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January 2022
Volume 56, Issue 1

THE EDITOR'S CORNER

The Orthodontist and Obstructive Sleep Apnea

ROBERT G. KEIM DDS, EdD, PhD

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...

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OVERVIEW

Obstructive Sleep Apnea and the Orthodontist

LOUIS CHMURA DDS, MS

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.

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JCO ROUNDTABLE

Obstructive Sleep Apnea Treatment in Orthodontic Practices

ROBERT G. KEIM DDS, EdD, PhD, JOHN W. GRAHAM DDS, MD, JUAN MARTIN PALOMO DDS, MSD, SARAH C. SHOAF DDS, MEd, MS, DANIEL TANGUAY DDS

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.

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"Surgery First" Approach for Obstructive Sleep Apnea Treatment

PEDRO 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, PhD

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.

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MANAGEMENT & MARKETING

Managing and Marketing the Airway Aspect of Your Practice

MICHAEL C. MERU DDS, MS

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.

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CASE REPORT

Maxillomandibular Advancement with a "Surgery First" Approach and Invisalign for Treatment of Obstructive Sleep Apnea

NILOUFAR AZAMI DDS, MDS, PO-JUNG CHEN DDS, MDS, DEREK STEINBACHER DMD, MD, FLAVIO URIBE DDS, MDentSc

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.

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PEARLS

Lingual Frenulectomy with a Diode Laser

NEAL D. KRAVITZ DMD, MS

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.

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Product News in January 2022 Issue

PRODUCT 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 Treatment

SALVADOR 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, PhD

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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