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Message Board
Views: 100 | Replies: 4
in healthy children to prevent possible sleep apnea decades later is a much bigger leap. The same caution applies to functional appliances, myofunctional therapy, orthotropics, and frenectomies. Some patients may benefit. That is different from saying everyone needs the protocol. The best clinical
May 11, 2026
Sleep Apnea / Snoring
Message Board
Views: 111 | Replies: 6
Oral Investig . Hasegawa, Y., J. Sakagami, T. Ono, K. Hori, M. Zhang and Y. Maeda (2009). "Circulatory response and autonomic nervous activity during gum chewing." Eur J Oral Sci 117 (4): 470-473. Droste, D. W., W. Berger, E. Schuler and J. K. Krauss (1993). "Middle cerebral artery blood flow velocity in healthy persons during wakefulness and sleep: a transcranial Doppler study." Sleep 16 (7): 603-609.
March 02, 2026
Sleep Apnea / Snoring
Message Board
Views: 92 | Replies: 2
or cavities doesn't mean your mouth is healthy. New science has linked many serious medical conditions to silent dental issues. Painless, bleeding gums have been conclusively linked to heart disease, stroke, hormonal imbalances, pancreatic cancer and more. Snoring and sleep apnea contribute to high
July 06, 2020
Sleep Apnea / Snoring
Message Board
Views: 84 | Replies: 3
discomfort. He said because of the heart attack, he stays completely away from NSAIDs comments? thanks Hey Charles, We tell them to wait 15 minutes, but if they get in the shower fairly soon, just to use gum in the shower while the warm water beats against the muscles.thanks...The gum chewing
May 15, 2016
Sleep Apnea / Snoring
Message Board
Views: 25 | Replies: 0
OK. I know the two aren't related. However, a 30 african american male patient of mine just had a new Herbst appliance made one month ago. He has also noticed the pigmentation of his gums getting much darker since then. Is there any possible way the two are related? The timing is the only thing that has me thinking.
July 07, 2021
Sleep Apnea / Snoring
Message Board
Views: 1152 | Replies: 71
it is) and for the past couple months, I have gotten to the point where it is very difficult to bring my teeth into occlusion and I'm edge to edge more. I can eat and chew, but it's just annoying. Usually I can chew gum or use my aligner and it goes back pretty quickly, but now it takes forever. My jaw annoys me
March 08, 2015
Sleep Apnea / Snoring
Message Board
Views: 337 | Replies: 7
short (almost at the level of gum). Will this cause any problem for night guard making? thanks...Not necessarily. The retention can come from the other teeth and the night guard can still extend over the second molars. You just need to be sure to get the most accurate impression of the area. There is very little margin of error there. thanks...
November 20, 2018
Sleep Apnea / Snoring
Message Board
Views: 201 | Replies: 4
Here is a patient who came in with a negative sleep study and dx of primary snoring. She wants an appliance for snoring but she only has 9 lower teeth. They appear healthy. Thoughts? thanks Go for...looks like a good amount of support
February 21, 2015
Sleep Apnea / Snoring
Message Board
Views: 284 | Replies: 6
I had a patient of mine get an oral appliance from his ENT (somnoguard) 1. Patient reports pain in muscles when he wears it. 2. Bite (occlusion) is off when takes it out. 3. I looked at his gingiva and it looks like the appliance is digging into his gums causing recession. 4. Patient also reports
July 06, 2015
Sleep Apnea / Snoring
Message Board
Views: 146 | Replies: 1
of all this innovation will be healthier lifestyle, better compliance with CPAP therapy, and a better night’s sleep -- for those afflicted and for loved ones who are impacted by snoring and wakeful nights. “As someone with a family member who suffers from sleep apnea (my brother), I
May 31, 2015
Sleep Apnea / Snoring
Message Board
Views: 2982 | Replies: 101
healthy. It's all good bro! I didn't want to go into the $ side of thingsand sound pompas but the most important thing is the gratitude youget when your helping people in ways your never imagined as a dentist. I didn't get into the details as you have but I'm very similar, reads like, in the way you
March 24, 2017
Sleep Apnea / Snoring
Message Board
Views: 117 | Replies: 1
-because she was ASKED! It took a dental appointment to enlighten this mom (who is in a dental office everyday where sleep apnea is a high priority!) Dentistry is amazing! As a parent, I hope all of you are asking questions-even to your young patients-to keep our kiddos healthy! Thanks!Deana ZostOffice ManagerHeather E. Martinson, DDS817-483-6699 BEAUTIFUL
July 22, 2014
Sleep Apnea / Snoring
Message Board
Views: 164 | Replies: 4
don't assume. Either way, it's always healthier to breathe nasally, so a referral is the right thing to do. This past year has been a tough one. My bride of damn near 50 years? 3 cardiac events, sleep apnea damn near killed my wife. Well apnea and a medical community totally focused on Covid
May 03, 2022
Sleep Apnea / Snoring
Message Board
Views: 2837 | Replies: 151
or single mom working her tail off, tired as hell, its the quickest option. Going thru Southside of Chicago, you can go long stretches with no real grocery stores selling healthy food. I will say though that I have been fasting myself at times limiting what I eat and its been very helpful, training
December 29, 2021
Sleep Apnea / Snoring
Message Board
Views: 148 | Replies: 0
of experience in dentistry is throughly integrated with genuine concern for his patients. All our long term staff is dedicated to your comfort and prompt attention as well. Our goal is to keep your teeth healthy and your smile bright in a manner that honors each person's unique temperament
December 21, 2016
Sleep Apnea / Snoring
Message Board
Views: 151 | Replies: 8
stretch out his pterygoids in the morning (chewing gum works - in the shower works better due to warm moist). I hope you measured his range of motion before delivering the appliance. Can you decrease the anteriorization of the appliance? Most devises will allow you to do that. Did you use a progage
September 07, 2016
Sleep Apnea / Snoring
Message Board
Views: 358 | Replies: 20
with physicians, but one needs to consider all the medical issues that can occur with even the simple cases. Are you capable of evaluating the healthy patient for hidden cardiovascular issues like AFib, enlarged heart, factorfive leiden,Prinzmetal'sangina, ehlers danlos disease, heart murmurs, pulmonary issues
January 13, 2020
Sleep Apnea / Snoring
Message Board
Views: 286 | Replies: 11
expansion. This strongly suggests a relationship between airway, sleep, and ADHD. It does not say all ADHD is sleep related. GROWING A HEALTHY CHILD has a chapter devoted to this subject. Thank you for bringing up this very important subject. ADHD is a syndrome. It can have many contributing
October 10, 2017
Sleep Apnea / Snoring
Message Board
Views: 121 | Replies: 8
and being what I like to refer to as an Airway Warrior. Growing A Healthy Child, Secrets From A Wise Old Doc is my effort to get the word out. It took me several years to write it. Rhonda, that is an excellent educational tool. Congratulations. Early intervention is the key, because as we know Sleep
July 27, 2018
Sleep Apnea / Snoring
Message Board
Views: 1341 | Replies: 74
Healthy Start and Myobrace are the best! Forms of quackery. Didnt you know that grinding is associated with an increased chance of tennis elbow in the 4th decade? If they get to live that long. As we now know, all patients who don't use Healthy Start or Myobrace, will die!! Everyone who bruxes has
February 27, 2020
Sleep Apnea / Snoring
Message Board
Views: 1152 | Replies: 71
and candy...so we treat it the best we can. Same with sleep apnea, lose weight, eat healthy, have good sleep hygiene, exercise your oral muscles, play the didgeridoo, however will the patients accept it and can the practitioner make a living providing it. Is there a better way...I am sure
March 11, 2015
Sleep Apnea / Snoring
Message Board
Views: 527 | Replies: 23
after the sleep study). He said that if sleep apnea is confirmed with PSG, then he will do the surgery. If nothing shows up on the sleep study, then he didn't recommend any treatment. Any update on what happened? Did the sleep study confirm apnea? The following is a quote from: GROWING A HEALTHY
October 22, 2018
Sleep Apnea / Snoring
Message Board
Views: 355 | Replies: 7
(assuming a HST or PSG has been done to rule out Sleep Disordered Breathing). thanks! Are those potential effects also applicable to a healthy joint?. if yes, what are they? This patient has been tested already an she doesn't present Apnea (that's what she says) although she snores a lot and she
May 31, 2014
Sleep Apnea / Snoring
Message Board
Views: 273 | Replies: 10
healthier patients for 3rd's. Your post brings back that strong statement dealing with sleep apnea patients - would love to hear other opinions. OMS protocol on sedating their patients in house who have sleep apnea? Yes, it would. You can hold their chin forward and prevent the SpO2 from dropping below 90
November 29, 2016
Sleep Apnea / Snoring
Message Board
Views: 161 | Replies: 6
OK, here is a quick summary. My brother, who is healthy 55 yrs old, comes to visit from Florida two years ago and I check his teeth and such, but I recommended he have a sleep study done when he gets back home. He had inquired about a snoring appliance and when he stayed with my family
June 12, 2014
Sleep Apnea / Snoring
Message Board
Views: 308 | Replies: 16
pt had 1mm OJ and OB to start therapy. Now hitting on edges of 8,9 . I have him chewing gum and also on surgical tubing to try and relax muscles. No pain just sore on 8,9. also pressure on chin to retrude mandible manually. Any other... What type of appliance? If a Herbst start turning the screw
August 16, 2017
Sleep Apnea / Snoring
Message Board
Views: 2837 | Replies: 151
that will have an effect on the patients ability to maintain a healthy weight. There is a big difference between starvation and healthy weight management. Why isn't weight loss and diet change a first option? Because it's too difficult... I gotta eat fries and pork chops but the point is undeniable
September 09, 2020
Sleep Apnea / Snoring
Message Board
Views: 351 | Replies: 20
track compliance on AirView. Last count? 3600 non-compliant patients in our database who are not using any therapy right now. We also treat those with OAs who refuse to even try PAP. Yes, there are a healthy number of those as well. Or it made your life take major changes, Orthodontics and switching
June 22, 2023
Sleep Apnea / Snoring
Message Board
Views: 3606 | Replies: 298
: Stated that 80% of his pediatric patients require some form of lingual frenectomy for breathing problems, including both of my kids, even though one of them has already had a lingual frenectomy. When I pointed out that their pediatrician had looked at both of their frenulums and said they were healthy
April 07, 2024
Sleep Apnea / Snoring
Message Board
Views: 2837 | Replies: 151
this(a healthy lifestyle-fitness) in your communities and make an impact on your patient pool. Obesity related diseases are the biggest health problem in America. Being hard shouldn't be a carte Blanche for us and our patients to ignore it while treating the peripheral symptoms. (still want
September 06, 2020
Sleep Apnea / Snoring
Message Board
Views: 681 | Replies: 22
, and possiblly airway surgery. how did you learn all this today? yes, but it is infrequent to develop jaw problems some experience some soreness in the morning and just chewing gum or wearing repositioning devices generally, in the past, we set the lower jaw forward and titrated to comfort and the appliance
December 31, 2016
Sleep Apnea / Snoring
Message Board
Views: 174 | Replies: 4
If I were to receive a referral and prescription from a sleep physician to fabricate an oral appliance for a patient who is not a patient of record, what would be the appropriate next steps? For example... -To ensure healthy dentition, should we request radiographs from their treating dentist
March 14, 2016
Sleep Apnea / Snoring
Message Board
Views: 297 | Replies: 11
, or physical condition of the human teeth, oral cavity, alveolar process, gums and jaws, and provide surgical and adjunctive treatment for directly related and adjacent masticatory structures. (b) Screening for Sleep Disorders. (1) A dentist may screen a dental patient for benign snoring and obstructive
March 20, 2015
Sleep Apnea / Snoring
Message Board
Views: 548 | Replies: 18
, or prescribe for a disease, pain, injury, deficiency, deformity, or physical condition of the human teeth, oral cavity, alveolar process, gums and jaws, and provide surgical and adjunctive treatment for directly related and adjacent masticatory structures. (b) A dentist may diagnose and treat any dental
February 14, 2014
Sleep Apnea / Snoring
Message Board
Views: 84 | Replies: 11
for a very smart patient of mine who had an intact dentition ( no missing teeth), no joint problems and most important, didn't have sleep apnea. He had a sleep study done and knew it. This current patient of mine also has a pretty healthy dentition. I know better not to give him an appliance
May 16, 2020
Sleep Apnea / Snoring
Message Board
Views: 441 | Replies: 26
. thelancet.com/psychiatry Published online February 15, 2017. It is the largest study to date showing the differences in brain volume between participants with ADHD and healthy individuals. Specifically this study identified amygdale, accumbens and hippocampus volumes to be smaller in participants
February 22, 2017
Sleep Apnea / Snoring
Message Board
Views: 766 | Replies: 30
was that it kept me awake. Now when I get a cold, I sleep with a little white noise device that is the only way to block out a noise from your own head. Noise issues. It has to be genetic. My wife and her family and some of my kids have big issues with ticking clocks, gum chewers, tapping
December 08, 2024
Sleep Apnea / Snoring
Message Board
Views: 276 | Replies: 11
to be documented, with ledgers and op notes many people do it inappropriately because the risk is so small, so up to you on how you want to do it In 2004 in the interview with JCO Dr. Mc Laughlin says this about treatment planning in Orthodontics: The goal of treatment include: - Healthy Musculature
June 28, 2014
Sleep Apnea / Snoring
Message Board
Views: 1157 | Replies: 26
on Sleep Apnea. Even if you dont want to treat, a beginners course in it is fascinating and will likely make you a better clinician because you wont be able to unsee what you have now seen, and can get patients where they need to go to get healthier. Plus its a lot more fun than drilling holes in teeth
April 12, 2025
Sleep Apnea / Snoring
Message Board
Views: 983 | Replies: 31
treating sleep in my office for over 5 years now. It's amazing to me how secondary and primary care physicians care so little about diagnosing OSA. My father in law died from a heart attack in his sleep, and was a big time snorer. Although he was pretty healthy, he was being seen by 3 doctors
October 01, 2015
Sleep Apnea / Snoring
Message Board
Views: 660 | Replies: 20
size, if patient is claustrophobic, has tight cheeks, amount of bruxism that might no be eliminated, etc. Narval is great for a healthy dentition won't break (DPS in Iowa makes great ones), small, strong, good warranty. Tap not great for people with big tongues, and it requires more retention as upper
October 15, 2021
Sleep Apnea / Snoring
Message Board
Views: 859 | Replies: 31
and...The majority of my patients aren't obese so no. but if they are, we do have a nutritionist that accepts medical insurance that we refer to. But in the overweight population I tell them that this is just one step to a healthier lifestyle. This obese argument doesn't work most of the time in our
May 05, 2018
Sleep Apnea / Snoring
Message Board
Views: 389 | Replies: 16
was happy to be there with my myofunctional friends bringing the message of how we can improve the health of patients of all ages by recognizing how proper rest oral posture including ideal nasal breathing can help children grow more attractive faces with healthier airways. The title of my
October 01, 2018
Sleep Apnea / Snoring
Message Board
Views: 352 | Replies: 15
, but I'm not convinced it's helping. I really don't want to do a third in-office sleep study to confirm/refute this. What indications do you have that are telling you that your sleep is not healthy now? Residual fatigue? Consistent waking...I'm still waking up tired despite using the CPAP
July 20, 2018
Sleep Apnea / Snoring
Message Board
Views: 204 | Replies: 8
, deficiency, injury or physical condition of the human tooth or teeth, alveolar process, gums, lips, cheek, jaws, oral cavity and associated tissues, including the removal of stains, discolorations and concretions. From an FAQ: How do you assess patients for sleep disorders, and how do you
April 17, 2014
Sleep Apnea / Snoring
Message Board
Views: 2998 | Replies: 86
profile in OSAHS patients. Methods  Consecutive snoring out-patients suspected with having OSAHS and 20 healthy volunteers were included. All subjects underwent simultaneous 24-h combined multichannel intraluminal impedance-pH (MII-pH) monitoring and polysomnography. Obstructive sleep apnea
October 21, 2012
Sleep Apnea / Snoring
Message Board
Views: 589 | Replies: 32
breathing in healthy, non-allergic adults and children. There is quite a bit of reference material on MFT . Take Joy's seminar and time to start studying again. I did and now my therapists treat it and we are getting good results. Very gratifying to have a 50+ year old patient go through MFT
April 09, 2016
Sleep Apnea / Snoring
Message Board
Views: 1425 | Replies: 59
some solid long-term studies with OAT, Like the Wisconsin Cohort Studies, OAT is goping to be a hard sell for these patients.Other docs are treating generally healthy individuals with various levels of OSA. These are MUCH more likely to be sending you referrals, so keep your lines of communication
March 26, 2012
Sleep Apnea / Snoring
Message Board
Views: 510 | Replies: 31
fanatical about keeping his teeth clean and healthy. A few years after that, pt. moved to Florida and I didn't hear from him again until Aug. 2015 on a Friday evening. He was on his way to Charlotte and had 3 cracked veneers......on yeah, and he was leaving on a trip to discover his family roots
September 23, 2016
Sleep Apnea / Snoring
Message Board
Views: 3606 | Replies: 298
it development that was going to happen no matter the healthy oral rest posture or not. You'll say they were going to stop the poor behavior in school, the sleep was bound to improve, no matter what the tongue was doing. So many on here should be on Pubmed, not DT. Best of luck to all of you. J
April 16, 2024
Sleep Apnea / Snoring
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