{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Protrusive Dental Podcast","title":"Your Patient’s Face Might Be Causing Their Sleep Problem with Dr Dave Singh – PDP253","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/5609ee35\"></iframe>","width":"100%","height":180,"duration":4127,"description":"Can adults really expand their maxilla?\nIs treating sleep apnea with a CPAP or mandibular advancement device only MASKING the problem?\nHow does craniofacial anatomy influence airway health, and what should dentists look for?\nDr. Dave Singh joins us to dive into CranioFacial Sleep Medicine. He breaks down how structural issues—like a narrow maxilla, high-arched palate, or limited tongue space—can be root causes of sleep-disordered breathing, rather than just treating symptoms. \nThe episode also touches on controversies in orthodontics and presents evidence supporting interventions once thought impossible in adults.\n https://youtu.be/WUyeOjKquJU \nWatch PDP253 on Youtube\nProtrusive Dental Pearl: Obstructive Sleep Apnea is NOT just a “fat old man disease.” If you’re not screening every patient for sleep and airway issues, you’re missing a huge piece of their overall health. Snoring, bruxism, and craniofacial anatomy are all connected, and understanding these links can transform the way you approach patient care.\nKey Takeaways:\nMandibular advancement appliances are not a universal solution. While effective for some patients, they often fail to address the underlying causes of airway collapse.\nCraniofacial sleep medicine focuses on airway etiology, not just symptom control, by identifying why the mandible, tongue, and airway behave as they do during sleep.\nThe cranial base plays a foundational role in facial growth, jaw position, and airway size, directly influencing sleep apnea risk.\nA retruded mandible is frequently due to developmental and epigenetic factors, rather than being an isolated mandibular issue.\nSleep apnea has multiple endotypes—including craniofacial, neurologic, metabolic, and myopathic—requiring individualized treatment planning.\nBruxism is not a reliable airway-opening mechanism and may be a primitive physiological response to hypoxia rather than a protective behavior.\nTooth wear can be an early indicator of sleep-disordered breathing, and should...","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}