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Comorbid Insomnia and Sleep Apnea
Miguel Meira e Cruz, DDS, MS
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Comorbid Insomnia and Sleep Apnea (COMISA) are often found in association, despite distinct features within a wide spectrum of pathophysiological and clinical phenotypes. Recent findings have shown that additional symptoms and risk factors (e.g., cardiovascular, metabolic) may have a significant impact on mortality rates. This lecture will explore the benefits of diagnostic and therapeutic cross-disciplinary collaborations to promote personalized care and best outcomes.
At the conclusion of this webinar, participants will be able to:
  1. Describe COMISA features, pathophysiology and prevalence;
  2. Consider COMISA diagnostic and therapeutic challenges;
  3. Implement targeted screening with appropriate history taking; and
  4. Recognize dental therapeutic approaches to support successful management.
Target Audience
Dentists screening or treating patients with sleep-related breathing disorders.
Speaker Bio
Miguel Meira e Cruz, DDS, MS, is currently the director of the Sleep Unit in the Cardiovascular Center of University of Lisbon, School of Medicine. He is graduated with a degree in dental medicine and completed his Masters in sleep medicine. Dr. Meira e Cryz obtained both the title of European Somnologist-Expert in Sleep Medicine from the European Sleep Research Society and International Sleep Disorders Specialist from the World Sleep Society. He’s also an international diplomate of American Academy of Dental Sleep Medicine. Prof. Meira e Cruz is currently an invited professor of Tufts University, in Boston, USA, in São Leopoldo Mandic, Campinas, Bahiana School of Medicine and Public Health, Salvador, Brazil and in CESPU, Porto, Portugal where he teaches sleep medicine and dental sleep medicine. His teaching focuses on developing basic and clinical research with a main focus on sleep disorders and their cardiometabolic correlates. He is the author of several books, book chapters, articles in peer reviewed journals with impact factor within sleep, sleep medicine and related dental aspects of such fields. 

Conflict of Interest Disclosure
Dr. Meira e Cruz is a scientific advisor for BodiMetrics
Additional Information
Content for this lecture was last reviewed and approved by the AADSM Director of Education, Dr. Trish Braga, on March 16, 2023. Dr. Braga does not has any relevant financial interest/other relationships to disclose.

Original record date: March 16, 2023
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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