2019 Winter Conference

January 25 - 27, 2019
Marco Island FLJW Marriott Marco Island

About

TBD
Credits

Registration

Registration will open Monday, August 6, 2018 at 8:00 AM CST

When 

January 25-27, 2019

Theme

Orthodontics and Sleep

Location

The JW Marriott Marco Island Beach Resort
400 S. Collier Blvd Marco Island, FL 34145

 

View General Information Travel, Onsite, and Cancellation/Refund Guidelines

 

Registration Fees

 

Early Bird

Advance and On-Site

Start

08/06/2018

12/29/2018

End

12/28/2018

01/24/2019

Member

$750.00

$850.00

Non-Member

$1350.00

$1450.00

Faculty

$375.00

$475.00

Ortho Staff

$750.00

$850.00

Student

$300.00

$400.00

Guest*

$400.00

$400.00


 

Date:   January 25 - 27, 2019

Contact Information

Sarah Dvorak (Meeting)
Darrin Crittington (Exhibits)

Registration

Registration is Open

Schedule

Fri | 8:00 AM - 9:30 AM

Calusa Ballroom

Topic: Understanding Obstructive Sleep Apnea

1.5 CE Credits

Anita V Shelgikar MD, MHPE

Sessions:

Speakers:

Anita V Shelgikar MD, MHPE

Description:

Obstructive sleep apnea (OSA) is a chronic medical condition characterized by repetitive collapse of the upper airway during sleep, which can result in disrupted sleep and poor sleep quality. The complications of untreated OSA include excessive daytime sleepiness, decreased alertness, impaired mood, reduced quality of life and increased risk of cerebrovascular and cardiovascular disease. Treatment of OSA can help improve quality of life and reduce the risk of associated medical comorbidities, and has been shown to be cost-effective on a population level.


Learning Objectives:

- Understand the pathophysiology of obstructive sleep apnea.
- Identify complications of untreated obstructive sleep apnea.
- Evaluate cost-effectiveness of obstructive sleep apnea treatment.

Fri | 10:00 AM - 12:00 PM

Calusa Ballroom

Topic: Diagnosis of OSA

2 CE Credits

Douglas Kirsch MD | Vishesh Kapur MD, MPH

Sessions:

Speakers:

Douglas Kirsch MD
Vishesh Kapur MD, MPH

Description:

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.

Description:

Continuous positive airway pressure (CPAP) therapy was developed in the 1980's and has evolved significantly over time to provide comfortable therapy for millions of OSA patients. CPAP works by stenting the upper airway with positive pressure and is highly efficacious in resolving OSA when worn throughout the night. CPAP also reduces sleepiness and can lower blood pressure. The effectiveness of CPAP is limited by variable adherence by patients which may explain why improvement in incident cardiovascular events has not been demonstrated in some prospective randomized trials.


Learning Objectives:

- Understand more about CPAP technology.
- Recognize the role of CPAP in treating OSA.
- Recognize the effectiveness and limitations of CPAP therapy.

Fri | 1:00 PM - 2:40 PM

Calusa Ballroom

Topic: Adult OSA

1.5 CE Credits

R. Scott Conley DMD | Sean P. Edwards DDS, MD, FACS, FRCD(C)

Sessions:

Speakers:

R. Scott Conley DMD
Sean P. Edwards DDS, MD, FACS, FRCD(C)
Speaker Has Financial Interest

Description:

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.

Description:

Obstructive sleep apnea in children is an important and under recognized medical condition. It varies in its presentation, treatment and consequences in children compared to adult obstructive sleep apnea. Orthodontic practitioners have an important role to play in screening and treating this disease in children. This session will provide a broad overview of the condition, our current state of knowledge and the treatment options available for infants through adolescents.


Learning Objectives:

- Recognize the difference between adult and pediatric obstructive sleep apnea.
- Evaluate the health consequences to a child for obstructive sleep apnea.
- Identify the treatment options for obstructive sleep apnea in children and how they vary with age; and recognize patients at increased risk for developing obstructive sleep apnea.

Fri | 2:40 PM - 5:00 PM

Calusa Ballroom

Topic: Pediatric OSA

2.25 CE Credits

Timothy F. Hoban BS, MD | Carlos Flores-Mir DDS, DSc, FRCD(C) | Benjamin Pliska DDS, MS, FRCD(C)

Sessions:

Speakers:

Timothy F. Hoban BS, MD
Carlos Flores-Mir DDS, DSc, FRCD(C)
Benjamin Pliska DDS, MS, FRCD(C)

Description:

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.

Description:

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.

Description:

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.

Sat | 8:00 AM - 9:30 AM

Calusa Ballroom

Topic: OSA

1.5 CE Credits

Sessions:

Description:

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.
- Understand the systemic effects of abnormal breathing.
- Comprehend hypoxic versus non-hypoxic events during sleep.

Sat | 10:00 AM - 12:00 PM

Calusa Ballroom

Topic: Growth

2 CE Credits

Stacey Dagmar Quo | Mark G. Hans DDS, MSD

Sessions:

Description:

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 anatomi landmarks that are important for upper airway assessment.

Sat | 1:00 PM - 2:40 PM

Calusa Ballroom

Topic: Imaging

1.5 CE Credits

Juan-Carlos Quintero DMD, MS | Sean K. Carlson DMD, MS

Sessions:

Speakers:

Juan-Carlos Quintero DMD, MS
Sean K. Carlson DMD, MS

Description:

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.


Learning Objectives:

- Evaluate the relationship between dento-facial patterns and the pharyngeal airway.
- Readily and safely screen (using low dose CBCT) for children with small airways who either have OSA, are at risk for OSA, or are at risk for developing OSA later in life.
- Identify how orthodontics can aid in pharyngeal ariway development.

Description:

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.


Learning Objectives:

- Incorporate airway health into their practice.
- Evaluate the advantages of a 3D vs. 2D practice. Why once you switch, you will never go back to 2D.
- Comprehend of the fundamentals of CBCT technology and dosimetry.

Sat | 2:40 PM - 5:00 PM

Calusa Ballroom

Topic: Clinical Practice

2.25 CE Credits

Rose D. Sheats DMD, MPH | Mitchell R. Levine DMD, MS | Juan Martin Palomo DDS, MSD

Sessions:

Speakers:

Rose D. Sheats DMD, MPH
Mitchell R. Levine DMD, MS
Juan Martin Palomo DDS, MSD

Description:

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.


Learning Objectives:

- Discuss how dentists collaborate with their physician colleagues to manage patients with sleep disordered breathing (SDB).
- Describe the responsibilities of dentists in managing SDB in patients.
- Summarize differences in dentists' role in managing patients with SDB as described by the American Dental Association, American Academy of Dental Sleep Medicine, and American Academy of Sleep Medicine.

Description:

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.


Learning Objectives:

- Recognize and understand several challenges to incorporating sleep medicine in an orthodontic practice.
- Evaluate the interactive role the orthodontist can play with the patient's physician.
- Comprehend that success in case management of each sleep patient may be defined differently based on case presentation and the fluid nature of sleep disordered breathing.

Description:

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.


Learning Objectives:

- Incorporate risk assessment in a busy orthodontic office.
- Comprehend the role an orthodontist may play when dealing with SDB and OSA.
- Evaluate how a CBCT may help in identifying patients at risk of SDB or OSA.

Sun | 8:00 AM - 9:30 AM

Calusa Ballroom

Topic: ENT

1.5 CE Credits

Ron B. Mitchell MD

Sessions:

Speakers:

Ron B. Mitchell MD

Description:

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?


Learning Objectives:

- Familiarize themselves clinical practice guidelines and clinical trials on pediatric OSA.
- Implement an evidence based approach to the diagnosis and management of pediatric OSA.
- Utilize a practical approach to managing a child with persistent OSA after T&A.

Sun | 9:30 AM - 12:00 PM

Calusa Ballroom

Topic: OSA Management

2.5 CE Credits

Ki Beom Kim DDS, MSD, PhD | Spyridon Papageorgiou DDS, Dr med dent | Rolf G. Behrents DDS, MS, PhD, PhD(Hon)

Sessions:

Speakers:

Ki Beom Kim DDS, MSD, PhD
Spyridon Papageorgiou DDS, Dr med dent
Rolf G. Behrents DDS, MS, PhD, PhD(Hon)

Description:

Recently, there have been much attentions toward OSA among orthodontic communities. Children with OSA can often develop distinctive facial characteristics. Adults with OSA can result in serious morbidity and mortality. Treating these patients presents unique opportunities for orthodontists to collaborate with other medical specialties to improve a patient's health and treatment outcome. However, there are many opinions and claims related this topics without proper research data. This presentation will discuss the most current scientific evidences regarding the relations between various controversial orthodontic issues and OSA.


Learning Objectives:

- Recognize the pathophysiology of OSA.
- Evaluate the current evidences regarding the relations between various orthodontic issues and OSA.
- Apply the evidence based practice to deal with OSA patients.

Description:

Several treatment approaches are being used for the treatment of Obstructive Sleep Apnea (OSA), including among others continuous positive airway pressure, intraoral appliances for mandibular advancement, conventional or surgically-assisted maxillary expansion, and surgical maxillomandibular advancement. This lecture summarizes existing evidence from high quality clinical trials on humans using a systematic review & network meta-analysis framework to assess the comparative effectiveness of the various treatment approaches of OSA.


Learning Objectives:

- Define the most effective treatment for OSA.
- Recognize the treatment effects and adverse effects that can be expected with each treatment alternative for OSA.
- Implement patient-/, appliance-/, or technique-related factors associated with the success of OSA treatment in individualized clinical decision-making.

Description:

Sleep apnea is a developing area of dentistry. Based on widespread discussion, the relationship between dental treatment and sleep apnea is being defined based on what is known and what is not known. The AAO formed a task force on sleep apnea and orthodontics to develop a whitepaper that can be used as guidance in the practice of orthodontics. While this effort is not yet concluded the highlights of the emerging whitepaper will be shared.


Learning Objectives:

- Recognize the importance of incorporating information on sleep apnea into practice.
- Evaluate how the practitioner can work with other health care providers to address sleep apnea.
- Define the rold that orthodontics should play in diagnosing and treating sleep apnea.

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