<h3 id="hcf83e1357e"> </h3>According to statistics, 37% of the US population has Obstructive Sleep Apnea (OSA), but 87% of these cases remain undiagnosed.&nbsp; As a dentist, you may encounter hidden OSA patients or high OSA risk patients, including those with a history of TMD or bruxism. However, TMD also can be a potential side effect of using oral appliances.&nbsp; While physicians decide if patients can be treated with oral appliances, dentists play a crucial role in assessing patients’ suitability for oral appliance treatment.&nbsp; The goal of this lecture is to learn TMJ evaluation for OSA patients.&nbsp; In this course, Azusa Kuwashima D.D.S.Ph.D. will share the essential steps to evaluate TMJ before starting oral sleep appliances to your patient. <h4 id="h3acbca2955">Keywords: </h4>Obstructive Sleep Apnea, TMJ evaluation, Temporomandibular joint disorder, Oral Sleep Appliance treatment <h4 id="hcf83e1357e"> </h4>Diplomate of the American Board of Orofacial Pain, PhD. in Prosthodontics from Nihon University School of Dentistry in Matsudo, The UCLA Orofacial Pain and Oral Medicine 2013: Nihon University, Matsudo, Faculty of Dentistry 2019: Graduated from Nihon University, Matsudo, Faculty of Dentistry, and obtained a dental license in Japan 2015: Enrolled in Nihon University, Matsudo, Graduate School of Dentistry, specializing in Removable Prosthodontics 2016-2018: Attended the Orofacial Pain and Sleep Medicine Program at the University of California, Los Angeles 2019: Graduated from Nihon University, Matsudo, Graduate School of Dentistry, with a Doctor of Dental Science degree 2019: Obtained board certification from the American Academy of Orofacial Pain 2021: Obtained a dental license in the state of Texas, USA 2021: Established Kuwashima Pain Management, PLLC in Texas 2021: Employed at Texas TMJ Sleep and Facial Pain Clinic

Summary:
According to statistics, 37% of the US population has Obstructive Sleep Apnea (OSA), but 87% of these cases remain undiagnosed. 

As a dentist, you may encounter hidden OSA patients or high OSA risk patients, including those with a history of TMD or bruxism. However, TMD also can be a potential side effect of using oral appliances. 



While physicians decide if patients can be treated with oral appliances, dentists play a crucial role in assessing patients’ suitability for oral appliance treatment. 

The goal of this lecture is to learn TMJ evaluation for OSA patients. 



In this course, Azusa Kuwashima D.D.S.Ph.D. will share the essential steps to evaluate TMJ before starting oral sleep appliances to your patient.





Detail of this course:
0:00:30 What is Obstructive Sleep Apnea (OSA)

0:02:41 The Hidden OSA Patients you can see as a dentist (3 checkpoint) 

0:05:34 Sleep Oral Appliance Clinical skill（Take impression, Take bite registration 

               Decide starting jaw position）

0:07:52 CPAP vs OAT ( Comparison of Treatment Effectiveness) Efficiency & Compliance 

0:10:00 TMJ evaluation for OSA patient

0:11:45 What should we have to do for Evaluation of Jaw Function

0:12:25 History taking 

0:16:00 How to use exam set: Auscultation 

0:19:57 CT scan 

0:21:00 Range of Motion: Comfort, Active, Passive opening 

0:25:41 Range of Motion: Lateral movement 

0:26:17 Protrusive Movement 

0:27:00 Lateral movement during protrusive movement 

0:28:00 Evaluation of Jaw FunctionPalpation 

0:29:23 Masseter (superficial/ deep) 

0:34:00 Temporalois (Anterior /Middle /Posterior) 

0:36:00 Lateral/dorsal capsule 

0:37:16 Tongue/ Cheek ridging Attrition 

0:39:07 Joint loading test 

0:40:10 Teeth contacts 

0:41:30 Form: Diagnostic Criteria for Temporomandibular Disorders Symptom Questionnaire (DCTMD Symptom Questionnaire) 

0:42:42 TMD IS NOT AN ABSOLUTE CONTRAINDICATION FOR SLEEP ORAL APPLIANCE 

But  If a patient has a TMD what should we do? 

0:46:21 How to manage them if it happened 

0:50:17 DOES ORAL SLEEP APPLIANCE TREAT TMD? 

0:59:15 Case Report 2~8 weeks after the appliance delivery 

1:09:39 Take Home Message Test 





Keywords: 
Obstructive Sleep Apnea, TMJ evaluation, Temporomandibular joint disorder, Oral Sleep Appliance treatment





CV : Dr. Azusa Kuwashima D.D.S.,Ph.D.  
Diplomate of the American Board of Orofacial Pain, PhD. in Prosthodontics from Nihon University School of Dentistry in Matsudo, The UCLA Orofacial Pain and Oral Medicine



2013: Nihon University, Matsudo, Faculty of Dentistry

2019: Graduated from Nihon University, Matsudo, Faculty of Dentistry, and obtained a dental license in Japan

2015: Enrolled in Nihon University, Matsudo, Graduate School of Dentistry, specializing in Removable Prosthodontics

2016-2018: Attended the Orofacial Pain and Sleep Medicine Program at the University of California, Los Angeles

2019: Graduated from Nihon University, Matsudo, Graduate School of Dentistry, with a Doctor of Dental Science degree

2019: Obtained board certification from the American Academy of Orofacial Pain

2021: Obtained a dental license in the state of Texas, USA

2021: Established Kuwashima Pain Management, PLLC in Texas

2021: Employed at Texas TMJ Sleep and Facial Pain Clinic

How to evaluate TMJ before starting oral sleep appliance

Summary:

According to statistics, 37% of the US population has Obstructive Sleep Apnea (OSA), but 87% of these cases remain undiagnosed. 

As a dentist, you may encounter hidden OSA patients or high OSA risk patients, including those with a history of TMD or bruxism. However, TMD also can be a potential side effect of using oral appliances. 



While physicians decide if patients can be treated with oral appliances, dentists play a crucial role in assessing patients’ suitability for oral appliance treatment. 

The goal of this lecture is to learn TMJ evaluation for OSA patients. 



In this course, Azusa Kuwashima D.D.S.Ph.D. will share the essential steps to evaluate TMJ before starting oral sleep appliances to your patient.





Detail of this course:
0:00:30 What is Obstructive Sleep Apnea (OSA)

0:02:41 The Hidden OSA Patients you can see as a dentist (3 checkpoint) 

0:05:34 Sleep Oral Appliance Clinical skill（Take impression, Take bite registration 

               Decide starting jaw position）

0:07:52 CPAP vs OAT ( Comparison of Treatment Effectiveness) Efficiency & Compliance 

0:10:00 TMJ evaluation for OSA patient

0:11:45 What should we have to do for Evaluation of Jaw Function

0:12:25 History taking 

0:16:00 How to use exam set: Auscultation 

0:19:57 CT scan 

0:21:00 Range of Motion: Comfort, Active, Passive opening 

0:25:41 Range of Motion: Lateral movement 

0:26:17 Protrusive Movement 

0:27:00 Lateral movement during protrusive movement 

0:28:00 Evaluation of Jaw FunctionPalpation 

0:29:23 Masseter (superficial/ deep) 

0:34:00 Temporalois (Anterior /Middle /Posterior) 

0:36:00 Lateral/dorsal capsule 

0:37:16 Tongue/ Cheek ridging Attrition 

0:39:07 Joint loading test 

0:40:10 Teeth contacts 

0:41:30 Form: Diagnostic Criteria for Temporomandibular Disorders Symptom Questionnaire (DCTMD Symptom Questionnaire) 

0:42:42 TMD IS NOT AN ABSOLUTE CONTRAINDICATION FOR SLEEP ORAL APPLIANCE 

But  If a patient has a TMD what should we do? 

0:46:21 How to manage them if it happened 

0:50:17 DOES ORAL SLEEP APPLIANCE TREAT TMD? 

0:59:15 Case Report 2~8 weeks after the appliance delivery 

1:09:39 Take Home Message Test 





Keywords: 
Obstructive Sleep Apnea, TMJ evaluation, Temporomandibular joint disorder, Oral Sleep Appliance treatment



CV : Dr. Azusa Kuwashima D.D.S.,Ph.D.  
Diplomate of the American Board of Orofacial Pain, PhD. in Prosthodontics from Nihon University School of Dentistry in Matsudo, The UCLA Orofacial Pain and Oral Medicine





2013: Nihon University, Matsudo, Faculty of Dentistry

2019: Graduated from Nihon University, Matsudo, Faculty of Dentistry, and obtained a dental license in Japan

2015: Enrolled in Nihon University, Matsudo, Graduate School of Dentistry, specializing in Removable Prosthodontics

2016-2018: Attended the Orofacial Pain and Sleep Medicine Program at the University of California, Los Angeles

2019: Graduated from Nihon University, Matsudo, Graduate School of Dentistry, with a Doctor of Dental Science degree

2019: Obtained board certification from the American Academy of Orofacial Pain

2021: Obtained a dental license in the state of Texas, USA

2021: Established Kuwashima Pain Management, PLLC in Texas

2021: Employed at Texas TMJ Sleep and Facial Pain Clinic

Diplomate of the American Board of Orofacial Pain , Board Certified Fellow at the American Academy of Orofacial Pain , PhD. in Prosthodontics from Nihon University School of Dentistry in Matsudo , UCLA Orofacial Pain and Sleep Medicine , Director of Kuwashima Pain management, PLLC , Doctor at ​​Texas TMJ Sleep & Facial Pain Clinic

Azusa Kuwashima

What is Obstructive Sleep Apnea (OSA)

The Hidden OSA Patients you can see as a dentist (3 checkpoint) 

Sleep Oral Appliance Clinical skill（Take impression, Take bite registration Decide starting jaw position）

CPAP vs OAT ( Comparison of Treatment Effectiveness) Efficiency & Compliance

TMJ evaluation for OSA patient

What should we have to do for Evaluation of Jaw Function

History taking

How to use exam set: Auscultation 

CT scan

Range of Motion: Comfort, Active, Passive opening 

Range of Motion: Lateral movement 

Protrusive Movement 

Lateral movement during protrusive movement 

Evaluation of Jaw FunctionPalpation 

Masseter (superficial/ deep) 

Temporalois (Anterior /Middle /Posterior) 

Lateral/dorsal capsule 

Tongue/ Cheek ridging Attrition 

Joint loading test 

Teeth contacts

Form: Diagnostic Criteria for Temporomandibular Disorders Symptom Questionnaire (DCTMD Symptom Questionnaire) 

TMD IS NOT AN ABSOLUTE CONTRAINDICATION FOR SLEEP ORAL APPLIANCE  But  If a patient has a TMD what should we do? 

How to manage them if it happened

DOES ORAL SLEEP APPLIANCE TREAT TMD? 

Case Report 2~8 weeks after the appliance delivery

Take Home Message Test 

Recent course videos