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SleepinessFoggy thinking
MoodinessHypertension
ADHD, AsthmaMouth-breathing, Vertical growth
Mood swings, OrthostasisFunctional Somatic Disorders
Anxiety/DepressionCompromised circulation
Cortisol, glucocorticoid,EpiTMD/Chronic pain
Cervical deteriorationConstricted envelope of function
(accelerated dental wear)Dental function deterioration
Nocturnal issues
PediatricPedodontic
AdolescentAdult
Dysfunctional AutonomicNervous System
Nocturnal Issues
UARS
Viable AutonomicSystem
OSA
Evolutionary-Developmental Genesis(Genetic/Epigenetic factors):High palatal vault, scalloped tongue, Klinorynky, hypoplastic maxilla, retrognathic mandible/maxilla
Perverted swallow, low tongue posture, VME, DAE, Elevated BMI, U/V shaped arches, Dysfunctional myofunction,
Hypertrophic tonsils/adenoid, chronic open-mouth breathing
Sleep Disordered Breathing
Fragmented SleepBed- wetting
Mouth-breathing(over-breathing)
LPRD/refluxBruxism/TMD
HypoxiaUn-refreshed sleep
SnoringPolyuria
MI/StrokeMouth breathing
(over-breathing)Death
Diurnal issues
Diurnal Issues
What is the problem? Faces
are not developing
properly
How are physiologic
systems adapting to
underdeveloped airways?
What are the physiologic affects of a changing modern
environment?
Does our evolutionary
history provide evidence for an
airway benchmark?
What is the problem? Faces
are not developing
properly
How are physiologic
systems adapting to
underdeveloped airways?
What are the physiologic affects of a changing modern
environment?
Does our evolutionary
history provide evidence for an
airway benchmark?
What is the problem? Faces
are not developing
properly
How are physiologic
systems adapting to
underdeveloped airways?
What are the physiologic affects of a changing modern
environment?
Does our evolutionary
history provide evidence for an
airway benchmark?
What is the problem? Faces
are not developing
properly
How are physiologic
systems adapting to
underdeveloped airways?
What are the physiologic affects of a changing modern
environment?
Does our evolutionary
history provide evidence for an
airway benchmark?
What is the problem? Faces
are not developing
properly
How are physiologic
systems adapting to
underdeveloped airways?
What are the physiologic affects of a changing modern
environment?
Does our evolutionary
history provide evidence for an
airway benchmark?
Orthognathic surgeryUPPP
Tongue AblationTurbinectomy/ablation
Nasal Septal surgeryTongue sling surgery
CPAPRemovable devices
OrthotopicsMFT
Sleep position devices
Non-surgical SurgicalIntervention
UARS
ScreeningDiagnosis
OSA
SDB Screening/Diagnosis/Intervention Alternatives
Sleep Disordered Breathing: Adult
Airway examHRPOPSG
Lat Ceph/CT
Orthognathic surgeryCPAP
OrthotopicsMFT
Non-surgical Surgical
Intervention
UARS
ScreeningDiagnosis
OSA
SDB Screening/Diagnosis/Intervention Alternatives
Sleep Disordered Breathing: Pediatric
Orthotropic examHRPOPSG
Lat Ceph/Pano
Diagnostics Intervention Outcome