MicrO 2 Users Conference 2016

Transcription

1 C ONFERENCE 2016 OSA Digital Workflow and Future Sleep Trends What does every patient, sleep doc, and dentist want to know? Who will be the best patient for an oral appliance and where do we have to position the jaw to keep the airway open? This talk will present early results from a clinical trial of a device to do just that. In the past year, our field has become even more important as a means of managing Obstructive Sleep Apnea - research is supporting our cause, and you ll hear how you can use this new information to support your practice. What s coming up? What is there to look forward to? Anticipate a new clinical device, not yet available, that may help us choose patients with more confidence. Take research results back to practice to help their teams use current data to enhance marketing efforts Look forward to new developments in our field. Steve Carstensen, DDS After graduating from Baylor College of Dentistry in 1983, Steve s been in private practice of general dentistry in Texas and home near Seattle, Washington. He treated his first sleep breathing patient in the first year of practice, but it was in 1998 that it became a passion to help people breathe easier throughout the night. In 1996 he was named a Fellow in the Academy of General Dentists, and is currently the Sleep Education Director for both The Pankey Institute and Spear Education. For the American Academy of Dental Sleep Medicine he s been a Board Member, Secretary Treasurer, and President-Elect. In 2006 he achieved Certification by the American Board of Dental Sleep Medicine. His most recent educational passion is as Editor-in-Chief of Dental Sleep Practice Magazine. Oral Appliances for OSA: Titration Protocol to TMD Concerns The relationship between oral appliances for sleep, the effects of TMD, and some of the predispositions and preventions of creating pain and problems with oral appliances will be discussed. Imaging ideas, as well as diagnostic protocols will be demonstrated, and specifically how to predict potential TMD problems. Learn about the relationship between oral appliances and TMJ. Review imaging examples of the airway. Hear about diagnostic protocols around TMD. Discover who has predispositions to TMD. Hear ideas on how to reduce or prevent pain when using Oral Appliances. Robert L. Talley, DDS Dr. Talley is a board-certified dentist offering real, clinically-proven solutions for headaches, jaw pain, and Sleep Disordered Breathing (snoring, Sleep Apnea, and CPAP intolerance). He and his experienced staff are here to help you be happy, healthy and pain-free. In more than 95% of cases, TMJ disorders and Sleep Disordered Breathing can be managed successfully without surgery. We encourage you to contact us for a second opinion before undergoing any surgical procedure. Certifications Diplomate, American Board of Craniofacial Pain Diplomate, American Board of Orofacial Pain Diplomate, American Academy of Pain Management Diplomate, American Board of Dental Sleep Medicine Fellow, Academy of General Dentistry Memberships (Partial List) American Board of Craniofacial Pain (President) American Academy of Craniofacial Pain (Founding Member, Director, 2x Past President, Past Program Chair) American Board of Orofacial Pain (Past Director) TMJ Disorders American Academy of Craniofacial Pain (founding member, board member) American Academy of Orofacial Pain; American Board of Orofacial Pain American 1

2 C ONFERENCE 2016 Academy of Pain Management International Electrotherapy Institute (charter member) Sleep Disorders American Academy of Sleep Medicine American Academy of Dental Sleep Medicine Academy of Clinical Sleep Disorders Dentistry National Sleep Foundation Oklahoma Dental Association University of Oklahoma College of Dentistry, J. Dean Robertson Society. Practice Risk Assessment when Treating OSA When a new treatment is developed such as Mandibular Advancement Therapy, it takes attorneys several years to discover how to bring a lawsuit in that new field. Our grace period is up! Unfortunately, lawsuits in Dental Sleep Medicine have now begun. This course will outline the areas of risk commonly seen in DSM and help attendees develop a strategy to protect their practice. Each attendee will also receive a copy of Dr. Berley s informed consent to use in their DSM practice. Discuss the unusual risks associated with the practice of DSM. Discuss the legal ramifications associated with the practice of DSM. Implement a risk management strategy to help protect their practice. Ken Berley, DDS, JD, DABDSM Dr. Ken Berley is a practicing general dentist with over 30 years of private practice experience focusing on complex reconstruction and 20 years of experience as an attorney licensed to practice law in Arkansas and Texas. He has extensive experience as a litigator and was a full partner in Travis, Borland and Berley, Attorneys at Law before moving to Northwest Arkansas. Dr. Berley is a Diplomate of the American Sleep and Breathing Academy and a Diplomate for the ABDSM. He lectures in the area of Sleep Medicine risk management. He has provided TMD treatment for many years and has incorporated Sleep Medicine in his office for the last 3 years. Medical Billing for Dental Sleep Medicine - Dentist Focused Rose will give an overview of what s really wanted and needed by medical insurance for OAT reimbursement. She will demonstrate specific processes and protocols for medical insurance reimbursement for oral appliances and tips to institute medical billing in a dental office. Identify medical billing processes for dental sleep medicine. Establish specific protocols for oral appliance therapy reimbursement. Determine what s wanted and needed for successful and accurate medical billing in a dental office. Rose Nierman, RDH Rose Nierman has published a manual with ICD 10 Diagnostic Codes for dentistry and online software, CrossCode for cross-coding from dental to medical. Rose has over 30 years of practical experience in both the clinical setting and practice management. Rose is the CEO of Nierman Practice Management and the author of numerous articles and manuals. Nierman Practice Management s flagship product, DentalWriter Software, a Narrative Report Writing and Medical Billing application also assists with medical insurance reimbursement. A nationally known speaker and recognized expert in the industry, Rose is a featured speaker for many dental organizations and currently sponsors seminars on medical billing 2

3 C ONFERENCE 2016 for dentists, TMJ treatment, and Sleep Apnea appliances. Her specialty in communications with insurance carriers, patients and other health care providers has helped thousands of dental practices with reimbursement and practice building for oral appliance therapy for Obstructive Sleep Apnea. OSA: Orthodontic Treatment Considerations and Case Studies Lecture will focus on post orthodontic patients that are to be retained with the MicrO 2 device at nighttime for treatment of Sleep Apnea, Snoring, and restricted airway. Dr. Warshawsky will present an evidence based argument that indicates that oral sleep devices that are built out of methyl methacrylate have a tendency to introduce minor tooth movement. He will present several clinical cases where Cone Beam Imagery will be presented prior to the MicrO 2 device and a minimum of 3-4 months after its initial introduction. Hypothesis is to show that the position of the teeth remained unchanged following the application of the MicrO 2 device. Identify clinical traits that are representative of individuals who are suspect to suffer from Sleep Apnea. Describe the logic to the favor of utilization of the MicrO 2 device for nighttime retention on Class II cases, and those who may suffer from Sleep Apnea. Clinically demonstrate the lack of change in dental position/movement as a result of wearing the MicrO 2 device nightly. Describe the process of prescribing the MicrO 2 device and how we titrate the individual to their own desired needs. Dr. Neil Warshawsky, DDS, MS Dr. Warshawsky is a born and bred true Chicago native. He attained all of his college training from the University of Illinois where he earned a total of five college degrees, culminating in his Orthodontic Certificate. Today he divides his time among the three pillars that support his practice. Dr. Neil leads a world-class staff at Get It Straight Orthodontics. With four locations spread across the city and suburbs, they are a very high energy, dynamic practice that concentrates on delivering customized orthodontic solutions in comfortable, inviting atmospheres. High-end cosmetic efficiency is the focus of this patient-driven practice. However, as you walk around the offices you will quickly notice that there is more to the practice than just a pretty space. From a paperless approach, to the online portal, to the mobile website, the practice is completely designed to utilize today s most advanced technologies to make sure every patient s objectives are met and every question is answered. When he is not in his private practice, Dr. Warshawsky is an Associate Professor of Orthodontics at the Craniofacial Center at the University of Illinois Health Center. With more than 18 years of cleft palate team experience and a vast knowledge of 3D imaging, he manages a large majority of the craniofacial cleft palate orthodontic cases. Dr. Warshawsky feels very fortunate to have the opportunity to practice orthodontics, and enjoys the ability to give back routinely at the University in a place that Makes a Difference where it matters most. Lastly, to stay current, Dr. Warshawsky may be found on the road some 40+ times per year lecturing to audiences literally around the world on a number of subjects including building clear aligners, lingual orthodontics, and the use of fixed skeletal anchorage for more efficient mechanics. 3

4 C ONFERENCE 2016 With more than 18 articles published, and several active clinical trials current at any given moment, Dr. Neil stays busy. Outside of work, he is an Assistant Scoutmaster for Boy Scouts Troop 156 in Glenview, Illinois. When he is not working he may be found at home with his high school sweetheart or one of their three kids, or fishing at their family cabin in the Northern woods of Wisconsin. We re All Broken; Why Fatigue In Sleep Apnea Means More Than Excessive Daytime Sleepiness and What You Can Do About It Physiology is like gravity. Its presence is constant and vigilant yet it is rarely top of mind in dental treatment. Homeostasis dictates physiologic economy meaning that the body will not do anything it does not need to do yet everything it does need to do, to survive. Corruption of the human phenotype through processes developing from birth such as mouth breathing, poor oral posture and the increasing trend towards obesity have led to the epidemic of Sleep Disordered Breathing we encounter today. Unfortunately, these postural adaptations continue both day and night, causing muscle fatigue, cervical compensations and symptoms of TMD. Just as you would not put a broken arm in a cast without first correcting its alignment, so too the compensations occurring in the head, neck and airway deserve correction prior to putting the patient in a cast. The oral appliance is a cast and patients wear it when they are most vulnerable - lying down and asleep. OSA develops from birth. Postural compensations. Muscle physiology and fatigue. The role of muscle fatigue in OSA. Tools and techniques to optimize the head, neck, and jaw prior to taking the bite. How the physiologic bite position and the MicrO 2 can treat TMD rather than cause it. Anne-Maree Cole, B.D.Sc MScMed {Sleep Medicine} LVIM, MICCMO Anne-Maree Cole graduated from the University of Queensland, Australia with Honors in She has completed in excess of 27 separate programs at LVI including the full Core Curriculum, and has reviewed many of the programs multiple times for a total of 53 in all. She is a Master of the Institute, having received her LVIM in 2006 after submission of cases and examination. In 2007, she was awarded Alumni of the the Year. She is an instructor at LVI and has been appointed the Director of LVI Global Australia to teach the Core Curriculum within Australia. She has been awarded LVI s Most Educated Instructor and the International Leadership Award. Anne-Maree is currently Vice-President of the IACA and will be President for the year leading up to the Boston meeting in Over 20 years with her husband Andrew she grew a squat practice into a large multi-doctor facility that was recognised with 2 national small business awards. In addition, Anne- Maree has been a national finalist in the Telstra Business Women s awards. In 2006 she built the stunning Aesthetic Excellence facility with a view to practicing and teaching neuromuscular dentistry in a truly unique environment. Feature Comparisons and Patient Preferences Between Two Oral Appliances The MicrO 2 Sleep Device offers significantly improved features for optimizing tongue space, comfort, and maintaining protrusion upon mouth breathing. We have experienced patients having issues with their current devices that have found success and compliance with the MicrO 2 Sleep Device. You will hear about these cases from three different doctors, Dr. S. David Buck, Dr. John Krasowski, and Dr. Jerry Hu. 4

5 C ONFERENCE 2016 Learn about the key feature differences in two appliances. Hear about patient preference between two appliances and impact on compliance. Discover how to consider appliance selection based on patient preference. S. David Buck, DDS, LVIM Dr. Buck has completed four years of extensive post-graduate training at the renowned Las Vegas Institute for Advanced Dental Studies, and now has the distinct honor and privilege of being a clinical instructor at the Institute. The Institute provides the world s most leading edge, high technology training for the country s most talented dentists, and Dr. Buck is one of only a few dentists to be invited to teach at the Institute. Further, Dr. Buck is one of only a handful of Western Washington dentists to have been trained by LVI. What this means to our clients is that Dr. Buck can deliver the best possible technical and esthetic dentistry available today including beautiful all porcelain restorations that can replace and repair damaged or missing teeth to their original strength and beauty. His extensive post-graduate training in smile design and cosmetic dentistry has allowed Dr. Buck to literally change people s lives by rejuvenating health and smiles. Jerry Hu, DDS Dr. Jerry Hu grew up in Soldotna, Alaska, the heart of the Kenai Peninsula and home of the world record King Salmon. He graduated from Soldotna high School in 1991, earning abundant local, state and national scholarships and was also admitted to a very competitive dual-degree program, called the Preferred Admissions Program at the University of Michigan in Ann Arbor. He knew he wanted to become a dentist ever since middle school, and being admitted to this vigorous program, he was able to attain both his bachelor s and doctorate degree at age 24. While at Michigan Dental School, Dr. Hu earned research recognition and awards, for his study, Searching for practical methods to monitor Streptococcus mutans levels under Dr. Walter J. Loesche, former President of the International Academy of Dental Research (IADR) and American Academy of Dental Research (AADR). Currently, Dr. Hu is dedicated to providing exceptional dentistry in Anchorage and Soldotna. Over the years, Dr. Hu has attained extensive training at the American Academy of Cosmetic Dentistry and at the prestigious Las Vegas Institute for Advanced Dental Studies (LVI). He thoroughly enjoys changing the lives of his clients through new smiles-- designed and fashioned by nationally recognized and award winning Macstudio team. In addition to applying both artistic and scientific principles to his work, his profound passion is to help make life changing dentistry. Dr. Hu has taught other dentists at major dental conventions in recent years. He has published many articles in dental publications pertaining to Cosmetic Dentistry and Dental Sleep Medicine. A member of the prominent American Academy of Cosmetic Dentistry, Dr. Hu aims to create smiles that are not only visually pleasing, but also natural and suiting to his clients individualism. Dr. Hu and his team members share the same vision of providing the most valuable and current techniques, materials, and options through the knowledge and skills gained from esteemed dental institutions and seminars throughout North America. Clients will find current technology options from CB 500 CT Scan (mini ICAT) Digital x-ray system, Waterlase MD state-of-the-art dental lasers, to E4D Cad Cam Ceramic crowns 5

6 C ONFERENCE 2016 in one visit, K-7 Computerized scans (electromyography, electrosonography, and jaw tracing), myomonitor TENS, Corrected Tomogram Radiographic machine with Panoramic images, Transcranial radiography, air abrasion, silent electric handpiece, reputable Ankylos implant system, digital DEXIS radiography with up to 70% less radiation, and computerized dentistry with Dentrix system. John Krasowski, DDS Dr. Krasowski is a Clinical Instructor, Regional Director and Speaker for the Las Vegas Institute for Advanced Dental Studies (LVI Global). He has attained LVI Fellowship Status. Dr. Krasowski has been a regular contributor to many dental journals. His work has been featured in numerous product advertisements and publications. He is President-Elect of the IAPA and is a personal mentor to hundreds of dentists regarding conservative Neuromuscular treatment. Dr. Krasowski maintains a private practice in Wausau Wisconsin where he spends time with his wife and two children and shares his passion for dentistry with his many happy clients. Successful Sleep Practice Strategies and How to Get the Patient to Say Yes This lecture will discuss strategies of educating patients so they own and understand their disease, how to build confidence through continuing education and how to establish relationships with physicians, fellow dentists and their team members based upon trust. We will also discuss how to create a solid referral program with sleep centers that are successful for all parties as well as gain credibility through patient results and word-ofmouth referrals. Dr. Carlton will also review cases that were referred by Sleep Physicians because CPAP therapy had failed. He will discuss how Complex and Central Apneas can be treated successfully with the Physiologic approach with oral appliance therapy and possible reasons why. Learn easy ways to implement Sleep Breathing Disorder Therapy into your practice IMMEDIATELY! Learn key strategies to communicate with Sleep Centers and other Dentists to boost referrals and show effectiveness of appliances for validation Learn how to treat all types of apneas with successful outcomes using the physiologic approach Hear discussion of key case studies Trey Carlton III, DDS Voted overall winner of the 2014 Aesthetic Eye competition at the International Association of ComprehensiveAestheticsconfirms his dedication and commitment to comprehensive and cosmetic dentistry. Dr. Carlton attended Louisiana State University School of Dentistry after completing his undergraduate education at Centenary College in Shreveport, LA. He returned to Alexandria, LA to begin working in private practice in Since that time, Dr. Carlton has received several honors for his leadership and service to his dental profession, including being awarded the New Dentist Award from the Louisiana Dental Association in As an active member and two termpast president of his local dental association, he was elected to the LDA s Board of Directors, and also participates in ethical review panels. 6

7 C ONFERENCE 2016 A firm believer in continuing education, Dr. Carlton is a graduate and Fellow of the prestigious Las Vegas Institute for Advanced Dental Studies. He has taken over 100 hours in the field of dental sleep medicine and provides sufferers of obstructive sleep apnea with alternatives to CPAP therapy. At his Center for Dental Sleep Solutions,patients benefit from the many options of Oral Appliance Therapy for the treatment of TMJ, Bruxism and Sleep Breathing Disorders. His mission is to provide state of the art dentistry in a calm and soothing atmosphere with a primary goal of educating patients and taking the time to answer questions about how an individuals dental health can improve overall physiologic health. Making it Work Monday Morning; A Call to Action Mark will provide a summary discussion of what we have learned during this symposium. Highlights, bullets and focused takeaways that we can use in our office to improve patient care will be advanced. The content will be directed by the previous presenter s lectures and workshops. Mark T. Murphy, DDS, FAGD Mark is the Principal of funktionaltracker.com and Lead Faculty for Clinical Education at MicroDental Laboratories. He also serves on the Adjunct Faculty at the University of Detroit Mercy and oversees the Practice and Financial Management Curriculum at the Pankey Institute. He lectures internationally on Leadership, Practice Management, Communication, Case Acceptance, Planning, Occlusion, TMD and Obstructive Sleep Apnea. Mark has been involved in Sleep Dentistry for over 25 years, is an AADSM member, and has trained with several of the leading sleep dentists and training institutes. He is an informative and entertaining speaker, blending a stand-up style of humor and anecdotes with current evidence based research that you can take home and use in your practice right away. Visit to the link: micro2conference/ for registration and full program details. MicroDental Laboratories designates this activity for 16 continuing education credits MicroDental Laboratories 7