The North American Dental Sleep Medicine Symposium | Page 17

Richard Drake , DDS
What To Do When Oral Appliance Therapy Fails
Which Devices Should You Use and for Whom ?

Richard Drake , DDS

Co-Founder of DSS and DS3 , Dental Sleep Practicioner Dental Sleep Solutions of San Antonio
Dr . Drake has been exclusively treating snoring and apnea for 15 years . He founded Dental Sleep Solutions and DS3 Systems with Dr . Yatros and has a state of the art sleep practice in San Antonio , TX .

What To Do When Oral Appliance Therapy Fails

We all know that there is no silver bullet and that not all patients respond favorably to Dental Device Therapy . So what do you do in these situations ? More protrusion ? Increase VDO ? Recommend PAP ? Utilize hybrid therapy ? Perhaps you made the wrong device ? Refer to an ENT surgeon ? How are we defining “ non-responders ?” Dr . Drake will share his experiences supported by real-life cases and the literature to provide insights about how to respond to less than ideal outcomes .
Learning Objectives | After this hour presentation , participants will be able to :
1 . Define successful treatment of OSA Syndrome 2 . Define treatment failure 3 . Set realistic expectations for success with MRD therapy 4 . Learn tweaks and tips to increase MRD effectiveness 5 . Develop verbal skills for patients AND their MDs 6 . Have basic understanding of Combination therapies 7 . Increase communication skills
Friday at 5:00 pm the Grand Ballroom

Which Devices Should You Use and for Whom ?

Saturday at 10:15 am the Grand Ballroom
Dr . Richard Drake and Dr . Gy Yatros have delivered thousands of MAD ’ s over the past 15 years . They will share their criteria for device selection including arch morphology , tongue size , teeth present , presence of bruxism , and much more . Attendees will glean insights to better inform their future determination about when to use which devices and for which patients .
Learning Objectives | After this hour presentation , participants will be able to :
1 . Understand Device Selection Criteria 2 . Understand which devices Medicare covers 3 . Discuss the role of bruxism , nasal patency , and tongue size 4 . Know where to take the bite and start treatment 5 . Understand appropriate mandiblar advancement 6 . Discuss the role VDO plays in treatment 7 . Define recommended titration protocol 8 . Evaluate subjective tests and determining testing point