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Good morning!

Last week we asked what development devices do our readers use and we received over 500+ responses!

It is a pretty even spread across the most popular devices and both RPE and MARPE were tied for the most common airway orthodontic devices!

Now, there are NO SILVER BULLETS when its comes to the tools we use.

As long as you:

1. Use a predictable, proven tool.

2. Use proper technique.

3. Have a clear vision of the outcome.

You will be on your way to creating beautiful case presentations in no time!

In Today’s Edition:

• Using a CBCT for Ortho and DSM

• Changing Patient Education

• Industry Events

• Video 5 of 6: Improve Sleep to Boost Mood & Emotional Regulation

7-minute read👇

Clinical Corner

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Key Takeaways🔑

Exploring CBCT in Orthodontics for Patients with Sleep-Disordered Breathing

Introduction In the evolving landscape of orthodontics, Cone-beam Computed Tomography (CBCT) stands out as a pivotal technology, especially when assessing airway changes in patients with sleep-disordered breathing (SDB).

Since its inception in the late 1990s, CBCT has revolutionized dental imaging with its three-dimensional insights, becoming an indispensable tool in diagnosing and planning treatment for various orthodontic conditions.

The Power of CBCT in Airway Analysis 

CBCT technology offers a unique advantage by providing detailed images of the airway structure, crucial for managing conditions like obstructive sleep apnea (OSA). The ability to visualize the airway in three dimensions helps clinicians understand the anatomical bases of airway obstruction, thereby enabling more targeted interventions. This capability is particularly vital given the complex nature of sleep-disordered breathing conditions, where precise anatomical information can significantly influence treatment outcomes.

Navigating the Risks and Rewards 

While the benefits of CBCT are immense, its use comes with responsibilities—primarily the careful management of radiation exposure. Adhering to the ALADAIP principle ("As Low As Diagnostically Acceptable being Indication-oriented and Patient-specific") ensures that every scan is justified, minimizing unnecessary risks, especially in younger patients. Innovations in low-dose protocols have further mitigated these concerns, making CBCT a safer option for routine use in specific orthodontic evaluations.

Long-Term Impact on Sleep-Disordered Breathing 

The application of CBCT extends beyond initial diagnosis. It plays a pivotal role in tracking the effectiveness of treatments like rapid maxillary expansion (RME) and mandibular advancement devices (MAD), which are commonly used to manage SDB. By evaluating changes in the airway post-treatment, CBCT helps in refining and validating orthodontic interventions, ensuring that they deliver the desired therapeutic benefits.

Spotlight on Top Dental CBCT Machines of 2024

Investing in Cone-Beam Computed Tomography (CBCT) is a big step for any dental practice, especially those involved in orthodontics, treating sleep disorders, or managing TMJ. As we move into 2024, the range of CBCT options expands, bringing more sophisticated technology at increasingly competitive prices. Here’s a quick guide to some of the top brands that have been receiving positive feedback from dental professionals:

Each of these brands has been developed with the specific needs of dental professionals in mind, helping to enhance diagnostic accuracy, treatment planning, and patient care. As you consider which CBCT machine to integrate into your practice, focus on how each model aligns with your clinical needs and patient safety standards.

Navigating the Legal Terrain of CBCT Use in Dental Practices

While Cone-beam Computed Tomography (CBCT) offers revolutionary diagnostic capabilities in orthodontics and airway assessment, it also introduces specific legal considerations:

• Medicolegal Implications: Dentists must understand the medicolegal risks associated with CBCT, such as licensing issues and potential malpractice liability. It's crucial to comply with federal and state guidelines and consult with malpractice carriers before using CBCT.

• Technical and Professional Competence: Proper selection of technical parameters and comprehensive training in CBCT interpretation are essential to mitigate liability risks. Every scan must be fully and competently interpreted to avoid missing critical diagnoses, such as malignancies. We recommend getting every scan read by a licensed radiologist.

• Interstate and Web-Based Readings: When employing radiologists from different states or using web-based services for scan readings, dentists must navigate complex licensing laws. Ensure radiologists have adequate malpractice insurance and are legally allowed to provide services in the dentist's state.

Conclusion CBCT has undeniably transformed the field of orthodontics, providing unparalleled insights that aid in the precise treatment of sleep-related breathing disorders. As we continue to harness its capabilities, ongoing advancements in CBCT technology promise to further enhance our understanding and management of these complex conditions, ultimately leading to better patient outcomes.

* Fabio Savoldi, Dorothea Dagassan-Berndt, Raphael Patcas, Wing-Sze Mak, Georgios Kanavakis, Carlalberta Verna, Min Gu, Michael M Bornstein, The use of CBCT in orthodontics with special focus on upper airway analysis in patients with sleep-disordered breathing, Dentomaxillofacial Radiology, Volume 53, Issue 3, March 2024, Pages 178–188, https://doi.org/10.1093/dmfr/twae001

Business of Sleep

📈Better businesses = more lives saved!

Revolutionizing Patient Education in DSM

In the dynamic field of dental sleep medicine, Dr. George Abby from North Dakota pioneers an innovative approach to integrating sleep disorder treatments into dental practices. He refutes the outdated notion that marketing must be aggressive, redefining it as a strategic tool for patient education and engagement.

Reframing Marketing in Dental Sleep Medicine

Dr. Abby confronts the traditional stereotypes of marketing, often likened to aggressive car sales tactics. He proposes a new paradigm where marketing serves as a conduit for education, facilitating discussions that empower patients to make informed decisions about their health. “Marketing should start a conversation—not a hard sell,” Dr. Abby asserts.

Subtle Patient Engagement Techniques

Dr. Abby employs “silent motivators” to subtly draw attention to sleep health. His waiting room features thought-provoking posters that prompt patients to ponder their sleep habits. This strategy ensures that by the time patients consult with him, they’re already curious and ready to discuss potential sleep solutions.

The practice also uses brochures and promotional items like eye masks and pens to keep sleep health top of mind. Staff members wear pins that query, “Do you snore?” to normalize discussions about sleep disorders, making them as routine as any other dental topic.

Educational Outreach and Building Referral Networks

Dr. Abby extends his educational efforts beyond his practice by engaging with local physicians. He conducts presentations that underscore the effectiveness of oral appliance therapy for treating sleep apnea, supported by robust documentation and clinical research. These initiatives not only bolster his credibility but also forge valuable referral networks with healthcare providers who appreciate dental contributions to managing sleep-disordered breathing.

Key Strategies for Dental Sleep Specialists

1. Transform Marketing into Education: Utilize marketing strategies to educate and engage patients. Create environments that prompt questions and discussions about sleep health without the pressure of a hard sell.

2. Make Sleep Health a Routine Discussion: Integrate sleep health into regular patient interactions with creative, unobtrusive marketing tools that encourage open dialogue.

3. Connect with Healthcare Providers: Share outcomes and research with local medical communities to demonstrate the value of dental interventions in sleep medicine. Establishing trusted referral networks enhances patient care and practice growth.

Dr. Abby’s innovative approach not only broadens the role of dental professionals in treating sleep disorders but also significantly boosts both patient outcomes and practice development. His model demonstrates that thoughtful marketing and proactive community engagement are key to integrating sleep treatments effectively into dental practices.

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Industry Events

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Miscellaneous

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Video 5 of 6

In their discussion, Dr. Huberman and Dr. Walker highlight the strong link between sleep and anxiety, stressing that poor sleep can increase anxiety and vice versa. They explain that unlike brief emotional reactions, mood disorders like anxiety can last for much longer, from months to even years. This important distinction shows how critical consistent, quality sleep is for managing anxiety and maintaining mental health. Their insights underscore the need to prioritize good sleep to help prevent or manage anxiety effectively.