Dental Prosthesis Technology Program Overview

The Dental Prosthesis Technology Program at Salik Hzmetler Meslek Yüksek Okulu focuses on preparing dental prostheses for patients who have lost or damaged teeth. The program uses a variety of materials such as plaster, acrylic, wax, porcelain, and metals. Emphasizing the importance of following measured sizes and complying with dentist instructions, the program aims to equip students with the skills needed to provide effective dental care.

• Dental Prosthesis
• Technology Program
• Dental Care
• Dental Materials

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1. Maintaining Airways Diagnostic Testing Allowed Dentist Screen Their Patients Creating Healthy Airways By Screen The Adult Population PAP Compliant Review The Compliance Reports & Consider ONO (HRPO) Screening Children While Creating A Healthy Adult Airway Not At Risk Follow Up At Recalls At Risk No Problems Monitor Growth & Development Yet Undiagnosed Problems Identified Manage Growth & Development Protocols Like HealthyStart PAP Non- Compliant We ll Revisit These Order or Dispense a Multiple Night HST With An MD Interp. Before A Dentist Orders An OA An MD LOMN/RX Should First Be Obtained And In Records With Then Orthodontics As Needed These Two Processes Need To Be Better Monitored Reevaluate On Recall AHI < 30 AHI > 30 Consider Spo2, HR Variability, Comorbidities Consider Spo2, HR Variability, Comorbidities PAP Compliant Monitor Compliance Reports & ONO (HRPO) LOMN / RX For PAP MD Refer For Therapy Perform A Consultation Discussing OSA & All Options Especially PAP First Line Of TX Referral To The Patient s MD For Medical Collaboration Fails PAP Request Medical Collaboration If At The Same Visit Evaluate Candidacy For OAT Indicated By MD Provide With A Deliver Custom Fabricated Appliance & Titrate To Efficacy & Administer HST & If Determined To Be A Candidate Request LOMN / RX For A Mandibular Advancement Device An Initial Draft An Alternative To CPAP An Oral Appliance ENT Referral HGN Implant Gather All Clinical Notes & The Study Results

2. A Consideration Regarding Testing Guidelines( A Consideration Regarding Testing Guidelines(Alberta At all levels a determination needs to be made as to who needs to be tested and how, and who performs the follow up. I think we can all agree that the process must also include an initial screening, a comprehensive assessment to determine who needs to be tested and how, the testing itself however that is determined to be done, then treatment considerations and follow up monitoring and care. Initial Screening: this can include but is not limited to issues such as loud snoring, witnessed apneas and daytime sleepiness. Comprehensive Assessment: this can include but is not limited to age, history of hypertension, controlled or uncontrolled, cardiac issues, congestive heart failure, pulmonary disease, smoking, COPD, tonsillectomy, family history of sleep apnea, medications, previous sleep testing or treatments, Stop Bang / ESS, BMI, suspected hypoventilation syndrome, UARS, dental conditions such as retrognathia, edentulism, periodontal health and compliance expectations. After the Initial Screening and Comprehensive Assessment, based on the above it will need to be determined if an In or Out of lab study is indicated according to established guidelines. After Testing and the Interpretation by a BoardCertified Sleep Physician a determination will be made for: A Referral back to a medical provider, PCP or Sleep Physician for a determination of care. Rx for a Self titrating AutoPap. Rx for a PAP Titration Study. Rx for a Mandibular Advancement Device. Other more definitive care such as a Cardiac, Pulmonary or other Medical Evaluation. Care Follow up and monitoring should be a shared collaborative responsibility between the patient s medical team and their dental team: The Dental Teams Responsibility is to fabricate, adjust and care for oral appliances if ordered by the physician. The Medical Teams Responsibility is to reach out to and utilize a dentist qualified in treating sleep for evaluations and requests for collaborative care by Rx. Both Medical and Dental providers need to proactively share records and information that is deemed to be in the patient s best interest. As many, if not all, of these considerations will have to be determined and negotiated within Standard of Care Guidelines, first between the representative organizations and then on a case by case basis between providers on the ground I have provided below two links one to Alberta s 2016 Draft Proposal and two to the adopted 2019 version. These can be viewed as a great starting point from which to build a program here in the states even though we have very different healthcare models. Alberta ) ) Standard Of Care Guidelines Alberta Draft 2016 Alberta Adopted 2019

3. Maintaining Airways No Diagnostic Testing Allowed Dentist Screen Their Patients Creating Healthy Airways By PAP Compliant Review The Compliance Reports & Consider ONO (HRPO) Screen The Adult Population Screening Children While Creating A Healthy Adult Airway Not At Risk Follow Up At Recalls At Risk No Problems Monitor Growth & Development Yet Undiagnosed Problems Identified Manage Growth & Development Protocols Like HealthyStart 3 Night PAP Non- Compliant We ll Revisit These Self Reporting HST Like The NightOwl Before A Dentist Orders An OA An MD LOMN/RX Should First Be Obtained And In Records With Then Orthodontics As Needed Now Three Processes Need To Be Better Monitored Reevaluate On Recall AHI < 30 AHI > 30 Consider Spo2, HR Variability, Comorbidities Consider Spo2, HR Variability, Comorbidities LOMN / RX For PAP MD Refer For Therapy PAP Compliant Monitor Compliance Reports & HRPO First Line Of TX Referral To MD For Definitive Testing HST or PSG If There Is Going To Be a Significant Delay In Obtaining A Diagnosis Or Getting Treatment, As Determined & Ordered By A Medical Provider, A Protective Temp Appliance Could Be Fabricated For Safety. Referral For OAT Or Fails PAP Request Medical Collaboration An Alternative To CPAP An Oral Appliance ENT Referral HGN Implant If Indicated By MD Return To MD An Initial Draft LOMN / RX For A Mandibular Advancement Device

4. Maintaining Airways No Diagnostic Testing Allowed A Protective Protocol - Dentist Screen Their Patients Creating Healthy Airways By Screen The Adult Population PAP Compliant Review The Compliance Reports & Consider ONO (HRPO) Screening Children While Creating A Healthy Adult Airway Not At Risk Follow Up At Recalls At Risk No Problems Monitor Growth & Development Yet Undiagnosed Problems Identified ManageGrowth & Development Protocols Like HealthyStart 3 Night PAP Non- Compliant We ll Revisit These Self Reporting HST Like The NightOwl Before A Dentist Orders An OA An MD LOMN/RX Should First Be Obtained And In Records With Then Orthodontics As Needed Now Three Processes Need To Be Better Monitored Reevaluate On Recall AHI < 30 AHI > 30 Consider Spo2, HR Variability, Comorbidities Consider Spo2, HR Variability, Comorbidities LOMN / RX For PAP MD Refer For Therapy PAP Compliant Monitor Compliance Reports & HRPO MyTap Optional Based On Need, MD Referral And Patient Risk Risk Deliver myTap Delay In Treatment Or A Perceived The Need For The Delivery Of A Trial Appliance Should Be Dependent On A Balance Between The Severity Of The Patient s Disease, The Comorbidities And The Expected Delay In Delivering A Diagnosis And Initiating The Treatment As Determined By An MD First Line Of TX Referral To MD For Definitive Testing HST or PSG Fails PAP Request Medical Collaboration Titrate To Subjective Symptoms Whether A Responder or Non Responder If There Is Going To Be a Significant Delay In Obtaining A Diagnosis Or Getting Treatment, As Determined & Ordered By A Medical Provider, A Protective Temp Appliance Could Be Fabricated For Safety. Titrate To Efficacy If Indicated By MD Return To MD An Initial Draft An Alternative To CPAP An Oral Appliance ENT Referral HGN Implant NightOwl Like Device LOMN / RX For A Mandibular Advancement Device