Upper air way /fixed orthodontics courses

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Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.

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Upper air way /fixed orthodontics courses

  1. 1. TREATMENTOF UPPERTREATMENTOF UPPER AIRWAY SLEEPAIRWAY SLEEP DISORDER - PATIENTSDISORDER - PATIENTS WITH DENTAL DEVICESWITH DENTAL DEVICES INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.comwww.indiandentalacademy.com
  2. 2. CONTENTSCONTENTS www.indiandentalacademy.comwww.indiandentalacademy.com
  3. 3.  1.INTRODUCTION1.INTRODUCTION  2.TYPES2.TYPES  3.ANATOMY3.ANATOMY  4.DIAGNOSIS4.DIAGNOSIS  5.SIGNS AND SYMPTOMS5.SIGNS AND SYMPTOMS  6.TREATMENT OPTIONS.6.TREATMENT OPTIONS. www.indiandentalacademy.comwww.indiandentalacademy.com
  4. 4. www.indiandentalacademy.comwww.indiandentalacademy.com
  5. 5. 7.COMMON TECHNIQUE AND7.COMMON TECHNIQUE AND PROCEDURESPROCEDURES 8.DIFFERENT TYPES OF ORAL DEVICE8.DIFFERENT TYPES OF ORAL DEVICE 9.EXPECTATION AND HOME CARE9.EXPECTATION AND HOME CARE 10.KEY POINTS FROM RECENT10.KEY POINTS FROM RECENT ARTICLESARTICLES 11.CONCLUSION11.CONCLUSION 12.BIBLIOGRAPHY12.BIBLIOGRAPHYwww.indiandentalacademy.comwww.indiandentalacademy.com
  6. 6. INTRODUCTIONINTRODUCTION www.indiandentalacademy.comwww.indiandentalacademy.com
  7. 7.  Sleep disorders of the upper airwaySleep disorders of the upper airway are generally the result of a conditionare generally the result of a condition or disease that causes when theor disease that causes when the patient assumes a supine position andpatient assumes a supine position and goes to sleep.goes to sleep.  UASDUASD are becoming commonlyare becoming commonly recognized by the medical and dentalrecognized by the medical and dental communities.communities. www.indiandentalacademy.comwww.indiandentalacademy.com
  8. 8. TYPESTYPES www.indiandentalacademy.comwww.indiandentalacademy.com
  9. 9. TYPES SNORING OSA UARS www.indiandentalacademy.comwww.indiandentalacademy.com
  10. 10. ANATOMYANATOMY www.indiandentalacademy.comwww.indiandentalacademy.com
  11. 11.  Soft tissue muscularSoft tissue muscular tube.tube.  Extends fromExtends from oral andoral and nasal cavitiesnasal cavities up to theup to the bronchial tubes.bronchial tubes. www.indiandentalacademy.comwww.indiandentalacademy.com
  12. 12.  The activity of theThe activity of the Tensor veliTensor veli Levator veli palatiniLevator veli palatini GenioglossusGenioglossus GeniohyoidGeniohyoid maintain the position ofmaintain the position of soft palate, uvula,soft palate, uvula, tongue, and hyoid bonetongue, and hyoid bone in position away fromin position away from the posterior wall of thethe posterior wall of the pharynx.pharynx. www.indiandentalacademy.comwww.indiandentalacademy.com
  13. 13. SNORINGSNORING www.indiandentalacademy.comwww.indiandentalacademy.com
  14. 14. TONGUE UVULA PHARYNGAL WALLS HYOID BONE SOFT PALATE What is snoring?What is snoring? What is the reason for snoring?What is the reason for snoring?www.indiandentalacademy.comwww.indiandentalacademy.com
  15. 15. OSA & UARSOSA & UARS www.indiandentalacademy.comwww.indiandentalacademy.com
  16. 16. Complications Of OSA.Complications Of OSA. Causes of OSA.Causes of OSA. What is OSA?What is OSA? AROUSALSAROUSALS www.indiandentalacademy.comwww.indiandentalacademy.com
  17. 17. DIAGNOSISDIAGNOSIS www.indiandentalacademy.comwww.indiandentalacademy.com
  18. 18. DIAGNOSISDIAGNOSIS TEST POLYSOM NOGRAM OBESITY HISTORY BLOOD PRESSURE ALCOHOL AND SEDATIVE TONGUE SIZE, TMJ, PERIODONTALSTATUS, ARCH SIZE, MAXIMUM PROTRUSIVE MOVEMENT, MAXIMUM MOUTH OPENING. SLEEP POSITION, ARESTED BREATHING DURING SLEAPING www.indiandentalacademy.comwww.indiandentalacademy.com
  19. 19. SIGNSSIGNS ANDAND SYMTOMSSYMTOMS www.indiandentalacademy.comwww.indiandentalacademy.com
  20. 20. HYPERTENTION RETROGNATHIC CONSUMES ALCOHOAL LATE IN NIGHT OVERWEIGHT NO ADEQUATE AMOUNT OF SLEEP HAS LARGE NECK MAY AWAKE FROM SLEEP GASPING FOR AIR www.indiandentalacademy.comwww.indiandentalacademy.com
  21. 21. TREATMENTTREATMENT OPTIONOPTION www.indiandentalacademy.comwww.indiandentalacademy.com
  22. 22. TREATMENT OPTION BEHAVIOUR MANAGEMENT CPAP HOFFSTEIN 1992 SURGERY ORAL DEVICES MEDICATION WEIGHT LOSS SEDATIVES REDUCE ALCOHOL UPPP LAUPPP TONSILITIES ADENITIES TRACHEOSTOMY MANDIBLE ADVANCEMENT AND HYOID LIFT TRD MAD www.indiandentalacademy.comwww.indiandentalacademy.com
  23. 23. COMMONCOMMON TECHNIQUESTECHNIQUES AND PROCEDURESAND PROCEDURES www.indiandentalacademy.comwww.indiandentalacademy.com
  24. 24. OBATANING THE DESIRED PROTRUSIVE POSITION OF THE MANDIBLE FABRICATION DIFFERENT ORAL DEVICES SINGLE POSITION STOCK DEVICES SINGLE POSITION LABORATORY FABRICATION MADs TONGUE RETAINING DEVISE- TRDs ADJUSTABLE STOCK MADs ADJUSTABLE LABORATORY FABRICATED MADs www.indiandentalacademy.comwww.indiandentalacademy.com
  25. 25. OBATANING THE DESIRED PROTRUSIVE POSITION OF THE MANDIBLE CAST IS OBTAINED INTEROCCLUSAL RECORDS MORALES 1996 GEORGE GAUGE RETRUSIVE PROTRUSIVE ONE PIECE DEVICE www.indiandentalacademy.comwww.indiandentalacademy.com
  26. 26. FABRICATION DIFFERENT ORAL DEVICES SINGLE POSITION STOCK DEVICES THERA SNORE DEVICE HARD RESIN TRAY FLANGE OCCLUSAL PLANE 1 2 www.indiandentalacademy.comwww.indiandentalacademy.com
  27. 27. LONG HOOK MAXILLA HARD PLASTIC TRAY SINGLE POSITION LABORATORY FABRICATION MADs A DEVISE USED ADJUST THE PROTRUSIVE AND RETRUSIVE MOVEMENT WIRE PLASTIC LEDGE MANDIBLE EXTENDING FROM CANINE TO CANINE ADJUST ABLE STOCK MADs .25 www.indiandentalacademy.comwww.indiandentalacademy.com
  28. 28. ADJUSTABLE LABORATORY FABRICATED MADs ADJUSTABLE PM SCREW BUCCAL SIDE POLY VINYL SILOXANE WAX BITE RETENTION IS IMPORTANT www.indiandentalacademy.comwww.indiandentalacademy.com
  29. 29. TONGUE RETAINING DEVISE- TRDs TABS HOLLOW BULB TEMPLETS WITH BLUE TO WIDE YELLOW RIDGES INDICATION www.indiandentalacademy.comwww.indiandentalacademy.com
  30. 30. COMPLTED TRD INSERTED NOTE THE TONGUE RETAINED WITH IN THE HOLLOW BULB RETENTION IS NOT IMPORTANT GOAL OF DEVICE 6h SLEEP PROBLEMS CLEAN www.indiandentalacademy.comwww.indiandentalacademy.com
  31. 31. INSERTION AND THERMOPLASTIC FILL MATERIAL TERMOPLASTIC MATERIAL COOL AND OPAQUE AFTER HEATING MADs www.indiandentalacademy.comwww.indiandentalacademy.com
  32. 32. A LARGE FLAME SHAPED ACRYLIC BUR USED FOR TRRIMING www.indiandentalacademy.comwww.indiandentalacademy.com
  33. 33.  MANDIBULARMANDIBULAR MOVEMENTMOVEMENT  UsedUsed  0.25mm/night/2week0.25mm/night/2week  Problem TMJProblem TMJ  ScrewScrew TITRATION www.indiandentalacademy.comwww.indiandentalacademy.com
  34. 34. FOLLOW UP CARE EXPECTA TIONS AND HOME CARE WHAT THE PATIENT SHOULD EXPECT HOME CARE www.indiandentalacademy.comwww.indiandentalacademy.com
  35. 35. KEY POINTSKEY POINTS FROM RECENTFROM RECENT ARTICLESARTICLES www.indiandentalacademy.comwww.indiandentalacademy.com
  36. 36.  1.Marie-louise waker-engstorm and others 41.Marie-louise waker-engstorm and others 4 year follow up of treatment with dentalyear follow up of treatment with dental appliances or UPPP in patients with OSA-appliances or UPPP in patients with OSA- Chest.2002;121:739-746Chest.2002;121:739-746 In patients treated with dental appliancesIn patients treated with dental appliances or UPPP for mild to moderate sleepor UPPP for mild to moderate sleep apnea for 4 years the studyapnea for 4 years the study concludedconcluded that the dental appliances group showedthat the dental appliances group showed significantly higher success compared tosignificantly higher success compared to UPPP groupUPPP group www.indiandentalacademy.comwww.indiandentalacademy.com
  37. 37.  Ivanhoe JR and others-The teaching andIvanhoe JR and others-The teaching and treatment of upper air way sleep disordertreatment of upper air way sleep disorder in north American schools-J Prosthet dentin north American schools-J Prosthet dent 2003 mar;89(3):292-2962003 mar;89(3):292-296 In this study a list of questions was sent toIn this study a list of questions was sent to all north American dental school toall north American dental school to determine which school includes treatment ofdetermine which school includes treatment of UAS.UAS. This study shows lower than half of theThis study shows lower than half of the school included this part -school included this part -their curriculumtheir curriculum and this lack of inclusion, is due to lack ofand this lack of inclusion, is due to lack ofwww.indiandentalacademy.comwww.indiandentalacademy.com
  38. 38. CONCLUSIONCONCLUSION www.indiandentalacademy.comwww.indiandentalacademy.com
  39. 39.  Upper air way sleep disorders are commonlyUpper air way sleep disorders are commonly recognized by medical and dentalrecognized by medical and dental communitiescommunities  Patients are now referred to dentists forPatients are now referred to dentists for treatment of these conditionstreatment of these conditions  One piece device and two piece adjustableOne piece device and two piece adjustable device with thermoplastic fill materials aredevice with thermoplastic fill materials are used for most patients to achieve satisfactoryused for most patients to achieve satisfactory results.results. www.indiandentalacademy.comwww.indiandentalacademy.com
  40. 40. BIBLIOGRAPHYBIBLIOGRAPHY www.indiandentalacademy.comwww.indiandentalacademy.com
  41. 41.  1.John Beumer; Maxillo facial1.John Beumer; Maxillo facial rehabilitation and surgical considerationrehabilitation and surgical consideration  2.Varoujan A Chalian;Maxillo facial2.Varoujan A Chalian;Maxillo facial prosthesis –multi disciplinary prosthesis.prosthesis –multi disciplinary prosthesis.  3.Thomus d Taylor; clinical maxillo facial3.Thomus d Taylor; clinical maxillo facial prostheticsprosthetics  4.Grants human anatomy.4.Grants human anatomy. www.indiandentalacademy.comwww.indiandentalacademy.com
  42. 42.  5.Marie louise walker engstrom and others5.Marie louise walker engstrom and others 4 year follow up of treatment with dental4 year follow up of treatment with dental appliance or UPPP in patients with OSAappliance or UPPP in patients with OSA Chest 2002; 121:739-746Chest 2002; 121:739-746 6.Ivanhoe JR and others-teaching and6.Ivanhoe JR and others-teaching and treatment of upper air way disorder intreatment of upper air way disorder in north American dental school-J Prosthetnorth American dental school-J Prosthet dent 2003;mar89(3):292-296dent 2003;mar89(3):292-296 www.indiandentalacademy.comwww.indiandentalacademy.com
  43. 43. www.indiandentalacademy.comwww.indiandentalacademy.com

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