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Chairside Adaptation for Type 2 Combination Therapy
Kevin Wallace, DMD
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Patients who suffer from obstructive sleep apnea (OSA) often find themselves intolerant to continuous positive airway pressure (CPAP). Oral appliances used for the treatment of OSA may not always be efficacious as stand-alone therapy. In patients where an oral appliance results in less-than-optimal disease management, combining therapies may provide the best results. This presentation will demonstrate how concurrent use of an oral appliance with CPAP may maximize the advantages of both while improving therapeutic outcomes. Weight loss, positional therapy, medications, and surgical procedures will also be discussed as adjunctive therapies.
At the conclusion of this lecture, participants will be able to:
  1. Identify situations in which combination therapy may be beneficial;
  2. List the non-anatomic or phenotypic traits that affect airway function;
  3. Explain how adjunctive therapies can contribute to the success of oral appliance therapy;
  4. Demonstrate chairside adaptation of the oral appliance and CPAP interface
Target Audience
Dentists screening or treating patients with sleep-related breathing disorders.
Speaker Bio
Kevin Wallace, DMD has been a dentist for over 30 years with the last 6 years concentrating solely on the treatment of patients with sleep-related breathing disorders with oral appliance therapy. He is the Dental Director at Midwest Dental Sleep Center, a large practice focused exclusively on dental sleep medicine in Chicago. Dr. Wallace is the Chair of the AADSM Education Committee, and an AADSM Mastery Program faculty member.  
Conflict of Interest Disclosure
No potential conflicts of interest to disclose.
Additional Information
Content for this lecture was last reviewed and approved by the AADSM Director of Education, Dr. Trish Braga, on April 21, 2022. Dr. Braga does not has any relevant financial interest/other relationships to disclose.

Original record date: April 21, 2022
Expiration date: None

This educational offering was funded exclusively by the AADSM.

For questions regarding the content of this program or for technical assistance, contact the AADSM at or 630-686-9875.
Continuing Education
The American Academy of Dental Sleep Medicine 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 or to ADA CERP at The American Academy of Dental Sleep Medicine designates this activity for 1.0 continuing education credit(s).

Availability: On-Demand
Cost: Member: $55.00
Non-Member: $75.00
Credit Offered:
1 CE Credit
  901 Warrenville Road, Suite 180
Lisle, IL 60532
P: (630) 686-9875
© American Academy of Dental Sleep Medicine
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