PODCAST

Airway and Sleep Group Podcast

Dr. Liliana Calkins

Airway and Sleep Group diagnoses and treats sleep disorders and airway obstruction, like sleep apnea, by correcting the shape and functionality of your mouth, jaw, tongue and bite by selecting the state-of-the-art orthodontic treatment best suited to achieve the perfect smile for you, instructing patients on Orofacial Myofunctional Therapy and treating Temporomandibular Dysfunction (TMD).
Why CBCT is the best tool for orofacial diagnostics
In this Airway and Sleep Group Podcast Dr. Liliana Calkins interviews Dr. Francisco Eraso. Dr. Francisco Eraso is a specialist in orthodontics and oral and maxillofacial radiology. A member of the American Association of Orthodontics, American Academy of Oral Maxillofacial Radiology and the International Association of Dental Maxillofacial Radiology. He is a practitioner in Indianapolis and one of the founders of Beam Readers Diagnostic Services. Why do you consider CBCT an essential diagnostic tool for imaging anatomy of the craniofacial complex within dentistry or the specialty of orthodontics?Knowing anatomy is power. If you know your anatomy you derive different solutions. Anatomy all point you in the right direction for TMJ, orthodontics and airway.In order to be successful in orthodontics, you have to know your anatomy and the impact of anatomy on the orofacial complex.Teeth are not only to be straightened. Orthodontist who think they can do everything with aligners are wrong. The knowledge learned about a patients basic oral anatomy is essential in creating a diagnostic plan.A lot of people do aligners based on crowns by taking scans and a panoramic, however in the panoramic you do not see the boundaries of the mandibular bone and you pretend that you’re going to move teeth.Sometimes you are lucky and you have some movements, however if you don’t know where the root is in the bone it is very difficult to be efficient in the movement. The knowledge of where the roots of are positioned in the mandibular bone is essential.Why do you need 3D imaging for diagnostics?CBCT is an essential diagnostic tool for imaging anatomy, of both of the mandibular bone and the maxillofacial complex. We are not only bone and teeth, but we are surrounded by amazing structures like the airway, TMJ and maxillary sinuses. And the only tool that can show you the 3D structure is CBCT.You also learn about the floor of the sinus, which is within close relationship with the roots of the molars. Sometimes it is difficult to move the molars in the mesial direction or the distal direction because of the relationship of the roots with the cortical alignment on the floor of the maxillary sinus.If you don’t have a 3-dimensional knowledge or image or interpretation where the roots are, you are going to be blind in creating your treatment plan. You are going to move teeth in the computer, the crowns are going to move fantastically in the software but in reality the treatment is going to be very inefficient. So if you don’t take into account 3D anatomy, like with Invisalign, or any kind of aligner software, sometimes you have to do an infinite number of refinements to an orthodontic aligner treatment. Some people think that is fine, but in actuality it is orthodontists that are not doing a good job because they did not study the anatomy. That is why Using a diagnostic tool to uncover the underlying anatomy is essential in developing an effective orthodontic plan that achieves success.What is the trend that you see in the adoption of CBCT by dental care physicians and the implementation of radiology reports?Over the years we create habits and the habit of every dentist is to take a panoramic x-ray, bite-wings. Most offices are equip with these two diagnostic tools so that is what they use. However, these tools won’t give you anything. The only thing you can get from a panoramic is to count teeth. It won’t give you a good localization of impact teeth, or an excellent view of the temporomandibular joint, nor the maxillary sinus, or airway. Today, we don’t have an excuse not to have a CBCT, because CBCT’s are used everywhere. Getting a CBCT is like knowing the truth. The radiologist will give the knowledge to you, you just cannot fear knowing the truth. You want to have the best tools for diagnosis.How can you do
Today
23 mins
How to avoid frequent Tongue-Lip and Cheek biting
Some patients with malocclusion do not realize that their tongue might have limited space, causing them to continuously or very frequently bite or damage their tongue and lips. The lack of tongue space and proper chewing coordination is overwhelmingly due to lack of proper palatal size and improper tooth alignment. The position of the tongue at rest is considered to have a greater effect on the position of teeth than the short-term pressure of soft tissues around the mouth. It has been shown that in patients with severe maxillary constriction, the space required to accommodate the tongue close to the roof of the palate is inadequate, and tongue posture is lower than desirable which can cause frequent tongue and/or cheek biting. Chronic tongue, cheek or lip bites could lead to more damaging conditions like oral cancer. Cheek biting can affect people of all ages, but it may be more likely in children. When someone repeatedly bites their cheek, the area can become thick, scarred, and paler than the surrounding tissue. Sometimes, the affected area may become inflamed with purple spots. In more severe cases, dentists may notice eroded tissue in the cheek.Rapid Maxillary ExpansionRapid Maxillary expansion addresses the need for the proper palatal size, and correct tooth alignment. A study on the Stability of Maxillary Expansion and Tongue Posture concluded that a higher tongue posture can be obtained with Rapid Maxillary Expansion in children with no reported respiratory disturbances. Rapid Maxillary expansion addresses the creation of space inside the mouth leaving ample room for the tongue to eliminate the problem of cheek biting.Myofunctional AppliancesA study on The Effects of Early Preorthodontic Trainer Treatment on Patients that have front teeth which are tilted forward and protruding outward demonstrated that the preorthodontic trainer application lends itself to dentoalveolar changes that reduces this  poor alignment and improves the patient’s facial profile by promoting favorable mandibular growth changes. Much attention has been paid to the problem of controlling dentofacial growth interferences caused by abnormal lip and tongue function in the mixed dentition period. Various appliances have been presented for the treatment of this problem.  The main purpose of these appliances has been to eliminate oral dysfunction, establish muscular balance, and correct or diminish maxillary incisor protrusion with correct positioning.Myofunctional appliances have been used for many years. These appliances eliminate oral dysfunction, establish muscular balance, and correct or diminish maxillary incisor protrusion. Contact Airway and Sleep Group if you or a loved one has issues with tongue-lip or cheek biting—a myofunctional appliance can help.
Jan 4 2022
2 mins
CPAP Side Effects and the Benefits of Surgery for Sleep Apnea
There are more than 8 million CPAP users in the United States with numbers increasing by 8 to 9 percent yearly. Though, persons with sleep apnea that choose to use a CPAP machine can experience some of the common side effects.Nasal congestionNasal congestion is one of the most common side effects associated with CPAP therapy caused by the flow of dry, pressurized air through the sinuses. This can include the feelings of stuffy nose, runny nose, a burning sensation, or nosebleeds. Dry mouthWaking up with dry mouth or a dry throat typically is caused by breathing dry, pressurized air of a CPAP machine.Dry eyesAs escaping air blows across your face, a mask leak can dry your eyes while you sleep. You may not even notice, as the amount of leakage can change with your sleeping position throughout the night.  Bloating, Burping, and GasWhen the flow of continuous positive airway pressure becomes difficult to breathe against, it can end up redirecting into your esophagus and you end up swallowing air causing aerophagia. Aerophagia symptoms include bloating, burping, stomach pain, and passing gas. Difficulty ExhalingSome people may find it difficult to exhale against the continuous flow of air. This can lead to the sensation of shortness of breath even though enough air is allowed.Skin Irritation and AcneBecause your CPAP mask can collect skin oils, dead skin cells, and sweat while you sleep, this can can lead to the build up of germs and bacteria which can cause skin irritation, rash, acne, and sores. ClaustrophobiaClaustrophobia, or the extreme or irrational fear of confined places can cause new CPAP users to find it difficult to adjust to the feeling of wearing a CPAP mask and tubing. This is especially true for those who require a full face mask. While the feeling usually goes away with time and practice, the fear can make it difficult to get into the habit of regularly using your CPAP machine. Surgical OptionsThere are many surgical options for treating sleep apnea, depending on how severe your sleep apnea is and your overall health. Surgery improves disease severity, reduces early mortality risk and cardiovascular risk. Some of the surgical options include:• using radiofrequency waves to shrink or remove tissues in the back of your throat, opening up your airway•  removing extra tissue from the top of your throat and the back of your mouth.• jaw repositioning to create more space behind the tongue.• slightly tightening the tendons in the front of your tongue. This can prevent your tongue from rolling back and interfering with your breathing.• removing a portion of the back of your tongue. This makes your airway larger.• removing both your tonsils as well as tonsillar tissue near the back of your tongue. Your doctor might recommend this option to help open up the lower part of your throat for easier breathing.• straightening your nasal septum, which can help straighten out your nasal cavities and make it easier to breathe.•moving the hyoid bone and its nearby muscles at bottom of your tongue in your neck to open up your airway.If you are unhappy with using a CPAP machine for your sleep apnea and would like to learn more about surgical procedures to correct your condition, call our Reston office at (571) 244-7329 to schedule an appointment.
Jan 3 2022
3 mins
Orofacial Pain Treatment and Management with with Dr. Hezkial and Dr CalkinsAirway and Sleep Group is the first specialist in orthodontics accepting cryptocurrency
Airway and Sleep Group is the first specialist in orthodontics accepting cryptocurrency locally for Virginia and the US. Making the exchange of cryptocurrency available to its customers, Airway and Sleep Group now accepts cryptocurrency payments via Ethereum, Cardano and Binance. WIth the annual inflation rate in the US surging to 6.2% in October of 2021—the highest since November of 1990—people are starting to be concerned about the value of their U.S. dollars and have become more interested in blockchain technology. It’s estimated that there are currently 2.2 billion individuals across the world don’t currently have access to traditional systems of banking or exchange. However, they do have access to the Internet or mobile phones. The potential to make asset transfer and transaction processing available to this vast market of willing consumers is available in the cryptocurrency ecosystem.Blockchain technology, or cryptocurrency, is a type of currency which uses digital files as money. Cryptocurrency is a form of payment that can be exchanged online for goods and services. In other words, cryptocurrency is a medium of exchange, such as the US dollar, but is digital and uses encryption techniques to control the creation of monetary units and to verify the transfer of funds. Digital signatures can be used to keep the transactions safe, and let other people check that the transactions are real.Like any currency, cryptocurrencies gain their value based on the scale of community involvement (like the user demand, scarcity or coin's utility). The value of anything is determined by supply and demand. If demand increases faster than supply, the price goes up. Cryptocurrency transactions lead to greater clarity in establishing audit trails, less confusion over who should pay what to whom, and greater accountability, in that the two parties involved in a transaction each know who they are. Cryptocurrency lends itself to more confidential transactions by being a unique exchange between two parties, the terms of which may be negotiated and agreed in each case which guards the privacy of your financial history and protects you from the threat of account or identity theft.To learn more about how to pay for goods and services from Airway and Sleep Group using cryptocurrency, contact us at 571.244.7329.
Nov 17 2021
2 mins
What Drives Our Philosophy of Care
At Airway and Sleep Group, we are driven by and attribute great value to people in our industry that exhibit the best practices of visionary leaders. Great visionaries not only have a strong perception of what might make useful tools and practices for a prosperous future, but they remain open-minded and know when to bring the right people into the fold to achieve their goals.Elon Musk is one of the great visionaries of our time because he remains optimistic, focused, and skilled at communicating his ideas. He is also not afraid to take risks. As the co-founder of PayPal (PYPL) and Tesla (TSLA), as well as the founder of SpaceX, Neuralink, and The Boring Company, he has developed and built new technologies that inspire every aspect of our life in science and medicine.Incorporating ideas developed by the brightest minds of our lifetime in our field is part of Airway and Sleep Group’s office culture and values. It is what drives our philosophy of care, innovation and use of technology. Staying up-to-date with the current research on optimizing airway is paramount to our brand in offering parents and patients with the optimal solutions to their problems to resolve sleep quality issues, provide optimal orthodontic treatment and improve overall quality of life. Our efforts in providing the latest technology to alleviate pain, diagnose oral health and applying the best treatment plans for orthodontics are ongoing. We make it our mission to ascribe to be a visionary leader in our field.Visit www.airwayandsleepgroup.com to learn about the latest advancements and applied research on airway development, treatments for sleep apnea and facial development. Listen to our podcasts here: https://www.buzzsprout.com/1718886/episodes
Nov 16 2021
1 min
How Thumb Sucking can alter your child’s appearance
Some people find it adorable when a baby sucks his or her thumb. Although that is a normal occurrence, the continuation of the habit into the toddler and elementary school years of a child could negatively affect their oral and facial development.Thumb sucking can cause some children to create what is commonly known as a dental openbite (a vertical space between the upper and lower teeth where the teeth do not touch). This open bite is a dental issue most difficult to correct.Other children will suck their thumb to the point that it appears that their top teeth are “sticking out”. This would require orthodontic treatment to correct. But the biggest issue that thumb sucking causes is changes to the bottom jaw that can affect the normal growth of the jaw which negatively affects the child’s face. This is caused by the thumb or finger preventing the lower jaw from coming forward and growing properly during thumb sucking.The negative effects to the teeth and jaw depends on the frequency, intensity and duration of the child’s sucking habit.  Frequency is the number of times the child is sucking during the day.  Intensity is the amount of force that is applied to the teeth and jaw during sucking.  Duration is the total amount of time spent sucking.  The more frequent, the more intense and the longer the duration of the sucking habit, the more likely it is to affect the child’s developing oral structure and jaw.Dr. Liliana Calkins is a Specialist in Orthodontics and Craniofacial Orthopedics at Sunrise Orthodontics Facial & Airway Development Center. As an esteemed member of the International Academy of Orofacial Myology and the American Academy of Dental Sleep Medicine she is trained to address pediatric facial development issues resulting from thumb sucking. Schedule a consultation for your child by visiting www.airwayandsleepgroup.com.
Nov 11 2021
1 min
Lung vital capacity and oxygen saturation in adults with cerebral palsy
The study published in the Dove Press journal in 2014 concluded that there is no significant functional dependency between oxygen saturation and chest expansion for adults living with Cerebral palsy. In other words, oxygen saturation is not uniquely determine by chest expansion. Despite the decreased chest expansion and the significantly reduced lung volume in adults with cerebral palsy, they are still receiving sufficient oxygen supply. Moreover, a significant correlation between oxygen saturation and lung vital capacity and oxygen saturation and the deviation of lung vital capacity was also absent.The second question addresses in the study concerned the deviation of vital lung capacity and decreased chest expansion, in the persons with and without scoliosis. People with scoliosis showed a larger deviation of the measured chest expansion from the normal values than did the people without scoliosis. Though, there was no significant difference in the oxygen saturation for persons with scoliosis and those without.So the study concluded that decreased chest expansion does not affect the level of blood oxygen saturation.The natural question that arises is how does oxygen saturation remain at normal levels? All patients in this study underwent physiotherapy and performed respiratory exercises several times a week. Also, they frequently had different therapies like: Bobath physiotherapybreathing exercisesand speech and swallowing therapies to prevent contractures to retain their mobility and facilitate their breathing. Moreover, they were regularly examined by an experienced orthopedic surgeon and internal doctor. Considering the positive results that swimming exercises have been observed to have on the enhancement of lung vital capacity  in children with Cerebral palsy, the normal levels of oxygen saturation observed here likely reflect the training that these patients receive every week. The scientists concluded that physical therapy and training programs should therefore be a part of schools and centers for persons with physical disabilities. Moreover, since the mobility of individuals with Cerebral palsy is reduced, this suggests that they do not need the same physiological lung vital capacity and chest expansion as normally developed, healthy adults.
Oct 28 2021
2 mins
Why Breathing Through the Nose Is Beneficial for Your Health
There are a number of reasons why breathing through the nose is more beneficial for your health as opposed to breathing through the mouth. Breathing through the nose helps to reduce exposure to foreign substances. It also humidifies and warms inhaled air. Moreover, a study reported in the Lancet showed that breathing through the nose improves lung capacity, functional residual capacity and residual volume.The study used 3 groups people. The first group had partially blocked noses who had been admitted for surgical relief of chronic nasal obstruction. Eleven underwent polypectomy. Eleven had septal surgery. And five had submucous diathermy to the inferior turbinates. The second group had vaseline packed gauze placed in the nose. And the third group had interdental wiring where the teeth were wired together to keep the mouth closed.Results of the StudyIn the 27 patients who underwent nasal surgery with partially blocked noses, the Total Lung Capacity (TLC) decreased by 8%. The functional residual capacity (FRC) decreased by 13%. And the residual volume (RV) decreased by 26%.Whereas, in the 7 patients who underwent overnight nasal packing, the study showed a decrease in TLC of 6% FRC of 13%, and RV of 28%.And in the 9 patient’s who underwent interdental wiring, the study showed that it led to an increase in TLC of 5%, an increase of FRC of 11%, and an increase of RV of 23%.ConclusionIt is sometimes assumed that functional residual capacity (FRC) increases with increasing severity of nasal obstruction. And residual volume (RV) falls after nasal septal surgery in both adults and children.As a result of the study, we can conclude that breathing through the nose as opposed to the mouth increases total lung capacity. It also increases functional residual capacity and residual volume. Complete exclusion of the nose from the breathing route was associated with a decrease in lung volume. Whereas, a relative increase in nasal resistance led to an increase in lung volumes.The implication is that in addition to warming, humidifying, and filtering the inspired air the nose has a role in maintaining FRC. Therefore, the action may indirectly, affect arterial oxygen saturation or increase air flow to arteries, veins, and nerves and increase oxygen uptake and circulation.Airway and Sleep Group helps individuals all over the country treat sleep apnea and regain the health benefits of getting a good night’s rest. If you suffer from inadequate sleep, interrupted sleep or wake up feeling tired, sleep apnea may be to blame. Contact us for a comprehensive diagnosis to determine the proper treatment for your condition. Visit www.airwayandsleepgroup.com for more information.
Oct 27 2021
2 mins
The Effects of Asthma and OSA on Sleep
Research by the Journal of Clinical Sleep Medicine studied the effects of coexisting asthma and obstructive sleep apnea on sleep architecture, oxygen saturation and systemic inflammation in women. Three hundred eighty-four women ages 20 to 70 years underwent overnight polysomnography. The subject also completed questionnaires on airway diseases and sleep complaints. The study analyzed the effect of asthma, OSA, and the combination of asthma and OSA on objectively measured sleep quality and systemic inflammation.Asthma and OSA show higher levels of inflammationThe study found that the group with both asthma and OSA had higher CRP and IL-6. CRP is a type of protein that is associated with inflammation in the body and can cause unexplained exhaustion, pain, muscle stiffness, soreness and weakness. Very high CRP levels can also cause symptoms like headache or insomnia. IL-6 is an important mediator of fever and of the acute phase response. An elevated IL-6 may mean that the person tested has an inflammatory condition.Less Quality Sleep for those with Asthma and OSAThe group with both asthma and OSA also had a longer sleeping time in stage N1 sleep and stage N2 sleep. This group also had less time in REM sleep or “rapid eye movement” sleep than the control group with no asthma or OSA.Stage N1 sleep occurs right after you fall asleep and is very short (usually less than 10 minutes). It involves light sleep from which you can be awakened easily.Stage N2 sleep lasts from about 30 to 60 minutes. During this stage, your muscles become more relaxed and you may begin to have slow-wave (delta) brain activity.As REM is often considered the most important and most restorative sleep stage and individuals with both asthma and obstructive sleep apnea get less of it, the study concluded that individuals with both asthma and obstructive sleep apnea are strongly associated with poor sleep. Asthma and Obstructive Sleep Apnea sufferers also have higher levels of CRP and IL-6. These markers denote higher levels of systemic inflammation which can cause fatigue, fever, and joint and muscle pain.Treating OSAAirway and Sleep Group employs the latest technology in treating obstructive sleep apnea. Your path to a better night’s sleep begins with a comprehensive examination and diagnosis. Visit www.airwayandsleepgroup.com and visit our blog or podcast pages to learn more about how we treat obstructive sleep apnea.
Oct 25 2021
2 mins
Doppler Auscultation to Diagnose TMJ
Airway and Sleep Group uses Doppler Auscultation because it is an effective screening tool to diagnose TMJ Health and disorders. Doppler Auscultation allows Dr. Lillana Calkins to listen to a patient’s joints by using a stethoscope with a microphone that incorporates the Doppler wave effect. The sounds give us an indication of the amount of friction and quality of lubrication within the joint.Doppler Auscultation and Piper ClassificationsListening to our patient’s joints is an important step in the TMJ-Occlusal Exam process. Dr. Mark Piper introduced the use of a Doppler in dentistry in the 1980’s.  Therefore, Piper Classifications helps to assess a patient’s joint health when using Doppler Auscultation.  By listening to the joint, and noting when the pop or click occurs, we can determine where the disc is off. We Diagnose the TMJ problem as classifications of 1 through 5. For example:• Class 1 denotes a normal joint.• Class 2 and 3 means that the patient has lateral pole issues if the noises occur after translation has begun.• Class 4 and 5 means the patient has medial pole issues because the pop, or click occurs during rotation and the disc is displaced. An MRI or CAT scan can allow for a definitive diagnosis.The Easy TMJ-Occlusal Exam processAfter setting up the device, the patient will open and close their mouth slowly. If there are no sounds, we can assume that the patient has an intact joint that is well lubricated.If there are noises, then the next step will determine whether it is a medial pole issue or lateral pole issue. To test the Medial pole, the patient will place their tongue on the roof of their mouth and just open half way. The motion will be pure rotation. To test the Lateral Pole, the patient will open wide and close, then have the patient move to right, left and protrusive, which are all in Translation. TMJ Diagnosis with Doppler AuscultationIf you are experiencing jaw pain and think you may have a TMJ disorder, schedule a consultation to get a definitive diagnosis at Airway and Sleep Group. Our commitment to employing the latest medical technology will put you on the right path to resolving your pain issues.Visit www.airwayandsleepgroup.com for more information.
Sep 22 2021
1 min
MRI for Orthodontics in Children
Magnetic Resonance 3D Imaging (MRI) helps orthodontists like Airway and Sleep Group predict changes in bony or soft tissues associated with treatment, over time. Orthodontic patients are generally children and are more susceptible to the harmful effects of ionizing radiation. Airway and Sleep Group makes every effort to minimize or eliminate the exposure of our patients to ionizing radiation. A patient’s ability to use MRI in orthodontic diagnosis and screening would be an important step in the right direction because it would completely eliminate the patient’s exposure to ionizing radiation. MRI puts the principle of ALARA which stands for “as low as reasonably achievable” into maximum effect in terms of radiation exposure. This principle means that even if it is a small dose, if receiving that dose has no direct benefit, you should try to avoid it.Magnetic Resonance Imaging (MRI) is more accurate than Periapical X-rays for measuring tooth lengths. By understanding how well braces, oral appliances, and other therapies are working throughout the treatment plan, practitioners can make adjustments along the way to ensure a truly successful outcome. MRI imaging allows for repetitive 3-D imaging of dental structures in any age group without worrying about potential harmful radiation exposure to monitor the progress of orthodontic tooth movement.Why MRI is the best for 3D ImagingMRI is the first choice of 3D imaging for assessment for implant placement. It is now also the gold standard for temporomandibular joint (TMJ) imaging because it is used to see the soft tissue component of the joint.There are many advantages to using MRI for 3D imaging. The first is its ability to image the TMJ and disk. Secondly, an MRI can also show the display of soft and hard tissues and give you the ability to see inflammatory processes. And thirdly, MRI is also safe to use for patients who are allergic to the contrast agent and can be obtained without repositioning of the patient.How an MRI worksMRI works by recording a resonance signal from the excited hydrogen atoms created by a magnetic field. The scanner is a magnetic field surrounding the patient. Gradient coils then turn on and off to vary the magnetic field. As the magnetic field excites atoms. it senses an equilibrium state energy. The energy from radio waves and the magnetic field then gets converted to a number.  A computer processes the number and then converts that to an image. MRI images the water in the tissues.Parents considering using MRI to diagnose orthodontic issues in their children can contact Airway and Sleep Group for a referral from Dr. Lilliana Calkins. Dr. Calkins dedicates her time to improving the conditions to support facial growth and airway development. She does this through the use of craniofacial orthopedics, orofacial myology and interceptive orthodontics. Visit www.airwayandsleepgroup.com for more information.
Sep 21 2021
2 mins
MLS Laser Therapy for TMJ
Airway and Sleep Group offers an easier way to treat TMJ pain—MLS Laser Therapy. Medical News Today states that around 12 percent of people in the United States experience TMJ disorders at any one time. Nine to 1, women experience more severe pain and restricted jaw movement than men. Though custom-made splints, physical therapy and surgery are some of the ways to permanently get rid of jaw pain, MLS Laser Therapy treatments are uniquely designed to facilitate healing and reduce inflammation at the cellular level.MLS Laser Therapy treatmentsThe MLS Laser is truly magnificent at what it does. Patients love this form of therapy because it is non-invasive and painless. It treats symptoms associated with TMJ dysfunction, such as craniofacial pain, inflammation, and muscular pain.By using a color touch-screen software interface, the MLS Laser accelerates healing, speeds tissue repair, and stimulates the growth of new cells. MLS Laser Therapy is a fast, easy, and effective way to manage TMJ pain.  Because it uses synchronized continuous and pulsed wavelengths, its results are magnified. Because the energy from the laser stops inflammation from happening, it allows the cells to begin the healing process immediately.Airway and Sleep Group uses this patented, FDA-cleared technology because it has an 85% – 90% efficacy rate in relieving pain and inflammation. MLS Laser Therapy eliminates risk from surgery and prescription pain killers, has no negative side effects, and alleviates patients’ jaw pain. It's also quick and painless, and immediately effective in some cases. As an added benefit, a typical session only lasts 15 minutes. The technology works by stimulating cell regeneration. This causes an increase in blood flow to the treatment area, which decreases inflammation and pain.Diagnosing TMJMLS Therapy Laser treatments allow doctors like Dr. Liliana Calkins of Airway and Sleep Group to finish cases faster, prescribe less medication, and restore patients' lives. Schedule a consultation to determine your medical diagnosis. Dr. Liliana Calkins looks at joint history, orthodontic history, pain history, and trauma history to determine whether MLS Therapy Laser treatments are right for you. Visit www.airwayandsleepgroup.com to schedule your consultation.
Sep 20 2021
2 mins
Millions of sleep apnea machines recalled over potential cancer risk
CPAP Recall Due to Cancer RiskMillions of breathing machines used to treat sleep apnea have been recalled due to testing showing that the machine causes users to inhale cancer causing toxins. Philips Dreamstation, a CPAP machine that was recalled, uses sound dampening foam that may degrade into particles and off-gas chemicals which are inhaled by its users. The FDA has noted the presence of black debris and particles within the device’s air pathway and says that breathing those in could result in serious injury which can be life threatening or cause permanent impairment. The effects could lead to irritation or asthma and could even cause carcinogenic effects. The Need for a Good Night’s SleepDr. David Clayman directs the Sleep Disorders Center at UCSF and has informed his patients of the possible side effects encouraging those with milder cases of sleep apnea to make the decision for themselves of whether to continue use of the machines as he cannot offer any guarantees whether the machines are safe.Sleep apnea is a serious sleep disorder affecting 25 million people where people’s breathing during sleep repeatedly stops and starts.nSome people with severe sleep apnea assume the risk of using their CPAP machines despite the risks for cancer as they believe that not getting enough sleep could result in greater health risks that could cause danger to themselves and others, like falling asleep while driving.It is important to note that people with CPAP machines tend to use an ozone cleaning system to clean them and that may be causing the sound abatement foam to degrade even faster.The Orthodontic Alternative to Using CPAP MachinesSleep apnea sufferers can turn to orthodontic treatments to treat their sleep apnea and avoid the risk in using a CPAP machine that can negatively affect their health in the long run. Why risk inhaling cancer-causing toxins from CPAP machines when making adjustments to the shape of your mouth has been found as a proven method of treatment to improve your airway?A review by the Department of Health, Life and Environmental Science, University of L’Aquila and the Academy of Orofacial Myofunctional Therapy showed rapid maxillary expansion (RME) as an effective treatment for obstructive sleep apnea syndrome (OSAS). The Rapid Maxillary Expansion treatment uses a device implanted into the roof of your mouth to widen the bones and tissue of your mouth to leave ample space for the tongue to relax. A space created between your two front teeth are then corrected using traditional orthodontic appliances.Do You Suffer From Sleep Apnea?Other alternatives to CPAP can include:• Dental appliance that repositions the lower jaw and tongue • Upper airway surgery to remove excess tissue • Nasal expiratory positive airway pressure with a disposable valve covering the nostrils • Treatment using hypoglossal nerve stimulationAt Airway and Sleep Group, we work with patients on treatments for sleep apnea regularly. Contact us for your initial consultation or visit www.airwayandsleepgroup.com for more information.
Sep 10 2021
2 mins
Myobrace® offers an effective solution to treating the causes of poor jaw development and crooked teeth
Teeth do not become crooked by chance. Modern research reveals most orthodontic problems are the result of incorrect jaw development. The most up-to-date evidence reveals hereditary factors or big teeth in small jaws are not responsible for crowded teeth or incorrect jaw development either. Moreover, braces and extracting teeth in teenage years does not solve the underlying causes of crooked teeth and incorrect facial development. So what is proven treatment for crooked teeth, improved airway and oral health?A Myobrace® Treatment is a preventive pre-orthodontic treatment that focuses on addressing the underlying causes of crooked teeth, often without the need for braces. Myobrace® treatment is also used as a way to improve oral health, facial development and aligning the jaws and teeth without extracting any teeth by unlocking natural growth and development and improving airway. Treatment is best suited to children aged 3 to 15 and involves using a series of removable intra-oral appliances that are worn for 1-2 hours each day plus overnight while sleeping.What Myobrace® treatment does:Corrects poor oral habitsDevelops & aligns the jawsStraightens the teethOptimises facial developmentImproves overall healthPromotes healthy eating habitsHow does it do this? By helping the child:Breathe through the noseCorrect tongue resting positionSwallow correctlyKeep the lips togetherYou shouldn’t wait until all permanent teeth have come through to begin treatment with braces. This can unfortunately lead to irreversible damage affecting not only the teeth, but also the child’s overall health and development.Poor myofunctional habits (poor oral habits) can be seen as early as three years of age before all permanent teeth are present. This means treatment of the causes can begin much earlier than originally thought.Myobrace® is designed to deal with incorrect myofunctional habits by teaching children to breathe through their nose, rest the tongue correctly in the roof of the mouth, swallow correctly and continue widening the jaws so they grow to their full and proper size. This results in sufficient room for the teeth, allowing them to come in naturally straight and often without the need for braces.How it WorksThe Myobrace®System consists of a series of intra-oral appliances that are worn for one hour each day plus overnight while sleeping. The appliances assist in correcting poor oral habits and expand the arch-form while exerting light forces to align the teeth and jaws. Separate appliances are used depending on the child’s age and type of orthodontic problem. Myofunctional therapy exercises are to be performed twice daily in conjunction with wearing the Myobrace® appliance and consist of a series of breathing, tongue, swallowing, lip and cheek exercises.Schedule an evaluation to determine if you or your child is suitable for Myobrace treatment. Call Dr. Liliana Calkinsof Airway & Sleep Group at 571-244-7329.
Aug 30 2021
2 mins
Orthodontic Treatment Reduces the Need for Tooth ExtractionSurgically Facilitated Orthodontic Treatment (SFOT)
Many people have malocclusions and are unaware of the cause. A malocclusion is the imperfect positioning of the teeth when the jaws are closed. An insufficient alveolar bone is a common find among patients with malocclusions. Cumulative alveolar bone loss results in a weakening of the supporting structures of the teeth and predisposes the patient to tooth mobility and loss. It is one of the hallmarks of periodontitis.These problems have previously been insufficiently treated. With Surgically Facilitated Orthodontic Treatment patients can now be treated properly and efficiently.Malocclusions with insufficient alveolar bone have traditionally been treated orthodontically by removal of permanent teeth which has a number of negative side effects. Removing teeth doesn’t address the constricted arch form that can negatively affect function, esthetics, and the critically important airway. Surgically facilitated orthodontic therapy solves the real, underlying problem of insufficient alveolar bone and expands the traditional “orthodontic walls.”SFOT is a modern advancement in dentistry that results in faster tooth movement by more than 50%. SFOT detects underlying issues of the alveolar bone and arch issues and enhances myofunctional improvement. The treatment aids in ideal tooth position, minimizes number of surgeries, engineers’ new tissue and expands arch form. It can aid in improving esthetic concerns as well.https://www.sciencedirect.com/science/article/abs/pii/S0889540613010524https://sunrise-orthodontics.com/https://airwayandsleepgroup.com/
Aug 20 2021
1 min
Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients with High Arched Palate
Aug 20 2021
1 min
Insignia Digital Bracket System
Aug 19 2021
1 min
Resolving Issues Stemming from Improper Orthodontic Treatment
The combination of clear aligners and HFV or MOPs can resolve a variety of issues associated with previous botched orthodontic treatments by achieving maxillary growth and palatal expansion. These treatments have shown to be proven effective in treating temporomandibular disorders that may occur after improper orthodontic treatment.Case Studies of Dr. Ben Miraglia showed that expansive orthopedic and orthodontic techniques can solve a variety of issues that came about after improper orthodontic treatments.The combination of palatal expansion, clear aligners and HFV or MOPs resolved issues like• temporomandibular disorders.• headaches and jaw pain.• intermittent jaw locking• improper arch width• narrow deficient smile• and crowded malocclusionAirway and Sleep Group employs the latest technologies and orthodontic treatments that will help meet patient demands for a shorter orthodontic experience without sacrificing the quality care. Micro-osteoperforation (MOPs) deliver results quickly and with fewer office visits, accelerating the rate of orthodontic tooth movement by up to 62%. MOPs can even improve patient outcomes with greater clinical predictability.With a small perforation near the difficult tooth movement, MOPs stimulate the maximum biological response1 while remaining microinvasive and palatable to the patient.High-frequency vibration (HFV) with VPro is another advancement in orthodontic treatment. Patients only need to use the VPro device for just five minutes per day. This therapy has also been shown to reduce treatment time by up to 64%.These two therapies combined with aligner therapy and palatal expansion reduce treatment discomfort, increase case predictability, optimize aligner seating, and reduce the need for additional refinement aligners. Patient comfort is key to a good treatment experience and often helps with compliance and engagement in the treatment. Five minutes of “soft pulsation” per day has been shown to reduce orthodontic discomfort by releasing the pain receptors that reduce inflammatory pressure.If you or your loved one experience feelings of discomfort after recently completing orthodontic treatment, contact Airway and Sleep Group to schedule a comprehensive diagnostic consultation at www.airwayandsleepgroup.com.
Aug 18 2021
2 mins

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