Dental Sleep Medicine Annual Symposium
Alan A. Lowe, D.M.D., Ph.D. Professor and Chair, Division of Orthodontics, University of British Columbia, Vancouver, Canada
Noshir R. Mehta, D.M.D. M.S. Professor and Chair Department of General Dentistry; Director, Craniofacial Pain Center, Tufts University School of Dental Medicine
Steven A. Shea, Ph.D. Associate Professor, Harvard University Medical School; Associate Physiologist, Director Sleep Disorders Research Program, Brigham and Women’s Hospital
Leopoldo P. Correa, B.D.S. Assistant Professor, Head of Dental Sleep Medicine Section, Craniofacial Pain Center, Tufts University School of Dental Medicine
Tufts University School of Dental Medicine is offering its annual Dental Sleep Medicine Symposium taught by internationally recognized leaders in the field of sleep medicine and dental sleep medicine. The symposium is intended for dentists with an interest in or current involvement in the Dental Sleep Medicine field treating obstructive sleep apnea with the use oral appliances. Day two of the highly interactive program will include a hands-on workshop. Participates will perform a clinical examination of the sleep apnea patient, use the George Gauge bite registration for the fabrication of oral appliances and discuss clinical cases with the program faculty.
At the completion of the symposium participants will be able to:
- Understand the physiology and function of sleep
- Understand the pathophysiology of obstructive sleep apnea and its medical consequences
- Evaluate the head, face, neck, and airway as they relate to sleep disordered breathing
- Be able to assess sleep studies
- Understand the three-dimensional relationships that exist in dental occlusion acting as risk indicators for TMD and sleep disorders
- Understand the approach for complex TMD and sleep-disordered patients using unique combinations of oral appliances
- Understand the consequences and limitations of oral appliance therapy for OSA
Date: Friday – Saturday, October 15 – 16, 2010
Time: 9:00 a.m. – 4:30 p.m.; 8:30 a.m. – 2:30 p.m.
Tuition: $795 Doctor; $395 Auxiliary/Hygienist/Staff (continental breakfasts and luncheons included)
Credit Tufts University School of Dental Medicine designates this activity for 10 participation continuing education credits.
AGD Codes: 182/183/184
This course is supported in part by grants from Airway Metrics, Dental Writer, Great lakes Orthodontics, Itamar Medical, and SomnoMed.
The Craniofacial Esthetics Institute: The Triad Approach to Diagnosis and Treatment of TM Disorders: The Missing Link
Harold Gelb D.M.D., P.C. Adjunct Professor, Tufts University School of Dental Medicine; Founder, Gelb Cranio-Mandibular Pain Center, Tufts University School of Dental Medicine; Diplomate, American Board of Orofacial Pain and American Academy of Craniofacial Pain
Noshir Mehta D.M.D, M.D.S., M.S. Associate Dean of International Relationsh, Professor and Chairman of General Denistry, Director Craniofacial Pain Center, Tufts University School of Dental Medicine
H. Clifton Simmons, D.D.S. Private Practice; AACP past President; Diplomate, American Board of Craniofacial Paing, American Board of Orofacial Pain, American Academy of Pain Management
The data acquired concerning the functional and structural relationship between the three components of the stomatognathic apparatus — namely, the jaws, the temporomadibular joints, and the muscles — should encourage the clinician to complete a careful examination of each one with all the diagnostic aids presently available to both the generalist and specialist. If this is done, the so-called asymptomatic case frequently shows, at the sub clinical level, signs of dysfunction or even an early manifestation of the disorder. These should not be overlooked and the treatment plan should take them into consideration. This is especially noteworthy because most of the relevant symptoms do not as a rule direct the patient to the dentist as the primary health professional. Several scientific studies at two major dental schools support the procedures that will be shown.
The International Headache Society has allocated two of thirteen headaches types to the dentist. One is the tension-type headache; the other is the headache or facial pain associated with a disorder of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth of other facial or cranial structures. Headaches break down into three major categories: 2% are traction and inflammatory, 8% are vascular and 90% are muscle contraction-tension type headaches, which the dentist can help. There are a total of 50 million headache sufferers.
Taking a thorough medical, dental and craniomandibular history coupled with a comprehensive clinical examination will still prove to be the most effective approach to diagnosing the patient’s condition.
- What procedures enable the clinician to make a proper diagnosis
- Updated background of subject matter
- Diagnostic classification of TM Disorders and orofacial pain
- Successful patient education and case presentation
Dates: Friday – Saturday, October 29 -30, 2010
Time: 9:00am – 4:30pm (each day)
Tuition: $495 Doctor; $250 Hygienist/Staff/Auxiliary (continental breakfast and luncheon included)
Credit: Tufts University, School of Dental Medicine designates this activity for 12 lecture continuing education credits.
AGD Code: 183/690
Dental Sleep Medicine Mini-Residency
Noshir R. Mehta, B.D.S., D.M.D., M.D.S., M.S. Associate Dean of International Relations, Professor and Chairman of General Dentistry; Director, Craniofacial Pain Center, Tufts University School of Dental Medicine
Leopoldo P. Correa, B.D.S. Assistant Professor, Tufts University School of Dental Medicine; Head, Dental Sleep Medicine Section of Craniofacial Pain, Headache & Sleep Center, Tufts University School of Dental Medicine
Robert L. Talley, D.D.S. Founding Member, American Academy of Craniofacial Pain and two-time Past President
Jamison R. Spencer, D.M.D., M.S. President Elect, American Academy of Craniofacial Pain; Adjunct Assistant Professor, Craniofacial Pain, Headache & Sleep Center, Tufts University School of Dental Medicine
Thursday – Saturday, October 7 – 9, 2010, 8:00am – 5:00pm
Thursday – Saturday, December 9 – 11, 2010, 8:00am – 5:00pm
Thursday – Saturday, March 31 – April 2, 2011, 8:00am – 5:00pm
plus distance learning video conferencing
Curriculum will include:
- Lectures by leading clinicians in the sleep medicine fields
- Hands-on sessions
- Case presentations
- Coursework to be completed by participant between modules
At the completion of this program participants should be able to successfully:
- Understand the relationship between orofacial pain, headaches, and TMD as they relate to sleep disorders
- Evaluate the head, face, neck, and airway as they relate to sleep-disordered breathing
- Assess sleep studies, sleep imaging, and their relationship to sleep-disordered breathing
- Understand the 3-dimensional relationships that exist in dental occlusion and act as risk indicators for TMD and sleep disorders
- Treat complex TMD and sleep-disordered breathing patients using unique combinations of oral appliances
- Interact with medical sleep centers and understand the medical conditions affecting successful outcome of treatments
Tuition: $9,000. Payable to American Academy of Craniofacial Pain (AACP).
Credit: Tufts University School of Dental Medicine designates this activity for approximately 67 participaton continuing education credits.
AGD Code: 160/182
To register, please contact AACP at 800.322.8651 or 847.885.1272 or email firstname.lastname@example.org
Modern Dentistry-Merging Old Science with New Technology
Join us for 12 hours of CE in the Caribbean. Classes will run from 7:30am-1:30pm with presentations during breakfast & lunch! Leave the outside world behind as you embrace the smallest of the developed US Virgin Islands and a year-round temperature of 85 degrees. Rooms at this world class hotel will be greatly reduced for attendees.
Esthetic Dentistry: Keys to Success
Gerard Kugel, D.M.D., M.S., Ph.D.
Intra Oral Appliance Therapy in the Co-Management of Craniofacial Pain Patients
Noshir R. Mehta, D.M.D., M.D.S., M.S
Immediate Implant Placement, Loading and Function
Abhay Bedi, B.D.S., D.M.D., M.S., F.A.C.P & Eugene J. Mariani, Jr., D.D.S, M.S.
Symbiosis of the Orthodontist and General Dentist
Eric Gheewalla, D.M.D.
Future Trends in Orthodontically Driven Restorative Treatment
Kistama Naidu, D.M.D., M.S.
Soft Tissue Grafting: Simple Solutions
Ancy Verdier, D.M.D., P.C.
G-34 The Craniofacial Esthetics Institute Presents:
“Real World Occlusion: It’s not just the Teeth”
A Dentist’s Guide to Function, Esthetics and Stability of the Maxillomandibular and Craniofacial Complex
Noshir R. Mehta, D.M.D., M.D.S., M.S. Associate Dean of International Relations, Professor and Chairman General Dentistry, Director Craniofacial Pain Center, Tufts University School of Dental Medicine
Gerard Kugel, D.M.D., M.S., Ph.D. Associate Dean for Research and Professor of Prosthodontics and Operative Dentistry, Tufts University School of Dental Medicine; Editor of Inside Dentistry
In most dental occlusal concepts the primary difference is one of condylar versus muscular positions. This is consistent with the textbook images of saggital condylar positions or the diamond shapes of the lateral excursive movements according to Posselt. However, these concepts do not take into account the three dimensional structures of the craniofacial skeleton due to the relative difficulty of many dentists in visualizing how the muscles, TM Joints and the teeth all function in harmony.
Risk indicators of occlusal disharmony include parafunction, trauma, posture, sleep architrecture, psychological and neurologic inputs to the neuromuscular pathways. Understanding these variables reduces the risk of a adverse outcome and requires an evidenced based logical and systematic approach to cosmetic/restorative cases that will result in successful functional as well as Oral Health Related Quality of Life end points.
Finally, management of patient with Temporomandibular and Cranio- Cervical dysfunctions often require the use of intra-oral appliance therapy. Studies however have reported variable results. Historical perspective suggests that different appliances and different mandibular positions be needed for different types of disorders and that the “one for all” appliance may not be an effective strategy to persue. These world renowned lecturers will bring you their unique clinical experiences to help blend the concepts of esthetics, function and dysfunction into your everyday treatment regimen.
The course will cover:
- Review of the evidence on occlusal concepts currently in vogue
- CR, CO and neuromuscular occlusion as it relates to the three dimensional concepts of biologic function , when and how to choose
- Biologic principles of dental occlusion
- Role of parafunction and sleep disorders on the longevity of dental stability
- Risk indicators of TMD that “call out to you” from your patients mouth before beginning any dental treatment
- How and why dental changes can affect the head and neck stability of an individual
- Merging Esthetics and Function for long term stability and health, how, when and why to use occlusal splints in the development of a stable occlusion regardless of whether the patient has TMD
Hands-on component will cover:
- A step by step guide to three dimensional examination of the occlusion
- Hands on record taking for transfer from the mouth to the articulator that accurately records the position you have chosen
- Splint fabrication
This course is sponsored in part by an unrestricted educational grants from 3M Omni, 3M ESPE, Astra Tech, Inside Dentistry and Orascoptic.
Implant Surgical Course for Prosthodontists
Alan V. Sulikowski, DMD, is a Prosthodontist with a special interest in aesthetic and implant dentistry. He graduated with honors from the National University of Cordoba, Argentina. Subsequently, Dr. Sulikowski graduated from Boston University where he received his certificate in Prosthodontics in 1994. Currently, Dr. Sulikowski runs a full-time Prosthodontic Practice at the Restorative Dental Group of Cambridge, in Cambridge, MA.
Robert J. Chapman, DMD, is Professor and Chair in the Department of Prosthodontics and Operative Dentistry and Director of Informatics at Tufts University School of Dental Medicine in Boston.
Arnold Rosen, DDS, has experience in all arenas of patient care as a practitioner, administrator, and academician. His specialty from Boston University School of Graduate Dentistry and Sloan Kettering Memorial Cancer Institute was Prosthodontics and Maxillofacial Prosthetics. Dr. Rosen has since added an MBA from Boston University School of Business Administration.
This didactic, simulation and demonstration course is designed to expose the clinician to a variety of patient-based scenarios.
This course will take practitioners from diagnosis and clinical assessment, through treatment planning and surgical placement.
Didactic Topics will include:
- Biologic basis of Osseointegration
- Anatomy of implant sites and surrounding structures
- Biology of implant-prosthesis-tissue interface
- Factors affecting the stability of the peri-implant tissues
- Medical considerations
- Informed consent
- Treatment planning & case selection
- Single-unit tooth replacement
- Three-unit tooth replacement
- Overdenture treatment
- Diagnostic tools: radiographs, CT scan, tomography
- Surgical guides: lab fabricated and computer generated surgical guides
- Pharmacological issues including;
- Antibiotic prophylaxis
- Pain control
- Management of post-operative complications
- Case selection and red flags
- Project management: pre-surgical, surgical and post-surgical protocols including complications
- Soft tissue management including flap design and suturing
- Case presentation, including observing a taped surgery
Simulation Work Shops will include:
- Flap design
- Placing implants in models
At the conclusion of the course, participants should be able to:
- List factors that impact implant surgical success
- Treatment plan a number of patient situations
- Identify proper case selection for the acquired knowledge
- Surgically place an implant based on the acquired knowledge
This course is sponsored by an unrestricted educational grant from Astra Tech.
The Healthy Mouth and Healthy Body: Maintaining Oral and General Health for Quality of Life from Early through Senior Years
Robert J. Chapman, DMD Professor and Chair, Department of Prosthodontics and Operative Dentistry and Director of Informatics, Tufts University School of Dental Medicine
Peter Arsenault, DMD Assistant Professor and Head, Division of Operative Dentistry, Department of Prosthodontics and Operative Dentistry, Tufts University School of Dental Medicine
Dona R. Roberts, RDH Private Practice, Boston, MA
Bonnie M. Wilson, BS Preventive Care Consultant, 3M ESPE Preventive Care; Member of the National Clinician Speaking Bureau
Additional Panel Discussion Members:
Noshir R. Mehta, DMD, MDS, MS Professor and Chairman General Dentistry, Director Craniofacial Pain Center and Assistant Dean International Relations, Tufts University School of Dental Medicine
Gerard Kugel, DMD, MS, PhD Associate Dean for Research and Professor of Prosthodontics and Operative Dentistry, Tufts University School of Dental Medicine; Editor of Inside Dentistry
This day-long course will be organized to encourage the entire team in the dental office to participate in risk assessment and risk reduction for caries, dentinal hypersensitivity, and periodontal disease for young and older populations. Prevention of these dental diseases enhances not only Oral Health Related Quality of Life, but impacts favorably the overall health of the patient.
The course will be divided into five areas:
- Risk and Assessment for caries and periodontal disease and reducing the risks:
- This module will focus on the levels of risk for caries and periodontal disease and how that risk should be diagnosed and treated from the lowest risk to the highest
- Management of the levels of risk factors using xylitol, fluoride varnish, chlorhexidine, prescription fluoridated toothpastes, antimicrobials, sealants and/or combination therapies, will be discussed
- How these therapies can be very cost effective for your office and how to present these therapies to patients as both effective for disease prevention and cost effective for them
- The relationships between dental health and overall health
- Strategies for adult and senior patients both in the office and outside the office:
- The best person to lead the team: the hygienist
- How to chart disease
- Information for your patients
- Dentinal sensitivity diagnoses and therapies
- Reaching the Senior Community
- Cost effectiveness in the office
- The best person to lead the team: the hygienist
- Current information on the connection between oral health and general health:
- Coronary artery disease
- Low birth weights
- Type 2 diabetes
A panel discussion will be held at the end of the day to discuss any questions from the participants
This course is sponsored in part by: 3M Omni, 3M ESPE, Astra Tech, Inside Dentistry and Orascoptic
The Craniofacial Esthetics Institute:
Gary Alex, DMD
Noshir Mehta, DMD, MS
Gerard Kugel, DMD, MS, PhD
Robert Chapman, DMD
Patient demand for cosmetic dentistry has never been greater. This has led many dentists to invest considerable time, effort, and money, mastering various cosmetic procedures and techniques. While this is commendable, it should be recognized that it is one thing to be able to make pretty teeth, and an entirely different thing to make pretty teeth that actually last and function in harmony with the rest of the masticatory system.
An acceptable cosmetic result, without regard for function and/or parafunction, will often result in premature case failure. What the truly successful clinician of today requires is a logical and systematic methodology in approaching cosmetic/restorative cases that will lead to a reasonably predictable and durable end result. This requires a practical understanding of fundamental occlusal principles, materials, and more importantly, just how to use them. Just what is the difference between centric relation (CR), centric occlusion (CO), and MIP (maximum intercuspation)? How do you know what to use where? This program will stress the concept of comprehensive dentistry and demonstrate how to predictably treatment plan dentistry ranging from porcelain veneers to complex full-mouth reconstructions.
- Envisioning the big picture (total dentistry for total success)
- Cosmetics and occlusion (it looks great, but will it last?)
- The comprehensive exam (the place to start)
- Anatomy and diagnosis of the TMJ (occlusion begins here)
- Introduction to occlusal science (force be with you?)
- Facebow transfers (why and how)
- Centric relation bite records (bilateral manipulation, Lucia jigs, Leaf gauges, and more!)
- Esthetics and function (why you must have both to be successful)
- How to approach a full mouth reconstruction.
- When to use CR and when not to!
- Vertical Dimension – How do you determine where it should be?
- Neuromuscular Occlusion (fact or fiction)
The Craniofacial Esthetics Institute at Tufts University School of Dental Medicine Presents:
“A unique hands-on experience”
Functional Esthetics and Treatment Planning: Keys to Success
Update: See pictures from this class below
During this two-day intensive course, the participants will become familiar with diagnosis and treatment planning of esthetics related to ceramics, occlusion, implants, alternative treatments, benefits and risks of treatments, and oral health-related quality of life. Lectures in this course will underscore the value and limitations of all-ceramic and direct and indirect composite esthetic restorations and outline the variables in placing and restoring implants for esthetics. Participants will learn why occlusion is the most important functional determinant in treatment planning for esthetics. Clinicians will examine these concepts through case studies, discussion, and hands-on exercises.
Ayman Aboushala DMD, MS
Robert Chapman DMD
Timothy Hempton DMD
Gerard Kugel, DMD, MS, PhD
Noshir Mehta DMD, MS
Ronald Perry DMD, MS
John A. Sorensen, DMD, PhD, FACP
Friday, November 30
The participants will learn differential diagnoses and treatment planning based on the intertwining of craniofacial occlusion, esthetics, and implant placement. In groups, participants will review a case that will be provided (study casts, radiographs, past medical and dental history, and financial considerations) and will develop a working diagnosis and treatment plan based on a number of variables. The clinicians and the moderators will discuss different diagnoses and develop various treatment plans and treatment techniques for each of the cases.
Clinicians will participate in lectures devoted to understanding occlusion and functional relationship for esthetic and reconstructive dentistry, indirect anterior esthetics, and implant esthetics in preparation for Saturday’s hands-on courses.
Saturday, December 1
Hands-on courses will be grouped as follows:
Occlusion and Esthetics
Doctors will earn how to examine a dental patient in the three dimensions of anterior guidance, lateral positioning, and vertical stability based on Friday’s clinics. Dentists will be able to identify the main risk factors of any dentition so as to prevent adverse events following esthetic and functional interventions. Treatment options and prognoses will be discussed.
The success of esthetics on implants is related to both the design of the implant, and most importantly the position of the implants. A straight forward approach for the general practitioner to perform correct implant placement will be provided using simulated placement in jaw analogs. Additional information on utilizing CT technology for diagnosis and implant surgical templates will also be provided.
Indirect Anterior Esthetics
A step-by-step review of preparation options, temporization, reduction guides and cementation process will be covered. An emphasis will be placed on porcelain veneers and all-ceramic crowns.