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In the dynamic fields of Dental Sleep Medicine (DSM) and Orthodontics, the buzz is all about development—specifically, resolving SBD through airway orthodontics. As this area gains traction, backed by increasing clinical evidence and catching the eye of the FDA, it's clear we're on the cusp of major advancements.

Navigating this evolving landscape requires the right tools and knowledge. To confidently treat your patients, ensure you:

• Utilize tools that are proven, predictable, and meet regulatory standards.

• Maintain a clear vision of your treatment goals.

• Master technique through continuous education.

In Today’s Edition:

• MARPRE and RPE use in DSM

• 3 Tips for Engaging Your Team

• Industry Events

• MARPE vs RPE vs BAME; which affects the airway the most?

5-minute read👇

Clinical Corner

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Key Takeaways🔑

Unveiling the Long-Term Airway Benefits of MARPE and RPE in Dental Sleep Medicine

Introduction

In the realm of dental sleep medicine, correcting structural anomalies to enhance airway function is a cornerstone. The utilization of Mini-screw–assisted Rapid Palatal Expansion (MARPE) and Rapid Palatal Expansion (RPE) has shown promising improvements in airway dimensions, which could be a game changer for patients suffering from sleep-related breathing disorders. This detailed exploration dives into a recent study comparing the long-term effects of these interventions on airway health.

Study Breakdown

The study examined 180 CBCT scans from 60 patients at various stages: pre-treatment, post-expansion, and post-treatment. These patients were divided into three groups: those undergoing MARPE, those undergoing RPE, and a control group without any intervention. Key measurements included changes in the nasal cavity, nasopharyngeal, oropharyngeal, and laryngopharyngeal volumes and areas.

Immediate and Long-Term Outcomes

The findings were eye-opening:

• Immediate Post-Expansion: Both MARPE and RPE groups showed significant improvements in various airway parameters compared to the control group. This included increases in nasal cavity volume, nasopharyngeal volume and area, and oropharyngeal volume.

• Long-Term Effects: Over time, these improvements were largely maintained. Notably, the MARPE group demonstrated a significant long-term increase in nasopharyngeal volume compared to both the RPE and control groups.

What Does This Mean for Dental Practice?

For dental sleep specialists, these insights are invaluable:

• Effective Treatment Options: Both MARPE and RPE offer effective means to enhance airway parameters, potentially alleviating symptoms of sleep-disordered breathing.

• Preference for MARPE: While both methods show effectiveness, MARPE may offer superior long-term benefits in nasopharyngeal volume expansion—a critical area for respiratory function.

• No Direct Correlation: Interestingly, the amount of palatal expansion did not correlate directly with increased airway volumes, suggesting that individual anatomical responses vary and should be considered when planning treatment.

Conclusion

The study conclusively demonstrates that interventions like MARPE and RPE not only provide immediate improvements in airway dimensions but also sustain these benefits over the long term. This positions them as vital tools in the arsenal of dental sleep professionals aiming to address complex cases of sleep-related breathing disorders through structural correction.

For dental professionals, continuing to explore and apply these methods could substantially alter the treatment landscape for many patients, offering them relief and improved quality of life. As we move forward, understanding the nuances and potential of such interventions will be crucial in evolving our approach to sleep medicine.

⚠️ The MARPE and RPE appliance are not currently cleared by the FDA for the treatment of any airway conditions.

Business of Sleep

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3 Tips for Engaging Your Team in Dental Sleep Medicine

The Power of Teamwork in Dental Sleep Medicine

When introducing Dental Sleep Medicine (DSM) into your practice, your team's involvement is crucial. Successful DSM practices often have a well-trained, motivated team. Here's how to develop a team equipped with the skills and enthusiasm needed for this life-changing treatment.

1. Invest in Continuing Education for Your Team

It's essential to involve your key team members in continuing education for dental sleep medicine. This includes everyone who interacts with patients, from administrative to clinical staff. They should confidently and empathetically engage with patients, understanding the nuances of sleep-disordered breathing. Additionally, ensure your billing team is proficient in the relevant coding and documentation for medical insurance processes. Consider resources like Nierman Practice Management (NPM) for comprehensive DSM and medical billing seminars.

2. Personal Experience with Custom Sleep Appliances

Encourage your team members or their partners to undergo sleep-disordered breathing tests and treatments. This personal experience is an invaluable asset. It not only enhances their ability to relate to patients but also contributes to informed, empathetic discussions about oral appliance therapy. Plus, it benefits their health and well-being through better sleep.

3. Incentivize Team for Case Acceptance

While the satisfaction of improving patients' lives is a significant reward, additional incentives can further motivate your team. These don't always need to be financial. Understanding your team's motivations is key. Recognize their achievements with awards like “Sleep Champion of the Month/Quarter/Year.” This recognition can be celebrated in-office, on your website, and across social media, enhancing team spirit and showcasing your practice's commitment to quality care.

Previous Editions

👉 Impact of Technology on Sleep

👉 Is CBTi Curing OSA?

👉 Bite Registration Techniques

Something Sweet

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Industry Events

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Miscellaneous

😅P.S. … I forgot something

RPE vs MARPE vs BAME?

“possibility of increasing upper airway dimensions through widening of the nasal cavity and straightening of the nasal septum, which may contribute to the reduction of nasal resistance and improved nasal breathing.”