Mastery II

Mastery Course Two

As part of the comprehensive AADSM Mastery Program, Mastery Course II builds on the knowledge and clinical proficiency gained in Mastery Course I with continued emphasis on skill development. Students will participate in oral appliance selection and create a prescription for a laboratory to fabricate an oral appliance. Clinical competence and confidence with delivery and titration will be addressed with further development in Mastery Course III. 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.
Course Objectives:
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.

  • Successful completion of Mastery Course I including all pre-session assignments and a written exam.
Pre-Session Assignments:
  • Read assigned articles
  • Select two patients as part of the Guided Patient Cases and do the following:
    • Attest to having gathered necessary pre-treatment documentation, including a physician’s prescription/letter of medical necessity and diagnostic study showing OSA.
    • Submit six (6) intraoral photographs of each patient's dentition: three (3) in centric occlusion, one (1) maxillary and one (1) mandibular occlusal view, and one (1) anterior view of the protrusive bite in place.
    • Complete an online survey on each patient's subjective and objective findings, along with OAT assessment (treatment goals and device design decisions).
  • Read the SOAP Notes and Informed Consent Tutorial
  • Read a sample SOAP note and take a quiz
  • Attendees will be encouraged to fabricate a device for personal wear trial
Details about the pre-session assignments will be emailed to attendees following Mastery Course I. 

Device Selection and Personal Device Trials
Problematic Sleep
Sleep-Disordered Breathing
Calibration Decisions with TMD Emphasis, Post Delivery Care, Determining MMI in OAT
Combination Therapy
Nasal Pharyngeal Anatomy and Imaging
Nasal Examination for Dentists
Surgeries and Procedures
"Tongue-Tied" Implications, Myofunctional Therapy, and Muscles of the Oropharynx
OAT-Related TMD: Avoiding and Managing Use of Morning Exercises
Lab Communication
Physician Communication
Digital Imaging and Work Flow
Staff Roles for Efficiency
Coding and Billing
Insurance Management  

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