The University of Michigan School of Dentistry is offering a Mini-Residency in dental sleep medicine for licensed dentists, providing over 100 hours of CE credit. The program will expand participants’ understanding of dental sleep medicine, competence to treat sleep-related breathing disorders with custom oral appliance therapy, and confidence working with patients, physicians, and medical insurance. This clinically-focused, evidence-based program is divided into two parts transpiring over a 1-year time period.
The Mini-Residency is accredited by the American Academy of Dental Sleep Medicine (AADSM). Participants successfully completing the program will be eligible to take the board to become Diplomates of the American Board of Dental Sleep Medicine.
The dental sleep medicine mini-residency is divided into two parts, Mastery 1 and Mastery 2, transpiring over a 1-yr time period. Each of the two parts consists of pre-recorded, live in-person, and live streaming lectures and demonstrations, as well as guided self-study elements. Participants may elect to complete Mastery 1 entirely on-line, i.e., all live in-person components will also be live-streamed (Hyperflex). For Mastery 2, all live components must be done in person on the campus of the University of Michigan School of Dentistry.
Mastery 1 examines fundamental concepts and practical techniques necessary to incorporate oral appliance therapy (OAT) into a general or specialty dental practice. Participants will learn the AADSM practice protocols and clinical guidelines necessary to perform the proper patient screening, examination and record acquisition to begin treatment with competence and confidence. Successful graduates of Mastery 1 will be eligible to achieve “Qualified Dentist” status to treat sleep-related breathing disorders.
Mastery 2 builds on the knowledge and clinical proficiency gained in Mastery 1 with continued emphasis on skill development. Participants will participate in oral appliance selection and create a prescription for a laboratory to fabricate an oral appliance. They will gain clinical competence and confidence with delivery and titration methods. Lectures will develop a more in-depth understanding of normal sleep and the consequences of poor quality sleep, including phase delay circadian rhythms in adolescents. Exploring alternative treatments such as surgery and CPAP will lay a foundation for guiding patient decision making and anticipating combining therapies for best outcomes.
These steps provide the participant with the proficiency to manage a broad spectrum of cases and severities of obstructive sleep apnea. A focus on titration goals, understanding maximum medical improvement, and side effect management furnishes a practitioner's confidence and promotes best patient care. Both Mastery 1 and 2 are necessary prerequisites for the dentist to sit for the board offered by the American Board of Dental Sleep Medicine (ABDSM) and to become a diplomate of the ABDSM. In this regard, both Mastery 1 and Mastery 2 contain all the content necessary to take the board examination successfully.
- Online pre-recorded lectures (June 1, 2023 - Sept 15, 2023)
- Live online or in-person lectures and demonstrations, clinical opportunity (September 30, 2023 8:00 am-5:30 pm- October 1, 2023, 8:00 am-5:00 pm)
Live online session (December 9, 2023, 9:00 am - 12:00 pm ET)
- Online pre-recorded lectures (October 1 - Jan 19, 2024)
- In-person sessions (February 3, 2024, 8:00 am-6:00 pm - February 4, 2024, 8:00 am-1:45 pm)
Live online session (March 9, 2024, 9:00 am - 12:00 pm ET)
Live online session (TBA: 2-6 weeks prior to Board Exam)
Registration Window: May 1 - September 15, 2023
For Mastery 1:
- June 1, 2023: Online presentations, assessments and assignments become available
- September 15, 2023: All on-line assessments and assignments must be completed by this date
- September 30-October 1: In Person/Hyperflex Mastery 1 content
- November 1, 2023: Deadline to complete the AADSM quiz to receive “Qualified Dentist” status.
For Mastery 2:
- October 1, 2023: Online presentations, assessments and assignments become available
- January 19, 2024: All on-line assessments and assignments must be completed by this date
- February 3-4, 2024: Mandatory in-person sessions
- March 29, 2024: Deadline to complete Mastery 2 assessments, readings and assignments in order to register for the ABDSM board exam.
- June 1, 2024: Deadline to complete Mastery 2 assessments, readings and assignments if you are not taking the ABDSM board exam
- Our courses are taught by ten University of Michigan faculty representing the Schools of Medicine and Dentistry. Over 20 advanced education degrees and 12 board certifications are represented in this group, as well as directorships of ten different advanced specialty and clinical programs. Our faculty have won numerous awards for excellence in didactic and clinical teaching. Two of our faculty have been full-time private practitioners in Dental Sleep Medicine for more than 26 years.
- Class size will be limited
- University of Michigan CE classes traditionally host a strong community of learners.
- In person sessions will be held at the newly renovated University of Michigan School of Dentistry.
- Clinical instruction will occur in the School’s newly completed Advanced Clinical Education (ACE) facility. This facility consists of 20 semi-private dental chairs, providing hands-on opportunities to learn techniques for examinations, bite registration, digital and PVS impressions, fitting and adjusting of oral appliances and morning aligners and intra-oral photography.
- Didactic courses will occur in classrooms adjacent to the ACE Clinic.
- Representatives from dental laboratories and suppliers that specialize in dental sleep medical products will be available in the area between the classroom and ACE clinic for perusal of products and literature.
- Course participants will have an opportunity to take a walking excursion to the Sleep Disorder Clinic to see how polysomnography studies are performed and to have the opportunity to discuss sleep study details with a Registered Sleep Technologist.
- One of only two American Academy of Dental Sleep Medicine accredited Mastery Program providers. Accredited program attendees are eligible to earn AADSM Qualified Dentist designation and can apply for the ABDSM certification exam.
Course Details and Logistics
The Mini-residency is divided into two parts, Mastery 1 and Mastery 2, transpiring over a 1-yr time period. Mastery 1 consists of required readings, on-line courses, and an elective clinical course. The elective clinical course consists of live demonstrations that will also be available on-line for those preferring the convenience of learning from their home offices. Mastery 2 consists of required readings, on-line courses and required in-person didactic and clinical sessions.
The Mini-residency has been tailored to provide: (1) the convenience of learning on-line, (2) the option of fabricating a custom appliance to fit you, the participant, (3) sufficient in-person and live hours to meet the requirements of many dental boards.
The Mini-Residency also requires several clinical competency assignments that will require patient interaction in the participant’s home office. Participants will receive detailed instructions regarding these assignments.
Mastery 1Mastery 1 examines fundamental concepts and practical techniques necessary to incorporate oral appliance therapy (OAT) into the dental practice. Participants will learn the AADSM practice protocols and clinical guidelines necessary to perform the proper patient screening, examination and record acquisition to begin treatment competently and confidently. Successful graduates of the course will complete two guided cases performed in participants’ own offices. Instruction will include SOAP notes for the patient with sleep-related breathing disorders, impression techniques, protrusive bites, photography and more. Clinical techniques will be assessed and critiqued by program faculty.
By the end of the course, participants will be eligible to achieve the status of “Qualified Dentist” to treat OSA. The status is granted upon successful completion of a brief quiz given by the AADSM. The quiz must be completed within 30 days of finishing Mastery 1. The Mini-Residency covers the participant’s expenses to do this.
Mastery 1 will begin with on-line course material that can be viewed at a participant’s convenience. The online lecture materials, required readings and assignments must be completed by September 15, 2023 in preparation for the in-person/hyperflex portion of Mastery 1 on September 30-October 1, 2023. Although you can view on-line course material at times convenient to you, all on-line material and assignments for Mastery 1 must be completed and the AADSM administered quiz passed by November 1, 2023 to achieve “Qualified Dentist” status. Successful completion of Mastery 1 is required to be able to begin Mastery 2.
IntersessionThe Intersession is a live, on-line course to review clinical concepts from Mastery 1 and to introduce clinical concepts that will be covered in Mastery 2. The purpose of this session is to provide the clinical techniques used in managing obstructive sleep apnea, from SOAP notes to device delivery and titration. This session will also offer an opportunity for Q & A. The two guided cases being done by individual participants will be the focus of the instruction.
Mastery 2Mastery 2 builds on the knowledge and clinical proficiency gained in Mastery 1, with continued emphasis on skill development. Participants will be guided in oral appliance selection, prescriptions for a custom oral appliance, appliance delivery and titration methods. Lectures will develop a more in-depth understanding of normal sleep and the consequences of poor quality sleep, including phase delay circadian rhythms in adolescents. Exploring alternative treatments such as surgery and CPAP will lay a foundation for guiding patient decision making and anticipating combined therapies for best outcomes. These steps provide the participant with the proficiency to manage a broad spectrum of cases and severities of obstructive sleep apnea. A focus on titration goals, understanding maximum medical improvement, and side effect management furnishes practitioner confidence and promotes best patient care.
Mastery 2 will begin with on-line course material that can be viewed at attendee’s convenience. The material will be available at the completion of Mastery 1. All online lecture materials, required readings and assignments must be completed by January 19, 2024 in preparation for the mandatory in-person Mastery 2 on February 3-4, 2024.
Both Mastery 1 and 2 are necessary prerequisites for the dentist to sit for the board offered by the American Board of Dental Sleep Medicine. Also, Mastery 1 and 2 contain all the necessary content to take the board examination.
PostsessionThe Post-session course is a live, on-line session to review all clinical concepts covered in both Mastery 1 and 2. The purpose of this session is to review and wrap up the two guided cases performed by each participant.
Board ReviewThe Board Review is a live, on-line session to review all material covered in the courses relevant for taking the board examination. The course will occur 2 - 6 weeks prior to the board. Additionally, all recorded courses and demonstrations will be available on-line for review.
Our courses are taught by ten University of Michigan faculty representing the Schools of Dentistry and Medicine. These are faculty heavily invested and successful in teaching and in clinical practices. They are the University of Michigan’s leaders and experts in the topics they teach in the Mini-Residency.
Geoffrey E. Gerstner, DDS, MS, PhD, D.ABDSM
Dr. Gerstner is Director of the Mini-Residency. He holds a BS in Zoology and did an MS while simultaneously obtaining a DDS degree at UCLA. He subsequently pursued graduate training through an individual NIH Dentist Scientist Award. He studied Orofacial Pain management at the UCLA School of Dentistry and obtained a PhD in Neuroscience through the UCLA School of Medicine. His graduate work won the AADR Hatton Award.
Dr. Gerstner has mentored 160 undergraduate students, 66 graduate students and 5 post-doctoral research investigators. Dr. Gerstner's current research focuses on the motor control of chewing, and on clinical studies related to obstructive sleep apnea. He is funded by the AADSM to study the validity of over-the-counter consumer products marketed for use in home obstructive sleep apnea screening and assessment.
Dr. Gerstner is Director of the Sleep Apnea Clinic at the University of Michigan School of Dentistry. His practice is limited to treating obstructive sleep apnea and is located in Graduate Prosthodontics and in Hospital Dentistry. He holds DDS licenses in Michigan and California.
Neeraj Kaplish, MD
Dr. Kaplish is Clinical Associate Professor of Neurology and Sleep Medicine. He is the Director of the Sleep Medicine ACU and Michigan Medicine Sleep Disorders Laboratories with Board Certification in Neurology, Sleep Medicine and Clinical Neurophysiology. He is currently or in past has held leadership positions within Michigan Medicine, in the state of Michigan and nationally.
Elizabeth R. Hatfield, DDS, D.ABOP
Dr. Hatfield is the Director of the University of Michigan Orofacial Pain and TMD residency and specialty program. She earned her Doctor of Dental Surgery (DDS) from the University of Michigan in 2017 and completed the general practice residency (GPR) at Michigan Medicine in 2018. Following this, she was the first person to complete the TMD & Orofacial Pain Residency at Michigan Medicine in 2020 and is currently a Diplomate of the American Board of Orofacial Pain.
Ivy Wei, DDS, MS, PhD
Dr. Wei is a prosthodontist with a diverse background in dental medicine, oral biology, and biomaterials. She earned her dental degree and completed her advanced postdoctoral training in restorative dentistry in China before pursuing a PhD in oral biology and dental biomaterials at the University of Hong Kong. Her research is focused on bio-integration, tissues regeneration, and the management of infections associated with dental implants, dental ceramics, and dental fillings.
Fauziya Hassan, MBBS, MS
Dr. Hassan is Clinical Professor with specialty training in Pediatric Pulmonology, Sleep Medicine, and Pediatrics. She did her pediatric residency at Texas Tech Health Science Center and her fellowship in pediatric pulmonology at the University of Michigan. She is the Director of Refractory Sleep Apnea clinic at the University of Michigan as well as the Co-director of the Pediatric Home Ventilator Program and the Spinal Muscular Atrophy Clinic at the University of Michigan.
Berna Saglik, DDS, MS, D.ABDSM
Dr. Berna Saglik received her DDS degree from Marmara University in Istanbul, Turkey, and MS in prosthodontics from the University of Michigan School of Dentistry. Upon graduation she started working as a full time faculty member. She is currently teaching in the graduate prosthodontics clinic as well as directing Removable Partial Denture course for sophomore dental students.
Earl K. Bogrow, DDS, D.ABDSM
Earl K Bogrow DDS is a 1979 graduate of the U-M School of Dentistry and 1975 undergraduate B.S from University of Michigan. He has had a private general dentistry practice in Southfield, Mich., since 1981. Currently, he dedicates his private practice to Dental Sleep Medicine in the treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy. He has also trained as a Buteyko breathing method clinical certified instructor.
Regina Mackiewicz-Dailey, DMD, D.ABDSM
Dr. Regina Mackiewicz-Dailey is an accomplished dental professional with over three decades of experience. She is an Adjunct Clinical Assistant Professor in Cariology Restorative Sciences and Endodontics, and Biologic and Materials Sciences and Prosthodontics. She has been a Diplomate of the American Board of Dental Sleep Medicine since 2008.
Daniela Mendonca, DDS, MS, PhD, D.ABDSM
Dr. Daniela Mendonça is an Assistant Professor at the Department of Prosthodontics at the Virginia Commonwealth University and Adjunct Clinical Professor at University of Michigan at the Department of Biological and Material Sciences & Prosthodontics.
Gustavo Mendonca, DDS, MS, PhD
Dr. Gustavo Mendonça currently is a Professor at the Department of General Practice at the Virginia Commonwealth University and Adjunct Clinical Professor at University of Michigan at the Department of Biological and Material Sciences & Prosthodontics. He received his DDS from the Federal University of Uberlandia, Brazil. He also completed his postgraduate training in Prosthodontics and master’s degree in Oral Rehabilitation from the same school.
Teaching Methods, Learning Resources and Technology
Mastery 1 and 2 will be presented as both live and recorded lectures, assigned readings, demonstration videos, clinical-based opportunities and competency assignments. Participants will have access to several live Q & A sessions and a digital Q & A discussion board.
● Required Textbook: ○ None
● Online Lectures
○ On-line lectures will be set up through Canvas and available for 1 year to registered participants. On-line course materials will be presented in modules comprising 3-5 close-captioned video lectures. The lectures are typically 1-hr in length. Lectures are accompanied by brief quizzes or assignments to test your competency with the material. You must watch the videos and successfully pass the quizzes or complete accompanying assignments to pass the course.
○ On-line lectures will be provided as asynchronous, hybrid or hyperflex lectures.
■ Asynchronous lectures are all pre-recorded to view at your convenience before, during and after the course.
■ Hybrid lectures mean that the courses will be offered live on-line as zoom meetings, and also made available as taped on-line versions for later asynchronous viewing. This allows attendees to take advantage of live interactions with lecturers and course attendees, but provides access for later reviewing or viewing at times convenient to the attendees.
■ Hyperflex courses will be offered live in-person, in person on-line and also simultaneously recorded. This allows advantages of live attendance at demonstrations and clinical experiences for those who wish in-person access, as well as live on-line viewing for those unable to attend in-person but desiring the advantage of live access, e.g., able to ask questions remotely and be actively engaged in the course, as well as the convenience of later viewing or reviewing for those wishing such access.
Upon completion of Mastery Course I, attendees will be able to:
1. Develop a critical understanding of the physiology of healthy sleep and the pathophysiology of sleep-disordered breathing (SDB) and its relationship to clinical application.
2. Describe demographics, predisposing factors, signs and symptoms, and co-morbidities of SDB and various techniques to identify patients at risk.
3. Immediately establish an effective screening protocol and medical referral network with inner office systems to streamline and document referrals.
4. Identify patients at risk for SDB, perform a comprehensive examination and begin treatment with confidence.
5. Describe attributes and limitations of various device design features to aid in selection.
6. Develop an understanding of the medical practice model and medical insurance coding and billing requirements.
7. Prepare to incorporate accepted standards of dental sleep medicine practice into a general practice or specialty practice setting with appropriate patient flow algorithms, practice standard requirements, documentation, comprehensive examination records and bite acquisition.
Upon completion of Mastery Course II, attendees will be able to:
1. Describe co-morbidities of SDBs such as cardiovascular, metabolic and neurocognitive concerns.
2. Identify critical data of sleep studies including sleep architecture, respiratory parameters and influence on oral appliance success expectations.
3. Incorporate appropriate oral appliance delivery processes such as fitting for comfort, evaluation of midline, documentation and correspondence.
4. Prepare patients for oral appliance use and titration, monitoring signs, symptoms and side effects.
5. Anticipate and prepare to manage side effects that could compromise treatment objectives.
6. Develop further understanding of the medical practice model and medical insurance coding and billing requirements.
7. Explore alternative and emerging therapies for SDB.
8. Anticipate oral appliance efficacy for individual cases and consider combinations of therapies for best clinical outcomes.
9. Explain the etiology and prevalence of pediatric SDB, the differences with adult SDB and the efficacies of treatment options.
10. Incorporate pediatric screening and referral protocols.
11. Continue to build an understanding of the medical practice model and medical insurance coding and billing requirements.
12. Perfect an appropriate algorithm for patient management that begins with screening and ends with long-term follow-up.
Registration opens May 1, 2023 and closes on September 15, 2023. Register here
The University of Michigan reserves the right to cancel a course and provide a full refund should conditions warrant. The refund will only include the cost of registration for the course.
Upon payment for the course, you can review all of the requirements for a given session within one year from the date of the session. During that time, you have full access to the course. In order to be eligible for the AADSM quiz after Mastery 1 and the ABDSM board exam, assignments must be completed according to the presented schedule.
Any opinion expressed or communicated regarding any product, device or appliance during this educational program is solely the opinion of the individual(s) expressing or communicating that opinion, and not that of the University of Michigan or AADSM. The University of Michigan and AADSM does not endorse, recommend or validate effectiveness of any products or services.
COVID-19 WarningAn inherent risk of exposure to COVID-19 exists in any public place where people are present. Please make sure that you have reviewed any advisories or restrictions that may be in place for travel to the University of Michigan when in person sessions will be held. By attending this course in-person, you voluntarily assume all risks related to exposure to COVID-19 and you are confirming that you do not have COVID-19 symptoms or recent exposure to someone with COVID-19.
Questions or concerns about participation in the Mastery 2 Clinical Opportunities can be directed to Dr. Geoffrey Gerstner, University of Michigan Mini-Residency in Dental Sleep Medicine, Program Director, at firstname.lastname@example.org.