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University Expert Dental Sleep Medicine. Online

University Expert Dental Sleep Medicine. Online

Odontología UCAM

Postgrado online

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The UCAM Online based Expert Program in Dental Sleep Medicine provides the dentist with a solid knowledge on the foundations of sleep physiology and sleep medicine as well as consolidated training on specific issues which are paramount to the correct diagnostic, evaluation, and management / treatment of patients with different sleep related disorders. Given its major epidemiologic relevance, this course will focus on Primary/Secondary Snoring and Obstructive Sleep Apnea-Hypopnea Syndrome (OSA). The high number of people who present with these conditions require treatment in order to avoid significant consequences affecting their health and quality of life. The social and economic costs of the misdiagnosis of sleep disorders are dramatic, with strong impact on global health and economy. The behavioral strategies that dentists are able to use may add to the success of the treatment of many sleep conditions. Appropriate referral to different specialist depends on a correct suspicion and identification that needs skills gained through training and practice. Treatment options available to the physician dealing with OSA are, among others, Mandibular Advancement Devices (MAD) and maxillary expansion, which are performed by the sleep-trained dentist. With such expertise, in addition to his/her potential in the area of ​​respiratory function, the «sleep dentist» is the right professional for the evaluation and management of motor sleep disorders with orofacial manifestation and for the treatment of chronic orofacial pain interfering with sleep disorders.

The program, designed by a team of worldwide recognized experts among the different fields of sleep medicine, will allow the student to integrate major theoretical and practical bases sustaining an ideal clinical practice. This multidisciplinary approach, a fundamental pillar in DSM, is the strength and unique advantage of this academic program with keynote lectures.

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Know the fundamentals of the physiology and neurobiology of sleep, sleep functions and the interaction with biological rhythms, particularly circadian rhythms. Identify the normal deviations in sleep and the main classification of sleep related pathology (ICSD-3) Know the basics of breathing and sleep, as well as the pathophysiology of breathing during sleep and the implications of these in the treatment of OSA. Understand the medical diagnostic techniques of OSA to carry out an adequate multidisciplinary diagnosis, and the suitability of the placement of a MAD, through a complete intraoral and extraoral dental diagnosis. Study the phenotypes associated with OSA and snoring, which will allow the effective treatment to be planned and carried out safely. Know and apply Dental Sleep Medicine treatments currently available with scientific criteria and according to current protocols. Acquire the necessary skills to be able to carry out the entire clinical process of the main types of Mandibular Advancement Devices (MAD) from design and manufacture, through delivery, adjustment, and monitoring. Learn to take the device’s constructive bite advance registration with different methods such as George’s Gauge, Somnogauge, and others. Manage the Titration process or gradual advance to obtain the appropriate result. Carry out a protocol for the evaluation of patients in the short, medium and long term through control and follow-up adjusted to current guidelines. Know in detail the possible complications or unfavorable circumstances that may appear throughout the treatment to be able to prevent them and know how to treat them if necessary.

A quién va dirigido

General and specialty dentists Physicians with training/interest in Dental Medicine / Oral Medicine Graduate students in Orthodontics or other dental specialties

Temario completo de este curso

  • Fundamentals of Dental Sleep Medicine: Chronobiology and Chronomedicine: concepts and integration in Dental Sleep Medicine; Introduction to the physiology, characteristics and phases of sleep. Sleep functions. Physiology of respiration in particular the characteristics of breathing during sleep. Biomechanical properties of the upper airway; Sleep Respiratory Disorders (RRT) and bruxism: definition, prevalence and pathophysiology, clinical symptoms and consequences on health and quality of life; Pain and Sleep: regulation, pathophysiology and clinical interaction in the context of Dental Sleep Medicine.

  • Diagnosis in Dental Sleep Medicine: General Semiology in Sleep Medicine; Sleep test, clinical assessment, pol-ygraphy and polysomnography. Sleep test interpretation workshop. Interpretation workshop of a polygraph. ENT Diagnosis, Pulmonologist and Neurophysiologist. Diagnostic means and techniques. Dental, muscular and TMJ ex-amination. Diagnostic imaging. Polysomnography Interpretation Workshop. Analysis of digital photography in the SAOS.

  • Treatment in Dental Sleep Medicine: Protocols and clinical guides. Planning in sleep medicine. Treatment alter-natives and phenotypes applied to RRT; Prophylaxis and therapy in the relationship between sleep disorder and oro-facial pain.

  • Mandibular Advancement Devices (DAM): Types of Mandibular Advancement devices (DAM), criteria for choos-ing and manufacturing a DAM, biomaterials, principles of occlusion applied to DAM, fundamentals of mandibular biomechanics. Mechanism of action and physiology. Initial mandibular advancement and regulation of advancement (Titration), action and physiology of respiration related to mandibular advancement. Treatment results. Mandibular advancement record-taking workshop. Combined treatments of mandibular advancement devices with other disci-plines (otorhinolaryngology, oral and maxillofacial surgery, pulmonology – CPAP, positional therapy).

  • Clinic: clinical history, questionnaires and scales. Sleep history workshop. Informed consent. Clinical session of simple cases and SOAP clinical notes, MDS photography workshop. Workshop on delivery and adjustment of a DAM. Morning aligner workshop. Clinical cases presented by the teaching staff and by the students. Clinical discus-sion of them.

  • Investigation methodology. Job assignment. Interpretation of scientific articles. Scientific method.
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