2020 North American Dental Sleep Medicine Symposium - Event Program by dentalsleepsolutions

The North American Dental Sleep Medicine Symposium

2020 CLEARWATER, FL / FEBRUARY 14-15, 2020

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WELCOME TO

THE NADSM SYMPOSIUM Jason Tierney

NADSM Symposium Director

Welcome to the 2020 North American Dental Sleep Medicine Symposium. We are so grateful that you’ve chosen to learn and grow with us, and we applaud your commitment to your patients, practice, and profession. The road to Dental Sleep Medicine success is rife with more hurdles than an Olympic track meet. Fortunately, the 2020 NADSM Symposium features a roster of experts that will share their knowledge and experience to help you overcome these hurdles. Attend their presentations. Ask questions. Talk with them afterward. Dialogue and discourse are key to understanding. The dozens of NADSM Symposium Sponsors help make this meeting happen each year. We couldn’t do this without them. These people possess a breadth of knowledge. They live, eat, and sleep sleep. That isn’t a typo. Be sure to spend time with them and leverage their collective experience. They can help you streamline processes, improve results, and achieve your goals. The NADSM was founded with the purpose of providing Dental Sleep Medicine practitioners with an engaging and entertaining platform to learn with their peers and grow together. We aimed to foster kinship, conversation, and progress. We hope to hit that target again this year. Learn with purpose. Ask questions. Share your ideas and glean new insights from others. Together, we can transform dental sleep medicine. Make it happen.

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HILTON CLEARWATER RESORT:

Main Level Tiki Bar and Beach

Water’s Edge Ballroom A & B

Pool Area Coaster’s Lounge

 1. Check in at registration.  2. Join us for main sessions in the Grand Ballroom.  3. Attend Team Member Track in Water’s Edge A & B.  4. Visit our sponsors in the Exhibition Areas. This way to Water’s Edge A&B Team Member Track

Elevators Gift Shop

Front Desk

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Carambola Restaurant

Hibiscus Spa

Gym

Exhibition Hall

Grand Ballroom

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NEED A PARTNER FOR YOUR JOURNEY TO DENTAL SLEEP MEDICINE SUCCESS?

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With over 120 years of combined Dental Sleep Medicine experience, we have lived through the pain, learned from wide-ranging experiences, pioneered, and innovated to provide you with educaaon, tools, and resources to achieve success!

EVENT SCHEDULE: Friday, February 14th 8:00 am - 8:15 am - WELCOME 8:15 am - 9:15 am - MARK MURPHY, DDS, FAGD 3 Keys to Closing (LOTS!) More Patients

9:15 am - 10:15 am - GY YATROS, DMD

Gasp! What is Choking Your Sleep Practice?

10:15 am - 10:45 am BREAK 10:45 am - 11:45 am - ERIN ELLIOTT, DDS

General Dentistry AND Sleep Apnea? Is That Possible?

11:45 am - 12:45 pm - RYAN HOLIDAY The Obstacle Is the Way

12:45 pm - 1:45 pm LUNCH 1:45 pm - 2:45 pm - JILL OMBRELLO, DDS

Sleep Disordered Breathing - The Silent Epidemic Affecting 9 Out of 10 Children

2:45 pm - 3:45 pm - RYAN JAVANBAKHT

“Please Sir, I Want Some More!” Get Patients to Tell You What They Want and Grow Your Sleep Practice

3:45 pm - 4:15 pm BREAK 4:15 pm - 5:15 pm - JAMISON SPENCER, DMD, MS WHY Your Why Matters, WHAT MDs Care About, and HOW Oral Appliance Therapy Can be Better Than You Think

5:15 pm - 6:15 pm HAPPY HOUR

EVENT SCHEDULE: Saturday, February 15th 8:00 am - 9:00 am - STEVE CARSTENSEN, DDS

Protocols, Policies, and Position Statements – What Should I Pay Attention To?

9:00 am - 10:00 am - JOHN REMMERS, MD

Oral Appliance Therapy – The Dark Art or the Evidencebased Approach

10:00 am - 11:00 am - GILLES LAVIGNE, DMD, MSc, PhD

Sleep Bruxism: Causes and Management When Associated With Comorbidities

11:00 am - 11:30 am BREAK 11:30 am - 12:30 pm - RICHARD DRAKE, DDS

Titration; Too Much? Too Little? Just Right? Now What?

12:30 pm - 1:30 pm - DANIA TAMIMI, DDS, DMSc

Radiographic Evaluation of the Nasal Cavity & Paranasal Sinuses for Sleep Disordered Breathing

TEAM TRACK SCHEDULE Saturday, February 15th 8:00 am - 9:30 am - LESIA CRAWFORD, GOGO BILLING Successful Consultations & Case Presentations

9:30 am - 11:00 am - RANDY CURRAN, PRISTINE MEDICAL BILLING 5 Steps for Successful Medical Billing

11:00 am - 11:30 am BREAK 11:30 am - 12:30 pm - GINA PEPITONE-MATTIELLO, RDH Overcoming Obstacles

12:30 pm - 1:30 pm - GINA PEPITONE-MATTIELLO, RDH 10 Clinical Pearls

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Dental Sleep Practice 3 Reasons to Subscribe • 8 CE credits available per year • 1 subscription, 2 formats – print and digital • 4 high-quality, clinically focused issues per year

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EXHIBIT HALL LAYOUT

Main Ballroom

South End

ELEVATOR

North End

REGISTRATION TABLE

RESTROOMS

Academy of Clinical Sleep Disorder Disciplines AirAvant Medical Airway Management Apex Dental Sleep Lab BeamReaders Blackstone Brady Billing Bulleseye Media Dental Prosthetic Services Dental Services Group Dental Sleep Practice DS3 Dynaflex General Sleep Glidewell GoGo Billing Great Lakes Dental Technologies Healthy Start Itamar Medical

Kettenbach Myerson NDX Keller Panthera Patient Safety Inc Pristine Medical Billing Prosomnus Rhinomed SICAT Sleep Group Solutions SleepTest.com Somnomed Space Maintainers Lab Spencer Study Club Vatech America VirtuSleep Whip Mix Whole You

THE 3 STEP MODEL FOR GROWING A DENTAL SLEEP PRACTICE Discover the direct-to-patient system that is working for successful dental sleep practices nationwide.

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1 in 4 Adults Have Sleep Disordered Breathing How Many Are Your Patients?

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DENTAL SLEEP MEDICINE GPS STEP BY STEP DIRECTIONS TO DRIVE YOUR SUCCESS

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THIS COMPREHENSIVE HANDSON COURSE IS FOR DENTISTS & TEAMS THAT WANT TO GO FROM AZ IN DENTAL SLEEP MEDICINE & AVOID ALL THE TRAFFIC JAMS & WRONG TURNS THAT PREVENT PRACTICES FROM SUCCESSFULLY REACHING THEIR DESTINATION.

PRESENTERS UPCOMING COURSES 1/17 - 1/18 SCOTTSDALE, AZ

2/28 - 2/29 RALEIGH, NC 3/6 - 3/7 CORNING, NY 3/13 - 3/14 LOS ANGELES, CA 3/20 - 3/21 DALLAS, TX

GY YATROS DMD, DABDSM

4/17 - 4/18 NASHVILLE, TN 4/24 - 4/25 CHICAGO, IL 5/1 - 5/2 DENVER, CO 5/15 - 5/16 TAMPA, FL 5/22 - 5/23 SEATTLE, WA 6/5 - 6/6 WASHINGTON, DC

MARK MURPHY DDS, FAGD

MIKE@DENTALSLEEPSOLUTIONS.COM

DS3SLEEP.COM/COURSES 877-95-SNORE (76673)

9/18 - 9/19 MINNEAPOLIS, MN 9/25 - 9/26 NEW ORLEANS, LA 10/2 - 10/3 COLUMBUS, OH

SCHEDULE: FRI 8AM - 5PM & SAT 8AM - 2 PM DENTISTS $1,295

DS3 MEMBERS $695

ADD’L TEAM MEMBERS $295

TUITION INCLUDES: 14 HOURS CE, 1 TEAM MEMBER & 1 SLEEP TEST BREAKFAST PROVIDED, LUNCH SERVED FRIDAY. REFUND POLICY: 75% REFUND IF >60 DAYS, 50% IF <60 DAYS BEFORE EVENT

Mark Murphy, DDS, FAGD Dental Sleep Practitioner Rochester Hills, MI

Friday @ 8:15 am GRAND BALLROOM

Mark Murphy, DDS is the Lead Faculty for Clinical Education at ProSomnus Sleep Technologies, Principal of Funktional Consulting, serves on the Guest Faculty at the University of Detroit Mercy and Michigan Schools of Dentistry and as a Regular Presenter on Business Development, Practice Management and Leadership at the Pankey Institute. He has served on the Board of Directors of the Pankey Institute, National Association of Dental Laboratories, the Identalloy Council, the Foundation for Dental Laboratory Technology, St. Vincent DePaul’s Dental Center and the Dental Advisor. Dr. Murphy lectures internationally on Leadership, Practice Management, Communication, Case Acceptance, Planning, Occlusion, Sleep and TMD. He has a knack for presenting pertinent information in an entertaining manner. He’s pretty funny, too.

3 Keys to Closing (LOTS!) More Patients Dr. Mark Murphy has been helping Dental Sleep Medicine practices thrive during the past few years. His strategies and tactics are basic, yet quite impactful. He will explain how WE see the process and how most patients have a very different perspective. Dr. Murphy’s insight into the patient experience, how we can adjust our messaging and touchpoints as well as some innovative external marketing will help you have the best year ever. DSM and OAT is growing at a 12-14% CAGR already, doubling or tripling those rates could profoundly help your practice this year. Learning Objectives: • • •

How the patient pathway differs from what most dentists believe and how to adapt to this new perspective Analysis of touchpoints, how to create moments of impact, and help more patients choose a healthier treatment decision. External marketing that helps other health care providers be more inclined to refer to you for OAT

Gy Yatros, DMD

Friday @ 9:15 am GRAND BALLROOM

Dental Sleep Practitioner Co-Founder of DSS & DS3, Bradenton, FL

Dr. Gy Yatros has practiced dental sleep medicine for over 20 years and is a key opinion leading international lecturer in the field of sleep-disordered breathing and dental sleep medicine. He has offices in Bradenton, Sarasota, and Tampa, Florida devoted exclusively to the treatment of sleep disordered breathing. He is cofounder of Dental Sleep Solutions and the DS3 System for Dental Sleep Medicine Implementation. His lectures focus on practical, actionable insights that help practices help more patients. He is a Diplomate of the American Board of Dental Sleep Medicine (ABDSM), past president of the Manatee Dental Society, visiting faculty for The Pankey Institute and is an Affiliate Assistant Professor of the Department of Internal Medicine with the University of South Florida, College of Medicine.

Gasp! What is Choking Your Sleep Practice? After spending the past 12 years helping dentists implement Dental Sleep Medicine, Dr. Gy Yatros has identified consistent obstacles in practices across the country. From Cape Cod to Kansas City and everywhere in between, these hurdles restrict DSM growth and ultimately inhibit access to quality care. During this presentation, Dr. Yatros will identify the most common hurdles obstructing dental sleep success and provide proven effective solutions. “The obstacle is the way” so join us for direction on how to navigate your way through these common DSM obstacles in your practice. You will leave with a much better understanding of the common pitfalls and practical solutions for successful DSM implementation. Learning Objectives: • • • • •

Recognize the most common pitfalls in DSM implementation Learn “Must Have” systems for DSM success Develop protocols for optimizing team utilization Understand tracking of important metrics for DSM success Determine your Action Plan for achieving practice goals

Erin Elliott, DDS Dental Sleep Practioner, Post Falls, ID

Friday @ 10:45 am GRAND BALLROOM

Erin Elliott, DDS’s general dentistry practice in Post Falls, ID is busy helping patients SMILE and SLEEP better. She is living proof that you can have a busy restorative practice while treating a high volume of sleep patients, spending quality family time, playing soccer, and lecturing all over the US. Dr. Elliott is an international speaker and educator with 3D-Dentists on the topic of sleep disordered breathing and has been featured in innumerable dental journals and podcasts. She loves to help general dentists extend this life-saving service to their patients. Dr. Elliott also known as “E3” is an active member of her local chapter of the American Dental Association as well as national organizations including the American Academy of Sleep Medicine, American Academy of Dental Sleep Medicine and she is a past president of the American Sleep and Breathing Academy. She also mentors many DSM practitioners and provides coaching services to practices across the country.

General Dentistry AND Sleep Apnea? Is That Possible? General dentistry places demands on practitioners’ time. The patient flow and documentation inherent to properly practice Dental Sleep Medicine (DSM) can cause friction in a general dentistry practice. In this lecture Dr. Erin Elliott, a practicing general dentist, will discuss the evolution and workflow of implementing DSM into a GP setting. She will share the 3 main pivots that she made in order to help bring this additional service to her patient population. Additionally, Dr. Elliott will share how she branded and marketed her practice to become one of the go-to sleep solutions in Idaho. Learning Objectives: • • • • •

Fast forward through years of mistakes by avoiding these pitfalls Identify where your communication and workflow is missing the mark by using a 4 step process Remove barriers so your patients get the help they need Designate and develop a sleep champion and drive team engagement Brand your practice as a place for DSM

Ryan Holiday Best Selling Author, Austin, TX

Friday @ 11:45 am GRAND BALLROOM

Ryan Holiday’s philosophically-driven bestselling books have not only sold nearly two million copies, but they’ve directly influenced Super Bowl-winning teams like the New England Patriots, World Series champions like the Houston Astros, as well as sitting senators, military leaders and some of the biggest and most important companies in the world like Google, Twitter, and Microsoft. At the core of Ryan’s teachings is Stoicism, a philosophy he has brought back from ancient Rome and into the workplace, entrepreneurship, politics, and sports. The idea is that while we don’t always control what happens to us in life, we always control how we respond. It’s this message, a framework for overcoming obstacles, scaling new challenges and battling both the ups and downs and life, illustrated vividly with stories from the greats (and not-so-greats) of history, that has brought Ryan in front of some of the most influential audiences in the world. He’s been profiled by the New York Times, Sports Illustrated and ESPN, and he counts among his clients and followers, some of the biggest names in business, tech, culture and professional athletics. His book, Conspiracy, is being adapted into a major motion picture. His most recent book, Stillness Is the Key was listed on the New York Times’ and Wall Street Journal’s bestseller lists.

The Obstacle Is the Way Ryan Holiday will share the timeless art of turning trials into opportunities to grow and improve your life and career. He’ll expound on the stories of Marcus Aurelius, Epictetus, and many others so you can gain insights into how to convert impediments to progress into the road to goal attainment. Ryan will share some of the tenets from his best-selling book “The Obstacle Is the Way” which has become a staple of many professional sports organizations and led to presentations for the NFL Owners Meeting, Texas Rangers, the Green Berets of the 7th Special Forces Group, the Atlanta Braves, the University of Alabama football team, Google, GE, and a popular TEDx talk.

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Jill Ombrello, DDS Dental Sleep Practioner, Dallas, TX

Friday @ 1:45 pm GRAND BALLROOM

Jill Ombrello, DDS is passionate about improving the lives of children and specializes in sleep-disordered breathing and habit correction for children aged 2 - 12. Many parents are surprised to learn that as many as nine out of ten kids struggle with sleepdisordered breathing, which manifests in surprising ways. Often, healthcare professionals misdiagnose symptoms, like trouble focusing or mouth breathing. Through a few simple adjustments, children who might otherwise be put on medication can enjoy a good night’s rest, and they soon find many of their issues resolved. A fourth-generation dentist, Dr. Ombrello deeply appreciates the opportunity to support family health, both locally in Dallas and on a global scale. She is a longtime advocate for Healthy Start, a system designed to improve the wellbeing of children by educating and treating the root causes of certain conditions caused by Sleep Disordered Breathing. Dr. Ombrello lectures internationally and has trained thousands of dentists seeking to adopt her best practices. She has provided care in underserved areas of Texas and Alaska, and also donates her time and dental services to the Genesis Women’s Shelter, where she offers top-tier care for the victims of domestic abuse. Dr. Ombrello is a rabid Beyonce fan.

Sleep Disordered Breathing - The Silent Epidemic Affecting 9 Out of 10 Children There is a silent epidemic affecting 9 out of 10 children. Sleep Disordered Breathing manifests itself in a variety of symptoms that are many times ignored or misdiagnosed such as ADD/ADHD, Allergies, Snoring, Mouth Breathing and more. We will learn to identify these symptoms, evaluate the underlying root causes, promote proper oral habits, develop the airway, and promote proper jaw development that results in straight teeth without braces. Learning Objectives: • Evaluate the outward signs and symptoms of sleep disordered breathing in children. • Learn to evaluate the root cause of Sleep Disordered Breathing. • Discuss the proper growth and development of a child aged 2-12 years of age. • Evaluate current treatment methods to help promote the natural growth and development of children with sleep disordered breathing.

Ryan Javanbakht Co-Founder and CEO of SleepTest.com Laguna Niguel, CA

Friday @ 2:45 pm GRAND BALLROOM

Ryan Javanbakht is Co-Founder, President, and CEO of SleepTest.com, a national home sleep testing service that enables patients to be tested in the comfort of their own beds and equips clinicians with a trusted source for obstructive sleep apnea diagnostics.Ryan fully committed to the field of sleep medicine when he learned his father’s cardiovascular condition could have been avoided with a sleep test. Mr. Javanbakht demonstrates his passion for helping people by providing engaging experiences that get his audiences to take action. Ryan lectures as an expert in testing and airway education, as well as psychology and human behavior. He’s lectured at the North American Dental Sleep Medicine Symposium, the American Academy of Dental Sleep Medicine, California Dental Association, Obstructive Sleep Airway University, the American Academy of Physiological Medicine & Dentistry, i-CAT Congress, Vatech Symposium, Invisalign CE, and many other continuing education events.

“Please Sir, I Want Some More!” Get Patients to Tell You What They Want and Grow Your Sleep Practice This presentation by Ryan C. Javanbakht will teach you how high performance dentists get patients to tell them what they want instead of begging patients to consider what dentists can provide. Ryan will share his expertise in psychology and human behavior by taking you on a journey through self-awareness, the why and “not-why’s”, and how motivational interviewing will engage more patients and grow your sleep business. After all, it all starts with communication! Learning Objectives: • Learn how to use self-awareness to positively impact your doctor-to-patient relationship. • Learn what patients crave and how to appeal to their cravings, resulting in patient compliance and revenue generation. • Learn how to use motivational interviewing techniques with patients to engage them in your consultation and close more cases.

Sleep, Breathing & Airway Issues Start Addressing the Needs of Your Patients Immediately

Screen, Evaluate & Treat Your ing Pediatric Patients ric

p ial able c e Sp avail• Comprehensive Digital Class

• Training on pediatric treatment of SDB and the BEFORE (DEFICIENT FACIAL GROWTH)

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identification within patients using dental conditions as medical indicators • Includes 2 full cases • Interactive study groups

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SomnoDent Avant ™ SomnoMed’s smallest, slimmest, strongest and first milled oral device with a soft liner for the treatment of mild to moderate obstructive sleep apnea (OSA).

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Jamison Spencer, DMD, MS Dental Sleep Practioner & Founder of Spencer Study Club, Boise, ID

Friday @ 4:15 pm GRAND BALLROOM

Jamison Spencer, DMD, MS is the director of the Center for Sleep Apnea and TMJ, his practice limited to sleep apnea and TMJ problems in Boise, ID, and the Center for Sleep Apnea and TMJ in Salt Lake City, UT. He also acts as the director of Dental Sleep Medicine for the 32 locations of Lane and Associates Family Dentistry in North Carolina. Dr. Spencer has treated thousands of patients with sleep apnea and TMJ problems, and now focuses on helping dentists help their patients with such problems. Dr. Spencer is the Past-President of the American Academy of Craniofacial Pain (AACP), a Diplomate of the American Board of Craniofacial Pain, a Diplomate of the American Board of Dental Sleep Medicine, and has a Masters in Craniofacial Pain from Tufts University. Dr. Spencer is also the creator of Spencer Study Club, an online education, mentoring and implementation program to help dentists and their teams help more of their patients with sleep apnea and TMJ disorders.

WHY Your Why Matters, WHAT MDs Care About, and HOW Oral Appliance Therapy Can be Better Than You Think In this presentation Dr. Jamison Spencer will discuss how your WHY will be the most important factor to your success or failure in helping patients with sleep disordered breathing and TMD issues. He’ll also discuss WHAT MDs tend to care about, as sometimes it seems like a mystery why MDs aren’t referring as often as you think they should. And lastly, Dr. Spencer will reveal HOW oral appliance therapy, done the right way, can be a much better therapy than your referral sources (and perhaps even you) are aware. This will be 50 minutes of fast action fun! Learning Objectives: • • •

Understand how “your why” impacts your success in dental sleep medicine and TMD Clarify the chief concern of many MDs, and how this may impact referrals Determine if a small change to your OAT protocol could dramatically improve outcomes

ARE YOUR PATIENTS GETTING A GOOD NIGHT'S SLEEP?

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Steve Carstensen, DDS Dental Sleep Practioner & Author Bellevue, WA

Saturday @ 8:00 am GRAND BALLROOM

Steve Carstensen DDS began treating sleep apnea and snoring in 1988. He’s a consultant to the ADA for sleep related breathing disorders, has trained at UCLA’s Mini-Residency in Sleep and is a Diplomate of the American Board of Dental Sleep Medicine. He lectures internationally, advises several sleep-related manufacturers, directs sleep education at the Pankey Institute and is a guest lecturer at Spear Education, University of the Pacific and Louisiana State Dental Schools. For the AADSM he was a Board Member, Secretary-Treasurer and President-Elect. From 2014 – 2019 he was Editor of Dental Sleep Practice Magazine and currently sees patients in Bellevue, WA. Dr. Carstensen is also Co-Author of The Clinician’s Handbook for Dental Sleep Medicine 2019.

Protocols, Policies, and Position Statements – What Should I Pay Attention To? Are you confused about how to guide your patients through diagnosis, treatment options, and follow-up? Navigating protocols and requirements from different trade groups and regulatory bodies, the dentist making connections in their medical community might be confused about which one is important, which one to follow, how to talk with their colleagues. This talk will help the dental team sort out which guide to use and offer a glimpse into changes that are being pushed for on behalf of our patients. Learning Objectives: • • •

Understand protocols and requirements from relevant trade groups & regulatory bodies Synthesize these guidelines into your DSM practice Heighten awareness about these changes and how they affect your patients and your practice

John Remmers, MD

Saturday @ 9:00 am GRAND BALLROOM

Co-Founder & CMO of Zephyr Sleep Technologies Alberta, Canada As the CMO and co-founder of Zephyr Sleep Technologies, Dr. John Remmers leads the research, design and development of innovative sleep products used in the diagnoses and treatment of obstructive sleep apnea. As a world-renowned expert in the field of snoring and obstructive sleep apnea, Dr. Remmers has published over one hundred peer reviewed articles in the area of respiratory physiology. Dr. Remmers served two terms as the Editor-in-Chief of the Journal of Applied Physiology and has presented honorary research lectures to the American Thoracic Society, the American Physiological Society, and American College of Chest Physicians. He has developed various technologies and medical devices to treat sleep apnea, ranging from portable diagnostic sleep monitors to auto-adjusting CPAP devices, and remotely controlled/auto-controlled mandibular positioners (i.e. MATRx and MATRx plus) used in the prescription and characterization of oral appliance therapy. Over the past decade, Dr. Remmers has dedicated his research to patient selection for oral appliance therapy and sleep theragnostics.

Oral Appliance Therapy – The Dark Art or the Evidence-based Approach The session will review the current methods of providing oral appliance treatment for obstructive sleep apnea. Traditional methods that rely only on a practitioner’s clinical experience will be compared and contrasted to new methods that rely on sleep theragnostic testing. Such testing identifies favorable candidates and an efficacious protrusive position for the custom-fitted oral appliance. Dental sleep medicine is on the cusp of a major shift to evidence-based practices. Learning Objectives: • Understand the lack of a scientific base for current oral appliance practices. • Appreciate the importance of evidence from sleep theragnostic testing. • Recognize the future role of the dentist in managing obstructive sleep apnea.

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Gilles Lavigne, DMD, MSc, PhD Researcher & Author Montreal, Canada

Saturday @ 10:00 am GRAND BALLROOM

Gilles Lavigne is internationally recognized for his experimental and clinical research projects on sleep bruxism and the interactions between sleep, pain, and breathing disorders. He is also active in clinical teaching and services in these areas. Gilles Lavigne, DMD (U de Montreal, Canada), PhD (U of Toronto, Canada), and FRCD (Oral Medicine, Georgetown U, USA), completed his postdoctoral training on the neurobiology of pain at NIH, Bethesda. He received a Doctor honoris causa from the Faculty of Medicine and Dentistry, Zenntrum für Zahnmedizin, University of Zurich, Switzerland. He holds a Canada Research Chair in Pain, Sleep & Trauma and has been Dean of the Faculty of Dental Medicine at the Université de Montréal, Canada (2008-2016). He was President of the Canadian Sleep Society and President of the Canadian Pain Society. He is co-founder and past Director of the three research networks for Oral Health, Pain and Placebo Mechanisms under the Fonds de la Recherche en Santé du Quebec and the Canadian Institutes of Health Research.

Sleep Bruxism: Causes and Management When Associated With Comorbidities Sleep bruxism is an oral activity without problem for most individuals since it is occurring occasionally and in absence of other disorders. When associated with destructive dental behavior, orofacial pain and headache or concomitant to insomnia and/or sleep apnea, management becomes a challenge to dentists. In this presentation, internationally renowned researcher and author, Dr. Gilles Lavigne will define Sleep Bruxism and define dentistry’s role in its management particularly when it coincides with Sleep Disordered Breathing symptoms. Learning Objectives: • Understand mechanisms and causes of Sleep Bruxism. • Develop skills for screening and determining when to request sleep medicine consultation in presence of comorbidities. • Have a rapid overview of ‘personalized management’ when sleep bruxism overlaps with other conditions.

Richard Drake, DDS

Saturday @ 11:30 am GRAND BALLROOM

Dental Sleep Practitioner Co-Founder of DSS & DS3, San Antonio, TX

After doing general dentistry for 13 years, I woke up one morning and as I sauntered toward the morning pitstop, I felt like Dale Earnhardt, Jr. at Talledega; I kept making a left-hand turn. My neck was contorted, in the same position as I had been while doing endo on #15 yesterday. Man, I can’t keep doing this. I know. I think I’ll do dental sleep medicine instead. That might not be exactly how it happened but now all I do is treat airways. My practice in San Antonio, TX helps a bunch of people every day; it is a gratifying work that has many rewards, not the least of which is feeling like I help keep some people alive. Additionally, I partnered with Dr. Gy Yatros, and together, we help to educate many dentists about dental sleep medicine and have created the DS3 Experience, a complete system to help dentists succeed in sleep.

Titration; Too Much? Too Little? Just Right? Now What? Navigating the dental device landscape is a challenge. Of course, you know this already. What position should you take the initial bite? How quickly do you move the patient forward? How do you keep patients from falling through the cracks? What role does VDO play? And then, if all that was not challenging enough, we have to get the patient to do a titration sleep study! Providing optimal Oral Appliance Therapy involves much more than just seating a device and protruding the mandible. During this lecture, we’ll focus on steps you can take to achieve mean disease alleviation in a more predictable fashion. Learning Objectives: • • • • •

Discuss various protocols for titrating dental devices How to determine starting positions and rates of mandibular advancement What is the role of adding vertical; when, why, and how? When and how of titration sleep testing What to do when your device’s results are suboptimal

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Dania Tamimi, DDS, DMSc Dentist, Radiology Consultant, Author Orlando, FL

Saturday @ 12:30 pm GRAND BALLROOM

Dr. Dania Tamimi graduated with a dental degree from King Saud University, Riyadh, Saudi Arabia. She trained at Harvard School of Dental Medicine and earned a doctorate of medical science (DMSc) and certificate of fellowship in Oral and Maxillofacial Radiology in 2005. She is board certified by the American Board of Oral and Maxillofacial Radiology (ABOMR). She is a reviewer and an Editorial Board member for Oral Surgery, Oral Pathology, Oral Medicine and Oral Radiology (OOOO), as well as a reviewer for DMFR, Oral Radiology, Head and Neck, Angle Orthodontist and AJO-DO. She is the lead author on two textbooks: “Specialty Imaging: Dental Implants” and “Specialty Imaging: Temporomandibular Joint” and a co-lead author on “Diagnostic Imaging, Oral and Maxillofacial”. She lectures nationally and internationally. She currently runs her oral and maxillofacial radiology private practice in Orlando, Florida

Radiographic Evaluation of the Nasal Cavity & Paranasal Sinuses for Sleep Disordered Breathing Nasal patency is often overlooked when considering efficacy of Oral Appliance Therapy. Placing the necessary emphasis on nasal patency begins with a true understanding of the structures of the nose and sinuses and how their morphology may be associated with Sleep Disordered Breathing. Dr. Dania Tamimi will review these anatomical structures with a focus on radiography. Learning Objectives: • • • •

Understand the morphologic risk factors associated with Sleep Disordered Breathing Review of gross & radiographic anatomy of the nose and sinuses Know the role of growth and development disturbances on the morphology of these structures Understand how the TMJ and skull base are related to these structures

TEAM MEMBER TRACK Lesia Crawford Co-Founder & CEO of Go Go Billing & GoTo Sleep Center, Scottsdale, AZ

Saturday @ 8:00 am WATERS EDGE B

Lesia Crawford is the CEO and Co-Founder of GoGo Billing, a firm specializing in medical billing for dentists with an emphasis on Dental Sleep Medicine for the past 9 years. Lesia possesses over twenty years of dental experience as an assistant, office manager, and consultant. In 2018, she co-founded GoTo Sleep Center for CPAP Alternatives in Phoenix, AZ with Dr. Stacey Layman. The practice is dedicated entirely to Dental Sleep Medicine and recently opened a second location in Scottsdale, AZ where they collaborate with multiple medical referral sources and provide best in class care to several dozen patients each month.

Successful Consultations & Case Presentations OAT works and many of your patients will live better lives because of it. How can you get more of them to understand that and agree to treatment regardless of the cost? Connecting with your patients, understanding what motivates them, and explaining the immense benefit of OAT regardless of cost is important to the success of your practice and your patients’ health. With a 90% case acceptance rate in a practice treating 45+ patients each month, Lesia will share her experiences & crucial aspects for a successful consultation. Learning Objectives: • • • • •

Explain patients’ sleep test results in a way that resonates with them Determine the patient’s motives and primary complaints Propose viable financial terms so money is not the obstacle Connect with patients in ways that make them leave positive online reviews Generate more “word of mouth” reviews

Randy Curran

Saturday @ 9:30 am WATERS EDGE B

Founder & CEO of Pristine Medical Billing Murrietta, CA Randy Curran has helped over one thousand dental practices manage the financial aspects of dental sleep medicine (DSM) and directly supervised collection of over $30 million dollars for DSM treatments. With more than 12 years billing for all facets of sleep medicine, he possesses a wealth of knowledge regarding medical insurance coverage criteria and reimbursement trends. Over the past two years, Randy has expanded his team at Pristine Medical Billing to over 40 employees that serve as extensions of practices in 47 states across the US. Under his tutelage, this team seeks to maximize reimbursement while protecting practices from audits with proper coding and collections protocols.

5 Steps for Successful Medical Billing Medical Billing for Oral Appliance Therapy is seemingly riddled with anomalies. It frequently seems like checking off the boxes and following the rules to maximize reimbursement bears different results from case to case. There are steps that your practice can take to streamline processes, minimize claim denials, and maximize payments. During this 90 minute session, Randy Curran will share a checklist of 5 steps you must consistently follow for every claim. Learning Objectives: • • •

Understand what documentation is always required for successful claim submission Know how to accurately determine what the out of pocket cost of OAT is for your patient Provide accurate notes to reduce claim denials

Dedicated Account Managers for Direct Client Access Shared State by State Allowable and Payment Database Patient by Patient Financial Coaching for Accurate Case Presentation Live Claim and Authorization Status Reporting System Transparent Flat Rate Bundled Pricing In-Network Credentialing & Contracting Services Expeditious Medicare DME Enrollment

TEAM MEMBER TRACK Gina Pepitone-Mattiello, RDH Sleep Hygienist, Podcast Host, Williston Park, NY Gina Pepitone-Mattiello is a Registered Dental Hygienist (RDH) practicing with Long Island Dental Sleep Medicine, the first AADSM accredited dental sleep facility in New York State. Gina interactively engages patients, identifying risk factors, signs and symptoms of Airway Disorders and Obstructive Sleep Apnea. A pioneer in the dental sleep medicine field, Gina has developed an online on-demand certification course, “Certificate in Dental Sleep Medicine for the Registered Dental Hygienist”, that is accredited by the Academy of Clinical Sleep Disorders Disciplines. In addition to treating patients and educating other hygienists, Gina has published several articles and has lectured internationally on behalf of various educational institutions. Gina, the wife of a New York City firefighter and sleep apnea sufferer, supports the World Trade Center Health Program by educating and treating our first responders who suffer with Airway Disorders. Gina also hosts the “Get A Gasp” Podcast on The Dental Podcast Network, Channel 2 every Wednesday. Her motto is… “People Don’t Care How Much You Know Until They Know How Much You Care.”

Overcoming Obstacles

Saturday @ 11:30 am WATERS EDGE B

Sometimes it can feel like there are more hurdles in Dental Sleep Medicine than an Olympic track and field course. From time management, overdue hygiene checks, carving out time for vital discussions about SDB, and explaining the health ramifications of untreated SDB, Gina will share her best practices for managing patient flow, improving processes, and & overcoming obstacles in a busy DSM practice. Learning Objectives: • • • • •

Position yourself as a total body health care practitioner Improve access to care Gain confidence in motivational communication Find new ways of increasing production Manage time more effectively

10 Clinical Pearls

Saturday @ 12:30 pm WATERS EDGE B

Gina Pepitone-Mattiello has seen a lot over the past decade in a busy AADSM-accredited Dental Sleep Practice. She’s learned a lot about what works, what doesn’t, time-saving processes, and much, much more. During this session, Gina will impart 10 rapid fire clinical pearls that can provide immense benefit to all attendees. Learning Objectives: • • • •

Acquire basic knowledge of SDB Competency with screening tools for SDB Assess when therapy may be indicated Recognize risk factors for SDB

Credentialing that fits your schedule The only fully online and on-demand certificate in Dental Sleep Medicine. An accredited certificate from ACSDD provides the necessary medical and dental foundation for collaboration with physicians.

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The Academy of Clinical Sleep Disorders Disciplines (ACSDD) is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider at info@acsdd.org or to ADA CERP at www.ada.org/goto/ cerp. This program has been submitted for approval by the ACSDD for a maximum of 13 credits as meeting general dental requirements.

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EVENT DETAILS

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GY YATROS, DMD

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JIM BOYD, DDS

TODD MORGAN, DMD

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