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Management of Adverse Conditions in Oral Appliance Therapy
Michael Hnat, DMD
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This lecture introduces the common side effects of oral appliance therapy (OAT) and reviews appropriate remedies.
At the conclusion of this lecture, participants will be able to:

  1. Explain common side effects associated with the use of OAT for sleep-disordered breathing
  2. Identify transient side effects and strategize remedies to prevent permanent changes and increase patient comfort; and
  3. Recognize potentially permanent changes to dentition, occlusion or TMJ and learn appropriate management strategies.
Target Audience
Dentists and chairside dental staff treating patients with sleep-disordered breathing.
Speaker Bio

Michael Hnat, DMD, practices dental sleep medicine and the treatment of TMD in McMurray, PA. His facility has been accredited by the AADSM since 2012 and he currently serves as Chair of the Accreditation and Professional Ethics Committees, as well as a member of the Academic Dental Sleep Medicine Council Steering Committee. As Clinical Assistant Professor at the West Virginia University School of Dentistry he teaches dental sleep medicine to the dental and hygiene students in their pre-doctoral program. He holds Diplomate status through the American Board of Dental Sleep Medicine and the American Board of Craniofacial Dental Sleep Medicine. His passion in this field is evident in his lectures and his standard of care with his patients.

He has no relevant financial interest/other relationships to disclose.

Supplementary Reading
Landry ML, Rompre PH, Manzini C, et al. Reduction of sleep bruxism using a mandibular advancement device. Int J Prostho. 2006: 19(6).

Perez CV, deLeeuw R, Okeson JP, et al. The incidence and prevalence of temporomandibular disorders and posterior open bite in patients receiving mandibular advancement device therapy for obstructive sleep apnea. Sleep Breath. 2013: 17 p. 323.

Cunali PA, Almeida FR, Santos CD, et al. Mandibular exercises improve mandibular advancement device therapy for obstructive sleep apnea. Sleep Breath. 2011: 15:717-727.
Additional Information
Content for this online learning module was last reviewed and approved by the AADSM Education Committee on November 1, 2019. No committee members have relevant financial interest/other relationships to disclose. Education Committee: Kathi Wilson, DDS - Chair; Saleema Adatia, DMD; Michael Pagano, DDS; Gordon Bell, DDS; Maia Tsirghiladze, DMD; Harmeet Chiang, DMD; Kevin Wallace, DMD; Michelle Cantwell, DMD - Board Liaison; and Patricia Braga, DDS - Director of Education Duration: 55 minutes Original release date: January 2, 2020 Expiration date: January 2, 2023 AADSM online learning modules are funded exclusively by the AADSM. For questions regarding the content of this lecture or for technical assistance, contact the AADSM at or 630-686-9875.

Start Lecture
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
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