you can see a couple issues here is the chest is moving so there's effort to breathe this
is a characteristic of obstructive sleep apnea so deep sleep cleans the brain and this is why
you feel refreshed in the morning when you have a good night's sleep you're literally cleansed
so we have this situation where we have angulated airflow
we have novel or epiglottic lockup and we have a floating hyoid bone and we also have
a loose jaw so we have a propensity for obstruction of our breathing that we can
have to manage at times with oral appliance therapy or cpap which is the medical therapy
in n3 deep sleep debate brain patterns show delta waves referring to stages delta sleep
in this stage the brain actually shrinks up this is new research that's very interesting
the spinal fluid comes in and is cleaning out the brain so this is where the the
getting into deep sleep is very important in preventing dementia in alzheimer's disease
the body is repairing itself it's producing growth hormone released in this and it's
cleaning itself through that mechanism of the spinal fluid coming in which has been called
the glymphatic system so deep sleep cleans the brain and this is why you
feel refreshed in the morning when you have a good night's sleep you're literally cleansed
so 25 million americans suffer from sleep apnea 80 percent of those cases of moderate sphere
go undiagnosed leading to high blood pressure chronic heart failure atrial fibrillation stroke
and other cardiovascular problems it's associated with type 2 diabetes and depression
and they have more traffic accidents and other diseases
so if we look at mandibular advancement devices we can see that we have the silent knight which is
interchangeable straps of 25 21 to 25 millimeters we position the patient beforehand and then we
change the straps to change the positioning of the appliance we have a rubber strap in the emma and
then we've created and now uh supplying here at glidewell the oasis hinge which has a allen wrench
two full turns creates a millimeter and you can do it in the mouth
so we we have here the oasis hinge appliance
and these hinges were developed to allow greater range of motion and ease of adjustment so we're
looking here we're looking at the position the relative maxwell and mandible position we're going
to have the patient protrude their jaw as much as they can at actively an active movement and so
stretches forward as far as you can and then go back and we see the range of motion that we have
there and then one of the things that bring the jaw forward that we can simply do is just
screw into the position that he's holding till we start to feel a little resistance from the bar
and there we are so patient comes in that's the place that we start and then if they come back
you get the subjective reporting or they snoring their their wives or husbands happy
that they're sleeping better are you enjoying this instructional video i hope so if you'd like
to receive additional clinical instruction with agd and ada approved ce credits all at no charge
be sure to visit glidewelldental.com forward slash education where in addition to over 60
on-demand clinical courses you can also access our weekly webinars along with other valuable content