Practical & Systematic Approach to
Dr. Manish Shah
- Masters in Sleep Medicine
- General Medical Practitioner
- General, Implant and Cosmetic Dentist
- Certified in TMJ & Craniofacial Pain Management
After graduating from a degree in Dentistry with honours in 1998 (University of Sydney), Dr Manish went on to complete a degree in Medicine in 2005 (University of Sydney).
With a special interest in craniofacial pain and sleep disorders, Dr Manish has also competed a Masters in Medicine in Sleep Medicine (University of Sydney).
As a medical doctor and a dentist he has dedicated himself to providing wholistic dental care for all his patients.
Dr Manish has over 15 years experience in comprehensive restorative and cosmetic dentistry.
Sleep Medicine is Here.
A Course For Achievers.
- Have no background in dental sleep medicine? No worries – join the elite group.
- Have you done courses before but currently feel stuck in the practicality of day-to-day practicing of dental sleep medicine? – This is right for you.
- We will help you setup your practice to start practicing dental sleep medicine.
- We will supply all history forms, exam forms, format of letters to physicians and ENT doctors.
- The Ultimate Guidelines on how to get your sleep studies organised without any hassles etc.
- How to communicate effectively with patients who have sleep issues.
- What are the different kinds of sleep issues dentists can deal with eg snoring, upper airway resistance, obstructive sleep apnoea and insomnia
- Bruxism and its relationship with sleep disorders
- Sleep and children
- How to take an appropriate history.
- How to examine thoroughly a patient you suspect of a sleep issue in less than 20 seconds
- What investigations to order to confirm your provisional diagnosis and how to interpret the results in seconds. What investigations will specialists order so they can help further confirm the cause of the problem.
- How to manage the patients with sleep issues. When to use a MAS or CPAP and when to refer for surgery. How to talk to a patient regarding treatment especially MAS. How to manage a patient who is on MAS treatment. Problems associated with MAS
- What are the 10 main areas that need to be looked at a person with chronic dental/medical problems.
- Learn basic concepts of nutritional and environmental medicine
What is a current widely accepted Skill Set All Dentists must have?
There are obvious Dental Signs & Symptoms that indicate someone has a sleep breathing issue.
You can actually Diagnose & Manage these conditions with your team very easily.
Dental Sleep Medicine
- What is NORMAL sleep?
- Understand stages of sleep (old and new nomenclature)
- Understand the NORMAL patterns of sleep and the distribution of sleep stages across the night.
- Recognise the stages of sleep on a sleep study
- Discuss factors that modify sleep stage distribution
- Why do we need sleep
- Daytime sleepiness/alertness
- Acute and chronic sleep deprivation
- What is ABNORMAL sleep?
- What is the definition of Apnoea, hypopnea, central apnoea
- What is Arousal Index, AHI, RERA, RDI. When are each used? What are the relationships between them?
- What is the definition of obstructive sleep apnoea
- What defines Upper airway resistance syndrome
- What if your patient is tired but doesn’t have sleep related issues??
- Snoring – is it really important to treat?
- Anatomy and Physiology of the upper airways?
- What are the major causes of sleep disordered breathing?
- What causes the narrowing of the airways and what should we do about them?
- Is nasal breathing important. What should we do with people who breathe through their mouth?
- Concepts of chronic disease. Is sleep the only cause of chronic disease and tiredness? If not what are the other causes and how do we identify, investigate and manage?
- Introduction to nutritional and functional medicine. Relationship to sleep and chronic tiredness.
- What are the medical effects of sleep disordered breathing?
- What are the dental effects of sleep disordered breathing?
- What does these effects mean to us as dentists.
- Good history taking.
- What are the different questionaries being used around the world?
- Which ones should we use?
- What about quick screening for my patients? (How can I know in 10 seconds if somebody may have sleep disordered breathing)
- So how do we thoroughly examine these patients?
- Can we identify these patients by just looking at them without them opening their mouths?
- What do you look for extra-orally and instantly know whether your patient has sleep disordered breathing
- How do you examine them intra-orally?
- How do you assess nutritional status with a physical exam and history
- What investigations should we do to confirm our suspicions?
- What are the different types of sleep studies?
- What results are we looking for? What do they all mean?
- What are the different types of sleep studies?
- Do we have to take radiographs?
- Which radiographs are used for screening for OSA
- How do we interpret them specifically for sleep or craniofacial pain?
- What do I ask the radiographer, to get the right imaging done?
- What about blood tests?
- Am I allowed to do blood tests?
- What if I don’t understand what it all means?
- When is it normal, when is abnormal?
- What if they are normal but the patient has signs and symptoms. Should we treat?
- Who do I refer to for further examination and management of these patients if they have other general medical, nutritional or metabolic disorders?
- Nasal Endoscopy
- How does an ENT do a nasal endoscope?
- What are we exactly looking for?
- PRACTICAL endoscopy
- Allergy Tests
- What are different kinds of allergy tests?
- How are patients with allergies managed?
- What is the anatomy and physiology of the nasal airways?
- Is nasal anatomy important to understand in management of OSA
- Does nasal surgery really decrease OSA?
- How do we evaluate the nose?
- What is the management of nasal airways problems?
- What is functional and dysfunctional breathing?
- How does it affect treatment outcomes in patients with sleep apnoea?
- How to recognize OSA patients with dysfunctional breathing?
- How do you treat patients who have dysfunctional breathing?
- What is bruxism really?
- How is it diagnosed?
- Is it related to Sleep Disordered Breathing?
- How do we then approach patients who Brux?
- What are the management options for bruxism?
- Are occlusal splints the right treatment for bruxism?
- When do we use Botox for bruxism?
- What is functional medicine all about?
- What are the 7 major systems in the body that need to be balanced?
- What are the 10 major influences to healthand disease and how is sleep related in all these
- Magnesium – Its role in the body, bruxism, sleep anoea
- What is methylation?
- How is Melatonin formed?
- Why do some people have insomnia (can’ fall asleep and takes too long to fall asleep)? What is the nutritional approach to help these people
1 in 3 patients you see everyday has a potential obstructive sleep breathing problem or a TMD problem.
You will CHANGE somebody’s life by recognising & managing these conditions.
Dental Sleep Medicine
- What are the criteria for sleep disordered breathing in children?
- How does snoring and OSA effect children – their growth and development?
- What are the investigations we do for children?
- Can there be other causes for their poor airways?
- How do we manage children with snoring and OSA
- Do we need to treat all patients with OSA
- What are the treatment options for managing OSA
- Does weight really play a role?
- How do we give weight loss advice?
- Does exercise play a role?
- What referral do we give to patients who can’t lose weight
- What is weight loss surgery
- Is MAS and effective treatment for OSA
- Why are only 30 to 40% of patients be effectively trearted with MAS.
- How do you know which ones to treat
- What bite do I take?
- But others are taking a bite differently. What is the difference?
- What if the patient is not getting better?
- How to adjust the MAS
- How does surgery play a role?
- and when does it play a role?
- What are the different types and levels of surgery?
- What happens if my patient has been treated for OSA and sleep study shows they are fine, but they are still tired all the time?
- How do I nutritionally supplement?
- Are there any recommended doses and what time should they be taken?
- What are the different types of CPAP
- Is it superior than MAS or Surgery?
- Or can MAS do just fine?
- Do lasers really work for snoring and sleep apnoea?
- What are the causes of mouth breathing in children?
- How to help children with “nasal disuse” syndrome.
- Does dysfunctional breathing contribute to SDB and its co-morbidities in children?
- How to recognize and treat children with dysfunctional breathing.
- Know the definition of orofacial myology
- Understand the role orofacial myofunctional therapy plays in the treatment of sleep disordered breathing patient
- Understand muscular disfunction is different in each induvial, therefore separate therapy needed
- Learn what to look for regarding muscular dysfunction
- Understand the goals of orofacial myofunctional therapy in the SDB patient
- Research behind orofacial myofunctional therapy and sleep disordered breathing in both children and adults
- Examples of exercises for the sleep disordered patient
- How do we talk to our patients regarding their sleep problem?
- What setup do I need to have?
- Sleep studies
- Other investigative techniques
- Is it very difficult to setup a sleep practice?
- What happens if I run into trouble?
- Who should I work with in team approach to looking after patients with chronic tiredness and sleep problems?
A Higher Vision.