Comprehensive Treatment Seminars Study Club

Dear Colleague:

Welcome to the 2018-2019 study club year. As dental and medical practitioners, we are required to make every effort to carefully and comprehensively address the treatment needs of our patients. In most cases, treatment goals can be met with the proper planning that can include the simultaneous improvement of the aesthetics, function, and the overall health of the patient requiring advanced interdisciplinary medical-dental collaboration.

Millions of patients are experiencing signs and symptoms of pharyngorofacial disorders including; head and neck, masticatory-TMJ, upper airway-sleep breathing and orofacial disorders that significantly affect their oral as well as overall health and can be most effectively diagnosed, managed and comprehensively treated by a well-educated interdisciplinary dental-medical team. The added benefit of this interprofessional collaboration is receiving referrals from medical or dental colleagues and to get paid by medical insurance.

In this year’s program, we will focus on the important role of the dental and medical clinicians serving as a member of an interdisciplinary team managing and treating patients with obstructive sleep apnea (OSA), masticatory-TMJ and head and neck musculoskeletal disorders utilizing dental and medical procedures and techniques.

Seminar 1: “Tongue Tie and it’s Effect on Upper Airway, Masticatory, and Cervical Pain!”

(Wednesday, September 26, 2018)

Presenters: Steve Carstensen DMD, Franco Audia DMD MS, Joseph Yousefian DMD MS, Sara Silvestri DDS, Nancy Magar MA

(3 CE Credits)

Tongue tie and its impact on the oral and systemic health has been a challenging concept in the dental and medical field.  In this presentation, the new interdisciplinary dental/medical guidelines and protocol for diagnosis and comprehensive treatment of tongue tie will be presented.

• Local and systemic health issues caused by tongue tie.
• Screening and diagnosis of the tongue tie including referrals to specialists 
• New dental-medical protocol for the comprehensive treatment of tongue tie. 

Seminar 2: “Upper Airway Deficiency Is More Than Just Sleep Disordered Breathing!”

(Wednesday, November 14, 2018)

Presenters: Sunil Aggarwal MD PhD, John Ruhland ND, Joseph Yousefian DMD MS

(3 CE Credits)

Upper airway, is a critical pathway for supply of oxygen-rich air to the respiratory system. Obstructive sleep apnea (OSA) is a prevalent sleep disorder considered as an independent risk factor for cardiovascular and neurovascular consequences, such as systemic arterial hypertension, ischemic heart disease, cardiac arrhythmias, metabolic disorders and cognitive dysfunction.

The significant confusion in the medical and dental approach for management of this problem, is too much emphasis on upper airway failure during sleep and neglecting its daily chronicity caused by chronic intermittent hypoxia (CIH) inducing alterations at the molecular level including chronic oxidative stress, persistent systemic inflammation, oxygen sensor activation, and increase of sympathetic hyperactivity. Overall, these mechanisms are considered to be important factors for explaining vascular, metabolic, and cognitive CIH -related consequences even on patients that use upper airway opening aids such as CPAP, mandibular advancing or tongue retaining devices during sleep.

This presentation describes the biologic basis for why permanently treating upper airway insufficiency is also clinically observed to alleviate not only sleep-disordered breathing problems but beyond the CIH, make the sympathetic hyperactivation and its related symptoms easier to achieve in response to standard lifestyle modifications.

Learning Objectives:

• Screening and diagnosis of the upper airway issues including referrals for sleep studies
• Upper airway evaluation and intervention, the goal of prevention rather than maintaining a damaged system.
• Dental/medical protocol for the comprehensive treatment of upper airway issues.

Seminar 3: “Your Patient’s Face is More Crooked and The TMJ and Neck Pain Management is Ineffective!”

(Wednesday, January 16, 2019)

Presenters: Sam Bobek MD DMD, Duane Eng DDS, Ali Etemad DMD MS, Sue Vetter DDS, FAGD, Joseph Yousefian DMD MS

(3 CE Credits)

There are a number of different condylar pathologies that enlarge the mandibular condyle, with subsequent adverse effects on the morphology and function of the TMJ and mandible.  This may result in the development or worsening of dentofacial deformity such as; mandibular prognathism (symmetric or asymmetric), and unilateral enlargement of the condyle, ramus, facial asymmetry and malocclusion.  It is not uncommon that patients also describe a progressive development of musculoskeletal instability in the cervical and shoulder area non-responsive to pain management. This evidence-based presentation and case report are to address the condylar hyperplasia and its oral and systemic health impact. It also describes the systematic approach for the diagnosis and interdisciplinary dental - medical planning to resolve the related issues.

• A classification system to place patients with condylar hyperplasia into categories based on histology, clinical and imaging characteristics, effects on the jaws and facial structures, and rate of occurrence.
• How to read the CBCT and MRI imaging and understand various dental and surgical procedures to overcome the resulting dentofacial discrepancies.
• Development of integrated, interdisciplinary care model for managing the oral and systemic health of these patients.

Seminar 4: “Helping Patients to Sleep Better – From Screening to Treatment”

(Wednesday, March 20, 2019)

Presenter: Steve Carstensen DDS FAGD FICD FACD

(3 CE Credits)

While mandibular advancement has proven safe and effective as a treatment strategy for maintaining an open airway during sleep, questions remain about mechanism and, especially, who among our patient population will respond and who will not.

Attendees will be given a rationale for matching the patient to the right choice of Mandibular Advancement Device, troubleshoot problems they have had in practice, experience taking records for making excellent appliances, see what to look for on sleep reports, and take home a semi-custom temporary sleep appliance of their own.

• Describe the various types of mandibular advancement devices and the patients they might be most appropriate for.
• Have confidence recording the 3D bite registration and AM Aligner.
• Fit and discuss the rationale of using temporary appliances for Sleep Disordered Breathing.

Seminar 5: “Your Patient’s Mouth, a Window to Systemic Health!”

(Wednesday, May 15, 2019)

Presenters: Michael Brown MD DC, Jay Levy DMD, David Riley MD, Vikram Likhari DMD MS, Joseph Yousefian DMD MS

(3 CE Credits)

Recent findings have strongly suggested that oral health may be indicative of systemic health. Currently, this gap between allopathic medicine and dental medicine is quickly closing, due to significant findings supporting the association between oral health and systemic conditions such as cardiovascular disease, type 2 diabetes mellitus, adverse pregnancy outcomes, and osteoporosis. Significant effort has brought numerous advances in revealing the etiological and pathological links between the chronic inflammatory dental disease and these other conditions. This presentation will not only to uncover more information about the correlations between oral health and systemic diseases but also to focus on positive associations that dental and periodontal procedures may result in treating ameliorating systemic diseases including obstructive sleep apnea.

• What's the connection between oral health and systemic health?
• What conditions may be linked to oral health?
• How dental procedures can prevent and treat medical conditions.

Hotel: 

• Sheraton Bellevue Hotel
• Phone:  (425) 455-3330

Meals: 

• Catered by The Sheraton. 
• Hot coffee and tea will also be provided. 

CE Credits: 

• 15 CE credits will be given for attending all five seminars. 
• 3 CE credits will be given for each individual seminar.

Official Program: Comprehensive Treatment Seminars Official Handout

FAQs:

Can I use these credits towards my American Academy of Dental Sleep Medicine Board Certification? 

- Yes, Comprehensive Treatment Seminars Study club is a non-profit corporation. CE credits earned here can be applied to your board certification. 

 Can I bring a staff member? 

-Of course! You can write a check for $55 at the door. 

How can I contact the organizer with any questions?

Call: 425-562-2921

Email: erin@dryousefian.com

Comprehensive Treatment Seminars