CATEGORY 26 AUSTRALASIAN DENTIST EVENTS I am a dentist in Queensland Australia. I have spent the last six years in sleep research, none of which has been Dental Sleep because of the pandemic (you probably still hear that a lot). So instead, I have worked on general sleep data. I have seen the focus of the sleep world broaden from Obstructive Asleep Apnoea (OSA) and the AHI towards an integrative approach including sleep burden metrics (hypoxic, respiratory and arousal)1 and their variability2 and medical consequences. In a clinical setting the success of Dental Sleep Medicine (DSM) treatment also hinges on how well we control multiple non-apnoea related elements. This includes comorbid sleep disorders such as insomnia and restless leg syndrome, and other medical conditions that affect the patient’s ability to tolerate and respond to a DSM appliance. In my practice, orofacial pain (OFP) is the most common cause of problems with DSM appliances. This is a common issue in a DSM practice, because the prevalence of OFP and OSA both increase roughly in parallel. The issues posed by comorbid OFP run from obtaining an accurate diagnosis to managing the pain while trying to stabilize the OSA. Some OFP conditions, such as the muscle-related temporomandibular disorders are relatively common, but are usually easily managed. Orofacial pain and Dental Sleep Medicine By Dr Karen McCloy Others, such has headache and neuropathic pain may be far more difficult to manage, and may require a multidisciplinary approach. The aim of the course is first to give you a solid base knowledge in OFP diagnosis and management, and to show how the sleep and OFP disorders interact and affect the way that patients present and respond to treatment. The course is presented by the Tufts Craniofacial Pain Centre, Boston America. We are very lucky to have Drs Noshir Mehta, Leopoldo Correa and Aruna Ramesh present for us, supported by myself and Dr Nischal Singh. The course will take you through a quick tour of OFP disorders. You will learn diagnosis, management and DSM treatment strategies. Instead of throwing all of that knowledge at you and then sending you off to cope with the practicalities of using it, we are very lucky that Tufts has agreed to create a study club for 3 months after the course so that you can continue to benefit from the knowledge and experience of the presenters to ultimately benefit your patients. So don’t miss this chance to gain some valuable knowledge that will benefit your patients and your practice. I hope to see you all in Sydney July 5th-6th when Tufts proudly presents Cases in Sleep and Pain. u References 1. Labarca, Gonzalo, Daniel Vena, Wen-Hsin Hu, Neda Esmaeili, Laura Gell, Hyung Chae Yang, Tsai-Yu Wang et al. “Sleep apnea physiological burdens and cardiovascular morbidity and mortality.” American Journal of Respiratory and Critical Care Medicine 208, no. 7 (2023): 802813. 2. Lechat, Bastien, Hannah Scott, Jack Manners, Robert Adams, Simon Proctor, Sutapa Mukherjee, Peter Catcheside, Danny J. Eckert, Andrew Vakulin, and Amy C. Reynolds. “Multi-night measurement for diagnosis and simplified monitoring of obstructive sleep apnoea.” Sleep Medicine Reviews (2023): 101843. https://reg.learningstream.com/reg/event_ page.aspx?ek=0057-0020-14a40604ec8b4 7b2a9024c604d1b3c0b Dr Karen McCloy This course is held at: Nobel Biocare Australia Level 4, 7 Eden Park Drive Macquarie Park, NSW 2113 Noshir R. Mehta, BDS, DMD, MDS, MS Aruna Ramesh, BDS, MS, DMD Leopoldo P. Correa, BDS, MS Dr. Nischal Singh, BDSc, MS, DFAACP, DABOP, FICD
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