When treating OSA (Obstructive Sleep Apnea) it is imperative that we keep our focus on maximizing the bodies ability to input oxygen during multiple sleep cycles through the night. A common assumption and practice is to position the mandible open 4-5mm and forward 60-70% of maximum protrusion. This approach entails some clinical risks for the patient’s jaw joint health and possibly lack of airway/oxygen intake….. the opposite of treatment intent. All treatment positions must be verified for clinical accuracy prior to initiating treatment with a CT scan.
Attached is a comparison of 3 different bite positions:
1) Centric Occlusion
2) George gauge and
3) Phonetic Bite.
photos courtesy Dr. Edmund Liem – DENTA4 faculty
It is evident that protrusion is NOT always indicative of optimal airway volume. Utilizing the bodies neurology with a phonetic speech pattern guides the clinician to an optimal starting point of maximizing airway volume in treating OSA.
Register for the DENTA4 Sleep course Sept 28,29 2018 and learn how to implement Airway/Sleep treatment into your practice.
Call or email Hannah@OceanCeramics.com to register.