2016   Condylar resorption, orofacial degeneration, obstructive sleep apnea, the connection! Annual Symposium, Foundation for Bioesthetic Dentistry. San Francisco, CA, October 1.
 
2016   Correction of severe obstructive sleep apnea with interdisciplinary treatment. 2016 Pacific Northwest Dental Conference. Bellevue, Washington, June 16.
 
2016   Role of dental specialties in the interdisciplinary treatment of obstructive sleep apnea. Comprehensive Treatment Seminars study club. Bellevue, Washington, May 13.
 
2016   Interdisciplinary solutions for occlusal relapse caused by sleep oral appliances. Comprehensive Treatment Seminars study club. Bellevue, WA, March 9.
 
2016   Condylar resorption prevalence in patients with upper airway resistance syndrome. Annual Arnett Orthognathic Surgery Forum. Santa Barbara, California, February 1.
 
2015   Interdisciplinary surgical versus nonsurgical management of severe intracapsular complications. Comprehensive Treatment Seminars study club. Bellevue, WA, November 11.
 
2015   Centric relation splint and prevalence of condylar resorption in patients with upper airway resistance syndrome. 22nd Annual Roth Willams International Society of Orthodontics. Ft. Lauderdale, FL, October 26.
 
2015   Temporomandibular disorders:  the new concepts in etiology, diagnosis and treatment. University of Missouri–Kansas City, Annual Continuing Dental Education. Kansas City, MO, September 19.
 
2015   Stabilization appliances for management and treatment of intracapsular and masticatory muscle disorders and their interactions with sleep disordered breathing! Comprehensive Treatment Seminars study club. Bellevue, WA, September 09.
 
2015   Pseudo disc development, strategy for TM joint rehabilitation. Seattle TMJ study club. Seattle, WA, June 26.
 
2015   The role of dental implants in the treatment of obstructive sleep apnea! Comprehensive treatment seminars study club. Bellevue, WA, May 13.
 
2015   Role of Teledontic philosophy in the treatment of obstructive sleep apnea. Henry Schein Company VIP meeting. San Diego, CA, March 22.
 
2015   Periodontics and obstructive sleep apnea syndrome, the connection! Comprehensive Treatment Seminars study club. Seattle, WA, March 11.
 
2015   Condylar resorption prevalence in patients with upper airway resistance syndrome. Annual Arnett Orthognathic Surgery Forum. Santa Barbara, California, January 22.
 
2015   Why your TMJ Therapy is ineffective? Airway! Comprehensive Treatment Seminars study club. Bellevue, WA, January 14.
 



COMPREHENSIVE TREATMENT SEMINARS

LECTURE TOPICS

Joseph Z. Yousefian DMD, MS, MA


I. AIRWAY, SLEEP DISORDERED BREATHING, ORAL APPLIANCES


2-4 CE CREDITS

Role of Dental Specialties in the Interdisciplinary Treatment of Obstructive Sleep Apnea

In this presentation, the multifactorial etiology of sleep disordered breathing will be reviewed and a new diagnostic techniques and interdisciplinary dental procedures for treatment of the most severe form of obstructive sleep apnea will be presented.

Learning Objectives:

  • Comprehensive diagnosis and treatment planning for rehabilitation of airway, bite and face.
  • Contribution of orthodontics in the treatment of OSA.
  • Contribution of maxillofacial surgery in the treatment of OSA.
  • Contribution of restorative dentistry in the treatment of OSA.
  • Contribution of endodontics in the treatment of OSA.
  • Contribution of periodontics in the treatment of OSA.

2-4 CE CREDITS

Oral Appliances for Management of Obstructive Sleep Apnea

Dentists with their knowledge of functional appliances and established skills to evaluate jaw position, are ideally suited to provide oral appliance therapy in this field. Oral appliances have a direct effect on tongue posture during sleep and help to stabilize the mandible in a closed vertical position. These appliances are commonly regarded as a simple, silent, bed partner-friendly, less invasive, reversible, tolerable and efficacious choice. In addition, they have a beneficial impact on a number of essential medical outcomes, including polysomnographic data, subjective and objective measurements of sleepiness, cardiovascular functions, neuropsychological behaviours and quality of life indices. Several factors appear to contribute to the effectiveness of oral appliances – appliance design and titration, the severity of the sleep apnea, the amount of advancement, the vertical opening of the mandible, positional sleep apnea and the Body Mass Index (BMI). Oral appliances appear to work by enlarging the upper airway patency at multiple levels and by improving muscle airway tone and thus decreasing upper airway collapsibility.

Learning Objectives:

  • Describe the indications, contraindications, advantages and disadvantages of the currently-available oral appliances used in the field.
  • Understand how to titrate an adjustable oral appliance to achieve the maximum effectiveness for the treatment of snoring and/or OSA.
  • Review the results of clinical trials designed to compare the effectiveness of specific oral appliances and how they might compare to nasal continuous positive airway pressure or surgical procedures.

2-4 CE CREDITS

Interdisciplinary Solution for Occlusal Relapse Caused by Sleep Oral Appliances

Oral appliances are commonly regarded as a simple, silent, less invasive, tolerable and effective in management of mild to moderate form of obstructive sleep apnea. Several factors appear to contribute to the effectiveness of oral appliances – appliance design and titration as well the severity of the sleep apnea. Oral appliances also appear to have some side effects including the irreversible changes in patient’s occlusion and development of temporomandibular disorders. This presentation demonstrates interdisciplinary solutions for not only improving the occlusal changes but an opportunity to treat the obstructive sleep apnea.

Learning objectives:

  • Occlusal impact of oral appliances.
  • Masticatory impact of oral appliances.
  • Interdisciplinary solutions for management of resulting occlusal discrepancies and treatment of OSA.

2-4 CE CREDITS

Sleep Disordered Breathing as a Cause of Restoration Failure in Anterior Teeth

Failure of restorations, especially in the anterior area of the patient’s mouth, can be embarrassing for the restorative dentist and discouraging to the patient. The objective of this presentation is to discuss 1) the multifactorial nature of this problem including the impact of sleep disordered breathing and 2) an interdisciplinary approach to preventing/reducing the possibility of breakage.


2-4 CE CREDITS

Sleep Bruxism: New Concepts

People grind their teeth for many reasons, but why is it that some patients hurt themselves and others do not? Complete dental care requires a deep understanding of the causes of disease and treatment possibilities. It is virtually impossible for any individual dentist to master every phase of dental treatment; patient care is optimized when dentists collaborate by sharing insights and treatment skills to solve the clinical riddles presented to them.

At the end of the seminar, attendees will be able to:

  • discuss the difference between making a referral and interdisciplinary care
  • recognize patients who may benefit from a more thorough diagnosis and treatment plan
  • convey the value of complex treatment planning to patients and to their own dental teams

2-4 CE CREDITS

Sleep Bruxism Etiology: The Evolution of a Changing Paradigm

The presence of tooth grinding and its impact on the PharyngOroFacial Complex (airway, mouth, face) has proved to be difficult to define in the past. With new information available, some of the questions can be answered.

The objective of this presentation is to discuss 1) the multifactorial nature of the problem and 2) an interdisciplinary approach to the prevention and treatment of the related symptoms.


2-4 CE CREDITS

CR Splint and Prevalence of Condylar Resorption in Patients With Upper Airway Resistance Syndrome.

Because condylar resorption occurs most often in patients with malocclusions, CR instability, and nocturnal bruxism, it has been thought that a prominent cause for the pathogenesis of this disease might be related to these factors. Is this assumption correct?


4-8 CE CREDITS

Oral Appliances for Management of Sleep Disordered Breathing–Dilemmas, Complications and Recovery!

Sleep disordered breathing (SDB) and its impact on patient’s oral and general health is a new and exciting–but challenging–concept in the field of dentistry. The new dental/medical guidelines and protocol for management of SDB with oral appliances and comprehensive treatment of obstructive sleep apnea by an interdisciplinary dental team will be presented.

Learning Objectives:

  • Learn the dental/medical protocol for diagnosing the need for in-the-home/in-the-lab sleep study (including referrals for sleep studies)
  • Adopt a new techniques for use of oral appliances in the management of airway issues
  • Learn new interdisciplinary protocols for 1) recovery from oral appliance use complications and 2) management of airway issues

3-5 CE CREDITS

The New Dental/Medical Guidelines and Protocol for Diagnosis and Comprehensive Treatment of Obstructive Sleep Apnea

Obstructive Sleep Apnea (OSA) and its impact on patients’ oral and general health is a new and exciting–but challenging–concept in the field of dentistry. In this presentation, the new dental/medical guidelines and protocol for diagnosis and comprehensive treatment of OSA by interdisciplinary dental medical team will be presented.

Learning objectives include:

  • discussing how to employ a screening process for airway problems
  • discussing new dental classifications for diagnosis of airway issues
  • studying the dental/medical protocols for diagnosing airway issues
  • selecting a new dental protocol for the proper and comprehensive treatment of OSA (including referrals for sleep studies)
  • adopting a new interdisciplinary dental/medical protocol for the management of airway issues

3 CE CREDITS

Periodontics and Obstructive Sleep Apnea Syndrome: the Connection!

The presence of OSAS (obstructive sleep apnea syndrome) and its biological impact on the progression of periodontal problems can be a challenging concept in the treatment of this patient population.

Topics include:

  • Systemic impact of OSAS in the development of periodontal disease
  • Masticatory impact of OSAS and sleep bruxism in the development of periodontal disease
  • Diagnosis and management

2 CE CREDITS

A New Grading System for Tongue Evaluation and Predictor for Severity of Sleep Disordered Breathing

Amongst the risk factors contributing to the development of sleep disordered breathing is the size and position of the tongue, which can be affected by the sagital, transverse and vertical dimensions of the dental arches. The proposed grading system for tongue evaluation in this presentation can be used as a predictor of the degree of obstruction of the retroglossal/hypoglossal airway based on tongue size and position.


2 CE CREDITS

Proposing a New Airway Classification System for Diagnosis and Treatment of Sleep Disordered Breathing

Amongst the risk factors contributing to the development of sleep disordered breathing is the size and compliance of the upper airway tube. The proposed classification system can be used by the dental practitioner more efficiently than the existing medial classifications.


2-4 CE CREDITS

Condylar Resorption Prevalence in Patients with Upper Airway Resistance Syndrome

Because condylar resorption occurs more often in patients with malocclusions and nocturnal bruxism, it is thought that a prominent cause for the pathogenesis of this disease might be related to these factors. Is this assumption correct?


8-24 CE CREDITS

The Role of Dentistry in the Prevention, Diagnosis, Management and Treatment of Sleep Disordered Breathing

Excessive sleepiness in the general population is becoming a major concern due to its potential effects on health, job performance, and the safety of society. In addition to sleep deprivation, sleep-disordered breathing (SDB) is now listed as a major cause of excessive sleepiness, and efforts are being made to recognize and treat the condition. SDB is associated with a 7-fold increase in the incidence of accidents at home, at work, and during the use of motor vehicles. It is linked to poor job performance and academic failure. Severe nocturnal snoring, often present with SDB, is a factor in personal relationships within a family. Potential health risks include hypertension, obesity, diabetes, heart failure, arterial fibrillation, heart attack, stroke, asthma, and gastroesophageal reflux disease. Clinical diagnosis and management of these conditions are of vital importance.

The field of dentistry can influence the growth and development of the PharyngOroFacial anatomy. This capability validates its important role as an effective member of the dental/medical team working to provide patients with early diagnosis, management, definitive treatment and prevention of SDB.


2-4 CE CREDITS

What To Do When an Obstructive Sleep Apnea (OSA) Patient Does Not Respond to TMJ Therapy?

In the treatment of TMD patients who also suffer from OSA, there may be a vicious cycle involving the two diseases. If this problem is not addressed properly, it can negatively impact a patient’s response to treatment of either disease.


4-8 CE CREDITS

The Dental Team and Management of OSA

Obstructive Sleep Apnea (OSA) and its impact on patients’ oral and general health is a new and exciting–but challenging–concept in the field of dentistry. New dental/medical guidelines and protocols for the diagnosis, management using oral appliances, and comprehensive treatment of OSA by an interdisciplinary dental team will be presented.

Topics include:

  • Using a screening process for airway problems
  • The dental/medical protocol for diagnosing the need for in-the-home/in-the-lab sleep study (including referrals for sleep studies)
  • New dental classifications for diagnosis of airway issues
  • New techniques for the use of oral appliances in the management of airway issues
  • New interdisciplinary protocols for the recovery from oral appliance use complications and management of airway issues
  • New interdisciplinary dental/medical protocols for the comprehensive treatment of OSA

2-4 CE CREDITS

Why Do Some Anterior Restorations, Including Implants, Work and Others Cause Problems, Break, Or Fail? Why Do Some Esthethic Cases Look Great, yet the Patient is Not Happy or Complains of Naggaing Discomfort?

The objective of this presentation is to address the synergy between treatment planning proper function and the role of the airway and occlusion as well as the stability of the PharyngOroFacial system in clinical practice. It will provide a systematic approach to 1) diagnosing and treatment planning functional dilemmas for anterior restorations, 2) knowing when other disciplines may be necessary to help solve them, and 3) choosing the proper techniques to complete treatment. Special emphasis will be placed on managing patients with wear and bruxism.


2-4 CE CREDITS

Correction of Severe Obstructive Sleep Apnea with Interdisciplinary Treatment.

Obstructive Sleep Apnea (OSA) and its impact on patients’ oral and general health is a new and exciting–but challenging–concept in the field of dentistry. New dental/medical guidelines and protocols for the diagnosis and comprehensive treatment of OSA by an interdisciplinary dental team will be presented.

Topics include:

  • Using a screening process for airway problems
  • The dental/medical protocol for diagnosing the need for in-the-home/in-the-lab sleep study (including referrals for sleep studies)
  • New dental classifications for diagnosis of airway issues
  • New techniques for the use of oral appliances in the management of airway issues
  • New interdisciplinary protocols for the recovery from oral appliance use complications and management of airway issues
  • New interdisciplinary dental/medical protocols for the comprehensive treatment of OSA

II. TMJ AND TEMPOROMANDIBULAR DISORDERS


2-4 CE CREDITS

Interdisciplinary Surgical versus Nonsurgical Management of Severe Intracapsular Complications

This presentation is to address the diagnosing and treatment planning of functional dilemmas for intracapsular complications including severe condylar resorption and knowing when other disciplines may be necessary to help solve them and choosing the proper techniques to complete treatment.

Learning Objectives:

  • The new concepts in etiology of intracapsular problems will be discussed.
  • The nonsurgical management and treatment of complex intracapsular problems will be discussed.
  • The surgical treatment options of complex intracapsular problems will be reviewed.

2-4 CE CREDITS

Stabilization appliances for management and treatment of intracapsular and masticatory muscle disorders and their interactions with sleep disordered breathing

This presentation is designed for the dentist just getting started in diagnosis and management of temporomandibular disorders (TMD), as well as experienced dental practitioners who are looking to increase their knowledge of TMD and interaction with sleep disordered breathing (SDB), clinical applications and practice management.

Learning Objectives:

  • Occlusal appliances: Types, indications, contraindications and effects on Airway and sleep disordered breathing.
  • The management of muscle pain with a stabilization appliance.
  • The use of an anterior positioning appliance for the management of intracapsular pain disorders.

2-4 CE CREDITS

Interdisciplinary Treatment of PharyngOroFacial (Airway, Bite, Face) Complications Caused By Oral Contraceptive Pill Use and Abnormal Menstrual Cycles

Progressive condylar resorption and its impact on the development of PharyngOroFacial problems have been investigated for many years. Because condylar resorption occurs more in women than men, many have thought that a significant systemic factor for the pathogenesis of this disease might be related to sex hormones. New information regarding the impact of sex hormones is casting new light on our understating of this process.

The objective of this presentation is to discuss 1) the multifactorial nature of this problem and 2) an interdisciplinary approach to preventing/correcting the resulting TMJ, airway, bite and facial deformities.


2-4 CE CREDITS

Muscles, Joints, and Airway. Oh My! Tools for the Comprehensive Dental Practice

Fixing teeth can be the easy part of treatment. We all know how to prep teeth and deliver restorations. However, when patients have muscle problems, TM joint issues and other problems affecting function and jaw position, treatment becomes more complicated. This course will give participants insights into tools that can be used immediately in a practice to evaluate the health and stability of the jaw joints and muscles. The role of GERD and bruxism in airway issues and what that means to the restorative dentist will be explored. Participants will gain insights into types of appliances that can be used quickly and easily to help patients stabilize prior to treatment.

Participants will learn:

  • how to evaluate/prepare for a stable condylar position
  • what sore and tight muscles mean to the case
  • how to make a protective and therapeutic appliance quickly and easily
  • how GERD may contribute to bruxism, and how bruxism is related to airway issues

8-24 CE CREDITS

Temporomandibular Disorders: New Concepts in the Etiology, Diagnosis and Treatment

This presentation is designed both for the dentist just getting started in the diagnosis and management of temporomandibular disorders (TMD), as well as the experienced dental practitioner who is looking to increase his/her knowledge of TMD and interaction with sleep disordered breathing (SDB), clinical applications and practice management. The course material will focus on new concepts in medical/dental interdisciplinary approaches to imaging and diagnosis, with emphasis on management and treatment of TMD and SDB.

Learning Objectives Include:

  1. A review of head and neck anatomy specifically related to TMD, craniofacial pain disorders and the airway.
  2. A review of normal masticatory function, TM disorders and orofacial pain.
  3. How to get started screening, evaluating, examining, treating or referring TMD patients.
  4. Discussion of myofascial pain dysfunction and referred pain in the orofacial structures.
  5. Discussion of when to get started screening, evaluating, examining, treating or referring SDB patients when SDB is a contributing factor in development of TMD.
  6. Discussion of the etiology of temporomandibular disorders and the relationship of occlusion to intracapsular and muscle disorders.
  7. Participants will receive an in-depth education regarding masticatory muscle and intracapsular disorders.
  8. Discussion of 1) the interrelationship between TMD and SDB, 2) the significance of this relationship, 3) sleep bruxism in children and adults, and 4) how to manage the potential TMD and SDB related problems.
  9. Participants will be given an overview of stabilization appliances for management and treatment of intracapsular and masticatory muscle disorders and their interactions with SDB.
  10. Discussion of the new concepts in etiology, management and treatment of complex intracapsular problems.
  11. Discussion of the new and advanced medical/dental interdisciplinary approach in the treatment of TMD and SDB.

2-4 CE CREDITS

Why Your TMJ Therapy is ineffective? Airway!

In the treatment of TMD patients who also suffer from OSA, there may be a vicious cycle involving the two diseases. If this problem is not addressed properly, it can negatively impact a patient’s response to either treatment.

Topics include:

  • discussion of the important factors in the development of TMD and OSA.
  • discussion of the interaction between TMD and OSA.
  • discussion of how to diagnosis and manage this vicious cycle.

4-8 CE CREDITS

An Interdisciplinary Approach to the Treatment of TMD and Its PharyngOroFacial (Airway, Bite, Face) Complications

The objective of this presentation is to teach general dentist and specialists from five disciplines (endodontics, orthodontics, maxillofacial surgery, periodontics, and prosthodontics) an interdisciplinary approach to the diagnosis and treatment of temporomandibular disorders (TMD) and its PharyngOroFacial complications. TMD includes a large group of disorders involving the musculoskeletal structures of the masticatory system. This presentation will demonstrate that the complications of this disorder are not confined to the musculoskeletal structures and that by impacting the PharyngOroFacial components, it can ultimately contribute to the deterioration of the overall health of patients. The materials presented will show failed and successful treatment results for cases that have been over-treated or under-treated in the attempt to resolve the assumed TMD related symptoms and the accompanying PharyngOroFacial complications.


2-4 CE CREDITS

Use of Virtual Surgical Planning VSP for Total Temporomandibular Joint Replacement

Virtual surgical planning (VSP) technology has been recently utilized for several aspects of maxillofacial reconstruction. Toolset and expertise could be extrapolated to many other areas of orthopedic reconstructive surgery including total joint replacement, guidance and positioning of osteotomies and guidance positioning of bony segments are all possible using these technologies.


8-24 CE CREDITS

The Role of an Interdisciplinary Dental Team in the Early Diagnosis, Prevention, Management and Comprehensive Treatment of Temporomandibular Disorders.

The objective of this presentation is to address the synergy between treatment planning proper function and the role of the airway and occlusion as well as the stability of the PharyngOroFacial system in clinical practice. It will provide a systematic approach to 1) diagnosing and treatment planning functional dilemmas for temporomandibular disorders, 2) knowing when other disciplines may be necessary to help solve them, and 3) choosing the proper techniques to complete treatment. Special emphasis will be placed on managing patients with severe condylar resorption.


4-8 CE CREDITS

The Role of an Interdisciplinary Dental Team in the Diagnosis, Management and Comprehensive Treatment of advanced Temporomandibular Disorders.

The objective of this presentation is to address the synergy between treatment planning proper function and the role of the airway and occlusion as well as the stability of the PharyngOroFacial system in clinical practice. It will provide a systematic approach to 1) diagnosing and treatment planning functional dilemmas for temporomandibular disorders, 2) knowing when other disciplines may be necessary to help solve them, and 3) choosing the proper techniques to complete treatment. Special emphasis will be placed on managing patients with severe condylar resorption and treatment by means of arthroplasty with interpositional fat graft, rib graft or total joint replacement with artificial joint prosthesis.


8-24 CE CREDITS

Interdisciplinary Management and Treatment of Advanced Condylar Resorption with Total Joint Replacement.

The objective of this presentation is to address 1) diagnosing and treatment planning functional dilemmas for severe condylar resorption 2) knowing when other disciplines may be necessary to help solve them, and 3) choosing the proper techniques to complete treatment. Special emphasis will be placed on managing patients with severe condylar resorption needing total joint replacement with artificial joint prosthesis.

III. INTERDISCIPLINARY LECTURES


2-4 CE CREDITS

Interdisciplinary Surgical versus Nonsurgical Management of Severe Intracapsular Complications.

This presentation is to address the diagnosing and treatment planning of functional dilemmas for intracapsular complications including severe condylar resorption and knowing when other disciplines may be necessary to help solve them and choosing the proper techniques to complete treatment.

Learning Objectives:

  • The new concepts in etiology of intracapsular problems will be discussed.
  • The nonsurgical management and treatment of complex intracapsular problems will be discussed.
  • The surgical treatment options of complex intracapsular problems will be reviewed.

2-4 CE CREDITS

Medical Modeling and Virtual Surgical Planning VSP

Virtual surgical planning (VSP) has been expanded to several aspects of maxillofacial reconstruction. Toolset and expertise could be extrapolated to many other areas of orthopedic reconstructive surgery including total joint replacement, guidance and positioning of osteotomies and guidance positioning of bony segments are all possible using these technologies.


4-8 CE CREDITS

Airway Based Dentofacial Esthetic Planning.

The objective of this presentation is to address the synergy between treatment planning proper function and the role of the airway and occlusion as well as the stability of the temporomandibular joint system in clinical practice. It will provide a systematic approach to 1) diagnosing and treatment planning functional dilemmas for restorative dentistry, 2) knowing when other disciplines may be necessary to help solve them, and 3) choosing the proper techniques to complete treatment. Special emphasis will be placed on managing patients with severe bruxism, tooth wear and dentofacial deformities.


2-4 CE CREDITS

Sleep Disordered Breathing as a Cause of Restoration Failure in Anterior Teeth

Failure of restorations, especially in the anterior area of the patient’s mouth, can be embarrassing for the restorative dentist and discouraging to the patient. The objective of this presentation is to discuss 1) the multifactorial nature of this problem including the impact of sleep disordered breathing and 2) an interdisciplinary approach to preventing/reducing the possibility of breakage.


2-4 CE CREDITS

Interdisciplinary Treatment of PharyngOroFacial (Airway, Bite, Face) Complications Caused By Oral Contraceptive Pill Use and Abnormal Menstrual Cycles

Progressive condylar resorption and its impact on the development of PharyngOroFacial problems have been investigated for many years. Because condylar resorption occurs more in women than men, many have thought that a significant systemic factor for the pathogenesis of this disease might be related to sex hormones. New information regarding the impact of sex hormones is casting new light on our understating of this process.

The objective of this presentation is to discuss 1) the multifactorial nature of this problem and 2) an interdisciplinary approach to preventing/correcting the resulting TMJ, airway, bite and facial deformities.


2-4 CE CREDITS

Sleep Bruxism: New Concepts

People grind their teeth for many reasons, but why is it that some patients hurt themselves and others do not? Complete dental care requires a deep understanding of the causes of disease and treatment possibilities. It is virtually impossible for any individual dentist to master every phase of dental treatment; patient care is optimized when dentists collaborate by sharing insights and treatment skills to solve the clinical riddles presented to them.

At the end of the seminar, attendees will be able to:

  • discuss the difference between making a referral and interdisciplinary care
  • recognize patients who may benefit from a more thorough diagnosis and treatment plan
  • convey the value of complex treatment planning to patients and to their own dental teams

2-4 CE CREDITS

The Role of Dental Implants in Rehabilitation of the Occlusion and Airway

A team approach to interdisciplinary diagnosis and treatment planning of complex cases will be presented. Participants will have the opportunity to participate in diagnosis and treatment planning exercises for the presented cases.


2-4 CE CREDITS

The Role of Dental Implants in an Interdisciplinary Approach to the Treatment of PharyngOroFacial Disorders

Sleep Disordered Parafunction (SDP) and its impact on patients’ oral and general health is a new and exciting–but challenging–concept in the field of dentistry. In this presentation of a team approach to diagnosis and wholistic interdisciplinary treatment, the role of dental implants in the treatment of PharyngOroFacial complications caused by SDP will be discussed.


2-4 CE CREDITS

Sleep Bruxism Etiology: The Evolution of a Changing Paradigm

The presence of tooth grinding and its impact on the PharyngOroFacial Complex (airway, mouth, face) has proved to be difficult to define in the past. With new information available, some of the questions can be answered.

The objective of this presentation is to discuss 1) the multifactorial nature of the problem and 2) an interdisciplinary approach to the prevention and treatment of the related symptoms.


4-8 CE CREDITS

Oral Appliances for Management of Sleep Disordered Breathing–Dilemmas, Complications and Recovery!

Sleep disordered breathing (SDB) and its impact on patient’s oral and general health is a new and exciting–but challenging–concept in the field of dentistry. The new dental/medical guidelines and protocol for management of SDB with oral appliances and comprehensive treatment of obstructive sleep apnea by an interdisciplinary dental team will be presented.

Learning Objectives:

  • Learn the dental/medical protocol for diagnosing the need for in-the-home/in-the-lab sleep study (including referrals for sleep studies)
  • Adopt a new techniques for use of oral appliances in the management of airway issues
  • Learn new interdisciplinary protocols for 1) recovery from oral appliance use complications and 2) management of airway issues

3-5 CE CREDITS

The New Dental/medical Guidelines and Protocol for Diagnosis and Comprehensive Treatment of Obstructive Sleep Apnea

Obstructive Sleep Apnea (OSA) and its impact on patients’ oral and general health is a new and exciting–but challenging–concept in the field of dentistry. In this presentation, the new dental/medical guidelines and protocol for diagnosis and comprehensive treatment of OSA by interdisciplinary dental medical team will be presented.

Learning objectives include:

  • discussing how to employ a screening process for airway problems
  • discussing new dental classifications for diagnosis of airway issues
  • studying the dental/medical protocols for diagnosing airway issues
  • selecting a new dental protocol for the proper and comprehensive treatment of OSA (including referrals for sleep studies)
  • adopting a new interdisciplinary dental/medical protocol for the management of airway issues

3-5 CE CREDITS

Straight Teeth, Ideal Face and Open Airway!

Obstructive Sleep Apnea (OSA) and its impact on the oral and general health of the pediatric population is a new and exciting–but challenging–concept in the dental and medical fields. In this presentation the new interdisciplinary dental/medical guidelines and protocol for diagnosis and comprehensive treatment of OSA in pediatric patients will be presented.

Learning objectives include:

  • screening and diagnosing airway issues (including referrals for sleep studies) in pediatric patients
  • discussing dental/medical protocols for the management of airway issues in growing patients
  • discussing new dental/medical protocol for the comprehensive treatment of OSA in the pediatric population.

3-5 CE CREDITS

Getting the Airway Open–From Screening to Treatment

This presentation will cover all of the steps involved from screening to treatment of OSA in adults.

Learning objectives include:

  • discussion of protocols for dental offices that will 1) identify OSA patients at risk who need referrals/diagnosis including PSG and OCST, and 2) prescribe who does what along the way.
  • discussion of treatment options including CPAP, surgery, temporary and custom oral appliances.
  • discussion of follow-up testing to assess effectiveness of treatment.

3 CE CREDITS

The Role of Dental Implants in the Treatment of Obstructive Sleep Apnea!

In this amazing interdisciplinary presentation, new techniques for dental implant site preparation will be presented. In addition, a new and exciting role for dental implants in the comprehensive treatment of OSA will be discussed.

Topics include:

  • new techniques for site preparation for dental implants
  • new strategy for the diagnosis and treatment of masticatory and airway issues
  • esthetic and functional impact of dental implants in PharyngOroFacial (airway, mouth, face) rejuvenation

4-8 CE CREDITS

The Dental Team and Management of OSA

Obstructive Sleep Apnea (OSA) and its impact on patients’ oral and general health is a new and exciting–but challenging–concept in the field of dentistry. New dental/medical guidelines and protocols for the diagnosis, management using oral appliances, and comprehensive treatment of OSA by an interdisciplinary dental team will be presented.

Topics include:

  • Using a screening process for airway problems
  • The dental/medical protocol for diagnosing the need for in-the-home/in-the-lab sleep study (including referrals for sleep studies)
  • New dental classifications for diagnosis of airway issues
  • New techniques for the use of oral appliances in the management of airway issues
  • New interdisciplinary protocols for the recovery from oral appliance use complications and management of airway issues
  • New interdisciplinary dental/medical protocols for the comprehensive treatment of OSA

8-24 CE CREDITS

The Role of an Interdisciplinary Dental Team in the Early Diagnosis, Prevention, Management and Comprehensive Treatment of Temporomandibular Disorders.

The objective of this presentation is to address the synergy between treatment planning proper function and the role of the airway and occlusion as well as the stability of the PharyngOroFacial system in clinical practice. It will provide a systematic approach to 1) diagnosing and treatment planning functional dilemmas for temporomandibular disorders, 2) knowing when other disciplines may be necessary to help solve them, and 3) choosing the proper techniques to complete treatment. Special emphasis will be placed on managing patients with severe condylar resorption.


2 CE CREDITS

Surgically-Assisted Mandibular Expansion (SAME) Techniques for Correction of Mandibular Skeletal Asymmetry and Airway Complications

Mandibular skeletal asymmetry not only can create significant airway, masticatory functional, and esthetic complications for affected patients, it also can generate a multitude of challenges for the clinician. In the past, several complex and inpatient procedures have been used to correct this multifactorial problem. This presentation will discuss a simple outpatient interdisciplinary technique that will address this issue.


2-4 CE CREDITS

Surgically-Assisted Mandibular Expansion (SAME) Techniques and Protocols for Resolving the Orthodontic, TMD or OSA Related Complications in Growing Patients

The objective of this presentation is to teach orthodontists and oral surgeons about a simple, inexpensive, in-office technique for mandibular symphyseal distraction osteogenesis.

Narrow dental arches, especially in the mandible, not only can create significant functional and esthetic complications for patients, but they also can generate a multitude of challenges for clinicians. This presentation demonstrates that these complications are not confined to the maxillofacial structures and that they can ultimately contribute to the deterioration of the overall health of patients by impacting the PharyngOroFacial component. The materials presented will show the successful treatment results for more than 50 orthodontic cases of patients 11-to-70 years old who were treated with the purpose of resolving the orthodontic, TMD or OSA related complications.


2-4 CE CREDITS

Why Do Some Anterior Restorations, Including Implants, Work and Others Cause Problems, Break, Or Fail? Why Do Some Esthethic Cases Look Great, yet the Patient is Not Happy or Complains of Naggaing Discomfort?

The objective of this presentation is to address the synergy between treatment planning proper function and the role of the airway and occlusion as well as the stability of the PharyngOroFacial system in clinical practice. It will provide a systematic approach to 1) diagnosing and treatment planning functional dilemmas for anterior restorations, 2) knowing when other disciplines may be necessary to help solve them, and 3) choosing the proper techniques to complete treatment. Special emphasis will be placed on managing patients with wear and bruxism.


2-4 CE CREDITS

Cause, Risks and Treatment of Tooth Grinding In Children

The presence of tooth grinding in children and its impact on the growth and development of the PharyngOroFacial complex (airway, mouth and face) has proved to be difficult to characterize in the past. With new information available, some of the questions can be answered

The objective of this presentation is to discuss 1) the multifactorial nature of the problem and 2) an interdisciplinary approach to the prevention and treatment of the related symptoms.

IV. ORTHODONTICS


1-2 CE CREDITS

How to Acquire Dental Records and Images for Treatment of PharyngOroFacial (Airway, Bite, and Face) Disorders

The participants learn how to acquire records for treatment of TMD, SDB, and orofacial aging including:

  • centric relation wax bite
  • face bow transfer
  • mounting of the diagnostic models in centric relation
  • how to acquire dental images including CBCT and MRI in centric relation

2-4 CE CREDITS

The Role of Dental Implants in Rehabilitation of the Occlusion and Airway

A team approach to interdisciplinary diagnosis and treatment planning of complex cases will be presented. Participants will have the opportunity to participate in diagnosis and treatment planning exercises for the presented cases.


2-4 CE CREDITS

Muscles, Joints, and Airway. Oh My! Tools for the Comprehensive Dental Practice

Fixing teeth can be the easy part of treatment. We all know how to prep teeth and deliver restorations. However, when patients have muscle problems, TM joint issues and other problems affecting function and jaw position, treatment becomes more complicated. This course will give participants insights into tools that can be used immediately in a practice to evaluate the health and stability of the jaw joints and muscles. The role of GERD and bruxism in airway issues and what that means to the restorative dentist will be explored. Participants will gain insights into types of appliances that can be used quickly and easily to help patients stabilize prior to treatment.

Participants will learn:

  • how to evaluate/prepare for a stable condylar position
  • what sore and tight muscles mean to the case
  • how to make a protective and therapeutic appliance quickly and easily
  • how GERD may contribute to bruxism, and how bruxism is related to airway issues

4-8 CE CREDITS

Oral Appliances for Management of Sleep Disordered Breathing–Dilemmas, Complications and Recovery!

Sleep disordered breathing (SDB) and its impact on patient’s oral and general health is a new and exciting–but challenging–concept in the field of dentistry. The new dental/medical guidelines and protocol for management of SDB with oral appliances and comprehensive treatment of obstructive sleep apnea by an interdisciplinary dental team will be presented.

Learning Objectives:

  • Learn the dental/medical protocol for diagnosing the need for in-the-home/in-the-lab sleep study (including referrals for sleep studies)
  • Adopt a new techniques for use of oral appliances in the management of airway issues
  • Learn new interdisciplinary protocols for 1) recovery from oral appliance use complications and 2) management of airway issues

8-24 CE CREDITS

The Role of Orthodontics in the Management and Treatment of Sleep Disordered Breathing

The objective of this presentation is to prepare the orthodontists for an interdisciplinary team approach to the prevention, diagnosis, and treatment of sleep disordered breathing.


8-24 CE CREDITS

The Role of Orthodontics in the Prevention, Management, Diagnosis and Treatment of TMD

The objective of this presentation is to prepare the orthodontists for an interdisciplinary team approach to the prevention, diagnosis and treatment of TM disorders.


3 CE CREDITS

The Esthetic and Functional Contribution of Surgically-Assisted Mandibular Expansion (SAME) in the Treatment of SDB, TMD and Premature Dentofacial Ageing

Narrow dental arches not only can create a significant airway, masticatory functional and esthetic complications for the affected patients, but they also can generate a multitude of challenges for the clinician. The possible etiologies could be related to skeletal maxillary/mandibular transverse deficiencies, habits, or associated with previous extractions done to resolve dental crowding. Patients often will comment that they do not like the dark spaces between their teeth and cheeks or they want a full, broad smile (often referred to as a Hollywood smile). Such transverse deficiencies can be corrected with rapid maxillary expansion (in adolescents), surgically-assisted rapid maxillary expansion (more recently called transverse maxillary distraction osteogenesis), or a segmental Lefort I osteotomy. With maxillary transverse expansion previously limited by the mandibular arch width, patients were not always able to obtain their desired results. Now, with the ability to expand the mandibular dental arch using distraction osteogenesis, a stable functional occlusion with the desired aesthetic results can be achieved.


2-4 CE CREDITS

Surgically-Assisted Mandibular Expansion (SAME) Techniques and Protocols for Resolving the Orthodontic, TMD or OSA Related Complications in Growing Patients

The objective of this presentation is to teach orthodontists and oral surgeons about a simple, inexpensive, in-office technique for mandibular symphyseal distraction osteogenesis.

Narrow dental arches, especially in the mandible, not only can create significant functional and esthetic complications for patients, but they also can generate a multitude of challenges for clinicians. This presentation demonstrates that these complications are not confined to the maxillofacial structures and that they can ultimately contribute to the deterioration of the overall health of patients by impacting the PharyngOroFacial component. The materials presented will show the successful treatment results for more than 50 orthodontic cases of patients 11-to-70 years old who were treated with the purpose of resolving the orthodontic, TMD or OSA related complications.

V. PHARYNGOROFACIAL SYSTEM


2-4 CE CREDITS

Interdisciplinary Treatment of PharyngOroFacial (Airway, Bite, Face) Complications Caused By Oral Contraceptive Pill Use and Abnormal Menstrual Cycles

Progressive condylar resorption and its impact on the development of PharyngOroFacial problems have been investigated for many years. Because condylar resorption occurs more in women than men, many have thought that a significant systemic factor for the pathogenesis of this disease might be related to sex hormones. New information regarding the impact of sex hormones is casting new light on our understating of this process.

The objective of this presentation is to discuss 1) the multifactorial nature of this problem and 2) an interdisciplinary approach to preventing/correcting the resulting TMJ, airway, bite and facial deformities.


1-2 CE CREDITS

How to Acquire Dental Records and Images for Treatment of PharyngOroFacial (Airway, Bite, and Face) Disorders

The participants learn how to acquire records for treatment of TMD, SDB, and orofacial aging including:

  • centric relation wax bite
  • face bow transfer
  • mounting of the diagnostic models in centric relation
  • how to acquire dental images including CBCT and MRI in centric relation

2-4 CE CREDITS

The Role of Dental Implants in an Interdisciplinary Approach to the Treatment of PharyngOroFacial Disorders

Sleep Disordered Parafunction (SDP) and its impact on patients’ oral and general health is a new and exciting–but challenging–concept in the field of dentistry. In this presentation of a team approach to diagnosis and wholistic interdisciplinary treatment, the role of dental implants in the treatment of PharyngOroFacial complications caused by SDP will be discussed.


3 CE CREDITS

The Use of Surgically-Assisted Mandibular Expansion (SAME) Techniques for Replacement of Missing Lower Incisors in the Treatment of OSA

Missing lower incisors not only can create significant airway, masticatory functional, and esthetic complications for affected patients, it also can generate a multitude of challenges for the clinician. The possible etiologies could be related to congenitally missing teeth/trauma or be associated with previous extractions. This condition could cause transverse mandibular arch deficiency that, in a way, can create a significant dilemma in the rehabilitation of the PharyngOroFacial system. With the ability to expand the mandibular dental arch using SAME techniques, the clinician now has the ability to overcome this problem.


4-8 CE CREDITS

An Interdisciplinary Approach to the Treatment of TMD and Its PharyngOroFacial (Airway, Bite, Face) Complications

The objective of this presentation is to teach general dentist and specialists from five disciplines (endodontics, orthodontics, maxillofacial surgery, periodontics, and prosthodontics) an interdisciplinary approach to the diagnosis and treatment of temporomandibular disorders (TMD) and its PharyngOroFacial complications. TMD includes a large group of disorders involving the musculoskeletal structures of the masticatory system. This presentation will demonstrate that the complications of this disorder are not confined to the musculoskeletal structures and that by impacting the PharyngOroFacial components, it can ultimately contribute to the deterioration of the overall health of patients. The materials presented will show failed and successful treatment results for cases that have been over-treated or under-treated in the attempt to resolve the assumed TMD related symptoms and theaccompanying PharyngOroFacial complications.


2-4 CE CREDITS

Cause, Risks and Treatment of Tooth Grinding In Children

The presence of tooth grinding in children and its impact on the growth and development of the PharyngOroFacial complex (airway, mouth and face) has proved to be difficult to characterize in the past. With new information available, some of the questions can be answered

The objective of this presentation is to discuss 1) the multifactorial nature of the problem and 2) an interdisciplinary approach to the prevention and treatment of the related symptoms.

OTHER LECTURE TITLES AND CATEGORIES

Airway and Obstructive Sleep Apnea:

  • Anatomy of the respiratory system. (1 hr.)
  • Diagnosis and treatment of sleep disordered breathing. (2-8 hrs.)
  • The vicious cycle of TMD and obstructive sleep apnea. (3 hrs.)

Interdisciplinary Lectures:

  • Arnett’s philosophy and strategy for diagnosis and management of TMJ complications. (3 hrs.)
  • The concept of bruxism and treatment modalities. (1:30 hr.)
  • Esthetic and functional contributions of mandibular symphyseal distraction osteogenesis in the rehabilitation of PharyngOroFacial system. (2 hrs.)
  • The concept of anterior guidance and an interdisciplinary approach to rehabilitation. (3 hrs.)
  • An interdisciplinary approach to correction of CR-CO discrepancies. (1:30 hrs.)
  • An interdisciplinary approach to diagnosis and treatment of facial and dental asymmetries. (1:30 hrs.)
  • An interdisciplinary approach to diagnosis and treatment of anterior/posterior openbite. (1:30 hrs.)
  • An interdisciplinary approach to diagnosis and treatment of openbite. (3 hrs.)
  • An interdisciplinary approach to diagnosis and treatment of Class II skeletal and dental discrepancies. ( 1:30 hrs.)
  • An interdisciplinary approach to replacement of the missing teeth by use of implants. (1:30 hrs.)
  • An interdisciplinary approach to replacement of missing lower anterior teeth. (3 hrs.)
  • The PharyngOroFacial system. (2 hrs.)
  • Restoration failure of anterior teeth. (1:30 hrs.)
  • The role of dental factors in the development of systemic diseases. (1:30 hrs.)
  • Schuster’s philosophy of profitability management in a private practice. (1 hr.)
  • The ultimate splint for bruxism. (1:30 hrs.)

TMJ and Temporomandibular Disorders:

  • Anatomy of the masticatory system. (1 hr.)
  • Diagnosis and treatment of temporomandibular disorders. (2- 8 hrs.)
  • Diagnosis and treatment of temporomandibular disorders in children. (1:30 hrs.)
  • Dawson’s philosophy and approach to rehabilitation of the masticatory system. (1:30 hrs.)
  • Early Diagnosis of Temporomandibular Joint Disorders. (1 hr.)
  • Facial deterioration resulting from TM disorders. (1 hr.)
  • Impact of pregnancy on TMJ and related disorders. (1:30 hrs.)
  • Dawson’s philosophy and approach to rehabilitation of the masticatory system. (1:30 hrs.)
  • Lee’s (Robert) philosophy and approach to rehabilitation of the masticatory system. (1:30 hrs.)
  • Piper's classification for TMJ disk displacement and its complications. ( 1:30 hrs.)
  • Piper's philosophy and strategy for diagnosis and management of TMJ complications. ( 1:30 hrs)
  • Piper vs. Arnett philosophies and strategies for diagnosis and management of TMJ complications. (3 hrs.)
  • Screening and early diagnosis of temporomandibular joint disorders in children. (1:30 hrs.)
  • Vicious cycle of TMD and obstructive sleep apnea. (3 hrs.)

Orthodontics:

  • Andrew’s six keys to optimal occlusion. (1 hr.)
  • Arnett’s philosophy and approach to rehabilitation of the orofacial system (1:30 hrs.)
  • Concept of no retainers in orthodontics. (1:30 Hrs.)
  • Contemporary orthodontics. (1:30 hrs.)
  • Full arch spring (FAS) retainer. (1 hr.)
  • In-Ovation R., self-ligating bracket system. (1 hr.)
  • Installation of braces. (1 hr.)
  • Mandibular symphyseal distraction osteogenesis. (1:30 hrs.)
  • The role of orthodontist in the diagnosis and treatment of sleep-disordered breathing. (3 hrs.)
  • The role of TAD (temporary anchorage devices) in contemporary orthodontics. (2 hrs.)
  • Roth’s philosophy and approach to the rehabilitation of the masticatory system. (1:30 hrs.)
  • Straight wire technique and fully programmed brackets. (1 hr.)
  • Diagnosis and treatment approach to non-extraction orthodontic philosophy. (2 hrs.)
  • What orthodontists needs to know about occlusion. (2 hrs.)
  • What orthodontists need to know about the rehabilitation of the PharyngOroFacial system. (2 hrs.)



Simplified mandibular symphyseal distraction osteogenesis (SMSDO) technique for correction of mandibular skeletal asymmetry. Santa Barbara, California, January 26-28, 2012.

 

Role of dental field in diagnosis, treatment and prevention of sleep disordred breathing. Seattle, Washington, May 22, 2012.

 

Outpatient interdisciplinary technique for correction of mandibular skeletal asymmetry. Paris, France, October 2-4, 2012