Sleep and Airway Group

Sleep and Airway Group

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We all work with airway daily - our own. Are we paying attention to our airway, nasal breathing? Are you tired, eating all the wrong foods? etc. Let's take care of us the experts to take care of the millions of Americans that need our knowledge and care. Have a Fantastic Friday!!
Released from JDSM The Dentist's role in ped osa
I would recommend an SLP separate from a myofunctional therapist. An SLP is educated in craniofacial structure and function, feeding and swallowing, cleft palate and craniofacial disorders, and developmental norms for communication and cognitive development, as well as training in executive functioning therapy. Some of us also specialize in oromyofunctional disorders. Jussayin.

We are a team of highly trained physicians, dentists & SLPS, committed to helping patients improve their sleep quality, and above all, improve their lives

Operating as usual

youtube.com

The Neurological Consequences of a Misfit Mouth on Sleep | Jerald Simmons | TEDxSugarLand

https://youtu.be/WoJ63AFmFyA

Dr. Simmons discusses the critical need for earlier detection of dental problems to mitigate future health challenges. He explains why people's mouths hold t...

Our pediatric ENT, Dr. Kaelan Black wrote a great article on tongue ties!!!

http://www.virginiapediatrics.org/mt-content/uploads/2019/05/peds-winter-2019_2_5cdda846da09f.pdf

infosunriseortho.app.rsvpify.com

Changing Lives and Improving Airway in Children

https://infosunriseortho.app.rsvpify.com/?fbclid=IwAR0WseFaCPYnmphAdwW2IFfg6IyMiCLS11KuONrffv6UlSL_vazf5XCKVBs

infosunriseortho.app.rsvpify.com We brought the experts to you! Please join Dr. Marianna Evans, Dr. Jim McKee and Dr. Calkins; to learn together how to implement diagnostic and treatment modalities in the management of breathing sleep disorders in children. Learn interdisciplinary settings to improve the quality of care of our litt...

airwayhealth.org

Foundation for Airway Health - About FAH - New York, NY - About FAH

Guess who's in the news! Our very own expert oral surgeon, Dr. Edward Zebovitz!

On July 20, 2019 Airway Advocates from the Foundation for Airway Health were honored to have the opportunity to offer an Airway Summit workshop at the annual meeting of the National Dental Association in Washington DC. The full-day event addressed airway and sleep issues in children and adults. Topics covered the need for increased awareness and screening to recognize the presence of Airway Centered Disorders as well as paths for diagnosis, treatment, and access for care. The Foundation thanks Ed Zebovitz, Jeff Hindin, Howard Hindin, Patricia McBride, Philip Cooper and Ben Waldman for their important contributions to the program.

https://www.airwayhealth.org/p/BLOG-63583-2019.7.31-Foundation-for-Airway-Health-Presents-Airway-Summit-at-NDA-Annual-Meeting-p.asp

airwayhealth.org

sleepandairwaygroup.com

Surgical Management of Sleep Related Breathing Disorders

Read the most recent article from Dr. Zebovitz!

Airway surgery is a viable option when alternative treatments have been deemed intolerable, ineffective, or if the patient desires correction instead of management of the disease. Dentists are uniquely positioned with a varied skill set to address SRDB in the growing child to develop a normal airway and to manage adults with anatomic airflow restriction.

https://www.sleepandairwaygroup.com/news/surgical-management-of-sleep-related-breathing-disorders

sleepandairwaygroup.com Airway surgery is a viable option when alternative treatments have been deemed intolerable, ineffective, or if the patient desires correction instead of management of the disease.

What does a dentist know about sleep apnea? Come hear one of our dental experts, Dr. Tracey Nguyen speak at the Ashburn Volunteer Fire and Rescue Department on June 27, 2019. We’re going to talk about the consequences of poor sleep and what are the red flags. #loudouncounty #bestdentist #pediatricdentistry #airwaymanagement #sleepapnea #asthma #adhd #sleepstudy #cpap @lansdownedentalcare

Bobby Ghaheri MD

Can tongue tie affect bottle feeding too? Great video on tongue ties and bottle feeding. Our pediatric dental experts diagnosis and release ties at BIRTH!

Dr. Rish*ta Jaju Smile Wonders - Pediatric Laser Dentistry - Dr. Rish*ta Jaju, DMD
and Dr. Lynda Dean-Duru

Yes, tongue tie can affect a baby's ability to bottle feed. This video shows one of the most common problems when tongue-tied babies feed on a bottle. What you see is a piston-like motion on the bottle as it pulses in and out of the baby's mouth. This happens because the tongue cannot move up and down in the baby's mouth to create true suction and instead, moves from back to front. This results in spillage/propulsion out of the sides of the baby's mouth.

This is a common complaint with pacifier use as well - the pacifier goes shooting across the room as the baby tongues it out of the mouth.

With my upcoming research project, I hope to learn more about the impact tongue tie has on bottle-feeding motions and to learn more about the movements of the tongue objectively.

youtube.com

Dr Karen Bonuck on Sleep Disordered Breathing

This is the landmark study that looked at risk factors for Sleep Disordered Breathing. They studied 11,000 children, and followed them from birth to 7. They found children with the worst sleep had neurocognitive consequences.

Dr Karen Bonuck on Sleep Disordered Breathing

sleepandairwaygroup.com

Pediatric Oral Function & Airway Compromise

https://www.sleepandairwaygroup.com/news/pediatric-oral-function-and-airway-compromise
Restorative dental expert, Dr. Tracey Nguyen and Pediatric dental expert, Dr. Rish*ta Jaju talking about compromised airways and tongue ties!!!

sleepandairwaygroup.com Tracey Nguyen DDS Interviews Pediatric Dentist Rish*ta Jaju DMD on Pediatric Oral Function & Airway Compromise.

Dr. Tracey Nguyen, one of the expert restorative dentists, was invited to a VIVOs meeting this Friday. Vivos is a health care company that treats OSA with a patented appliance called DNA appliance. We are happy and thrilled with their marketing and education of the public.

We at the Sleep and Airway Group believe that treating a chronic disease, requires many layers of treatment and unified team of medical and dental professionals. We do not believe one appliance can cure OSA.

We believe that there is a structural vulnerability of the upper airway in the setting of inadequate neuromuscular control and ventilatory instability. Then the need for a team.

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Busy education weekend for the doctors of the Sleep and Airway Group. Dr. Robert Gallegos, one of the expert restorative dentists, is mentoring a 3 day airway workshop Spear Education!!!

Dr. Tracey Nguyen, the other restorative dentist will be mentoring the October workshop.

This course is must for dentists treating dental malocclusions that have co-morbidity with sleep and airway conditions!

Airway Prosthodontics is the study of aberrant breathing — when awake and asleep — and its impact on the development and health of the stomatognathic system. This specialty moves beyond sleep appliances and their impact on the airway during sleep.

Learn to recognize breathing-disturbed sleep and the associated anatomic "choke points" of respiration. This course will give you a solid foundation and systematic approach to controlling and resolving airway issues and their associated dental co-morbidities within a restorative dental practice.

What is the Seattle Protocol?
The Protocol tests different alterations of vertical and protrusive to determine how the patient reacts. It gives the patient a chance to confirm or not confirm our thoughts about their airway function. Basically, a proof of concept. -Dr. Jeffrey Rouse

Our expert oral surgeon, Dr. Edward Zebovitz spoke today at the North American Dental Sleep symposium!
“When oral appliances fail”

Oral appliances have been proven beneficial in managing mild to moderate sleep apnea. There are risk and benefits with all treatment. It’s important to try to understand the whys and come up with the best personalized treatment care.

medicalxpress.com

Up to 15 percent of children have sleep apnea, yet 90 percent go undiagnosed

Did you know that we are a team of specialists that treat children and adults with sleep disorder breathing and obstructive sleep apnea.

“Symptoms of SDB and OSA in children include snoring, restless sleep, excessive sleepiness, teeth grinding and jaw clenching, migraines, bedwetting, and irritability. If SDB is suspected, White says a referral to a multidisciplinary team is ideal.

This typically includes a pediatric ENT, sleep specialist, dentist trained in craniofacial development, and a myofunctional therapist.

White says that dentists are often able to screen for the problem because it is rooted in dysfunctional craniofacial development, which begin early on. He explains that infants with tongue-tie or who have latching problems during breastfeeding might be at risk for developing SDB or OSA, as well as children who have speech delays.”

medicalxpress.com Children are grossly underdiagnosed for sleep disordered breathing (SDB), which includes obstructive sleep apnea (OSA), and the symptoms may be wrongly attributed to behavior issues, according to research in the Journal of the American Osteopathic Association.

The Sleep and Airway Group Contact Sheet

Did you know that Karin Ernst is an SLP that is certified by the International Association of Orofacial Myology in Virginia! We have one of the best orofacial myologist on our team!

Starting my winter break with an Award for Continuing Education (ACE) from the American Speech-Language-Hearing Association (ASHA). 😊

smw.ch

Obstructive sleep-disordered breathing, enuresis and combined disorders in children: chance or related association?

Could bedwetting be related to airway? Research says yes! When you remove tonsils and adenoids or orthodontically expand the upper jaw, the bedwetting symptoms improve!

Recent studies show following the maxillary expansion there was a significant increase in nasal airflow and nasal volume. There was also a significant correlation between reduction in enuresis (bedwetting) and increase in nasal volume.

This tends to be a very uncomfortable topic for my older children patients and their parents. If your child still wets the bed, he/she may have an airway problem.

“Bed wetting is caused by 2 things:
1) mechanical forces bc the child has to pull harder to breathe which causes the diaphragm to come down more aggressively which puts increased pressure on the bladder.
2) chemical forces from the circadian rhythms being affected by sleep disturbances (from sleep breathing issues) which affect hormones/peptides that trigger the kidneys to produce excess urine.”

https://smw.ch/en/article/doi/smw.2017.14400/

#bedwetting #airwaytrumpseverything
#happyholidays

smw.ch This systematic review sought a putative link between nocturnal enuresis and sleep-disordered breathing.

Dr. Kaelan Black is a fellowship trained Pediatric Otoloryngologist. She graduated from Georgetown University School of Medicine and did her training in Otolaryngology at the University of South Florida and completed her fellowship training in Pediatric Otolaryngology at Children's National Medical Center in Washington, D.C. She is board certified by the American Board of Otolaryngology. Her training focused on Pediatric Airway disorders, head and neck masses, sleep apnea, and hearing loss.



Selected Presentations

"An Evaluation of Arytenoid Prolapse Following Laryngotracheal Reconstruction."
Kaelan Black, MD, Michelle White, George Zalzal, MD, Diego Preciado, MD.
Presentation at Joseph E. Robert, Jr Academic Day at Children’s National Medical Center 2016
Submitted to American Society of Pediatric Otolaryngology Annual Meeting 2017

"Pediatric Voice Clinic: demographics, etiology, and comorbidities in dysphonia."
Kaelan Black, Jonathan Lively, PA, Pamela Mudd, MD.
Presentation at ASPO Summer Meeting 2016

"A Review Over the Past 15 Years of the Management of the Internal Fistula of a Branchial Pouch Anomaly and Case Description"
Gary Josephson MD, MBA, FACS, Kaelan Black, MD, MS
Poster Presentation: COSM Regional Conference: Miami, Florida. January 2014, Annuls of Otolaryngology, Rhinology, and Laryngology 2015

"Juvenile Ossifying Fibroma: Successful Endoscopic Gross Total Resection of a Rare Sinonasal Tumor in an Adolescent Male"
Kaelan Black, MD, MS, Gary Josephson MD, MBA, FACS
Poster Presentation: COSM Regional Conference: Miami, Florida. January 2014, Annals of Otology and Rhinology 2015

"The affect of concurrent adenoidectomy with tympanostomy tube insertion on the rate repeat tympanostomy tube placement in children six years old and under"
Kaelan Black, MD, MS, Thomas Andrews, MD, FACS
Poster Presentation: ASPO, Las Vegas, Nevada. May 2014

Dr. Tracey Nguyen graduated magna cm laude from Virginia Commonwealth University. She maintains a private practice in Loudoun county, Northern Virginia. She is accredited by the American Academy of Cosmetic Dentistry and a fellow of the Academy of General Dentistry. On top of being trained by some of the best leaders in dentistry, she continued her training at at the Kois Center in Seattle, Washington. In 2016, she was honored with Top 25 Women in Dentistry. As a member of the Wellness Dentistry Network, her practice is heavily based on integrating overall health, bridging the gap with medicine and dentistry. She created the Sleep and Airway Group, focusing on screening, diagnosing and treating children and adults with Sleep Disorder Breathing.

I think dentists have a bigger calling today. The dental care model is very different from the medical model. We are heavily focused on prevention of disease and overall health. We understand that your mouth can reflect your overall health. We have a serious epidemic with our children. Children are heavily medicated at younger ages at alarming rates. Medical appointments start with a prescription pad and there is little face to face with your physician. I focus on searching for the root causes of your disease. The purpose of the group is to establish a multidisciplinary approach to airway/sleep breathing problems. Improper breathing leads to poor oxygen exchange and poor oxygen exchange is a leading factor in limiting our body's ability to deter disease. To properly address all the factors involved in this problem necessitates that dentists, physicians and allied health providers work together. The website is meant to be informational and educational to the public and other healthcare providers. We want the public to know that there are solutions to these complex problems and we want healthcare providers to work together for the best outcome for our patients.

Professional Associations

American Academy of Cosmetic Dentistry (accredited member)
American Academy of General Dentistry (fellow)
American Academy of Laser Dentistry
American Academy of Sleep Medicine
American Academy of Dental Sleep Medicine
International Congress of Implantologist
Kois Center: Advanced education
Spear Education Center: Advanced education

Dentistry always been a part of my life. My father was an oral surgeon in the Army and later a professor of oral surgery at Georgetown University’s School of Dentistry. As a military family we traveled across the USA but considered Northern Virginia our home base, where we eventually settled. After graduating from Loyola College of Baltimore I became one of my father’s students at the Georgetown Dental School, where I graduated in 1984. My first 10 years of practice were with the Yater Medical Group, a multispecialty group of physicians in Washington, DC. I spent another 7 years in DC running my own practice in the middle of the business district before permanently relocating to Middleburg, Virginia in 2002.

Dr. Gallegos has practiced dentistry and has served in its professional organizations since graduating from Georgetown University School of Dentistry in 1984. He is a Visiting Faculty member at Spear Education in Scottsdale, AZ, an Alumnus of the L.D. Pankey Institute in Key Biscayne, FL. Spear Education and the L. D. Pankey Institute are the premier dental education institutions in the world. Dr. Gallegos is a member in the American Academy of Cosmetic Dentistry, the American Academy of Dental Sleep Medicine a Fellow in the International College of Dentists, the American College of Dentists, and the Academy of General Dentistry. He is also a member of the American Dental Association and the Virginia Dental Association. In addition, Dr. Gallegos is a past President of the District of Columbia Dental Society. Dr. Gallegos maintains a private general dentistry practice in Middleburg, VA where he enjoys practicing sleep apnea/airway treatment, cosmetic and comprehensive dentistry as well as implant dentistry.

Dr. Robert Gallegos’ extensive experience and his devotion to advanced continuing education make possible a high level of care. His penchant to listen to and respect his guest elevates that level of care to a gentle, comfortable experience. Dr Gallegos completed a yearlong mini-residency in airway and sleep medicine in January 2018.

Board Certified Orthodontist located in Leesburg, VA & South Riding, VA

Orthodontics and sleep issues, is there a connection? Yes, the anatomy of the airway. A constricted airway prevents oxygen into the body especially during sleep. Airway focused orthodontics provides treatment for increasing the airway with customized orthodontic appliances which results in patients reporting better sleep, concentration, increase of academic or work performance, stamina, reduction of pain, and resolution of different health issues that have been negatively impacting their daily activities.

Another factor is the posture of the tongue. Some jaw or bite relationships also impact the posture of the tongue which may result in mouth breathing which in turn affects oxygenation. Specific tongue exercises called oral myofunctional therapy can improve low tongue posture which can reduce sleep apnea. Pediatric patients may experience remarkable improvements in quality of sleep, growth, mood, personality and academic abilities.

Dr. Hukmani finds great personal and professional satisfaction in transforming the health and lives of his patients. Dr. Hukmani has provided airway focused orthodontic treatment to thousands of patients who are very appreciative of the improvement in their health and wellbeing. Orthodontics is more than braces. Airway focused orthodontics addresses specific anatomical issues that may severely impact a patient’s ability to breath, eat and sleep. Dr. Hukmani not only changes smiles, he transforms lives.

Contact: [email protected]

Office phone: 703 858-3600

www.lansdowneortho.com

Dental Area of Focus:

Airway Focused Orthodontics & Dentofacial Orthopedics

Education:

University of Nebraska Medical Center, Lincoln, Nebraska; Certificate in Orthodontics
University of Maryland, Baltimore, Maryland; Doctor of Dental Surgery, Magna Cum Laude Graduate
University of Maryland, School of Engineering, College Park, Maryland; BS in Chemical Engineering
University of Maryland, College Park, Maryland; BS in Biochemistry
Notable Achievements, Certifications, Recognitions:

Diplomate of the American Board of Orthodontics (2007)
Omicron Kappa Upsilon (2000)
National Dental Honor Society
Professional School Scholarship (1999 to 2000)
Maryland Higher Education Commission
State Scholarship Administration
Gorgas Odontological Honorary Society (1998 to Present)
Baltimore College of Dental Surgery, Dental School, University of Maryland
Gamma Pi Delta Prosthodontic Honor Society (1998 to Present)
Baltimore College of Dental Surgery, Dental School, University of Maryland
Maryland Senatorial Scholarship (1991, 1994, 1996 to 2000)
Maryland Higher Education Commission
State Scholarship Administration
Maryland General State Scholarship (1992, 1993, 1995)
Maryland Higher Education Commission State Scholarship Administration
Dental Industry Associations/Organizations:

American Association of Orthodontists (2000 to Present)
Virginia Dental Association (2002 to Present)
Northern Virginia Dental Society (2002 to Present)
American Dental Association (1996 to Present)
Maryland State Dental Association (1998 to Present)
Korean-American Student Dental Association (1998 to 2000)
American Institute of Chemical Engineers (1994 to 1995)
American Chemical Society (1994 to 1995)
Hometown: Rockville, MD
Hobbies/Interests:

Weight training, hiking, traveling, nature photography

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19465 Deerfield Ave, Ste 406
Lansdowne, VA
20176
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