DENT 6101EX - Oral Appliances in Sleep Disordered Breathing
External - Semester 2 - 2015
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.
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General Course Information
Course Details
Course Code DENT 6101EX Course Oral Appliances in Sleep Disordered Breathing Coordinating Unit School of Dentistry Office 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 Assessment Online quizzes and end of course examination - summative assessment. 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 BuildngCourse Timetable
The full timetable of all activities for this course can be accessed from .
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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
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. 4 An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems. 4, 5 Skills of a high order in interpersonal understanding, teamwork and communication. 4, 5 A proficiency in the appropriate use of contemporary technologies. 1, 6 A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 4, 5 An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities. 1, 5, 6 -
Learning Resources
Required Resources
Barr Smith Library
The 成人大片 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
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 CatalogueOnline Learning
All lectures, instructional videos, most resource documents, discussion boards and information about Skype sessions will be available on the 成人大片’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 workshopLearning 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 apnoeaMyUni online delivery Week 2 Completion of Module 1
Tutorial 1
Evaluation of guidelines for oral appliances for obstructive sleep apnoea. Online quiz 1MyUni 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 apnoeaMyUni online delivery Week 4 Completion of Module 2
Tutorial 2
Case selection – when it goes wrong.
Online quiz 2MyUni 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 splintsMyUni online delivery Week 6 Completion of Module 3
Tutorial 3
Oral appliances – which one do I use?
Online quiz 3MyUni 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 pitfallsMyUni 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 4MyUni 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 paradigmsMyUni online delivery Week 10 Completion of Module 5
Tutorial 5
Investigation of various corrective occlusal exercises and titration paradigms
Online quiz 5MyUni 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 modificationMyUni online delivery Week 12 Completion of Module 6
Tutorial 6
Critique of other oral appliances
Online quiz 6MyUni 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:
- Assessment must encourage and reinforce learning.
- Assessment must enable robust and fair judgements about student performance.
- Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
- 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 appliancesSubmission
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 .
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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.
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Student Support
- Academic Integrity for Students
- Academic Support with Maths
- Academic Support with writing and study skills
- Careers Services
- Library Services for Students
- LinkedIn Learning
- Student Life Counselling Support - Personal counselling for issues affecting study
- Students with a Disability - Alternative academic arrangements
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
This section contains links to relevant assessment-related policies and guidelines - all university policies.
- Academic Credit Arrangements Policy
- Academic Integrity Policy
- Academic Progress by Coursework Students Policy
- Assessment for Coursework Programs Policy
- Copyright Compliance Policy
- Coursework Academic Programs Policy
- Intellectual Property Policy
- IT Acceptable Use and Security Policy
- Modified Arrangements for Coursework Assessment Policy
- Reasonable Adjustments to Learning, Teaching & Assessment for Students with a Disability Policy
- Student Experience of Learning and Teaching Policy
- Student Grievance Resolution Process
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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鈥檚 disciplinary procedures.
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