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