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Tongue-Ties and Sleep Issues (and More!)

Published on December 4, 2018 by Dental Sleep Practice

Tongue-Ties and Sleep Issues (and More!)

Editor’s intro: This article on tongue-ties and sleep issues shows that tongue ties can affect many aspects of a child’s quality of life — from sleep, to eating, to speech.   by Richard Baxter, DMD, MS, DABLS A tongue-tie is a thick, tight, or short string of tissue under the tongue that restricts the tongue’s movement and causes a functional issue. Collectively, tongue- … [Read more...]

OSA and Cerebral Palsy

Published on September 4, 2018 by Dental Sleep Practice

OSA and Cerebral Palsy

By Ronald S. Prehn, ThM, DDS Patient: Matthew is a 17-yr. old male with OSA and CPAP intolerant due to Cerebral Palsy (CP). He is a special kid who is full of happiness and brings joy to others. Diagnosis: OSA. AHI 14; RDI 15; PSO2 89%; 6 central apneas Previous Treatment: CPAP was attempted, but with his CP he was not able to keep his head from moving and keep the … [Read more...]

The Importance of Orofacial Myofunctional Therapy Before and After CO2 Laser Frenectomy in Achieving Optimal Orofacial Function

Published on August 28, 2018 by Dental Sleep Practice

The Importance of Orofacial Myofunctional Therapy Before and After CO2 Laser Frenectomy in Achieving Optimal Orofacial Function

by Karen M. Wuertz, DDS, ABCDSM, ABLS, FOM, and Brooke Pettus, RDH, BSDH, COMS Frenectomy Methods Frenotomies performed with a scalpel or scissors can be accompanied by significant bleeding, obscuring the surgical field making it difficult to ensure if the restriction has been completely removed. Because of the increased risk of early primary closure of the site, … [Read more...]

Functional Frenectomy (Osteopathically Guided)

Published on May 29, 2018 by Dental Sleep Practice

Functional Frenectomy  (Osteopathically Guided)

… [Read more...]

Superpulse 10,600 nm CO2 Laser Revision of Lingual Frenum Previously Released with a Diode Hot Glass Tip

Published on November 21, 2017 by Dental Sleep Practice

Superpulse 10,600 nm CO2 Laser Revision of Lingual Frenum Previously Released with a Diode Hot Glass Tip

By Karen Wuertz, DDS, and Peter Vitruk, PhD Lingual Frenectomy and Significance of OMT Frenectomy utilizing scissors or a scalpel is associated with several drawbacks, such as intra-operative hemorrhage (which impedes the visibility of the surgical field and may ultimately lead to scarring); the need for sutures; post-surgical pain and discomfort; and the potential for … [Read more...]

10,600-nm CO2 Laser Frenectomies in Pediatric Patients with Compromised Airway & Swallowing: Case Reports by Martin Kaplan, DMD, and Peter Vitruk, PhD

Published on October 3, 2017 by Dental Sleep Practice

10,600-nm CO2 Laser Frenectomies in Pediatric Patients with Compromised Airway & Swallowing: Case Reports by Martin Kaplan, DMD, and Peter Vitruk, PhD

… [Read more...]

Successful Treatment of a Patient Diagnosed with Severe OSA with an Oral Appliance in a Pre-Doctoral Student Clinic

Published on September 5, 2017 by Dental Sleep Practice

Successful Treatment of a Patient Diagnosed with Severe OSA with an Oral Appliance in a Pre-Doctoral Student Clinic

… [Read more...]

Dramatic improvement in OSA severity when oral appliance and positional therapies are combined

Published on February 29, 2016 by Dental Sleep Practice

Dramatic improvement in OSA severity when oral appliance and positional therapies are combined

Treating obstructive sleep apnea with oral appliance therapy is a rewarding and challenging undertaking. Every doctor/clinician has patients who do not completely respond to oral appliance therapy (OAT.) Once this is known, decisions need to be made to modify treatment for the best possible outcome. In the case study below I will describe how an innovative device was combined … [Read more...]

Allergic to PAP!

Published on December 28, 2015 by Dental Sleep Practice

Allergic to PAP!

Solving this Patient’s Dilemma This is an interesting case where the patient was allergic to the silicone in the soft liner that is the interface of the CPAP mask to the face and also allergic to the neoprene straps of the CPAP mask. This middle aged woman has been trying to use the CPAP for 8 years off and on. She states that she cannot tolerate CPAP due to “allergy to neo … [Read more...]

Nasal Surgery and Oral Appliance Therapy: Collaboration is Key to Success

Published on September 4, 2015 by Dental Sleep Practice

Nasal Surgery and  Oral Appliance Therapy:  Collaboration is Key to Success

by Daniel Klauer, DDS, DABCP, DABCDSM When evaluating patients with sleep disorders, it’s ok to be nosy. We have to be detectives, delving into the details of patients’ waking and sleeping hours. One of the most beneficial parts of my diagnostic exam involves evaluating the airway and the “Four Points of Obstruction” comprising the nasal valve, nasopharynx, velopharynx, and o … [Read more...]

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