DENT 6100EX - Fundamentals of Dental Sleep Medicine

External - Semester 1 - 2014

At the completion of this course students will be able to understand the medical co-morbidities and dental conditions associated with sleep-disordered breathing and to appreciate the multi-disciplinary management of patients. Medical conditions with a direct relationship with sleep-disordered breathing will be described in detail. Students will also understand the importance of evidence based medical and dental practice and understand that the use of oral appliances for sleep-disordered breathing has a medical outcome and therefore understand that medical conditions are vitally important in understanding Dental Sleep Medicine. The student will develop basic skills in evaluating the upper airway and the requirements for determining the suitability for oral appliance therapy. The role and specific tasks relevant to a comprehensive dental examination prior to implementing oral appliance therapy will be explained. The student who has a previous understanding of dentistry will re-learn and update their knowledge in oral/dental conditions relevant to sleep-disordered breathing.

  • General Course Information
    Course Details
    Course Code DENT 6100EX
    Course Fundamentals of Dental Sleep Medicine
    Coordinating Unit School of Dentistry Office
    Term Semester 1
    Level Postgraduate Coursework
    Location/s External
    Units 3
    Contact Online lectures and tutorials
    Corequisites ANHB 8432 Fundamentals of Sleep Biology at the University of Western Australia.
    Restrictions Graduate Diploma in Dental Sleep Medicine
    Course Description At the completion of this course students will be able to understand the medical co-morbidities and dental conditions associated with sleep-disordered breathing and to appreciate the multi-disciplinary management of patients. Medical conditions with a direct relationship with sleep-disordered breathing will be described in detail. Students will also understand the importance of evidence based medical and dental practice and understand that the use of oral appliances for sleep-disordered breathing has a medical outcome and therefore understand that medical conditions are vitally important in understanding Dental Sleep Medicine. The student will develop basic skills in evaluating the upper airway and the requirements for determining the suitability for oral appliance therapy. The role and specific tasks relevant to a comprehensive dental examination prior to implementing oral appliance therapy will be explained. The student who has a previous understanding of dentistry will re-learn and update their knowledge in oral/dental conditions relevant to sleep-disordered breathing.
    Course Staff

    Course Coordinator: Dr Janet Fuss

    Course Coordinator: Associate Professor Janet Fuss
    Phone: +61 8 8313 0778
    Email: janet.fuss@adelaide.edu.au
    Location: Room 5.08 Oliphant Building, Anatomy and Human Biology, University of Western Australia

    Course Coordinator: Associate Professor Christopher Pantin
    Phone: +61 8 8313 0778
    Email: christopher.pantin@adelaide.edu.au
    Location: Room 5.08 Oliphant Building, Anatomy and Human Biology, University of Western Australia

    Tutor:Dr  Andrew Ng
    Email: adam.townsend@adelaide.edu.au
    Location: External

    Tutor: Dr Mick Draper
    Phone: +61 8 8313 5335
    Email: michael.draper@adelaide.edu.au
    Location: Bar Smith Library

    Tutor: Dr Chris Pazios
    Phone: +61 8 8313 0778
    Email: christos.pazios@adelaide.edu.au
    Location: Room 5.08 Oliphant Building

    Tutor: Dr Rob Shea
    Phone: +61 8 8313 0778
    Email: rob.shea@adelaide.edu.au
    Location: Room 5.08 Oliphant Building

    School Office
    Phone: +61 8 8313 8101
    Email: adam.townsend@adelaide.edu.au
    Location: Room 5.16 Oliphant Buildng
    Course Timetable

    The full timetable of all activities for this course can be accessed from Course Planner.

  • Learning Outcomes
    Course Learning Outcomes
    1 Acquire an appreciation of the multi-disciplinary management of patients with sleep-disordered breathing
    2 Develop the ability to evaluate patients with sleep-disordered breathing
    3 Develop an understanding of the pathophysiology of sleep disordered breathing
    4 Acquire the ability to recognise and diagnose the dental conditions related to sleep-disordered breathing
    5 Describe and explain the importance of evidence-based practice
    6 Develop an appreciation of the medical conditions related to sleep-disordered breathing
    7 Develop an appreciation of the dental conditions related to sleep-disordered breathing
    8 Be able to recognise medical comorbidities and make appropriate referrals
    University Graduate Attributes

    This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

    University Graduate Attribute Course Learning Outcome(s)
    Knowledge and understanding of the content and techniques of a chosen discipline at advanced levels that are internationally recognised. 1, 4, 6, 7
    The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner. 2, 3, 5
    Skills of a high order in interpersonal understanding, teamwork and communication. 1
    A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life. 1, 5
    A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 1
    An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities. 1
  • Learning Resources
    Required Resources
    Barr Smith Library  
    The University of Adelaide Library has an extensive dental / oral health collection housed on the North Terrace campus where you can also access related materials from other collections such as ethics, medicine, engineering and science.  

    External students living outside the Adelaide metropolitan area can arrange a special loan service for hard-copy items if electronic access is not available.  Information about the Remote Student Library Service is available at http://www.adelaide.edu.au/library/docdel/external.html

    Required resources
    Available through the Barr Smith Library Dental and Medical Collections, Amazon.com and other academic book suppliers including the publishers.

    Required Text
    Attanasio, R and DR Bailey, (2009) Dental Management of Sleep Disorders, Wiley-Blackwell 
    Available at Barr Smith Library Barr Smith Main Collection (616.8498 A8834d )
    OR
    Lavigne, GJ, PA Cistulli and MT Smith, (eds) (c.2009) Sleep Medicine for Dentists: A Practical Overview, Quintessence
    Available at Barr Smith Library Barr Smith Main Collection (616.8498 L411sm )
    Recommended Resources
    Bailey, Dennis R (guest editor) (2010) Dentistry's role in sleep medicine, Saunders
    Available at Barr Smith Library Barr Smith Main collection (616.8498 B1544d )

    Smith, Harold R; Comella, Cynthia; Hèogl, Birgit (2008) Sleep Medicine, Cambridge University Press
    Available as an electronic book via the Barr Smith Library Catalogue

    Badr, M (2011) Essentials of Sleep Medicine  Springer 
    Available as an electronic book via the Barr Smith Library Catalogue

    Kryger, Meir H; Thomas Roth; William C Dement (5th ed, 2010)  Principles and Practice of Sleep Medicine,  Expert Consult Premium Edition - Enhanced Online Features, Elsevier Health Sciences
    Available as an electronic book via the Barr Smith Library Catalogue

    Lee-Chiong, Teofilo  (2nd ed, 2013) Sleep Medicine, Essentials and Review, Elsevier Health Sciences
    Available as an electronic book via the Barr Smith Library Catalogue

    Barkoukis, Teri J (2012)  Therapy in Sleep Medicine,  Elsevier
    Available as an electronic book via the Barr Smith Library Catalogue

    Journals
    Chest
    Sleep
    Sleep and Breathing
    American Journal of Orthodontics and Dentofacial Orthopedics
    Most issues of these and other relevant journals are available electronically via the Barr Smith Library Catalogue  
    Online Learning
    All lectures, instructional videos, most resource documents, discussion boards and information about Skype sessions will be available on the University of Adelaide’s electronic learning platform MyUni.

    MyUni also provides library information, some links to copyrighted documents held in the main Library’s catalogue, guidelines for reviewing scientific and clinical research publications/articles, scientific writing, and seminar case presentations, formal and ad hoc online discussions; information about and easy e-mail access to staff and presenters.

    Occasionally hard-copy documents, such as key journal readings, will be posted to students.
  • Learning & Teaching Activities
    Learning & Teaching Modes
    This course is delivered online in six modules with student activities including online workshops, instructional videos, clinical exercises, an observational site visit and tutorials (delivered via MyUni and/or Skype) supporting the online lectures.

    Module 1 Evidence Based Medicine and Dentistry
    There will be discipline-specific online tutorials covering evidence-based practice, research literature databases and other resources.

    Module 2 Medical conditions related to Sleep Breathing Disorders
    There will be delivery of lectures using mp4 files and instructional videos with some clinical exercises for dentists to complete in their dental surgery.

    Facilitation of site visits to local sleep laboratories as well as video resources for practitioners in remote locations who do not have ready access to sleep laboratories, technologists and physicians.The remaining four online modules will be delivered through mp4 files and other electronic resources on the University of Adelaide’s learning platform MyUni.
    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    Structured hours for the semester:

    Online program orientation: 1 x 1 hour
    Module 1:  5 x 1 hour workshops on the research literature and evidence-based practice
    Module 2:  3 x 3 hour clinical sessions as instructional videos, 4 x 1 hour  online lectures, 1 x 1 hour online tutorial
    Modules 3-6:  16 x 1 hour online lectures, 4 x 1 hour online tutorials
    Learning Activities Summary
    Week Topic Lecture
    Week 1 Program Orientation via MyUni
    Program information:
    Clinical session 1 (instructional videos and/or clinical exercises)
    Impressions for oral appliances
    Clinical session 2
    Patient assessment (instructional videos and/or clinical exercises)
    Clinical session 3
    Insertion and adjustment of oral appliances (instructional videos and/or clinical exercises)
    Mentorship & clinical expectations
    Case report protocol
    Observational site visit to sleep laboratory near your home or dental practice.  School of Dentistry will help facilitate the site visit.

    Module 1  Evidence Based Medicine and Dentistry
    Delivered online via Barr Smith Library webpages with links to webpages from the course on MyUni.  Research Librarian available to provide assistance and feedback as required.
    Online workshop 1
    Resources in evidence-based practice
    Online workshop 2
    Introduction to evidence-based practice  
    Online workshop 3
    Using the Cochrane Library and Embase
    Online workshop 4
    Evidence-based dentistry
    Online workshop 5
    Evidence-based medicine in sleep
    MyUni online delivery
    Week 2 Completion of Module 1 and online quiz 1 MyUni online delivery
    Week 3 Module 2   Medical conditions related to Sleep Breathing Disorders
    Lecture 1
    Breathing disorders related to sleep
    Lecture 2
    Gastrointestinal disorders related to sleep
    Lecture 3
    Cardiovascular disease related to sleep
    Lecture 4
    Type 2 diabetes conditions related to sleep
    Workshop 6
    Case report protocol
    Tutorial (Blog)
    Medical conditions related to sleep disordered breathing
    MyUni online delivery
    Week 4 Completion of Module 2 and online quiz 2 MyUni online delivery
    Week 5 Module 3  Dental Conditions related to Sleep Breathing Disorders (Part 1)
    Lecture 5
    The nature of sleep bruxism and its assessment
    Lecture 6
    Evidence-based treatment of sleep bruxism
    Lecture 7
    Diagnosis of temporomandibular joint disorders
    Lecture 8
    Evidence-based treatment of temporomandibular joint disorders
    Tutorial (discussion board)
    Alternate theories and treatments for bruxism and temporomandibular joint disorders
    MyUni online delivery
    Week 6 Completion of Module 3 and online quiz 3 MyUni online delivery
    Week 7 Module 4  Dental conditions related to Sleep Breathing Disorders (Part 2)
    Lecture 9
    General theory of pain revisited
    Lecture 10
    Myofascial pain
    Lecture 11
    Orofacial pain
    Lecture 12
    Pain and sleep
    Tutorial (discussion board)
    Case studies of pain
    MyUni online delivery
    Week 8 Completion of Module 4 and online quiz 4 MyUni online delivery
    Week 9 Module 5  Dentist Evaluation of Sleep Breathing Disorders (Part 1)
    Lecture 13
    TMJ conditions and oral appliances for sleep breathing disorders
    Lecture  14
    Medical history assessment by a dentist – relevance to sleep breathing disorders
    Lecture 15
    Occlusion evaluation and relation with sleep breathing disorders
    Lecture 16
    Other oral/dental issues involved in sleep breathing disorders
    Tutorial (discussion board)
    Medical history for sleep disordered breathing
    MyUni online delivery
    Week 10 Completion of Module 5 and online quiz 5 MyUni online delivery
    Week 11 Module 6  Dentist Evaluation of Sleep Breathing Disorders
    Lecture17
    Periodontal conditions and caries – relevant aspects in the use of oral appliances
    Lecture 18
    Fundamentals of tooth erosion, attrition and abrasion
    Lecture 19
    Dental treatments of tooth erosion and abrasion
    Lecture 20
    Evaluation of the oral airway
    Tutorial
    Suitability of patients for oral appliances
    MyUni online delivery
    Week 12 Completion of Module 6 and online quiz 6 MyUni online delivery
    Week 13 Study Week MyUni online delivery
    Specific Course Requirements
    Two years of general dental practice experience
    National criminal history/police check
    Registration as a dentist with local dental board/registration authority
    Professional indemnity insurance
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary
    Assessment Task Task Type Weighting
    Online quiz x6 Summative 60%
    End of course written examination Summative 40%
    Tutorial x5 Formative 0%
    Clinical exercises x3 Formative 0%
    Assessment Detail
    Online quiz x 6 (60%) – at the end of each module students will complete an online quiz. The quizzes will use a variety of question formats – Multiple choice questions, single best answer questions, extending matching questions and written short answers.

    End of course exam (40%) – short answer and essay-style answers to questions relating to case scenarios.

    Tutorial x 5 (formative assessment) – students will explore broadly medical and dental conditions related to sleep disordered breathing, their assessment and management. Each tutorial will require students to respond to several short answer questions or write a short essay on a topic in preparation for group discussion online.

    Clinical exercises x 3 (formative assessment) – after viewing videos students will complete clinical exercises - impressions for oral appliances, their insertion and adjustment, and patient evaluation.
    Submission
    All submissions will be electronic.

    Tutorial submissions are to be uploaded to the relevant MyUni discussion board. Other electronic submissions are to be emailed to adam.townsend@adelaide.edu.au

    For details please refer to DENT 6100EX on MyUni.
    Course Grading

    Grades for your performance in this course will be awarded in accordance with the following scheme:

    M10 (Coursework Mark Scheme)
    Grade Mark Description
    FNS   Fail No Submission
    F 1-49 Fail
    P 50-64 Pass
    C 65-74 Credit
    D 75-84 Distinction
    HD 85-100 High Distinction
    CN   Continuing
    NFE   No Formal Examination
    RP   Result Pending

    Further details of the grades/results can be obtained from Examinations.

    Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

    Final results for this course will be made available through Access Adelaide.

  • Student Feedback

    The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

    SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

  • Student Support
    Mr Adam Townsend leads the Academic support Team in the School of Dentistry and is the designated support staff for the GDDSM. You can contact Adam via email adam.townsend@adelaide.edu.au or by phone +61 8 8313 8101.

    Support with enrolment matters is provided by Ms Nimi Ashok nimi.ashok@adelaide.edu.au +61 8 8313 3415
  • Policies & Guidelines
  • Fraud Awareness

    Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.