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Spreecast airway kickoff 2014
- 4. What is the problem? Faces are not developing properly Does our evolutionary history provide evidence for an airway benchmark? How are physiologic systems adapting to underdeveloped airways? What are the physiologic affects of a changing modern environment?
Editor's Notes
- historyAt this point in time, significant knowledge voids and bias’ exist within each healthcare discipline as it pertains to airway related healthcare issues due to the nature of the current disease mediated model of care in contrast to the health or wellness management model.
- Of course, this will involve an evidence-based approach that integrates whatever happens to be the “Best”, current evidence with clinical expertise and the patient’s values and preferences. We contrast this mind-set versus an anecdotal approach or a purely academic approach.The collaborative efforts of this group are primarily focused on providing a non-competitive, multi-disciplinary perspective on airway related health sequelae. This is especially important due to the multi-facetted nature of this health condition. Mention: The American Association of Physiological Medicine & Dentistry.The North American Association of Facial Orthotropics NAAFOThe American Academy of GnathologicOrthotropics AAOGOThe Academy of OrofacialMyofunctional Therapy
- 1 Develop a comprehensive approach that integrates all relevant health fields.2 Foster effective multi-disciplinary collaboration3 Develop a more accurate diagnostic and treatment algorithm that will continue to evolve with the advent of novel, high caliber evidence and ultimately best serve the publicThis last goal will eventually lead up to a discussion on intervention. We will purposely avoid direct discussion of intervention during the first series discussions. The discussion on intervention merits its own series of discussions after a collaborative foundation and comprehensive understanding and has been established. This ultimately keeps the focus on the patient.
- This diagram more comprehensively captures the many relevant issues with airway function and its affect on facial development. This really represents the genesis or crux of the problems. The various areas are captured by 4 general questions which will help us organize the next 25 hours of discussion.Did not want to get bogged down at this point with intervention to limit possible bias in the discussion and remain non-threateningSo the discussions will fall under one of these questions designated by the Roman numeral and not necessarily in a specific order as they are so interwoven. The question often has come up in formulating these questions as to which came first the chicken or the egg.
- The infant child is born as an obligate nasal breather which allows for proper craniofacial development via natural feeding and breathing patterns. As stated by Enlow, the airway is the keystone to facial development. The most important and immediate physiologic function at birth is the maintenance of breathing which is driven at the level of the brain stem. This necessary function trumps all other non-autonomic physiologic function as it is the CNS’ (central nervous system) drive to keep the individual alive from one minute to the next with less concern for all other physiologic functions from one moment to the next. This reality does not change for the lifetime of the individual and all physiologic systems are influences accordingly. Proper craniofacial growth and development is initially driven by brain development the first 2 years of life followed by facial development the following several years. The development of the airway is the “keystone” of facial development (Enlow) and is the major factor in determining gnathologic development as well as proper physiologic sleep and diurnal breathing function.This premise provides the context for the curriculum described below. It is a sea-change in how we see the role of the dentist, orthodontist and all related healthcare providers. Sleep disordered breathing, temporo-mandibular dysfunction (TMD), dental crowding, bruxism/clenching, craniofacial distortions, ADHD (ARCD: Airway Related Craniofacial Dysfunction) and many other medical sequelae are considered signs and symptoms of the deficient airway in the vast majority of case.It is our goal to provide a foundation to provide a wellness approach to dental health and development versus disease management of the various associated signs and symptoms. This approach does not obviate traditional dental intervention but rather enhances its delivery by taking a global approach to the many problems we manage on a daily basis.
- The infant child is born as an obligate nasal breather which allows for proper craniofacial development via natural feeding and breathing patterns. As stated by Enlow, the airway is the keystone to facial development. The most important and immediate physiologic function at birth is the maintenance of breathing which is driven at the level of the brain stem. This necessary function trumps all other non-autonomic physiologic function as it is the CNS’ (central nervous system) drive to keep the individual alive from one minute to the next with less concern for all other physiologic functions from one moment to the next. This reality does not change for the lifetime of the individual and all physiologic systems are influences accordingly. Proper craniofacial growth and development is initially driven by brain development the first 2 years of life followed by facial development the following several years. The development of the airway is the “keystone” of facial development (Enlow) and is the major factor in determining gnathologic development as well as proper physiologic sleep and diurnal breathing function.This premise provides the context for the curriculum described below. It is a sea-change in how we see the role of the dentist, orthodontist and all related healthcare providers. Sleep disordered breathing, temporo-mandibular dysfunction (TMD), dental crowding, bruxism/clenching, craniofacial distortions, ADHD (ARCD: Airway Related Craniofacial Dysfunction) and many other medical sequelae are considered signs and symptoms of the deficient airway in the vast majority of case.It is our goal to provide a foundation to provide a wellness approach to dental health and development versus disease management of the various associated signs and symptoms. This approach does not obviate traditional dental intervention but rather enhances its delivery by taking a global approach to the many problems we manage on a daily basis.
- The infant child is born as an obligate nasal breather which allows for proper craniofacial development via natural feeding and breathing patterns. As stated by Enlow, the airway is the keystone to facial development. The most important and immediate physiologic function at birth is the maintenance of breathing which is driven at the level of the brain stem. This necessary function trumps all other non-autonomic physiologic function as it is the CNS’ (central nervous system) drive to keep the individual alive from one minute to the next with less concern for all other physiologic functions from one moment to the next. This reality does not change for the lifetime of the individual and all physiologic systems are influences accordingly. Proper craniofacial growth and development is initially driven by brain development the first 2 years of life followed by facial development the following several years. The development of the airway is the “keystone” of facial development (Enlow) and is the major factor in determining gnathologic development as well as proper physiologic sleep and diurnal breathing function.This premise provides the context for the curriculum described below. It is a sea-change in how we see the role of the dentist, orthodontist and all related healthcare providers. Sleep disordered breathing, temporo-mandibular dysfunction (TMD), dental crowding, bruxism/clenching, craniofacial distortions, ADHD (ARCD: Airway Related Craniofacial Dysfunction) and many other medical sequelae are considered signs and symptoms of the deficient airway in the vast majority of case.It is our goal to provide a foundation to provide a wellness approach to dental health and development versus disease management of the various associated signs and symptoms. This approach does not obviate traditional dental intervention but rather enhances its delivery by taking a global approach to the many problems we manage on a daily basis.
- The infant child is born as an obligate nasal breather which allows for proper craniofacial development via natural feeding and breathing patterns. As stated by Enlow, the airway is the keystone to facial development. The most important and immediate physiologic function at birth is the maintenance of breathing which is driven at the level of the brain stem. This necessary function trumps all other non-autonomic physiologic function as it is the CNS’ (central nervous system) drive to keep the individual alive from one minute to the next with less concern for all other physiologic functions from one moment to the next. This reality does not change for the lifetime of the individual and all physiologic systems are influences accordingly. Proper craniofacial growth and development is initially driven by brain development the first 2 years of life followed by facial development the following several years. The development of the airway is the “keystone” of facial development (Enlow) and is the major factor in determining gnathologic development as well as proper physiologic sleep and diurnal breathing function.This premise provides the context for the curriculum described below. It is a sea-change in how we see the role of the dentist, orthodontist and all related healthcare providers. Sleep disordered breathing, temporo-mandibular dysfunction (TMD), dental crowding, bruxism/clenching, craniofacial distortions, ADHD (ARCD: Airway Related Craniofacial Dysfunction) and many other medical sequelae are considered signs and symptoms of the deficient airway in the vast majority of case.It is our goal to provide a foundation to provide a wellness approach to dental health and development versus disease management of the various associated signs and symptoms. This approach does not obviate traditional dental intervention but rather enhances its delivery by taking a global approach to the many problems we manage on a daily basis.
- The infant child is born as an obligate nasal breather which allows for proper craniofacial development via natural feeding and breathing patterns. As stated by Enlow, the airway is the keystone to facial development. The most important and immediate physiologic function at birth is the maintenance of breathing which is driven at the level of the brain stem. This necessary function trumps all other non-autonomic physiologic function as it is the CNS’ (central nervous system) drive to keep the individual alive from one minute to the next with less concern for all other physiologic functions from one moment to the next. This reality does not change for the lifetime of the individual and all physiologic systems are influences accordingly. Proper craniofacial growth and development is initially driven by brain development the first 2 years of life followed by facial development the following several years. The development of the airway is the “keystone” of facial development (Enlow) and is the major factor in determining gnathologic development as well as proper physiologic sleep and diurnal breathing function.This premise provides the context for the curriculum described below. It is a sea-change in how we see the role of the dentist, orthodontist and all related healthcare providers. Sleep disordered breathing, temporo-mandibular dysfunction (TMD), dental crowding, bruxism/clenching, craniofacial distortions, ADHD (ARCD: Airway Related Craniofacial Dysfunction) and many other medical sequelae are considered signs and symptoms of the deficient airway in the vast majority of case.It is our goal to provide a foundation to provide a wellness approach to dental health and development versus disease management of the various associated signs and symptoms. This approach does not obviate traditional dental intervention but rather enhances its delivery by taking a global approach to the many problems we manage on a daily basis.
- We would like to hear of any others that are relevant to foster future education and collaboration. At this point both Barry & Kevin will also introduce another relevant organization. We look forward to hearing more about any other relevant organizations willing to collaborate and benefit our patients.