{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Protrusive Dental Podcast","title":"Implementing Sleep, Airway and Myo to Restorative Dentistry Part 2 – PDP263","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/1cc7dab3\"></iframe>","width":"100%","height":180,"duration":4859,"description":"You’ve spotted the signs—wear, scalloping, fragmentation, maybe even a low AHI—but what does that really mean?\nWhen the data doesn’t match the symptoms, how do you move forward?\nAnd how do you integrate airway into full mouth rehab without compromising function, stability, or predictability?\nIn this episode, Jaz is joined by Dr. Aston Parmar to explore the real-world application of airway dentistry. They discuss how to help patients own their problem, why sleep testing matters, and how airway influences diagnosis, treatment planning, and long-term outcomes.\n https://youtu.be/-zVV1FAT0NI \nWatch PDP263 on YouTube\nProtrusive Dental Pearl\nNasal Breathing and Simple Screening\nNasal airflow can be a major limiting factor in sleep quality.\nSimple test: flare nostrils → if breathing improves, nasal resistance may be present.\nNasal dilators can be a cheap, low-risk intervention for selected patients.\nNot all patients need mandibular advancement — sometimes the issue is nasal.\nSecond pearl: test snoring improvement by advancing the mandible.\nIf forward positioning reduces snoring sound → mandibular advancement may help.\nKey Takeaways\nPatients must own their problem before accepting treatment\nAirway dentistry is about risk reduction, not cure\nApnea-Hypopnea Index (AHI) has limitations—context and patterns matter more than raw scores\nUpper Airway Resistance Syndrome (UARS) is common but underdiagnosed\nSleep fragmentation can exist even with low AHI scores\nMyofunctional therapy improves compliance and outcomes\nMulti-night sleep testing provides more accurate insights\nCollaboration with ENT specialists improves diagnostic accuracy\nAirway is the bookend of full mouth rehab (start and end)\nDentistry should be airway-sympathetic, not just tooth-focused\nMandibular advancement devices are effective but require careful titration\nMorning occlusal guides help reduce bite changes from appliances\nNot all patients need the same pathway—risk stratification is key\nPredictability in...","thumbnail_url":"https://img.transistorcdn.com/hLSIeRiYSp0oTfIk0BzEukFutShD18hH3f6fq4QHsWw/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lZmM0/ZTNjYzdiZDJhNGFj/MzBiYmU2NTUwNmM2/NzQ2My5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}