Dental Therapeutic Interventions

ALF Therapy, Habit Correctors and Dental Expansion Options

Dental expansion has a direct influence on the size of the mouth and makes for more attractive and functional smiles,  but also increases the volume of airflow in the nose (nasopharynx) and the throat (oropharynx).


Dental appliance therapies can have both short term and long term benefits for addressing both the cause and effect of sleep disordered breathing. 









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Oral Myofunctional Therapy

Offering our patients access to oral myofunctional therapy improves not only our treatment outcomes, but increases the possibility that our patients will truly find sustainable solutions to their sleep disordered breathing condition. 



Obstructive sleep apnea: focus on myofunctional therapy

Cláudia Maria de Felício,1,2 Franciele Voltarelli da Silva Dias,1,2 and Luciana Vitaliano Voi Trawitzki1,2


The present review showed that OMT is effective for the treatment of adults in reducing the severity of OSA and snoring, and improving the quality of life. OMT is also successful for the treatment of children with residual apnea. In addition, OMT favors the adherence to continuous positive airway pressure.


Effects of Oropharyngeal Exercises on Snoring: A Randomized Trial.

 https://www.ncbi.nlm.nih.gov/m/pubmed/25950418/?fbclid=IwAR2FChu7GKDHtSp5mXyuudNsIf3iRhitKAIIjIQhAGaeqwQmL8PoOCLv7HM 










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Oral Appliance Therapy - Mandibular Advancement Devices


These are dental devices which look very much like mouth guards.  They are worn at night. They open the mouth by bringing the mandible forward. They are also called mandibular advancing devices (MAD) and mandibular repositioning devices (MRD), as they reposition the mandible forward relative to the maxilla (the upper jaw). There are several Sleep Apnea Oral Appliances that are FDA approved. Some are made of soft nylon plastic, others are made from a resin-like material. A few use computer aided design (CAD) and 3D imaging to fit the device to the mouth and teeth. They essentially work as an airway splint.



 

Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015

Kannan Ramar, MBBS, MD1; Leslie C. Dort, DDS2; Sheri G. Katz, DDS3; Christopher J. Lettieri, MD4;  


Article link

 http://jcsm.aasm.org/ViewAbstract.aspx?pid=30098 

Literature references


The ADA says dentists should be screening their patients for sleep apnea and should be the professionals who make oral appliances.

 http://www.sleepreviewmag.com/2018/03/american-dental-association-policy-dentistrys-role-sleep-disordered-breathing/ 


The American Academy of Pediatric Dentistry Policy on Obstructive Sleep Apnea

 https://www.aapd.org/media/Policies_Guidelines/P_SleepApnea.pdf 


Trigeminal, Visceral and Vestibular Inputs May Improve Cognitive Functions by Acting through the Locus Coeruleus and the Ascending Reticular Activating System: A New Hypothesis

 https://www.frontiersin.org/articles/10.3389/fnana.2017.00130/full 


Trigeminal Cardiac Reflex: New Thinking Model About the Definition Based on a Literature Review    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602726/ 


Trigeminal Cardiac Reflex and Cerebral Blood Flow Regulation

https://www.frontiersin.org/articles/10.3389/fnins.2016.00470/full


Treating the Phobic and Anxious Dental Patient:

Introduction to Havening Therapy

 https://www.havening.org//media/articles/dr_ruden_phobia_article.pdf 


The Limbic System - Ronald A. Ruden, M.D, Ph.D.

 https://www.havening.org//media/articles/04c490_3b3c1a76d73f4b849027ed7fd2ce8b24.pdf 


Increased Cerebral Blood Flow Velocity in Children with Mild

Sleep-Disordered Breathing:

A Possible Association with Abnormal Neuropsychological Function

  https://www.ncbi.nlm.nih.gov/pubmed/17015501 

 

Not all sleep is equal when it comes to cleaning the brain

 https://www.sciencedaily.com/releases/2019/02/190227173111.htm 


Spinal CSF flow in response to forced thoracic and abdominal respiration

 https://fluidsbarrierscns.biomedcentral.com/articles/10.1186/s12987-019-0130-0 


Meaning of the Solid and Liquid Fascia to Reconsider the Model of Biotensegrity

 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126780/?fbclid=IwAR38nbgJiy06GCzeqvIqJygZgyxLKU7G7c6Ra9ef6LGkeZmOV3QQ5cO2WB4 


A New Pain-sensitive Organ Has Been Discovered in Our Skin

 https://www.technologynetworks.com/neuroscience/news/new-pain-sensitive-organ-found-in-skin-322891?fbclid=IwAR0wAiz2hIIuQZBLyGrc7wrUBd5A0rWL5QtnLHBBE9wjepi6ZVW4f_R8lyk 


Stretch force guides finger-like pattern of bone formation in suture

 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0177159 


Etiology, clinical manifestations and concurrent findings in mouth-breathing children.


 https://www.ncbi.nlm.nih.gov/pubmed/19060979/?fbclid=IwAR3R4abCZbL2wXI2pDm5WYEG-khQ9j7XC-4_6YUKU2Hp4Apn3ZrT30RHujA 


 Adults with sensorimotor disorders: enhanced physiological and psychological development following specific sensorimotor training

 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4406001/ 

Sleep Screening Biometrics

GemPro

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With the GEMPro Sleep Wellness Monitor you can now...


  • Distinguish between Idiopathic Bruxism & Airway Triggered Parafunction
  • Assess the likelihood of Sleep Apnea
  • Distinguish between Snoring and Snoring with Oxygen Desaturations
  • Receive objective data on the cause of parafunctional activity
  • Implement a more effective restoration protection strategy
  • Ensure the dental appliance did not reduce the performance of the airway 


GEMPro is not a medical diagnostic instrument.

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SleepImage

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Cardiopulmonary Coupling (CPC) is an FDA-cleared* technology to accurately and objectively measure sleep quality.


 SleepImage® opens a window into your patients' overall health and wellness by looking at how their sleep quality and sleep pathology change over time.

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High Resolution Pulse Oximetry

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Exceptional SpO2 Analysis


Many  high resolution pulse oximeters capture data at one second intervals, but the SleepSat also has a SpO2 memory resolution of 0.1%. SatScreen capitalizes on the SleepSat's higher signal resolution to provide accurate, precise results relating to subtle and/or complex forms of sleep disordered breathing.


Results in Minutes


Use the Patient Safety Connection Center application to download oximeter data to the computer and send it to the internet for analysis. Within minutes, you will receive a detailed statistical report in PDF format.


Secure Web Access

Use Patient Safety’s HIPAA-compliant web portal to access archived SatScreen reports from any computer with internet access.


SleepSat Compatibility


SatScreen is compatible with the SleepSat, a wristwatch-sized high resolution oximeter featuring advanced high capacity / high resolution memory. In addition to a 0.1% signal resolution and 1 second sampling intervals, the SleepSat can store up to 3 nights worth of hours of data without recharging or download, and features a rechargeable battery (micro USB).​

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Courses and Resources

ALF Therapy

To learn more about ALF Therapy, please use the following link 

www.alfresources.com

Take Back The Night

To find out more about Dr. Stasha Gominak 's course in St Louis in October,

Click here

Synergy Dental Solutions

To find out more about Dr. Angie Tenholder's office, we welcome you to check out our website

SynergyDental.Online

Havening

To fnd out more about Havening Therapies and Training

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American Board of Craniofacial Dental Sleep Medicine

To locate a provider that is Board Certified in Craniofacial Dental Sleep Medicine, use the following link

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American Academy of Craniofacial Pain

To locate a provider that is committed to treating patients with Craniofacial Pain, you can find the AACP directory by using the following link

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