DENT 6100EX - Fundamentals of Dental Sleep Medicine

External - Semester 1 - 2014

At the completion of this course students will be able to understand the medical co-morbidities and dental conditions associated with sleep-disordered breathing and to appreciate the multi-disciplinary management of patients. Medical conditions with a direct relationship with sleep-disordered breathing will be described in detail. Students will also understand the importance of evidence based medical and dental practice and understand that the use of oral appliances for sleep-disordered breathing has a medical outcome and therefore understand that medical conditions are vitally important in understanding Dental Sleep Medicine. The student will develop basic skills in evaluating the upper airway and the requirements for determining the suitability for oral appliance therapy. The role and specific tasks relevant to a comprehensive dental examination prior to implementing oral appliance therapy will be explained. The student who has a previous understanding of dentistry will re-learn and update their knowledge in oral/dental conditions relevant to sleep-disordered breathing.

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Course Details

Course Code	DENT 6100EX
Course	Fundamentals of Dental Sleep Medicine
Coordinating Unit	School of Dentistry Office
Term	Semester 1
Level	Postgraduate Coursework
Location/s	External
Units	3
Contact	Online lectures and tutorials
Corequisites	ANHB 8432 Fundamentals of Sleep Biology at the University of Western Australia.
Restrictions	Graduate Diploma in Dental Sleep Medicine
Assessment	Online quizzes and end of course examination - summative assessment.

Course Staff

Course Coordinator: Dr Janet Fuss

Course Coordinator: Associate Professor Janet Fuss
Phone: +61 8 8313 0778
Email: janet.fuss@adelaide.edu.au
Location: Room 5.08 Oliphant Building, Anatomy and Human Biology, University of Western Australia

Course Coordinator: Associate Professor Christopher Pantin
Phone: +61 8 8313 0778
Email: christopher.pantin@adelaide.edu.au
Location: Room 5.08 Oliphant Building, Anatomy and Human Biology, University of Western Australia

Tutor:Dr Andrew Ng
Email: adam.townsend@adelaide.edu.au
Location: External

Tutor: Dr Mick Draper
Phone: +61 8 8313 5335
Email: michael.draper@adelaide.edu.au
Location: Bar Smith Library

Tutor: Dr Chris Pazios
Phone: +61 8 8313 0778
Email: christos.pazios@adelaide.edu.au
Location: Room 5.08 Oliphant Building

Tutor: Dr Rob Shea
Phone: +61 8 8313 0778
Email: rob.shea@adelaide.edu.au
Location: Room 5.08 Oliphant Building

School Office
Phone: +61 8 8313 8101
Email: adam.townsend@adelaide.edu.au
Location: Room 5.16 Oliphant Buildng

Course Timetable

The full timetable of all activities for this course can be accessed from Course Planner.

Course Learning Outcomes

1	Acquire an appreciation of the multi-disciplinary management of patients with sleep-disordered breathing
2	Develop the ability to evaluate patients with sleep-disordered breathing
3	Develop an understanding of the pathophysiology of sleep disordered breathing
4	Acquire the ability to recognise and diagnose the dental conditions related to sleep-disordered breathing
5	Describe and explain the importance of evidence-based practice
6	Develop an appreciation of the medical conditions related to sleep-disordered breathing
7	Develop an appreciation of the dental conditions related to sleep-disordered breathing
8	Be able to recognise medical comorbidities and make appropriate referrals

University Graduate Attributes

This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

University Graduate Attribute	Course Learning Outcome(s)
Knowledge and understanding of the content and techniques of a chosen discipline at advanced levels that are internationally recognised.	1, 4, 6, 7
The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner.	2, 3, 5
Skills of a high order in interpersonal understanding, teamwork and communication.	1
A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life.	1, 5
A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community.	1
An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities.	1

Learning Resources

Required Resources

Barr Smith Library
The University of Adelaide Library has an extensive dental / oral health collection housed on the North Terrace campus where you can also access related materials from other collections such as ethics, medicine, engineering and science.

External students living outside the Adelaide metropolitan area can arrange a special loan service for hard-copy items if electronic access is not available. Information about the Remote Student Library Service is available at http://www.adelaide.edu.au/library/docdel/external.html

Required resources
Available through the Barr Smith Library Dental and Medical Collections, Amazon.com and other academic book suppliers including the publishers.

Required Text
Attanasio, R and DR Bailey, (2009) Dental Management of Sleep Disorders, Wiley-Blackwell
Available at Barr Smith Library Barr Smith Main Collection (616.8498 A8834d )
OR
Lavigne, GJ, PA Cistulli and MT Smith, (eds) (c.2009) Sleep Medicine for Dentists: A Practical Overview, Quintessence
Available at Barr Smith Library Barr Smith Main Collection (616.8498 L411sm )

Recommended Resources

Bailey, Dennis R (guest editor) (2010) Dentistry's role in sleep medicine, Saunders
Available at Barr Smith Library Barr Smith Main collection (616.8498 B1544d )

Smith, Harold R; Comella, Cynthia; Hèogl, Birgit (2008) Sleep Medicine, Cambridge University Press
Available as an electronic book via the Barr Smith Library Catalogue

Badr, M (2011) Essentials of Sleep Medicine Springer
Available as an electronic book via the Barr Smith Library Catalogue

Kryger, Meir H; Thomas Roth; William C Dement (5th ed, 2010) Principles and Practice of Sleep Medicine, Expert Consult Premium Edition - Enhanced Online Features, Elsevier Health Sciences
Available as an electronic book via the Barr Smith Library Catalogue

Lee-Chiong, Teofilo (2nd ed, 2013) Sleep Medicine, Essentials and Review, Elsevier Health Sciences
Available as an electronic book via the Barr Smith Library Catalogue

Barkoukis, Teri J (2012) Therapy in Sleep Medicine, Elsevier
Available as an electronic book via the Barr Smith Library Catalogue

Journals
Chest
Sleep
Sleep and Breathing
American Journal of Orthodontics and Dentofacial Orthopedics
Most issues of these and other relevant journals are available electronically via the Barr Smith Library Catalogue

Online Learning

All lectures, instructional videos, most resource documents, discussion boards and information about Skype sessions will be available on the University of Adelaide’s electronic learning platform MyUni.

MyUni also provides library information, some links to copyrighted documents held in the main Library’s catalogue, guidelines for reviewing scientific and clinical research publications/articles, scientific writing, and seminar case presentations, formal and ad hoc online discussions; information about and easy e-mail access to staff and presenters.

Occasionally hard-copy documents, such as key journal readings, will be posted to students.

Learning & Teaching Modes

This course is delivered online in six modules with student activities including online workshops, instructional videos, clinical exercises, an observational site visit and tutorials (delivered via MyUni and/or Skype) supporting the online lectures.

Module 1 Evidence Based Medicine and Dentistry
There will be discipline-specific online tutorials covering evidence-based practice, research literature databases and other resources.

Module 2 Medical conditions related to Sleep Breathing Disorders
There will be delivery of lectures using mp4 files and instructional videos with some clinical exercises for dentists to complete in their dental surgery.

Facilitation of site visits to local sleep laboratories as well as video resources for practitioners in remote locations who do not have ready access to sleep laboratories, technologists and physicians.The remaining four online modules will be delivered through mp4 files and other electronic resources on the University of Adelaide’s learning platform MyUni.

Workload

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

Structured hours for the semester:

Online program orientation: 1 x 1 hour
Module 1: 5 x 1 hour workshops on the research literature and evidence-based practice
Module 2: 3 x 3 hour clinical sessions as instructional videos, 4 x 1 hour online lectures, 1 x 1 hour online tutorial
Modules 3-6: 16 x 1 hour online lectures, 4 x 1 hour online tutorials

Learning Activities Summary

Week	Topic	Lecture
Week 1	Program Orientation via MyUni Program information: Clinical session 1 (instructional videos and/or clinical exercises) Impressions for oral appliances Clinical session 2 Patient assessment (instructional videos and/or clinical exercises) Clinical session 3 Insertion and adjustment of oral appliances (instructional videos and/or clinical exercises) Mentorship & clinical expectations Case report protocol Observational site visit to sleep laboratory near your home or dental practice. School of Dentistry will help facilitate the site visit. Module 1 Evidence Based Medicine and Dentistry Delivered online via Barr Smith Library webpages with links to webpages from the course on MyUni. Research Librarian available to provide assistance and feedback as required. Online workshop 1 Resources in evidence-based practice Online workshop 2 Introduction to evidence-based practice Online workshop 3 Using the Cochrane Library and Embase Online workshop 4 Evidence-based dentistry Online workshop 5 Evidence-based medicine in sleep	MyUni online delivery
Week 2	Completion of Module 1 and online quiz 1	MyUni online delivery
Week 3	Module 2 Medical conditions related to Sleep Breathing Disorders Lecture 1 Breathing disorders related to sleep Lecture 2 Gastrointestinal disorders related to sleep Lecture 3 Cardiovascular disease related to sleep Lecture 4 Type 2 diabetes conditions related to sleep Workshop 6 Case report protocol Tutorial (Blog) Medical conditions related to sleep disordered breathing	MyUni online delivery
Week 4	Completion of Module 2 and online quiz 2	MyUni online delivery
Week 5	Module 3 Dental Conditions related to Sleep Breathing Disorders (Part 1) Lecture 5 The nature of sleep bruxism and its assessment Lecture 6 Evidence-based treatment of sleep bruxism Lecture 7 Diagnosis of temporomandibular joint disorders Lecture 8 Evidence-based treatment of temporomandibular joint disorders Tutorial (discussion board) Alternate theories and treatments for bruxism and temporomandibular joint disorders	MyUni online delivery
Week 6	Completion of Module 3 and online quiz 3	MyUni online delivery
Week 7	Module 4 Dental conditions related to Sleep Breathing Disorders (Part 2) Lecture 9 General theory of pain revisited Lecture 10 Myofascial pain Lecture 11 Orofacial pain Lecture 12 Pain and sleep Tutorial (discussion board) Case studies of pain	MyUni online delivery
Week 8	Completion of Module 4 and online quiz 4	MyUni online delivery
Week 9	Module 5 Dentist Evaluation of Sleep Breathing Disorders (Part 1) Lecture 13 TMJ conditions and oral appliances for sleep breathing disorders Lecture 14 Medical history assessment by a dentist – relevance to sleep breathing disorders Lecture 15 Occlusion evaluation and relation with sleep breathing disorders Lecture 16 Other oral/dental issues involved in sleep breathing disorders Tutorial (discussion board) Medical history for sleep disordered breathing	MyUni online delivery
Week 10	Completion of Module 5 and online quiz 5	MyUni online delivery
Week 11	Module 6 Dentist Evaluation of Sleep Breathing Disorders Lecture17 Periodontal conditions and caries – relevant aspects in the use of oral appliances Lecture 18 Fundamentals of tooth erosion, attrition and abrasion Lecture 19 Dental treatments of tooth erosion and abrasion Lecture 20 Evaluation of the oral airway Tutorial Suitability of patients for oral appliances	MyUni online delivery
Week 12	Completion of Module 6 and online quiz 6	MyUni online delivery
Week 13	Study Week	MyUni online delivery

Specific Course Requirements

Two years of general dental practice experience
National criminal history/police check
Registration as a dentist with local dental board/registration authority
Professional indemnity insurance

The University's policy on Assessment for Coursework Programs is based on the following four principles:

Assessment must encourage and reinforce learning.
Assessment must enable robust and fair judgements about student performance.
Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
Assessment must maintain academic standards.

Assessment Summary

Assessment Task	Task Type	Weighting
Online quiz x6	Summative	60%
End of course written examination	Summative	40%
Tutorial x5	Formative	0%
Clinical exercises x3	Formative	0%

Assessment Detail

Online quiz x 6 (60%) – at the end of each module students will complete an online quiz. The quizzes will use a variety of question formats – Multiple choice questions, single best answer questions, extending matching questions and written short answers.

End of course exam (40%) – short answer and essay-style answers to questions relating to case scenarios.

Tutorial x 5 (formative assessment) – students will explore broadly medical and dental conditions related to sleep disordered breathing, their assessment and management. Each tutorial will require students to respond to several short answer questions or write a short essay on a topic in preparation for group discussion online.

Clinical exercises x 3 (formative assessment) – after viewing videos students will complete clinical exercises - impressions for oral appliances, their insertion and adjustment, and patient evaluation.

Submission

All submissions will be electronic.

Tutorial submissions are to be uploaded to the relevant MyUni discussion board. Other electronic submissions are to be emailed to adam.townsend@adelaide.edu.au

For details please refer to DENT 6100EX on MyUni.

Course Grading

Grades for your performance in this course will be awarded in accordance with the following scheme:

M10 (Coursework Mark Scheme)
Grade	Mark	Description
FNS		Fail No Submission
F	1-49	Fail
P	50-64	Pass
C	65-74	Credit
D	75-84	Distinction
HD	85-100	High Distinction
CN		Continuing
NFE		No Formal Examination
RP		Result Pending

Further details of the grades/results can be obtained from Examinations.

Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

Final results for this course will be made available through Access Adelaide.

Student Feedback

The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.
Student Support
Mr Adam Townsend leads the Academic support Team in the School of Dentistry and is the designated support staff for the GDDSM. You can contact Adam via email adam.townsend@adelaide.edu.au or by phone +61 8 8313 8101.

Support with enrolment matters is provided by Ms Nimi Ashok nimi.ashok@adelaide.edu.au +61 8 8313 3415
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Fraud Awareness

Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator