THE EDITOR'S CORNERThe Orthodontist and Obstructive Sleep ApneaROBERT G. KEIM DDS, EdD, PhDOver the past quarter-century or so, obstructive sleep apnea (OSA) treatment has become a more and more integral part of routine orthodontic practice. Prior to that, little was mentioned about sleep d... |
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OVERVIEWObstructive Sleep Apnea and the OrthodontistLOUIS CHMURA DDS, MSDr. Louis Chmura provides a comprehensive review of current diagnosis and treatment procedures for patients with sleeping disorders. Topics include medical and behavioral protocols, orthodontic screening, oral appliances, and the effects of mandibular anterior positioning, transverse expansion, extractions, and orthognathic surgery. |
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JCO ROUNDTABLEObstructive Sleep Apnea Treatment in Orthodontic PracticesROBERT G. KEIM DDS, EdD, PhD, JOHN W. GRAHAM DDS, MD, JUAN MARTIN PALOMO DDS, MSD, SARAH C. SHOAF DDS, MEd, MS, DANIEL TANGUAY DDSFour experienced orthodontists offer their views on screening and treatment for both children and adults with sleep-disordered breathing. Drs. Graham, Palomo, Shoaf, and Tanguay describe their typical protocols and preferred appliances for such patients and look into the future of sleep apnea treatment. |
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"Surgery First" Approach for Obstructive Sleep Apnea TreatmentPEDRO GRAZIANI OLÍMPIO PEREIRA DDS, MSc, SILVIO AUGUSTO BELLINI-PEREIRA DDS, MSc, RAVINDRA NANDA DDS, MSc, PhD, DANIELA GARIB DDS, MSc, PhD, GUILHERME JANSON DDS, MSc, PhDOrthognathic surgery is a reliable solution for more severe cases of sleep apnea. As Dr. Pereira and colleagues illustrate, the “surgery first” approach is appealing to these patients because it enables more rapid relief of OSA symptoms. A typical adult case is shown. |
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MANAGEMENT & MARKETINGManaging and Marketing the Airway Aspect of Your PracticeMICHAEL C. MERU DDS, MSDr. Michael Meru discusses the integration of airway management into an orthodontic routine, detailing the patient’s journey in four phases: introduction to your practice, first visit, time in appliances, and debanding through final retainer check, with tips on marketing and referral promotion. |
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CASE REPORTMaxillomandibular Advancement with a "Surgery First" Approach and Invisalign for Treatment of Obstructive Sleep ApneaNILOUFAR AZAMI DDS, MDS, PO-JUNG CHEN DDS, MDS, DEREK STEINBACHER DMD, MD, FLAVIO URIBE DDS, MDentScThis adult Class III patient with moderate-to-severe OSA was unable to tolerate continuous positive airway pressure. The authors show how his situation was resolved with maxillary and mandibular osteotomies, followed by clear aligner therapy with miniscrews for attachment of elastics. |
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PEARLSLingual Frenulectomy with a Diode LaserNEAL D. KRAVITZ DMD, MSDr. Neal Kravitz illustrates a simple procedure for releasing a tongue tie with a Spectralase 980 (includes a video demonstration). The controversial role of tongue ties in relation to pediatric OSA is also discussed. |
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Continuing Education from January 2022 Issue (questions only)Click here to download a PDF of the printed questions from the journal for reference. CE tests must be taken online. See the link to continuing education on the menu bar at the top of the screen. |
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Product News in January 2022 IssuePRODUCT NEWS is presented as a service to the reader and in no way implies endorsement by JCO. |
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Comparison of Three Options for Neuromuscular Deprogramming TreatmentSALVADOR ANTONIO FERRER TAMBURINI DDS, MSD, CLAUDIA SALINAS ESCOBOZA DDS, MSD, ABRAHAM MONTES DE OCA ZAVALA DDS, OMF, FACS, ALEJANDRA LIZETH MURO FLORES DDS, MSD, JOSÉ ANTONIO SANTIBAÑEZ GARCÍA DDS, MSD, JUAN MANUEL GUÍZAR MENDOZA MD, MMSc, PhDIn this randomized clinical trial, the effectiveness of a neuromuscular deprogramming appliance in treating TMD is evaluated using three common protocols: the appliance alone, the appliance with diode laser therapy, and the appliance with botulinum toxin injections. |
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Over the past quarter-century or so, obstructive sleep apnea (OSA) treatment has become a more and more integral part of routine orthodontic practice. Prior to that, little was mentioned about sleep d...
Dr. Louis Chmura provides a comprehensive review of current diagnosis and treatment procedures for patients with sleeping disorders. Topics include medical and behavioral protocols, orthodontic screening, oral appliances, and the effects of mandibular anterior positioning, transverse expansion, extractions, and orthognathic surgery.
Four experienced orthodontists offer their views on screening and treatment for both children and adults with sleep-disordered breathing. Drs. Graham, Palomo, Shoaf, and Tanguay describe their typical protocols and preferred appliances for such patients and look into the future of sleep apnea treatment.
Orthognathic surgery is a reliable solution for more severe cases of sleep apnea. As Dr. Pereira and colleagues illustrate, the “surgery first” approach is appealing to these patients because it enables more rapid relief of OSA symptoms. A typical adult case is shown.
Dr. Michael Meru discusses the integration of airway management into an orthodontic routine, detailing the patient’s journey in four phases: introduction to your practice, first visit, time in appliances, and debanding through final retainer check, with tips on marketing and referral promotion.
This adult Class III patient with moderate-to-severe OSA was unable to tolerate continuous positive airway pressure. The authors show how his situation was resolved with maxillary and mandibular osteotomies, followed by clear aligner therapy with miniscrews for attachment of elastics.
Dr. Neal Kravitz illustrates a simple procedure for releasing a tongue tie with a Spectralase 980 (includes a video demonstration). The controversial role of tongue ties in relation to pediatric OSA is also discussed.
Click here to download a PDF of the printed questions from the journal for reference. CE tests must be taken online. See the link to continuing education on the menu bar at the top of the screen.
PRODUCT NEWS is presented as a service to the reader and in no way implies endorsement by JCO.
In this randomized clinical trial, the effectiveness of a neuromuscular deprogramming appliance in treating TMD is evaluated using three common protocols: the appliance alone, the appliance with diode laser therapy, and the appliance with botulinum toxin injections.
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