2019 Winter Conference

Jan 25, 2019 ‐ Jan 27, 2019

Sleep Apnea and Orthodontics: Consensus and Guidance

Click here to view a list of the Winter Conference lectures that will be published.

What's Your Number? Diagnosing Obstructive Sleep Apnea in 2019

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What's Your Number? Diagnosing Obstructive Sleep Apnea in 2019

Jan 25, 2019 10:00am ‐ Jan 25, 2019 10:50am

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.

Learning Objectives:

• Recognize the diversity of methods of diagnosis of OSA.
• Evaluate different diagnostic criteria for sleep-disordered breathing.
• Recognize how future technology may influence diagonsis of OSA.

• Douglas Kirsch, MD

Q&A Discussion

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Q&A Discussion

Jan 25, 2019 11:40am ‐ Jan 25, 2019 12:00pm

Q&A Session: Kirsch & Kapur

• Douglas Kirsch, MD
• Vishesh Kapur, MD, MPH

Managing OSA with Oral Appliances: An Overview

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Managing OSA with Oral Appliances: An Overview

Jan 25, 2019 1:00pm ‐ Jan 25, 2019 1:40pm

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.

Learning Objectives:

• Appropriately manage patients with oral appliances in collaboration with a sleep physician.
• Recognize the importance of short and long term follow up for oral appliance patients.
• Understand the current evidence for oral appliance therapy.

• R. S. Conley, DMD

Q&A Discussion

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Q&A Discussion

Jan 25, 2019 2:20pm ‐ Jan 25, 2019 2:40pm

Q & A Session: Conley & Edwards

• R. S. Conley, DMD
• Sean P. Edwards, DDS, MD, FACS, FRCD(C)

OSA in Children: More Than Just Large Tonsils

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OSA in Children: More Than Just Large Tonsils

Jan 25, 2019 2:40pm ‐ Jan 25, 2019 3:20pm

The presentation will review the pathophysiology and clinical manifestations of obstructive sleep apnea in children, with particular focus upon how they differ from the adult population. Established, alternative, and promising methods of treatment will be additionally discussed.

Learning Objectives:

• Recognize symptoms of sleep apnea in children and how they differ from those exhibited by adults.
• Evaluate the benefits and limitations of the major treatment options for childhood OSA.
• Recognize some of the clinical consequences of untreated and suboptimally treated childhood OSA.

• Timothy F. Hoban, BS, MD

Relevant Useful Tools for Screening for SDB

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Relevant Useful Tools for Screening for SDB

Jan 25, 2019 3:20pm ‐ Jan 25, 2019 4:00pm

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.

Learning Objectives:

• Implement the Pediatric Sleep Questionaire (PSQ) as a screening tool to potentially identify pediatric sleep disorder (PSD) cases.
• Implement the mandibular cortical index (MCI) obtained from a panoramic radiography as a proxy for skeletal bone density that has shown to be associated with PSD.
• Comprehend how small anterior cranial base size is related to reduced maxllary and mandibulary dimensions in PSD cases.

• Carlos Flores-Mir, DDS, DSc, FRCD(C)

Pediatric Obstructive Sleep Apnea: The Orthodontic Perspective

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Pediatric Obstructive Sleep Apnea: The Orthodontic Perspective

Jan 25, 2019 4:00pm ‐ Jan 25, 2019 4:40pm

Recent studies have highlighted the importance of the interdisciplinary management of sleep disordered breathing, and the role orthodontists can play in the management of this disease has become better defined. This presentation will re-examine the relationship between sleep disordered breathing and craniofacial growth and development in light of new clinical data. The current evidence related to orthodontic treatment effects on obstructive sleep apnea and the airway, as well as more controversial adjunctive therapies will be discussed.

Learning Objectives:

• Define the relationship between obstructive sleep apnea and craniofacial growth and development.
• Evaluate the effectiveness of orthodontic therapy as a treatment for OSA in children.
• Comprehend the relationship between dental extractions and the upper airway function.

• Benjamin Pliska, DDS, MS, FRCD(C)

Treating Sleep Apnea in the 21st Century: It's Not What You Think

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Treating Sleep Apnea in the 21st Century: It's Not What You Think

Jan 26, 2019 8:00am ‐ Jan 26, 2019 9:00am

Obstructive sleep apnea (OSA) in children was first described by our group in 1976, on a cohort of 8 patients. The parameters for screening children with sleep disordered breathing have evolved as the field of sleep medicine has advanced.

Learning Objectives:

• Identify the differences between adult and pediatric sleep disordered breathing.
• Identify the systemic effects of abnormal breathing.
• Comprehend hypoxic versus non-hypoxic events during sleep.

• Christian Guilleminault, DM, MD, DBiol (Neuroscience)

Keynote Q&A Discussion

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Keynote Q&A Discussion

Jan 26, 2019 9:00am ‐ Jan 26, 2019 9:30am

Q&A Session: Guilleminault

• Christian Guilleminault, DM, MD, DBiol (Neuroscience)

Growth and Development of the Airway: Implications for Children with SDB

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Growth and Development of the Airway: Implications for Children with SDB

Jan 26, 2019 10:50am ‐ Jan 26, 2019 11:40am

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.

Learning Objectives:

• Describe the normal growth of the skeletal boundaries of the airway.
• Describe the normal growth of the soft tissues of the upper airway.
• Identify anatomy landmarks that are important for upper airway assessment.

• Mark G. Hans, DDS, MSD