American Academy of Dental Sleep Medicine 25th Anniversary Meeting honors research

American Academy of Dental Sleep Medicine
Wednesday, June 8, 2016

DARIEN, IL - The American Academy of Dental Sleep Medicine (AADSM) will be celebrating its 25th anniversary with one of its biggest conventions to date. Dentists and exhibitors from across the globe will share best practices and research in dental sleep medicine during the AADSM 25th Anniversary Meeting, taking place June 9-11 at the Sheraton Denver Downtown Hotel. 

“For more than two decades, the AADSM has helped establish oral appliance therapy as a proven and effective treatment within the sleep medicine field,” said Harold A. Smith, DDS, AADSM president-elect, who will assume the position of president at the upcoming meeting. “The AADSM 25th Anniversary Meeting marks a milestone, recognizing the progress made in dental sleep medicine and honoring the role that Academy members play in driving the field forward.”

Noteworthy Research Profiled

The AADSM 25th Anniversary Meeting will serve as an opportunity for dentists and sleep medicine researchers to present new studies in dental sleep medicine. This year’s highlighted research abstracts include survey-based findings demonstrating the need for more awareness and education among general dentists and patients about OSA, clinical findings showing the benefits of patient-tailored treatment based on sleep positions, and examination of a new customized continuous positive airway pressure (CPAP) mask used in combination with oral appliances.

Survey-Based Research
• Knowledge and Concern about OSA in Adherent and Non-adherent OSA Patients
Patient Education on Consequences of Untreated OSA May Increase Treatment Adherence

To help provide insight on adherence rates to OSA treatment, 80 oral appliance therapy patients, similar in age and BMI, were phone surveyed about their level of knowledge and concern about OSA. Fifty-eight patients reported they were using their oral appliance and 22 reported they were not, with 12 now using CPAP and 10 not using any treatment. The mean concern on a scale from 0 (unconcerned) to 10 (concerned) was 8.2 for patients who adhere to treatment, whether oral appliance or CPAP therapy, compared to 5.5 for non-adherent patients. The results indicate that patient education focused on the adverse health effects of untreated OSA could increase treatment adherence.

• The Prevalence of General Dentists Who Screen for Obstructive Sleep Apnea

Survey Reveals Need for More General Dentists to Identify Patients At-Risk for OSA
Seventy-five U.S. dentists, representing 28 states and dental experience ranging from five to 30 or more years, completed a questionnaire regarding OSA screening methods. The results revealed that only 28 percent of dentists screen for OSA in at least eight out of ten patients, and the majority of dentists (53 percent) reported some level of discomfort in screening. Of those who suspect patients may have OSA, only 88 percent refer patients to a physician for evaluation. This data demonstrates the need for general dentists to be better educated about OSA screening in order to confidently identify patients at-risk for OSA and refer them for evaluation by a physician.

Clinical Research
• Mandibular Advancement Splint (MAS) as a Comparable Treatment to Nasal CPAP (nCPAP) in Patients with Positional Obstructive Sleep Apnea
MAS for Positional OSA Could Be a Patient-tailored, First-line Treatment Option

Due to the prevalence of positional OSA (more severe OSA while sleeping in the supine position), researchers evaluated the benefits of a mandibularadvancement splint (MAS) as a personalized treatment for this OSA phenotype. Treatment efficacy was compared between two groups of 34 male subjects matched for age, BMI and baseline AHI, with one group receiving MAS and one group receiving nasal CPAP (nCPAP) treatment. There were no significant differences between the two groups’ baseline and follow-up AHI, indicating that MAS is as effective as nCPAP for patients with positional OSA.

• Longevity of Fusion Custom Mask (FCM) for Combination Therapy Treatment for OSA: Nine Year Follow-up

FCM Combination Therapy May Be an Effective Treatment for Patients Unable to Tolerate CPAP
Fusion Custom Masks (FCM) are customized CPAP face masks fabricated from a facial impression. Follow-up was conducted with 56 patients who use FCMcombination therapy to treat OSA, which includes an FCM connected to the post of an oral appliance to create a strapless CPAP mask. After six years, 78 percent of the patients were still wearing their FCM and were satisfied with treatment, suggesting that FCM should be considered when other therapeutic methodshave failed or the patient doesn’t adhere to traditional CPAP.

Learn more by downloading the entire program for the AADSM 25th Anniversary Meeting, which includes education courses, lectures and discussion groups. Dentists also can learn more about applying for AADSM membership.

For the full research abstracts or interviews, please contact Lindsey Lucenta at llucenta@lcwa.com.

About The American Academy of Dental Sleep Medicine
The American Academy of Dental Sleep Medicine (AADSM) is the only non-profit national professional society dedicated exclusively to the practice of dental sleep medicine. The AADSM provides educational resources for dentists and promotes the use of oral appliance therapy for the treatment of obstructive sleep apnea and sleep-disordered breathing. Established in 1991, the AADSM has more than 3,000 member dentists worldwide.


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