2019 Dental Sleep Medicine Mini-Residency

Dates: January 18-19 + March 1-2, + April 5-6, 2019
Location: UNC School of Dentistry, Chapel Hill, NC

This course is sponsored in part by an unrestricted educational grant from Vatech America.


We would like to recognize and thank the following companies for their support through
“In-Kind” donations.


Sponsor: UNC Department of Prosthodontics 
Map to Event:  Click here for directions

Cost: Dentists $6595-payment in full due at time of registration. Or $6995 if paid in two installments ($3497.50 at the time of initial registration. The remaining payment of $3497.50 must be paid by Noon on Jan 4, 2019.) Fees include all meals on the agenda, group dinner, webinars between sessions, parking and more. 

Dental Assistants and/or Dental Hygienists may attend a weekend session for $850 or all 3 sessions for $2200 with their dentist.  You will qualify to attend without your dentist if your dentist has previously taken the Dental Sleep Medicine Mini-Residency at UNC.  If you wish to have appliances made; there will be an additional charge of $1,000.  Fees include all meals on the agenda, group dinner, webinars between sessions, parking and more.  Spots are still available for dental team members.

Cancellations and Refunds 
Refunds will be made only if your space is filled. Refund requests (less 10% of TOTAL cost of the program) must be submitted in writing or email at least 20 days prior to the program start date. Due to non-refundable commitments, we cannot offer refunds after this date.  The UNC School of Dentistry Continuing Dental Education Program cannot be responsible for the refund of any part of the registration fee as a result of emergencies, unforeseen circumstances, or events beyond its control after the cancellation date.

For participants seeking certification in Dental Sleep Medicine: The American Board of Dental Sleep Medicine accepts ADA CERP recognized continuing education credits in dental sleep medicine or sleep medicine provided by a non-profit organization or accredited university, such as the UNC School of Dentistry.  Participation in the UNC Mini-Residency, however, does not satisfy the Board’s requirement for ten (10) case presentations.  For more information, see https://abdsm.org/

 Questions about registration call 919-537-3400

Dentist Agenda

Mail-In Registration Form

Courtyard Marriott Room Block


Course Description
The University of North Carolina School of Dentistry are pleased to offer the 2019 Dental Sleep Medicine Mini-Residency. The three, weekend sessions of lecture from nationally recognized experts and hands-on clinical exercises will prepare each participant to evaluate patients for, and deliver in their dental offices, customized oral appliance therapy for obstructive sleep apnea and snoring.  Working in small groups, participants will be guided by course faculty in state-of-the-art patient examination techniques, impression and record taking, fitting and adjusting oral appliances that are marketed for sleep-disordered breathing, and in the identification and management of side effects.  Patient specific oral appliance selection will be addressed and each participant will have three different oral appliances custom fit to their teeth.  More advanced topics will include treatment of the pediatric patient with OSA, combination therapy for patients who fail to respond adequately to oral appliances alone, and maxillofacial surgical procedures for OSA and their indications.  Participants will learn how to optimally collaborate with physicians to successfully treat this severe medical condition. The special challenges of Dental Sleep Medicine practice management will be described and strategies to successfully address the challenges will be discussed.

Educational Objectives
Upon completion of this course, participants should be able to:

Session I (January 18-19, 2019)

  • Describe basic physiology of normal and abnormal sleep, of obstructive sleep apnea (OSA) and other common sleep disorders.
  • Explain the role of dentistry in sleep medicine and discuss how to screen patients for sleep disorders in your dental practice.
  • Describe the different types of oral appliances used to treat OSA or snoring, their modes of action, and selection of appliance for different patients.
  • Write a protocol for treating patients with oral appliances in the participant’s office and differentiate the roles of the dental and medical teams.
  • Demonstrate how to evaluate patients for oral appliance therapy and how to take the required bite records.
  • Demonstrate examination of the TMJ and masticatory muscles in the evaluation and treatment of patients with oral appliances. 

Session II (March 1-2, 2019)

  • Describe normal and abnormal upper airway anatomy, its evaluation, and medical and surgical treatments of the airway by otolaryngologists (ENT).
  • Demonstrate how to deliver oral appliances and assess their fit to the teeth.
  •  Demonstrate how to adjust oral appliances.
  • Outline short and long-term side effects of oral appliance therapy and illustrate methods to address them.
  •  Develop a plan to manage side effects of oral appliance therapy.
  •  Discuss how dentists and physicians evaluate the effectiveness of oral appliance therapy.
  •  Describe combination therapy and its use to address poor treatment outcomes.
  •  Explain considerations of the TMJ in the treatment of OSA with oral appliances.

Session III (April 5-6, 2019)

  • Read PSG reports and use the information obtained in assessing patients before oral appliance therapy and in assessing the efficacy of therapy after the final adjustments are made.
  • Demonstrate how to use home sleep apnea tests in the adjustment of oral appliances to optimize their efficacy.
  •  Describe how pediatric OSA differs from adult OSA, and dental approaches to the treatment of pediatric OSA.
  •  Distinguish oral and maxillofacial surgical approaches in the treatment of OSA and their indications.
  •  Review long-term follow-up care of patients treated with oral appliances.
  •  Outline strategies to optimize communications between dental and medical colleagues.
  •  Implement strategies to engage all dental team members in the practice of dental sleep medicine.
  •  Understand the unique challenges of DSM practice management such as those pertaining to medical insurance reimbursement, and strategies for addressing the challenges successfully. 

Course Directors

Dr. Greg Essick is Professor in the Department of Prosthodontics and Center for Pain Research and Innovation at the University of North Carolina at Chapel Hill.  He is adjunct professor in the Department of Allied Health Sciences at the UNC School of Medicine where he serves as faculty in the Neurodiagnostics and Sleep Science Program. At the UNC School of Dentistry, he oversees the Dental Sleep Clinic, which provides the school’s venue for patient care, education and research in oral appliance and combination therapy for sleep-disordered breathing. Dr. Essick provides much of the school's continuing education in sleep medicine to practicing dentists in North Carolina. He authors/co-authors over 120 journal articles and book chapters, the most recent ones pertaining to sleep medicine.  Dr. Essick is an active member of the American Academy of Dental Sleep Medicine and past chair of the Academy’s Research Committee.

Dr. Terry Bennett graduated from the University of Louisville School of Dentistry in 1977.  He is entering his 40th year of private practice with the last 27 being in a practice limited to the treatment of Temporomandibular Joint Dysfunction and Sleep Apnea. He is a member of several organizations and hold certifications in many of these.  He has been extremely active in the American Academy of Craniofacial Pain (AACP) serving on the board of directors over a decade, in addition to serving as Program Chair for 4 years and President for 2 years. Currently he is the AACP Institute Director of Education. This position entails organizing and providing education associated with the treatment of TMD and Dental Sleep Medicine.  Among the many certifications he has attained are DABCP (Diplomate American Board of Craniofacial Pain), DABCDSM (Diplomate American Board of Craniofacial Dental Sleep Medicine), DABDSM (Diplomate American Board of Dental Sleep Medicine, DAAPM (Diplomate American Academy of Pain Management).  Currently he divides his time between his private practice and lecturing for the AACP, Dental Schools and other organizations.

Dr. Mayoor Patel received his dental degree from the University of Tennessee in 1994.  After graduation he completed a one-year residency in Advanced Education in General Dentistry (AEGD). In 2011 he completed a Masters in Science from Tufts University in the area of Craniofacial Pain and Dental Sleep Medicine. Dr. Patel has earned a Fellowship in the American Academy of Orofacial Pain, American Academy of Craniofacial Pain, the International College of Craniomandibular Orthopedics and the Academy of General Dentistry.  He also became a Diplomate in the American Board of Dental Sleep Medicine, American Board of Orofacial Pain, American Board of Craniofacial Pain and American Board of Craniofacial Dental Sleep Medicine.  Dr. Patel is the 2nd dentist that has fulfilled the necessary requirements and is a registered polysomnographic technologist.

Presently, Dr. Patel serves as a board member with American Academy of Craniofacial Pain. He also has taken the role as examination chair for the American Board of Craniofacial Dental Sleep Medicine and American Board of Craniofacial Pain and as Director of Clinical Education for Nierman Practice Management. Adjunct faculty with the Atlanta Sleep School, Tufts University and Augusta University. In the past has served as a founding and board member of the Georgia Association of Sleep Professionals.

Course Faculty

  Dr. Ibrahim Duqum is a Clinical Associate Professor in the Department of Prosthodontics and the director of the Digital Clinical Technology at UNC School of Dentistry. He completed his DDS degree in dentistry from the faculty of Dentistry at the University of Jordan in 1997. After graduation, he worked as a general dentist in Jordan for 7 years 5 of them as a military dentist in the Royal Medical Services (RMS). He Joined the UNC graduate Prosthodontics program in 2005 and received his certificate and an M.S. Degree in Prosthodontics from the University of North Carolina at Chapel Hill in 2008. Dr. Duqum Board Eligible for the American Board of Prosthodontics a Fellow of International College of Dentists and a member of numerous dental organizations.

Dr. Duqum teaches all aspects of Prosthodontic therapy at the graduate, clinical and preclinical levels. Dr. Duqum was the recipient of the 2014 Richard Hunt Memorial Award for Teaching Excellence and received multiple class teaching awards, He was also the 2015 UNC nominee for the OKU Charles Craig national award for the best innovative dental educator. Dr. Duqum serves as an editorial board member and reviewer for multiple dental journals.

Dr. Duqum is actively involved in patient care at UNC Dental faculty practice and is a member of UNC dental implant team. His clinical interests include oral rehabilitation of complex cases with fixed, removable, and implant supported prostheses. His research interests include the educational and clinical applications of Digital Dentistry in addition to the clinical application of Implant Therapy and Contemporary Dental Materials. Dr. Duqum publishes and lectures about all aspects of prosthodontic and Dental Implant Therapy.

Steve Ferrin, MHA, RPSGT has been a lead Neurodiagnostic Technologist II at UNC’s Sleep Disorders Center for 4 years.  He worked for 5 years as an EMT-I in Las Vegas before he began his sleep training and has been in the sleep field for over 11 years.  He was the Operational Manager for a 20-bed sleep lab with locations in Las Vegas, Pahrump, and Reno.  He also worked as lab manager for a hospital in upstate New York, before coming to UNC.  Most recently, he was awarded acceptance into the UNC Emerging Leaders Academy.  He received his Bachelors in Psychology from UNLV, and his Masters of Healthcare Administration degree from Columbia Southern University. 

Dr. James Hogg received his DDS from the University of Illinois College of Dentistry. He was a Clinical Instructor at the school in the Fixed Prosthodontics Department. He practiced restorative dentistry in his own dental office for 25 years and entered into the field of Dental Sleep Medicine in 2007. He became a Diplomate of the American Board of Dental Sleep Medicine in 2010. Dr. Hogg joined Midwest Dental Sleep Center in 2009, where his practice was limited to the treatment of patients diagnosed with Sleep Disordered Breathing. He was the Dental Director of their AADSM Accredited Dental Sleep Centers in Oak Brook and Chicago, IL. He has worked with ten different oral appliances in this office and delivered over 2,000 devices. He recently moved to Asheville, NC and works with Dr Douglas Phillips treating patients with Sleep Disordered breathing. He is a frequent speaker for the AADSM and has presented several times at their Annual Meeting. He lectures nationally to dentists, physicians, RPSGT’s and the general public on the topic of Dental Sleep Medicine.

  Sujay Kansagra, MD is the director of Duke University’s Pediatric Neurology Sleep Medicine Program and author of the book “My Child Won’t Sleep.”  Dr. Kansagra graduated from Duke University School of Medicine, where he also completed training as a pediatric neurologist. He did his fellowship in sleep medicine at the University of North Carolina in Chapel Hill, before joining the faculty at Duke as an assistant professor. He specializes in treating a variety of sleep disorders, including sleep apnea, insomnia, narcolepsy and parasomnias.

Jan Palmer, FAADOM

Practicing dental sleep medicine is a goal for many, but a reality for few. The complexity of the administrative aspect and the insurance reimbursement process has provided enough frustration that many dental offices abandon the potentially lifesaving and profitable area of practice.

Over the years I have developed strategies designed to connect the essential services patients require to the well-deserved insurance reimbursement. I have worked with offices from all over the county to establish functional and sustainable billing protocols for sleep apnea procedures including proper medical documentation and the break-down of policies for Medicare and private insurances.

Medical coding and billing is often last picked for the proverbial dodge ball game because big insurance doesn’t seem to want dental teams to understand the process. However, that is all medical billing is—a process, and it can be learned.

In addition to speaking and consulting roles, I am on the Provider Outreach and Education committee for Medicare DME for Jurisdictions A and D, am a consultant to Ortho-Tain HealthyStart on dental/medical billing for sleep disordered breathing in children. I have co-authored an e-book Medicare: What Every Dentists Needs to Know NOW! which breaks down the confusion of the upcoming mandates that Medicare has set forth for all dentists. I am a member of the Dental Consultants Connection and the Academy of Dental Management Consultants. I sit on the board of directors of the WNY Dental Managers Group, am a Fellow, an Ambassador and active member of the American Academy of Dental Office Managers as well as being a facilitator of the American Academy of Dental Sleep Medicine (AADSM) staff training series while holding a management position with a Sleep Apnea Dental office in New England, putting theory into practice every day.

Dr. Domingo Rodriguez-Cue is the Chief Medical Officer in sleep Medicine for CareHere on site Wellness. He interprets sleep studies for several of their industrial and private clinics. His sleep practice is 40% pediatrics with a focus on movement disorders, sleep apnea, narcolepsy, circadian rhythm disorders and insomnia. Along with prescribing CPAP therapy, Dr. Cue also works closely with dentists to provide oral appliances for his sleep apnea patients. He is a member of the American Academy of Sleep Medicine and the American Academy of Dental Sleep Medicine. Dr. Cue specializes in non pharmacologic approaches to insomnia and movement disorders.

  Brent A. Senior, MD, FACS, FARS is Nathaniel and Sheila Harris Professor of Otolaryngology and Neurosurgery at the University of North Carolina at Chapel Hill where he also serves as Vice Chair of Clinical Affairs and Chief of Rhinology, Allergy, and Endoscopic Skull Base Surgery.  Dr. Senior has lectured and instructed in nearly 120 national and international rhinology courses and authored 120 articles and chapters in the field.  In 2005, he co-edited the very successful text “The Frontal Sinus,” now in its second edition. Dr. Senior’s passion for education has been honored with his receipt of “Teacher of the Year” awards and the “Cottle Award” from the American Rhinologic Society, the highest award for education from that society. His clinical expertise has been honored with numerous annual “Top Doctor” awards, while his humanitarian efforts garnered him a “Humanitarian of the Year” Award from the American Academy of Otolaryngology in 2005. He currently serves as Chair of Rhinology and Allergy Education for the American Academy of Otolaryngology/Head and Neck Surgery; Associate Editor of the International Forum of Allergy and Rhinology; Past President of the American Rhinologic Society; President of the Christian Society of Otolaryngology; and he sits on the Board of Directors of the American Academy of Otolaryngology/Head and Neck Surgery. He was recently named President-Elect of the International Rhinologic Society.

Dr. Jamison Spencer completed his training in dentistry in 1998 at the Southern Illinois University School of Dental Medicine and received a Masters of Science degree in 2008 from Tufts University School of Dental Medicine.  He is currently the director of The Center for Sleep Apnea and TMJ in Boise Idaho and Salt Lake City Utah.  He is adjunct faculty at the UNC School of Dentistry and at UOP Dugoni School of Dentistry.  He heads 'mini-residency' programs in Dental Sleep Medicine at Tufts University, University of the Pacific and the University of Utah.  He is a past president of the American Academy of Craniofacial Pain, and a Diplomate of the American Board of Craniofacial Pain, the American Board of Dental Sleep Medicine, and the American Board of Craniofacial Dental Sleep Medicine.

Dr. Don Tyndall is Professor in the Department of Diagnostic Sciences at the UNC School of Dentistry, Maxillofacial Radiology Division and Director of Radiology. He received his D.D.S. in 1980, his M.S.P.H. in 1984 and his Ph.D. in 1988 from the UNC School of Public Health.

Professor Tyndall has been the Director of Radiology for the UNC School of Dentistry from 1988 to the present and serves as the course director for two pre-doctoral radiology courses. Dr.Tyndall has also served as a commissioner on the North Carolina Radiation Protection Commission from 1988 to 2005 and was founder and program director of the Oral and Maxillofacial Radiology Graduate Program at the School of Dentistry from 1993 to 2006. He is a Diplomate of the American Board of Oral and Maxillofacial Radiology and was a director and past president of the American Board of Oral and Maxillofacial Radiology. Professor Tyndall has served two terms as the Councillor for Scientific Affairs and Public Policy on the Executive Council of the American Academy of Oral and Maxillofacial Radiology.

His research interests include: 3-D digital imaging, caries detection, applications of cone beam computed tomography in dentistry and cone beam CT interpretation. Dr. Tyndall has been lead author or co-author in over 112 journal articles.


This continuing education program is presented by the University of North Carolina at Chapel Hill School of Dentistry and the Department of Prosthodontics. The UNC Continuing Dental Education program is an ADA CERP Recognized Provider. UNC CDEs term of recognition is May 1, 2015 through June 30, 2019. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp.

The UNC School of Dentistry designates this Course for up to 48.25 hours of continuing education credits.

UNC School of Dentistry is a nationally accredited provider. Regulations may differ from state to state based on current legislation and/or various certifying organizations. Individuals are responsible for verifying acceptance of credit hours by their state boards or other licensing agencies. Individuals should check with their licensing boards/agencies for specific questions.

Conflict of Interest
In accordance with the ADA CERP Standard V, everyone involved in planning or presenting this educational activity will be required to disclose any relevant financial relationships with commercial interests and this information will be made available to participants at the start of the activity.

As a continuing education provider, UNC School of Dentistry is responsible for ensuring the content, quality and scientific integrity of all continuing dental education activities for which credit is provided. The School is also responsible for taking steps to protect against and/or disclose any conflict of interest of the faculty/instructors presenting those courses.

The University reserves the right to cancel or postpone any course due to unforeseen circumstances. In the event of cancellation or postponement, the University will fully refund registration fees but is not responsible for any related costs or expenses to participants, including cancellation fees assessed by hotels, airlines, rental car or travel agencies.

ADA Statement
The University of North Carolina at Chapel Hill is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees on the basis of race, color, religion, sex, national origin, age, disability, veterans status, or sexual orientation. If you require reasonable accommodations for a disability in order to participate fully in this continuing education course, please call 919-537-3400 no later than Friday, January 4, 2019.

By providing my information, I consent to receive communication via mail, email, fax, and phone from the University to North Carolina Continuing Dental Education office. The Continuing Dental Education office will not share your information with anyone.

The University of North Carolina School of Dentistry cautions continuing dental education participants that there are potential risks of using limited knowledge when incorporating new techniques and procedures into the practice of dentistry, especially when the continuing education course has not provided supervised clinical experience and/or competency tests in the techniques or procedures.

Dental education institutions have an obligation to disseminate new knowledge related to dental practice. In so doing, some presentations may include controversial materials or commercial references. Sponsorship of a continuing education course by the University of North Carolina does not necessarily imply endorsement of a particular philosophy, procedure, or product by this institution.

Special dietary requirements will be honored whenever possible. Please be sure to notify our office in writing of your special need no later than Friday, January 4, 2019.

UNC CDE recommends that you do not make air travel arrangements prior to receiving a receipt of payment or confirmation. UNC CDE is not responsible for any travel-related costs.

Visitor parking for the UNC School of Dentistry is located in the Dogwood Deck. An approximate GPS address for that parking deck is 318 Mason Farm Road, Chapel Hill, NC. Entrances to the garage are located on East Drive and Mason Farm Road.  Directions and Maps

Parking areas close to the school are restricted Monday through Friday (7:30 AM - 5:00 PM) and subject to ticketing and towing. Please do not park in spaces provided for handicapped individuals. The School of Dentistry does not assume responsibility for fines or towing fees.




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