DENT 6101EX - Oral Appliances in Sleep Disordered Breathing

External - Semester 2 - 2016

The course information on this page is being finalised for 2016. Please check again before classes commence.

This course will give students a comprehensive understanding of the history of oral appliance therapy for treatment of sleep-disordered breathing. It will introduce the relationship between medical and dental disciplines in this treatment. Evidence-based protocols and current treatment paradigms will be explored in detail and the student will complete the course with the skills to make informed treatment choices for patients, and explore the range of oral appliances, their fabrication and use. The current evidence-based treatment protocols will be presented in a cohesive form structured against the stepwise treatment of patients. It will include pre-treatment, monitoring and medical liaison. Guidelines for the scope and extent of dentist participation in treatment of sleep-disordered breathing will be presented as will the basic legal requirements of the dentist. At the completion of the course students will have the skills to select appropriate appliance options for patients and have a comprehensive understanding of their indications and contra-indications for treatment.

  • General Course Information
    Course Details
    Course Code DENT 6101EX
    Course Oral Appliances in Sleep Disordered Breathing
    Coordinating Unit Dental
    Term Semester 2
    Level Postgraduate Coursework
    Location/s External
    Units 3
    Contact Up to 4 hours per week
    Available for Study Abroad and Exchange N
    Prerequisites ANHB 8432, DENT 6100
    Corequisites ANHB 8431 Fundamentals of Sleep Technology
    Restrictions Graduate Diploma in Dental Sleep Medicine
    Course Description This course will give students a comprehensive understanding of the history of oral appliance therapy for treatment of sleep-disordered breathing. It will introduce the relationship between medical and dental disciplines in this treatment. Evidence-based protocols and current treatment paradigms will be explored in detail and the student will complete the course with the skills to make informed treatment choices for patients, and explore the range of oral appliances, their fabrication and use. The current evidence-based treatment protocols will be presented in a cohesive form structured against the stepwise treatment of patients. It will include pre-treatment, monitoring and medical liaison. Guidelines for the scope and extent of dentist participation in treatment of sleep-disordered breathing will be presented as will the basic legal requirements of the dentist. At the completion of the course students will have the skills to select appropriate appliance options for patients and have a comprehensive understanding of their indications and contra-indications for treatment.
    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 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 Develop an understanding of the dental interventions used to manage sleep disordered breathing
    2 Appreciate the treatment protocols for sleep disordered breathing
    3 Understand treatment protocols for sleep disordered breathing which involve dental interventions
    4 Formulate treatment plans and select suitable oral appliances
    5 Appreciate the multi-disciplinary management of patients with sleep disordered breathing
    6 Develop a high-level understanding of the use of oral appliances in the management of sleep disordered breathing
    University Graduate Attributes

    No information currently available.

  • 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 (editors) (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

    Meir H. Kryger 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 tutorials (delivered via MyUni and/or Skype) supporting the online lectures.
    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 x 1 hour
    16 x 1 hour online lectures
    5 x 1 hour online tutorials
    1 x video workshop
    Learning Activities Summary
    Week Topic Lecture
    Week 1 Module 1  History and Treatment Guidelines for Oral Appliance Therapy 
    Lecture 1
    History of sleep medicine prior to 1975
    Lecture 2
    History of dental sleep medicine prior to 1975
    Lecture 3
    Modern History of sleep medicine and dental sleep medicine
    Lecture 4
    Guidelines for the use of oral appliances in the medical management of obstructive sleep apnoea
    Lecture 5
    Treatment protocols for the use of oral appliances in obstructive sleep apnoea
    MyUni online delivery
    Week 2 Completion of Module 1
    Tutorial 1 
    Evaluation of guidelines for oral appliances for obstructive sleep apnoea. Online quiz 1
    MyUni online delivery
    Week 3 Module 2  Function of Oral Appliances, Indications and Contraindications 
    Lecture 6
    Functions of oral appliances in obstructive sleep apnoea 1
    Lecture 7
    Functions of oral appliances in obstructive sleep apnoea 2
    Lecture 8
    Indications for oral appliances for obstructive sleep apnoea 1
    Lecture 9
    Indications for oral appliances for obstructive sleep apnoea 2
    Lecture 10
    Contraindications for oral appliances for obstructive sleep apnoea
    MyUni online delivery
    Week 4 Completion of Module 2
    Tutorial 2
    Case selection – when it goes wrong.
    Online quiz 2
    MyUni online delivery
    Week 5 Module 3  Oral appliances in practice
    Lecture 11
    Mandibular advancement splints 1
    Lecture 12
    Mandibular advancement splints 2
    Lecture 13
    Efficacy of mandibular advancement splints
    Lecture 14
    Side Effects of mandibular advancement splints
    Lecture 15
    Compliance with mandibular advancement splints
    MyUni online delivery
    Week 6 Completion of Module 3
    Tutorial 3
    Oral appliances – which one do I use?
    Online quiz 3
    MyUni online delivery
    Week 7 Module 4  Oral appliance impression and interocclusal records
    Lecture 16
    Impression materials
    Lecture 17
    Impressions for oral appliances
    Lecture 18
    Occlusion registration
    Lecture 19
    Registration of occlusion for oral appliances for obstructive sleep apnoea
    Lecture 20
    Procedural pitfalls
    MyUni online delivery
    Week 8 Completion of Module 4
    Tutorial 4 
    Critique of other oral appliances. 
    Brief critical evaluation of the advantages and disadvantages of infrequently used appliances.
    Online quiz 4
    MyUni online delivery
    Week 9 Module 5  Fabrication, delivery, titration and side effects management of oral appliances
    Lecture 21
    Laboratory fabrication of oral appliances for obstructive sleep apnoea
    Lecture 22
    Insertion and adjustment of oral appliances
    Lecture 23
    Titration of oral appliances
    Lecture 24
    Side effects management of oral appliances 1
    Lecture 25
    Side effects management of oral appliances 2
    Tutorial 5
    Investigation of various corrective occlusal exercises and titration paradigms
    MyUni online delivery
    Week 10 Completion of Module 5
    Tutorial 5
    Investigation of various corrective occlusal exercises and titration paradigms
    Online quiz 5
    MyUni online delivery
    Week 11 Module 6  Other Appliances for obstructive sleep apnoea
    Lecture 26
    Tongue retaining device
    Lecture 27
    Other devices
    Lecture 28
    Oral appliances and CPAP
    Lecture 29
    Overview of oral appliances in practice – multidisciplinary approach
    Lecture 30
    Compliance and behaviour modification

    MyUni online delivery
    Week 12 Completion of Module 6
    Tutorial 6
    Critique of other oral appliances
    Online quiz 6
    MyUni online delivery
    Week 13 Study Week MyUni online delivery
  • 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 x6 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 – MCQ, SBA, extending matching questions and short written answers.

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

    Tutorial x 6 (formative assessment) – students will explore a variety of areas relating to the selection and use of oral appliances for the management of sleep disordered breathing.  Each tutorial paper will require students to respond to several short answer questions or write a short essay on a topic ready for group discussion online.

    1  Evaluation of guidelines for oral appliances for obstructive sleep apnoea.  Critical evaluation of existing guidelines from around the world.
    2  Case selection – when it goes wrong.  Critical evaluation of three cases with undesirable outcomes. 3  Oral appliances – which one do I use?  Short answer questions on appliance selection and suitability.
    4  Critique of other oral appliances.  Brief critical evaluation of the advantages and disadvantages of infrequently used appliances.
    5  Investigation of various corrective occlusal exercises and titration paradigms .  Brief critical evaluation of the protocols and approaches to adjusting oral appliances.
    6  Tutorial - Critique of other oral appliances
    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 6101EX 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
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