DENT 6102EX - Dental Sleep Medicine in Practice I

External - Semester 1 - 2014

The student will learn about assessment of medical and dental conditions as well as relevant imaging and other techniques to screen patients referred for treatment of sleep-disordered breathing. This will include the use of lateral cephalometry and panoramic radiographs. The use of cone beam volumetric tomography and magnetic resonance imaging and evidence supporting their specific uses in sleep apnoea cases will be an outcome of the unit. At the completion of the course the student will also have the skills to use evidence-based predictors of treatment outcomes. This course will focus on discussions of history, examination, clinical tests and treatment planning for a series of cases. A templated approach to development of diagnostic skills and selection of treatment option alternatives will be presented for students.

  • General Course Information
    Course Details
    Course Code DENT 6102EX
    Course Dental Sleep Medicine in Practice I
    Coordinating Unit School of Dentistry Office
    Term Semester 1
    Level Postgraduate Coursework
    Location/s External
    Units 3
    Contact Up to 3 hours per week online
    Prerequisites ANHB 8432, ANHB 8431, DENT 6100, DENT 6101
    Restrictions Graduate Diploma in Dental Sleep Medicine
    Course Description The student will learn about assessment of medical and dental conditions as well as relevant imaging and other techniques to screen patients referred for treatment of sleep-disordered breathing. This will include the use of lateral cephalometry and panoramic radiographs.
    The use of cone beam volumetric tomography and magnetic resonance imaging and evidence supporting their specific uses in sleep apnoea cases will be an outcome of the unit. At the completion of the course the student will also have the skills to use evidence-based predictors of treatment outcomes. This course will focus on discussions of history, examination, clinical tests and treatment planning for a series of cases. A templated approach to development of diagnostic skills and selection of treatment option alternatives will be presented for students.
    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: Room 5.16 Oliphant Building

    Tutor: Clinical Associate Professor Stuart Mackay
    Email: adam.townsend@adelaide.edu.au
    Location: Private ENT practice & University of Woollongong

    Tutor: Associate Professor Craig Dreyer
    Email: craig.dreyer@adelaide.edu.au
    Location: Room 5.210 Adelaide Dental Hospital

    Tutor: Dr Paul Sambrook
    Email: paul.sambrook@adelaide.edu.au
    Location: Room 5.210 Adelaide Dental Hospital

    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 Have an understanding of panoramic and cephalometric image formation
    2 Demonstrate ability to interpret panoramic and cephalometric images
    3 Be able to discuss the advantages, disadvantages and limitations of complex imaging modalities in the diagnosis and management of sleep disordered breathing
    4 Be able to discuss the advantages, disadvantages and limitations of other clinical assessments and measurements in the diagnosis and management of sleep disordered breathing
    5 Evaluate patient history and clinical information derived from examinations and clinical studies
    6 Synthesize history and clinical information to formulate a treatment plan as part of a multidisciplinary team
    7 Demonstrate ability to present cases to peers and medical specialists
    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. 1-3
    The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner. 2-3
    An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems. 6
    Skills of a high order in interpersonal understanding, teamwork and communication. 5-7
    A proficiency in the appropriate use of contemporary technologies. 3, 4, 12
    A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 6
  • 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 [electronic resource], Cambridge University Press
    Available as an electronic book via the Barr Smith Library Catalogue

    Badr, M (2011)  Essentials of Sleep Medicine [electronic resource], 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 [electronic resource], 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 [electronic resource], 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
    23  x 1 hour online lectures
    2 x 2 hour online tutorials
    3 x 3 hour case reviews
    2 x 2 hour workshops
    Write up of treated patient cases
    Learning Activities Summary
    Week Topic Lecture
    Week 1 Module 1  Imaging in Dental Sleep Medicine
    Lecture 1
    Panoramic images and their formation
    Lecture 2
    Lateral cephalometric images and their formation
    Lecture 3
    Indications for using panoramic and lateral cephalometric images
    Lecture 4
    Interpreting panoramic and cephalometric images in dental sleep medicine 1
    Lecture 5
    Interpreting panoramic and cephalometric images in dental sleep medicine 2
    MyUni online delivery
    Week 2 Completion of Module 1
    Workshop 1 (2 hours)
    Panoramic and cephalometric image interpretation
    Online quiz 1
    MyUni online delivery
    Week 3 Module 2  Clinical case 1
    Case Review 1 (3 hours)
    Simple snoring patient
    Lecture 6
    Clinical Photography
    MyUni online delivery
    Week 4 Completion of Module 2
    Workshop 2 (2 hours) 
    Case Presentations – medical and dental clinical assessment
    Online quiz 2
    MyUni online delivery
    Week 5 Module 3  Complex imaging modalities in sleep
    Lecture 7
    Conventional CT and Cone Beam CT imaging in Sleep Breathing Disorders
    Lecture 8
    MRI aspects and benefits for assessment
    Lecture 9
    Other imaging modalities in sleep: Part 1
    Lecture 10
    Other imaging modalities in sleep: Part 2
    MyUni online delivery
    Week 6 Completion of Module 3
    Tutorial 1 (2 hours)
    CBCT and MRI in sleep - literature
    Online quiz 3
    MyUni online delivery
    Week 7 Module 4  Clinical case 2
    Case Review 2 (3 hours)
    Mild sleep apnoea syndrome
    Lecture 14
    Significance of symptoms in mild obstructive sleep apnoea
    Lecture 15
    Management modification and improved efficacy
    MyUni online delivery
    Week 8 Completion of Module 4
    Online quiz 4
    MyUni online delivery
    Week 9 Module 5  Assessments and measurements not included in standard sleep studies
    Lecture 16
    Maintenance of wakefulness test (MWT)
    Lecture 17
    Multiple sleep latency test (MSLT)
    Lecture 18
    Sleep diaries and their assessment
    Lecture 19
    Quality of life assessment
    MyUni online delivery
    Week 10 Completion of Module 5
    Tutorial 2 (2 hours)
    Using quality of life scales
    eg Stanford sleepiness scale
    Online quiz 5
    MyUni online delivery
    Week 11 Module 6  Clinical case 3
    Case Review 3 (3 hours)
    Tongue retaining devices
    Lecture 21
    Side effects of tongue retaining devices
    Lecture 22
    The evidence for and against tongue retaining devices
    Lecture 23
    Over-the-counter appliances
    MyUni online delivery
    Week 12 Completion of Module 6
    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 x2 Formative
    Case review x3 Formative
    Workshop x2 Formative
    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 2 (formative assessment) 
    – exercises in using and interpreting quality of life scales

    Workshop 1 (formative assessment)
    – exercises in interpretation of radiographs and cases

    Workshop 2 (formative assessment)
    – exercises in patient assessment using clinical data from real cases

    Case review x 3 (formative assessment)
    – critical evaluation and discussion of three cases (diagnosis, multidisciplinary management, monitoring and outcomes) of increasing complexity, and of the protocols and approaches to adjusting 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
  • 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.