Dentists need more than drills: the American Dental Association embracing whole person health Steve Carstensen, United States This presentation is part of the World Sleep Congress affiliated symposium organized by the AAMS. Summary: Obstructive sleep apnea is an increasingly common sleep disorder with heterogenicity in clinical presentation and pathophysiology. In recent years, four contributing causes or phenotypes have been identified and included airway collapsibility, impaired pharyngeal dilator muscle function, lowered arousal threshold and loop gain. Increased understanding of the pathophysiology and phenotyping of SDB traits can improve the success rate of targeted treatment such as myofunctional therapy, alone or in combination with other treatments in mild and moderate OSA, highlighting the need for further research and the need to develop simple phenotyping tools for SDB related muscle function. Orofacial myofunctional therapy (OMT) represents a novel, non-invasive strategy to treat sleep-disordered breathing including OSA (Guilleminault 2013, Camacho 2015, Camacho 2018). Recent evidence has supported its usage in children with residual OSA following adenotonsillectomy (Villa 2015, Guilleminault 2017, Felicio 2018). Further, OMT may represent a novel paradigm of therapy that may prevent pediatric OSA (Sullivan 2017). Standardized treatment modalities, models for detection of orofacial myofunctional disorders, and clear understanding of the related phenotypes, however, are yet to be established. This symposium will critically evaluate the recent evidence on OMT, while exploring what is known clinically that may be of immediate interest to those working in sleep medicine who wish to apply a precision medicine approach including ENT, orthodontic, pulmonary, and OMT intervention. Learning objectives upon completion of this CME activity, participants should be able to: Describe how the maldevelopment of specific structural components of the craniofacial respiratory complex in early childhood can be associated with sleep and airway morbidity Appraise the relationship between mouth breathing patterns, tongue restriction, posture, and sleep-disordered breathing Employ a clinical decision-making model to help providers determine when to implement OMT in children suspected with OSA Appraise the potential of myofunctional therapy alone or in combination therapy targeted to muscle phenotype in a precision medicine model and evaluate the success. Target Audience: Sleep specialists, sleep researchers, dentists, sleep technologists, sleep medicine instructors, otolaryngologists, allied health professionals, myofunctional therapists, public health specialists.
Tags: World sleep congress 2019 , apnea , AAMS , myofunctional therapy , pediatric sleep apnea
See also:
comments