Apnea: diagnostics and treatment. Dental sleep medicine

– 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.

– 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.

– 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.

– 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.

– 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. 

– 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.  

– 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.

– 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. 

– 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.

– 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.

– 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.

– 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.

– 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.