
The Conundrum of Pediatric Obstructive Sleep Apnea: An Interdisciplinary Approach From Screening to Management
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Pediatric Obstructive Sleep Apnea: A Collaborative Approach
This session will integrate dentistry and medicine to provide attendees with an up-to-date review of coordinated efforts in managing pediatric obstructive sleep apnea (OSA).
The morning will begin with Jacy Stauffer, Assistant Professor and Program Director for the Advanced Education Program in Pediatric Dentistry at Oregon Health & Science University. Dr. Stauffer will introduce screening, intake, and assessment techniques for OSA, review etiological considerations, and present interdisciplinary case studies from her clinic.
Mitchell Levine, orthodontist and faculty member at UNC-Chapel Hill, will address the misconception of orthodontics as a singular solution for pediatric OSA. He will discuss the importance of considering endotype and phenotype, the natural progression of untreated pediatric OSA, and the role of facial growth. He will then explore the use of rapid palatal expansion and functional appliances in managing this condition.
Michael Strunc, child neurologist and sleep doctor, will present on pediatric sleep disorders broadly, sharing his approach to patient evaluation. His presentation will emphasize the importance of recognizing diagnoses beyond OSA.
Finally, Clete Kushida, Division Chief and Medical Director of Sleep Medicine at Stanford University, will discuss the assessment, diagnosis, and treatment of pediatric OSA, highlighting the key differences from adult OSA management.

Clete Kushida
Professor
Stanford Sleep Medicine Center
Dr. Clete A. Kushida is a neurologist who specializes in the diagnosis and management of sleep related breathing disorders (e.g., obstructive sleep apnea), sleep-related movement disorders (e.g., restless legs syndrome), and parasomnias (e.g., sleepwalking, REM sleep behavior disorder). He is a neurologist, a Professor in the Department of Psychiatry and Behavioral Sciences at Stanford; Associate Chair, Division Chief, and Medical Director of Stanford Sleep Medicine; and Director of the Stanford Center for Human Sleep Research. He is the inaugural President of the World Sleep Society, past President of the World Sleep Federation, past President of the American Academy of Sleep Medicine, and founding President of the California Sleep Society. Dr. Kushida has conducted basic and clinical sleep research since 1977, served as Principal Investigator for numerous large federally and industry sponsored studies, and his research interests include the anatomic and physiologic changes associated with sleep apnea, the management of restless legs syndrome, and countermeasures for sleep loss. He has authored or edited over 300 publications including six books, and serves as editor-in-chief of the journal Sleep Science and Practice as well as the largest publication on the field of sleep to date, the Encyclopedia of Sleep and Circadian Rhythms (2nd edition, 6 volumes, 454 chapters, 827 authors, 3,835 pages).

Michael Strunc
Child Neurologist

Mitch Levine
Associate Professor
University of North Carolina
Mitchell Levine is associate professor of orthodontics at the University of North Carolina Adams School of Dentistry. He instructs residents on sleep disordered breathing, dentofacial deformities including surgical/orthodontic treatment planning, as well as supervises graduate orthodontic residents. He is a Diplomate of both the American Board of Orthodontics and American Board of Dental Sleep Medicine. A contributor to numerous scientific papers including the AAO White Paper on the Role of the Orthodontist and OSA, AADSM Standards for Dental Sleep Medicine, as well as the AADSM Novel Therapies for Preventing, Managing and Treating OSA in Adults and Children. As well, he is a reviewer for the American Journal of Orthodontics, Angle Orthodontist, Journal of Dental Sleep Medicine and Orthodontics and Craniofacial Research. He is immediate past president of the American Academy of Dental Sleep Medicine

Jacy Stauffer
Assistant Professor, Pediatric Dentistry
Oregon Health and Science University
Jacy Stauffer DMD
Assistant Professor, Pediatric Dentistry
Program Director, Advanced Education Program in Pediatric Dentistry
Oregon Health & Science University
2730 S Moody Avenue, SD-Peds
Portland, Oregon 97201-5042
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