Click here to view a list of the Winter Conference lectures that will be published.
Q&A Session: Quo & Hans
Can orthodontists really aid in the enlargement of pharyngeal airways in growing children and what are the norms? A positive correlation between dento-facial patterns and pharyngeal airway measurements as a risk factor for obstructive sleep apnea (OSA) has been well established in the scientific literature. Orthodontists are often in a unique position, compared to our medical peers, to screen, triage, and treat children suffering from Sleep Disordered Breathing (SDB) because of our understanding of the craniofacial complex. At the very least, our treatment plans must be “Airway Friendly” on all patients. This presentation will focus on the understanding and clinical applications of those relationships using everyday case examples, and documented with low dose CBCT.
The creation of a 3-D virtual patient using CBCT imaging is now a reality. Simply focusing on the teeth is underutilizing the power of our orthodontic treatment to improve not only a patient’s smile, but their physical health as well. This presentation will focus on how to integrate CBCT into overall patient care. It will also discuss the importance of airway imaging and dynamic modeling in treatment planning. Dr. Carlson will use numerous case examples to share his story of practice transformation since installing his first CBCT machine in 2008. The advantages of a three-dimensional approach in diagnosis, airway analysis, treatment planning, and patient communication will be discussed. In addition, he will discuss some of the challenges that may make it difficult for clinicians to change from two-dimensional diagnosis to three-dimensional diagnosis and why this change is essential for the future of orthodontics.
Q&A Session: Quintero & Carlson
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.
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.
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.
Q&A Session: Sheats, Levine & Palomo
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?
Q&A Session: Mitchell