RE: [ACEsthetics] Jeff Okeson on MAD's for OSA

I have occlusal changes but they resolve on their own by mid-morning.

 

Guy W. Moorman, Jr., D.D.S.

The Swamp

Douglas, GA 31533

912-384-7400

 

 

 

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From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Kent Smith
Sent: Tuesday, April 30, 2013 12:56 PM
To: djsmiledesign@aol.com; riccoker@gmail.com; bigdrtim@hotmail.com
Cc: ACEsthetics@googlegroups.com
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:

maybe, maybe not.  TAP’s are very good.  I have found that it is simply a comfort thing.

 

I had a TAP3 take a 67 to a zero.  don’t think somnodent would do any better.....

 

From: Guy Moorman

Sent: Tuesday, April 30, 2013 8:21 AM

To: djsmiledesign@aol.com ; Acesthetics@googlegroups.com ; kentsmith@21stcenturydental.com

Subject: RE: [ACEsthetics] What happened here

 

I was just stunned at the improvement with  a TAP 3 Elite.  A Somnodent appliance might have been even better.

 

Guy W. Moorman, Jr., D.D.S.

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