65.75 CE Hours
Completion of Mastery 1 is required to participate in Mastery 2.
Mastery 2 builds on the knowledge and clinical proficiency gained in Mastery 1 with continued emphasis on skill development to manage a broad spectrum of cases and severities of obstructive sleep apnea. Students will participate in oral appliance selection and create a prescription for a laboratory to fabricate an oral appliance. Lectures will develop a more in-depth understanding of normal sleep and the consequences of poor quality sleep, including phase delay circadian rhythms in adolescents. Exploring alternative treatments such as surgery and CPAP will lay a foundation for guiding patient decision-making and anticipating combining therapies for best outcomes. A focus on titration goals, understanding maximum medical improvement, and side effect management furnishes practitioner confidence and promotes best patient care.
After completing both courses, dentists will be eligible for the ABDSM certification examination.
Upon completion of the course, attendees will be able to:
1. Describe the significant benefits of healthy sleep and the risks associated with inadequate or compromised sleep.
2. Develop critical understanding of OSA pathophysiology and co-morbidities such as cardiovascular, metabolic and neurocognitive concerns.
3. Explain the influence of confounding respiratory influences and possible remedies.
4. Improve OAT outcomes by understanding maximum medical improvement (MMI) and exploring combinations of therapies
5. Prepare patients for oral appliance wear and titration, monitoring signs, symptoms and side effects.
6. Anticipate and manage side effects that could compromise treatment objectives.
7. Incorporate protocols to maximize staff efficiency following a medical practice model, with an understanding of medical insurance coding and billing requirements.
8. Clearly communicate device design to laboratories, avoiding costly mistakes, and consider benefits of digital technology in practice.
9. Explore alternative and emerging therapies for SDB.
10. Anticipate oral appliance efficacy for individual cases and consider combinations of therapies for best clinical outcomes.
11. Confidently manage OA side effects and patient expectations
12. Explain the etiology and prevalence of pediatric SDB, the differences with adult SDB and the efficacies of treatment options.
13. Incorporate pediatric screening and referral protocols.
14. Continue to build an understanding of the medical practice model with medical-legal considerations.
15. Perfect an appropriate algorithm for patient management that begins with screening and ends with long-term follow-up.
- Successful completion of Mastery 1 including all Clinical Competency assignments and the Mastery 1 exam.
- Mastery 2 includes several Clinical Competency assignments that require patient interaction. These assignments are required to successfully complete Mastery 2. Registered attendees will receive detailed instructions regarding these assignments during each course window. For an overview of Clinical Competency assignments, download the overview:
The following practice management lectures will be made available virtually on-demand prior to the start of both the virtual and in-person Mastery 2.
Managing Medical Reimbursement
Understanding Medical Billing
Building Bridges Through Communication
DSM in Practice
Staff Roles for Efficiency
Medical Legal Considerations
Additional Mastery 2 Topics:
Normal Sleep and Why We Need It
Approach to the Airway
Surgical Therapy for OSA
Device Design Cases Presentations
Treatment Emergent TMD
SOAP Notes and Informed Consent
Nocturnal Pulse Oximetry
Post Delivery Care and Appointments
Device Calibration Demos
PSG and HSAT
PAP Therapy and Phenotypical Considerations
Pain and Sleep
Dental Side Effects
Adverse Event Management
Long Term Follow-Up
Pediatric Therapies and Evidence-Based Practice
Side Effects Case Presentation and the Power of Informed Consent