Maxillo-mandibular advancement surgery, skeletal expanders, & surgically facilitated clear aligner therapy. Are a few of the “tools” in the “tool chest” leveraged to improve/correct breathing and sleep problems such as obstructive sleep apnea—inspiratory flow limitation, upper airway resistance syndrome, sleep fragmentation, CPAP intolerance, etc.
- Each of these interventions is interdisciplinary, requiring a team approach to assess, diagnose, and execute optimally.
- Each “tool” can be used in isolation or in addition to other “tools” to optimize outcomes. These tools address structural deficiencies and are implemented in concert with therapy, such as myofunctional therapy, swallowing re-patterning, physical therapy, speech-language and pathology treatment, and mouth, face, and tongue exercises.
- Each approach varies in risk, benefit, and cost but all offer predictable, positive outcomes when adequately guided by a well-informed and experienced airway team.
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Dr. Mark A Cruz
Mark A Cruz graduated from the UCLA School of Dentistry in 1986 and started a dental practice in Monarch Beach, CA upon graduation. He has lectured nationally and internationally and is a member of various dental organizations. He was a part-time lecturer at UCLA and a member of the faculty group practice and was past assistant director of the UCLA Center for Esthetic Dentistry. He has served on the National Institute of Health/NIDCR (National Institute of Dental & Craniofacial Research) Grant review Committee in Washington D.C. as well as on the editorial board for the Journal of Evidence-Based Dental Practice (Elsevier) and is currently serving on the DSMB (data safety management board) for the NPBRN (national practice-based research network.
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