a patient's health and treatment outcome. However, there are many opinions and claims related this topics without proper research data. This presentation will discuss the most current scientific evidences regarding the relations between various controversial orthodontic issues and OSA.
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Obstructive Sleep Apnea (OSA) and Sleep-Disordered Breathing (SDB) are a hot topic in healthcare, due to the amount of people with such conditions, and the fact that people had permanent sequelae or die from it when untreated. All healthcare communities are bringing awareness to these conditions, and orthodontists can also play a very important role. The present lecture will show how to incorporate risk-assessment for different ages, communicate with different specialists, and provide additional services to our new and existing patients.
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This lecture will focus on the normal postnatal growth and development of the upper airway. Special emphasis will be placed on the changes from age 7 to 17. In addition to changes occurring in the bones that are part of the skeletal boundaries of the airway, an in depth presentation of changes in the soft tissues of the airway will be presented. Special attention will be given to longitudinal changes seen for the hyoid bone, the soft palate and the adenoid mass. The effects on the airway of various orthodontic treatment strategies such as head gear and extractions will be discussed.
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Several treatment approaches are being used for the treatment of Obstructive Sleep Apnea (OSA), including among others continuous positive airway pressure, intraoral appliances for mandibular advancement, conventional or surgically-assisted maxillary expansion, and surgical maxillomandibular advancement. This lecture summarizes existing evidence from high quality clinical trials on humans using a systematic review & network meta-analysis framework to assess the comparative effectiveness of the various treatment approaches of OSA.
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Obstructive sleep apnea (OSA) has become the primary reason to perform an adenotonsillectomy (T&A) in children. This lecture will present a practical approach to the management of pediatric OSA. Recently, there have been published and updated clinical practice guidelines and clinical trials on the diagnosis, surgical indications and perioperative management of children with OSA. The lecture will use an evidence based approach to answer practical dilemmas that face clinicians such as: who needs polysomnography? What are the criteria for overnight observation? And, how do you manage a child with persistent OSA after T&A?
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The American Dental Association, the American Academy of Dental Sleep Medicine, and the American Academy of Sleep Medicine have published guidelines and policies that describe the role and responsibilities of dentists in managing sleep disordered breathing (SDB). Dental providers who wish to treat such patients in their practices should be knowledgeable about these recommendations and recognize that their responsibilities go beyond simply taking impressions and delivering an oral appliance. Orthodontists have skills that are particularly suited to managing patients with SDB.
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While orthodontistists are uniquely poised to incorportate sleep into orthodontic practices, there are signficant challenges in actually doing so. The orthodontist will need to understand the challenges and discern to what capacity they will incorporate sleep into the practice. From simple screening to more advanced complex case management, building of a sleep practice will come with numerous challenges. Creating a medical practice within your orthodontic office can be rewarding, but there is much that can upset the apple cart.
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