Designing Smiles, PSC
Director, Greater Louisville Aesthetic Masters
812-246-3386 office
From: Kent Smith <kentsmith@21stcenturydental.com>
To: Dennie Jenkins <djsmiledesign@aol.com>; riccoker <riccoker@gmail.com>; bigdrtim <bigdrtim@hotmail.com>
Cc: ACEsthetics <ACEsthetics@googlegroups.com>
Sent: Tue, Apr 30, 2013 4:56 pm
Subject: Re: [ACEsthetics] Jeff Okeson on MAD's for OSA
Do you know how many patients were in the study?
Kent Smith DDS, Diplomate-ABDSM
www.SleepDallas.com
Dental Sleep Medicine Facility Accredited
2-day Sleep course: Wasted Days and Sleepless Nights (2013 dates May 17/18, July 12/13, Sept 13/14, November 8/9 )
Developer and President FindCE.com and Find-Speaker. com
Twitter - @theSleepDentist
Linked In Sleep Dentist
At 01:04 PM 4/30/2013, Dennie Jenkins wrote:
Kent,
I don't remember referring to Dr. Okeson as an expert on OSA tx. I do think he could be consider an expert on the Joint and much associated with it. As we are changing the position of the condyle in the joint for extended periods of time it seems prudent to me that perhaps an expert on the Joint might be a good source to weigh in on the therapy that so many of us are offering our patients.
I did not state that there were NO changes. His opinion was that much of the change seen was due to lack of compliance.
......dj
Dennis J. Jenkins DDS
Designing Smiles, PSC
Director, Greater Louisville Aesthetic Masters
www.facebook.com/designingsmiles
www.Designing-Smiles.com
812-246-3386 office
-----Original Message-----
From: Kent Smith <kentsmith@21stcenturydental.com>
To: djsmiledesign <djsmiledesign@aol.com>; riccoker <riccoker@gmail.com>; bigdrtim <bigdrtim@hotmail.com>
Cc: ACEsthetics <ACEsthetics@googlegroups.com>
Sent: Tue, Apr 30, 2013 12:56 pm
Subject: Re: [ACEsthetics] Jeff Okeson on MAD's for OSA
How long has Okeson been considered an expert on treating OSA? The study must be smallish, because my anecdotal reports from treating 20-30 every month says differently - I just had a patient in this morning with some changes, and he uses the CO bite splint every morning, and has been chewing gum like a madman every day, but after 3 months, can't get it back to normal. If anyone is "compliant" with exercise protocol, it would be this guy.
Kent Smith DDS, Diplomate-ABDSM
www.21stCenturyDental.com
www.SleepDallas.com
Dental Sleep Medicine Facility Accredited
2-day Sleep course: Wasted Days and Sleepless Nights (2013 dates May 17/18, July 12/13, Sept 13/14, November 8/9 )
Developer and President FindCE.com and Find-Speaker. com
Twitter - @theSleepDentist
Linked In Sleep Dentist
At 11:30 AM 4/30/2013, Dennie Jenkins wrote:
I specifically asked Dr. Okeson his thoughts on Mandibular advancement for the treatment of OSA. He told me there is a study coming out soon and it revealed a positive message. It was a smallish study but reflected 18% of the participants showed some occlusal changes. NO joint issues.
--
He felt strongly that the occ. changes, which were in most cases open bite posterior, were attributable to poor compliance to am exercise protocol. In those cases which adhered to the protocol no changes were noted.
Just wanted to share from someone that I think is pretty highly regarded in these areas globally.
dj
Dennis J. Jenkins DDS
Designing Smiles, PSC
Director, Greater Louisville Aesthetic Masters
www.facebook.com/designingsmiles
www.Designing-Smiles.com
812-246-3386 office
-----Original Message-----
From: Rick Coker <riccoker@gmail.com>
To: Lance Timmerman <bigdrtim@hotmail.com>
Cc: Ace < ACEsthetics@googlegroups.com>
Sent: Tue, Apr 30, 2013 12:07 pm
Subject: Re: [ACEsthetics] What happened here
My resistance to TAP's is based purely on personal experience- I had one and it really was uncomfortable, but it was a TAP2 and wasn't a great design, I think. I haven't tried any of the newer models.
Rick
On Tue, Apr 30, 2013 at 10:59 AM, Lance Timmerman <bigdrtim@hotmail.com> wrote:
--
Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777
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