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. 


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. 


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 

Literature references

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

The American Academy of Pediatric Dentistry Policy on Obstructive Sleep Apnea 

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

Trigeminal Cardiac Reflex: New Thinking Model About the Definition Based on a Literature Review 

Trigeminal Cardiac Reflex and Cerebral Blood Flow Regulation

Treating the Phobic and Anxious Dental Patient:

Introduction to Havening Therapy 

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

Increased Cerebral Blood Flow Velocity in Children with Mild

Sleep-Disordered Breathing:

A Possible Association with Abnormal Neuropsychological Function 


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

Spinal CSF flow in response to forced thoracic and abdominal respiration 

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

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

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

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

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

Sleep Screening Biometrics



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.



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.

High Resolution Pulse Oximetry


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).​

Courses and Resources

ALF Therapy

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

Synergy Dental Solutions

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


To fnd out more about Havening Therapies and Training

American Board of Craniofacial Dental Sleep Medicine

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

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