The Role of Dentistry in Multidisciplinary Treatment of OSA and SDB. Adjunct therapies for the Sleep Patient

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The reality of clinical practice for a dentist working in the field of Dental Sleep Medicine is that we are often required to treat patients with OSA who are far from being the ideal MAS case. In this world of case management success is not always dependent on the dosage of advancement of your appliance. As research opens up the world of the OSA phenotype we understand more and more the role of adjunct therapies in the management of both the Paediatric and Adult OSA patient.
In our first clinical based day for 2018 we revisit some of our old challenges with fresh eyes: Accurate diagnosis of the complex child with complex sleep disorders, Dr Jim Papadopoulos, Sleep Physician and Rochelle McPherson, Orofacial Myologist bring you a joint presentation to make you re-think the sleep deprived child. Dr Nour Tarraf, Orthodontic Specialist shows us the latest options for paediatric and adolescent Maxillary Development, where appliance therapy impacts and improves sleep disturbed breathing outcomes. Dianne Richards, Sleep Psychologist assists us with understanding Psychophysiological Insomnia, a major determinant of the success of your appliance therapy and finally as our long term MAS results can hang on the ability of our patient to maintain steady weight, Exercise Physiologist, Elizabeth Canayan brings us up to date on current research and management strategies for weight loss and exercise.

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Full Registration Includes

3 Days registration includes entry to all sessions on the day that you are registered for. Morning tea, afternoon tea and lunch each day. Conference bag plus access to the event App. Welcome Cocktail Evening on Friday 9th March 2017.


CPD for 1 day Anticipated 6 hours
AACP Member Registration $120 incl GST
Non Member early bird 1 $220 INCL GST

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The AACP local chapter meeting will be held at The Stamford Plaza Sydney Airport Hotel 241 O’Riordan Street Corner of Robey & O’Riordan St. Mascot, NSW, 2020

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Dianne Richards

Registered Psychologist B. Social Science (Psychology) Hons

Presentation title: Management of psychophysiological insomnia
Synopsis Individuals who have symptoms of obstructive sleep apnea (OSA) often complain of co-morbid insomnia. We treat the OSA and expect the insomnia to remit. However, this is not always the case due to resultant sleep anxiety. Cognitive behavioural therapy (CBT) is a well regarded intervention that will treat insomnia and retrain the individual to sleep well.
Biography Dianne Richards is a registered psychologist specialising in cognitive behavioural therapy (CBT) in the treatment of sleep problems including insomnia, fatigue, disorders of circadian rhythms (shift work, jet lag, delayed and advanced sleep phase syndromes), nightmares and other behaviour related disorders associated with sleep. She is also interested in the acceptance and uptake of continuous positive air pressure (CPAP) used for treatment of obstructive sleep apnea and was the lead author in a paper on the subject published in the journal SLEEP (Sleep Vol. 30 (5) 2007). She has over 20 years of experience in the field of sleep medicine, and was the Manager of the Sleep Investigation Laboratory at Royal North Shore Hospital for 12 years. Dianne now works as a psychologist in private practice and at the Woolcock Institute of Medical Research (Sydney University).

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Dr Nour E Tarraf

BDS(Hons), MDSc(Hons), MRACDS (Ortho), MOrth RCSEd

Presentation title: Managing maxillary deficiency: does it help breathing?
Synopsis Transverse maxillary deficiency has been related to upper airway obstruction and in turn to obstructive sleep apnea syndrome and sleep disordered breathing. This lecture will explore the new options available for managing maxillary deficiency in children and adolescents.
Biography Dr Tarraf finished his BDS at Cairo University with Honors in 2001 followed by an orthodontic residency at Cairo University. He then moved to Sydney where he completed his Masters degree in Orthodontics at the University of Sydney in 2008 with Honors. He works in private practice in Chatswood and is involved in research and teaching at the University of Sydney. With his practice composed of 40% adult patients Dr Tarraf has a special interest in invisible orthodontic techniques such as lingual orthodontics and Invisalign. Over 50% of his patients including adolescents are treated with lingual appliances and he believes that with today’s technology every patient can be offered and invisible treatment option. He also has a keen interest in the clinical applications of temporary anchorage devices (TADs) and is currently working towards a PhD on the application of skeletal anchorage in growth modification for growing children. Among his other interests are timely interventions in growing children and the correct timing for different types of dentofacial-orthopaedics for optimal facial results. Dr Tarraf is the president of the Australasian Society of Lingual Orthodontics ASLO and is an active member of ESLO and WSLO.

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Dr Jim Papadopoulos

Respiratory and Sleep Medicine, Paediatrics MBBS(Hons) DipPaed FRACP

Presentation title:Snoring and sleep fragmentation in children – not always OSA
Synopsis Snoring and sleep fragmentation can be symptoms of obstructive sleep apnoea (OSA). However, OSA can’t account for all the snoring and fragmentation in kids. Only about 3% of children have OSA yet 10% of children snore and the prevalence of sleep disorders in children related to biological issues is around 30%. So what accounts for 10 times as many problematic sleepers as OSA?
Biography Dr Papadopoulos is one of Australia's leading sleep medicine physicians and is widely known for his work with sleep studies in children, and in particular children with special needs, orthodontic problems and gastro-intestinal issues. Dr Papadopoulos was admitted to FRACP in General Paediatrics in 2002. In 2003 he became the first prospectively accredited Level 2 Paediatric sleep physician in Australasia (highest possible level).
He then established the Paediatric Sleep Unit at St George Private Hospital. This continues to be the only Private Hospital Paediatric Sleep Unit in NSW to offer a complete suite of Paediatric Sleep Laboratory services. Recent ASA / NATA accreditation for Sleep Disorders Services makes St George Private Unit unique amongst paediatric sleep laboratories in Sydney.
Dr Papadopoulos also established Australia’s first multidisciplinary Sleep Clinic for developmentally delayed children, the adolescent sleep unit at St George Hospital and the paediatric sleep clinic within the Department of Orthodontics at Sydney Dental Hospital. He is a conjoint lecturer at the University of New South Wales and at the University of Sydney, directs the Paediatric Sleep Disorders Unit at St George.

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Liz Canayan

PhD BAppSc (Hons) - Exercise Physiologist and Nutritionist PhD. Scholarly Teaching Fellow (Associate Lecturer Human Biology)

Presentation title: Diet, exercise or surgery? How do we effectively tackle the elephant in the room when treating patients with OSA?
Synopsis This talk will visit the recent developments in research related to obesity management in obstructive sleep apnea. It will cover the evidence for weight reduction in these patients and offer practical strategies for clinicians to help patients maintain weight loss and prompt discussion around the holy grail of preventing weight rebound!
Biography Dr Elizabeth Cayanan (nee Machan) PhD BAppSc (Hons) AEP - Accredited Exercise Physiologist/Nutritionist - Woolcock Institute of Medical Research & University of Sydney. Liz Cayanan is from the Woolcock Institute of Medical Research. Liz is an accredited exercise physiologist and nutritionist who works primarily in weight management for chronic disease. She was awarded her PhD thesis in 2016 through the University of Sydney under the supervision of Professor Ron Grunstein and her thesis investigated the cardio-metabolic effects of weight loss on patients with sleep apnea. Liz designed and delivered the SLEEEP trial: Sleep, lifestyle eating, energy, exercise program: it included a very low energy diet (VLED), novel maintenance diets and a lifestyle modification program and has been associated with a number of research trials delivering weight loss in OSA. Her recent research focuses on exercise in patients with OSA and nutritional intake in shift.

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Rochelle McPherson

Orofacial Myologist, Assoc Dip Dent Hygiene

Presentation title: The various faces of sleep fragmentation
Synopsis OSA can’t account for all the fragmented sleep problems out there in children. Only about 3% of children have obstructive sleep apnoea yet the prevalence of sleep disorders in children related to biological issues is around 30%. What questions should we be asking to effectively triage these children and get to the bottom of their sleep problems? Who exactly should we refer them to for appropriate management?
Biography With over 25 years of experience in dental hygiene and related fields, Rochelle is one of Australia’s leading practitioners of Orofacial Myology. Rochelle’s expertise is highly sought after in the industry, and she regularly conducts training and mentoring for other practitioners in the field. Rochelle runs a private, orofacial myology practice in Sydney, OM Health, bringing a unique, holistic approach to patient care. She incorporates a team approach with other health professionals to assist in a greater level of health and well-being. Her special interests include, Orofacial Growth and Development, Orofacial Pain and Sleep Disordered Breathing.

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