Sleep

SLEEP and CHRONIC PAIN: 1) Sleep is time to heal 2) Poor sleep, tools less effective 3) Work "SLEEP" and "PAINS" simultaneously 4) Waste time-money on chronic pain tools w/o good sleep 5) Uncover Hidden Issues in sleep

Two health issues in sleep: 1) Grinding-clenching 2) Deficient breathing

The best tool for sleep quality is cardiovascular conditioning. Yes, it would take you 6 months of good cardio before you received benefit.

Grinding-Clenching 1) Movement disorder 2) Hidden destructive force 3) Destroys four structures of chewing system

UNDERSTANDING GRINDING 1) Disturb sleep: grind noises 2) Massive muscle activity 3) Massive loading TMJ 4) Massive inflammation 5) More difficult treat than appliance 6) Tears lateral ligament TMJ 7) Restless mouth syndrome

POOR BREATHING-NIGHT 1) Decrease brain function 2) Decrease energy production 2) Decrease synapses & interconnections in brain

UNDERSTANDING POOR BREATHING NIGHT: 1) Fatigue & Snoring are hints poor breathing 2) Snoring Disturbs your sleep 3) Disturbs partner sleeps 4) Brain shifts into lighter sleep to gasp air 5) Snoring is forcing air thru small pipe

BEWARE QUICK FIX 1) Let's go beg your medical doctor to prescribe sleep medications; so that, in 1 day w/o effort you can cover up sleep problem? Then we can blame him for worsening of sleep and dependence on medications. 2) Let's beg your dental doctor to prescribe ARS appliance to drag your tongue forward away from airway regardless of its damaging effect on TMJ ? 3) If Botox, magic plastic, or arthrocentesis, does not fix your TMJ. Do you blame doctor, product, or your poor sleep ?

Chewing System Orthopedics is dependent on healing process of sleep for success. You cannot expect the maximum benefit from any orthopedic tool if you do not enhance your sleep quality or sleep breathing.

TMD & Sleep?

  1. Dental: Grind & Clench at night
  2. Medical: Joint muscle damage
  3. Medical problem with dental aspects
  4. Joint & muscle is orthopedics
  5. Airway management is dental & medical
  6. Healing occurs during sleep
  7. Orthopedic team depends on quality sleep 
  8. Reducing pain improves sleep

Choices: good sleep or ????

  1. How can you heal joint damaged with poor sleep
  2. Nightguard reduces power of destructive grinding
  3. Taking a drug for poor sleep does not treat cause
  4. Can you give up 1) gaming, 2) watching "As Stomach Turns"
  5. Choosing between right to be angry or sleeping like baby is a hard decision?
  6. Choosing motherhood over your health is Sophie's Choice?\

The many years of lost sleep due motherhood plays a part in setting stage for chronic pain. The many years of caring for family-job-house-church-parent-special needs child-outlaws has caused a deterioration in health in many women.

Many years of vices (alcohol, drugs, sugar, caffeine, drugs, gaming, grinding, porn) cause sleep quality destruction in all of us.

Healing of TMJ requires: 

  1. Commitment to quality sleep 
  2. Chewing system orthopedics 
  3. Pursuit of proper oxygenation
  4. Integrative tools instead drugs
  5. Development orthopedic team
  6. Passionately implementation tools
  7. Setting long term goals for health

Healing provides: a) Growth hormone, b) Repair molecules, c) Repair genetics, d) Immunity, e) Stores energy, f) Removes toxins, g) Lubricant production, h) Inflammation management , i) repair tissues, j) autonomic balancing

Sleep data: 1) Onset 2) Awakening   3) Return sleep    4) Consistent Bedtime 5) Interferences 6) Stimulants 7) Grind/Clench 8) Equipment 9) Sleep posture 10) Interference 11) Light manage 12) Caffeine/sugar

Breathing & Sleep: AIRWAY MANAGEMENT

Snoring therapy is either forced air (CPAP) or drag tongue away air pipe (ARS). Medical sales CPAPS or dental sales of ARS should have caution or warning, this device does not treat the cause of small air pipe. Both methods treat the symptom small air pipe = snoring, but do not treat the cause.

2 solutions for Airway management: 1) Forced air thru small pipe = CPAP 2) Pull tongue/mandible forward away from air pipe = ARS

Sleep appliances are contra-indicated in Arthritis TMJ & Complete displaced disc. Has anyone evaluated you for moderate damage to TMJ ?

Dentistry should not have jump into snoring therapy without 1st studying the cause of small air pipe. Sales of dental or medical products for snoring without 1st studying the side effects of surgery, appliance, or CPAP for snoring is not good science. Any new product in dental or medical field needs to be tested before they are sold to public.

The public needs to demand more science on any new dental or medical product. We do not need to rush any product to forefront without adequate testing ? Ask what is side effect ? Is this product throughly studied ? What do studies say about it's success over long period time ?

WALLS OF PIPE: 1) Upper wall:   length of Palate 2) Side walls: Medial Pterygoid Tonsils Pharyngeal wall Fat in walls 3) Lower wall: tongue verses arch size

WARNING: Most specialties focus on only one wall of air pipe. Since more than one wall of air pipe is too small is single therapies will fail to open pipe enough without taking the one therapy too far. Taking any of the therapies to enlarge the air pipe by itself is dangerous expectations. In all studies of any therapy for managing a small air pipe, we see high failure rate. With the ability to measure air pipe size with todays imaging, we will be able to use scientific measurements to show benefit to any one therapy.

ITrying to solve the air pipe problem with just one procedure is like fixing a car by looking at only the engine. So whether it is ENT suggest triple P or dentist tries to sale a sleep appliance, you will get yourself in trouble trying to solve this complex problem by yourself. Do your own research ? Look to see the failures of using only one therapy on small air pipes. A simple answer to complex problem is almost never correct.

Medical methods of enlarging pipe size: 1) Triple P = ENT craves palatal extension 2) TORS =reduction tongue size in posterior tongue 3) Tonsillectomy 4) Loosing weight 5) Surgical springs in palate

Dental methods of enlarging pipe size: 1) Orthognathic surgery & Brace = expanding arch to fit oversized tongue 2) Chewing system orthopedics = reducing size Medial Pterygoid

Sleep Oxygenation Data: 1) Snoring indicates small pipe 2) Breath holding indicates apnea 3) Sleep studies: Home or LAB 4) Sleep tools-pillow, mattress, white noise 5) Sleep appliances (ARS, OATS, MORA) 6) CPAP (Continuous positive airway pressure) 7) Nightguard (reduce grinding-clenching)   8) Home tools: nasal strip, nasal rinse, nasal spray 9) Surgery: nasal, sinus, tongue, palate, palatal springs, tonsillectomy 10 Sleep medications (old, new)

Tongue size vs Arch size. 1) Orthognathic surgery-expand arch-increase tongue space 2) Braces -increase tongue space 3) Surgical Tongue reduction

Small airway occurs when tongue is shoved into airpipe:

  1. Small arch
  2. Large tongue
  3. Enlarged Mandibular Tori
  4. V shape narrow palate
  5. Class II skeletal
  6. Palatal bone buttressing
  7. Palatal tori

Snoring: 1) decrease oxygenation 2) decrease sleep quality, 3) decrease sleep quality for your partner.

Scientific evidence indicates years of sleep apnea or poor oxygenation may contribute to alhezimers or dementia.

A snoring husband is a concern for a woman trying to manage her TMJ pain. When the stud muffin will not let down his pride to seek care for his obnoxious snoring, he is part of problem not part solution. Yes, husband snoring, is contributing to your wife pain and poor health. As the leader of house & lover of wife, do really want to contribute to her poor health because medical care is expensive. If you want to keep health care cost down for you and your wife, you need pursue sleep apnea testing.

Testing for sleep apnea: 1) Fit bit or iPhone testing 2) Home sleep study 3) Sleep lab

Is there a quick Fix snoring? No, but many patients who do not take time for proper health habits say "sleep medications". You are choosing to artifically improve sleep quality. Long term use medications allows you to get more unhealthy, sicker, in more pain, and pain in more areas.

By the way, the insurance company places limitations on your doctor time giving barely enough time to write prescription. If you want Integrative tools instead of medications, you will have to request a doctor who opts out of the insurance companies control. Integrative tools take too much time for the doctor or nurse to explain. Wow, it makes sense why American woman are opting for sleep medications; yet, are increasing exponentially in chronic pain. The longer sleep is poor quality or oxygenation is poor, the more diseases you will enjoy.

The very best tool for quality sleep is cardiovascular conditioning, but it takes months to years of progressive increase in cardiovascular exercise to milk the benefits out of this Integrative tool.

Patients are quick to go for Sleep equipment as quick fix: 1) Mattress, 2) Pillow 3) Support limbs 4) Environment 5) Control light 6) Control noise 7) White noise 8) Temp control. 9) Sleep number bed

SLEEP and CHRONIC PAIN: 1) Sleep is time to heal 2) Poor sleep, tools less effective 3) Work "SLEEP" and "PAINS" simultaneously 4) Waste time-money on chronic pain tools w/o good sleep 5) Uncover Hidden Issues in sleep

Two health issues in sleep: 1) Grinding-clenching 2) Deficient breathing

The best tool for sleep quality is cardiovascular conditioning. Yes, it would take you 6 months of good cardio before you received benefit.

Grinding-Clenching 1) Movement disorder 2) Hidden destructive force 3) Destroys four structures of chewing system

UNDERSTANDING GRINDING 1) Disturb sleep: grind noises 2) Massive muscle activity 3) Massive loading TMJ 4) Massive inflammation 5) More difficult treat than appliance 6) Tears lateral ligament TMJ 7) Restless mouth syndrome

POOR BREATHING-NIGHT 1) Decrease brain function 2) Decrease energy production 2) Decrease synapses & interconnections in brain

UNDERSTANDING POOR BREATHING NIGHT: 1) Fatigue & Snoring are hints poor breathing 2) Snoring Disturbs your sleep 3) Disturbs partner sleeps 4) Brain shifts into lighter sleep to gasp air 5) Snoring is forcing air thru small pipe

BEWARE QUICK FIX 1) Let's go beg your medical doctor to prescribe sleep medications; so that, in 1 day w/o effort you can cover up sleep problem? Then we can blame him for worsening of sleep and dependence on medications. 2) Let's beg your dental doctor to prescribe ARS appliance to drag your tongue forward away from airway regardless of its damaging effect on TMJ ? 3) If Botox, magic plastic, or arthrocentesis, does not fix your TMJ. Do you blame doctor, product, or your poor sleep ?

Chewing System Orthopedics is dependent on healing process of sleep for success. You cannot expect the maximum benefit from any orthopedic tool if you do not enhance your sleep quality or sleep breathing.

TMD & Sleep?

  1. Dental: Grind & Clench at night
  2. Medical: Joint muscle damage
  3. Medical problem with dental aspects
  4. Joint & muscle is orthopedics
  5. Airway management is dental & medical
  6. Healing occurs during sleep
  7. Orthopedic team depends on quality sleep 
  8. Reducing pain improves sleep

Choices: good sleep or ????

  1. How can you heal joint damaged with poor sleep
  2. Nightguard reduces power of destructive grinding
  3. Taking a drug for poor sleep does not treat cause
  4. Can you give up 1) gaming, 2) watching "As Stomach Turns"
  5. Choosing between right to be angry or sleeping like baby is a hard decision?
  6. Choosing motherhood over your health is Sophie's Choice?\

The many years of lost sleep due motherhood plays a part in setting stage for chronic pain. The many years of caring for family-job-house-church-parent-special needs child-outlaws has caused a deterioration in health in many women.

Many years of vices (alcohol, drugs, sugar, caffeine, drugs, gaming, grinding, porn) cause sleep quality destruction in all of us.

Healing of TMJ requires: 

  1. Commitment to quality sleep 
  2. Chewing system orthopedics 
  3. Pursuit of proper oxygenation
  4. Integrative tools instead drugs
  5. Development orthopedic team
  6. Passionately implementation tools
  7. Setting long term goals for health

Healing provides: a) Growth hormone, b) Repair molecules, c) Repair genetics, d) Immunity, e) Stores energy, f) Removes toxins, g) Lubricant production, h) Inflammation management , i) repair tissues, j) autonomic balancing

Sleep data: 1) Onset 2) Awakening   3) Return sleep    4) Consistent Bedtime 5) Interferences 6) Stimulants 7) Grind/Clench 8) Equipment 9) Sleep posture 10) Interference 11) Light manage 12) Caffeine/sugar

Breathing & Sleep: AIRWAY MANAGEMENT

Snoring therapy is either forced air (CPAP) or drag tongue away air pipe (ARS). Medical sales CPAPS or dental sales of ARS should have caution or warning, this device does not treat the cause of small air pipe. Both methods treat the symptom small air pipe = snoring, but do not treat the cause.

2 solutions for Airway management: 1) Forced air thru small pipe = CPAP 2) Pull tongue/mandible forward away from air pipe = ARS

Sleep appliances are contra-indicated in Arthritis TMJ & Complete displaced disc. Has anyone evaluated you for moderate damage to TMJ ?

Dentistry should not have jump into snoring therapy without 1st studying the cause of small air pipe. Sales of dental or medical products for snoring without 1st studying the side effects of surgery, appliance, or CPAP for snoring is not good science. Any new product in dental or medical field needs to be tested before they are sold to public.

The public needs to demand more science on any new dental or medical product. We do not need to rush any product to forefront without adequate testing ? Ask what is side effect ? Is this product throughly studied ? What do studies say about it's success over long period time ?

WALLS OF PIPE: 1) Upper wall:   length of Palate 2) Side walls: Medial Pterygoid Tonsils Pharyngeal wall Fat in walls 3) Lower wall: tongue verses arch size

WARNING: Most specialties focus on only one wall of air pipe. Since more than one wall of air pipe is too small is single therapies will fail to open pipe enough without taking the one therapy too far. Taking any of the therapies to enlarge the air pipe by itself is dangerous expectations. In all studies of any therapy for managing a small air pipe, we see high failure rate. With the ability to measure air pipe size with todays imaging, we will be able to use scientific measurements to show benefit to any one therapy.

ITrying to solve the air pipe problem with just one procedure is like fixing a car by looking at only the engine. So whether it is ENT suggest triple P or dentist tries to sale a sleep appliance, you will get yourself in trouble trying to solve this complex problem by yourself. Do your own research ? Look to see the failures of using only one therapy on small air pipes. A simple answer to complex problem is almost never correct.

Medical methods of enlarging pipe size: 1) Triple P = ENT craves palatal extension 2) TORS =reduction tongue size in posterior tongue 3) Tonsillectomy 4) Loosing weight 5) Surgical springs in palate

Dental methods of enlarging pipe size: 1) Orthognathic surgery & Brace = expanding arch to fit oversized tongue 2) Chewing system orthopedics = reducing size Medial Pterygoid

Sleep Oxygenation Data: 1) Snoring indicates small pipe 2) Breath holding indicates apnea 3) Sleep studies: Home or LAB 4) Sleep tools-pillow, mattress, white noise 5) Sleep appliances (ARS, OATS, MORA) 6) CPAP (Continuous positive airway pressure) 7) Nightguard (reduce grinding-clenching)   8) Home tools: nasal strip, nasal rinse, nasal spray 9) Surgery: nasal, sinus, tongue, palate, palatal springs, tonsillectomy 10 Sleep medications (old, new)

Tongue size vs Arch size. 1) Orthognathic surgery-expand arch-increase tongue space 2) Braces -increase tongue space 3) Surgical Tongue reduction

Small airway occurs when tongue is shoved into airpipe:

  1. Small arch
  2. Large tongue
  3. Enlarged Mandibular Tori
  4. V shape narrow palate
  5. Class II skeletal
  6. Palatal bone buttressing
  7. Palatal tori

Snoring: 1) decrease oxygenation 2) decrease sleep quality, 3) decrease sleep quality for your partner.

Scientific evidence indicates years of sleep apnea or poor oxygenation may contribute to alhezimers or dementia.

A snoring husband is a concern for a woman trying to manage her TMJ pain. When the stud muffin will not let down his pride to seek care for his obnoxious snoring, he is part of problem not part solution. Yes, husband snoring, is contributing to your wife pain and poor health. As the leader of house & lover of wife, do really want to contribute to her poor health because medical care is expensive. If you want to keep health care cost down for you and your wife, you need pursue sleep apnea testing.

Testing for sleep apnea: 1) Fit bit or iPhone testing 2) Home sleep study 3) Sleep lab

Is there a quick Fix snoring? No, but many patients who do not take time for proper health habits say "sleep medications". You are choosing to artifically improve sleep quality. Long term use medications allows you to get more unhealthy, sicker, in more pain, and pain in more areas.

By the way, the insurance company places limitations on your doctor time giving barely enough time to write prescription. If you want Integrative tools instead of medications, you will have to request a doctor who opts out of the insurance companies control. Integrative tools take too much time for the doctor or nurse to explain. Wow, it makes sense why American woman are opting for sleep medications; yet, are increasing exponentially in chronic pain. The longer sleep is poor quality or oxygenation is poor, the more diseases you will enjoy.

The very best tool for quality sleep is cardiovascular conditioning, but it takes months to years of progressive increase in cardiovascular exercise to milk the benefits out of this Integrative tool.

Patients are quick to go for Sleep equipment as quick fix: 1) Mattress, 2) Pillow 3) Support limbs 4) Environment 5) Control light 6) Control noise 7) White noise 8) Temp control. 9) Sleep number bed

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