Experience

Dr Emma’s Myoclinic
Dr Emma’s Sleep Apnea Clinic
Dr Emma’s Anti-Aging Regenerative Clinic: CareEsthetics

Many people will snore occasionally when they are a bit blocked or have a heavy cold, but persistent snoring may be linked to a far more serious condition called sleep apnea.

What is Sleep Apnea?

Unlike normal snoring where breathing is continual and regular, sleep apnea is characterized by frequent pauses in breath that can last for several seconds. Breathing often restarts with a loud gasp or snort. This isn’t enough to completely awaken the sufferer but does prevent deep restorative REM sleep that is so essential for good health. Sleep apnea is caused when the muscles of the throat and tongue relax during sleep, either partially or completely blocking the airway .

What is the effect of Sleep Apnea on general health?

People with Sleep Apnea often feel excessively sleepy, increasing the risk of accidents when operating machinery or when driving. It can be difficult to concentrate at work and they are at an increased risk of developing serious health problems that include high blood pressure, stroke and diabetes.

How can Dr Emma’s Integrative Wellness Center treat sleep apnea?

As part of your New Patient Experience, thorough CBCT assessment is performed to evaluate the size of your airway, functional range ,cervical spine and oral posture . Recommended treatment protocols might include one or more of the following : nutritional counseling, Nightlase laser snoring treatment targeted to gently opening obstructed airway, custom-made oral orthotic appliances for day-time and/or night-time . All of these modalities are designed to gently hold your lower jaw and tongue slightly forward, preventing your airway from becoming blocked . Afterwards, you and your sleeping partner should enjoy a far more peaceful and restful night’s sleep.

Dr Emma’s TMD Clinic

Dr Emma's TMD Clinic

The symptoms of TMJ (Temporomandibular joint )disorder are commonly the result of problems with the joint and/or muscles surrounding the joint.

Known factors that contribute to TMJ include:

-Trauma

-Sleep Apnea

-Bruxism,or teeth grinding

-Extraction/Retraction Orthodontics

-Clenching

-Loss of teeth

-Osteoarthritis, Rheumatoid Arthritis

-Poor Nutrition

-Digestive Problems

TMD (Temporomandibular disorder) is the condition referring to a joint that is not normal.

The position of your teeth can affect the position of your jaw joints. Each jaw joint is a ball and a socket joint. When functioning properly, the ball and socket do not actually touch because a thin disc of cartilage rides between them. The disc asts as a cushion and allows the joint to move smoothly. Each disc is held in place and guided by muscles and ligaments. If your bite is not right, as in cases where the following may occur : deep overbite, lower jaw too far back, narrow upper jaw or upper front teeth crooked and tipped backwards, this can cause the jaw to become dislocated. Typically the disc is pulled forward. The lower jaw then has a tendency to go back too far and the top of the lower jaw, which resembles a ball, presses on the nerves and blood vessels at the back of the socket and causes pain.

Usually, the protective cartilage disc is displaced forward and no longer serves as a cushion between the lower jaw (condyle) and the bony socket (skull) and eventually this can lead to the condyle rubbing against the bony socket. This can cause a problem called osteoarthritis.

Mild displacements cause clicking or popping sounds in the jaw joint. When the disc becomes displaced, this is what causes the various noises within the jaw joints such clicking and popping sounds. Patients must be aware that any noises or pain that occur during the opening and closing of the jaw is an indication that the jaw joints have become dislocated. Patients are advised to seek treatment as soon as possible to avoid allowing the problem to get worse.

More severe displacement can be very painful and eventually can cause permanent damage to the joint. An unstable bite can cause both jaw joint displacement and muscle strain and pain. Many seemingly unrelated symptoms result, which are collectively known as craniomandibular dysfunction.

These symptoms include

– Headaches

– Neck aches

– Ringing in the ears

– Stuffiness in the ears

– Pain behind the eyes

– Ear pain

– Shoulder and lower back pain

– Dizziness and fainting

– Difficulty swallowing

– Tingling of the fingers and hands

Treatment for TMD

Since the teeth, jaw joints and muscles can all be involved, treatment for this condition varies. Typically, treatment will involve several phases. The first goal is to relieve the muscle spasm and pain as well as establish a normal range of motion of the lower jaw. Then, we must correct the way the teeth fit together. Often a temporary device known as an orthotic or splint is worn over the teeth until the bite is stabilized. Permanent correction may involve selective reshaping of the teeth, building crowns on the teeth, orthodontics or a permanent appliance to cover the teeth. If the jaw joint itself is damaged, it must be specifically treated. Although infrequent, surgery is sometimes required to correct a damaged joint. Ultimately, our team will stabilize your bite so that the teeth, muscles and joints all work together without strain.

Dr Emma TMD Treatment

Once a thorough diagnosis has been made, Dr Emma will begin a personalized treatment program. Patients benefit from the non-surgical, conservative treatment our office provides. Individualized therapy will include muscle spasm reduction treatments in conjunction with an easy to wear, comfortable dental orthotic, referred to as a splint; prolotherapy ; photobiomodulation laser treatment in combination with Plant Medicine Based Massage; Red Light Therapy, Ozone therapy, and chiropractic care.

The orthotic covers the lower teeth holding the jaw in proper alignment, reducing tension in the muscles of the jaw joint, allowing healing to take place. Once pain is controlled and the jaw joint is stabilized, the bite is balanced so the teeth, muscles and joints all work together in harmony.

It is important to assess the posture of each patient to determine whether or not the shoulders, pelvis and hips are level. Photos are taken of each patient to check for the above as well as to check for forward head posture. If there is a problem with the shoulders, hips or pelvis or if one leg is longer than the other, then a referral to a chiropractor would be necessary.

To solve the problem of forward head posture which can cause cervical (neck) problems, referral to a dentist or orthodontist who uses functional jaw orthopedic appliances should be made. These applications such as the Twin Block, MARA or Herbst Appliance successfully reposition the lower jaw forward and eliminate the forward head posture.

Don’t suffer for another day and contact us to schedule your consultation!

Tongue Tie

Tongue Tie illustration
Lingual frenectomy is safe and effective for treatment of mouth breathing, snoring, clenching, and myofascial tension.
Tongue tie, or ankyloglossia, is very common and can contribute to poor systemic health.
Research shows that ankyloglossia (tongue-tie) can contribute to poor swallowing, poor tongue posture, poor craniosacral flow, clenching and grinding of the teeth, TMJ disorders, jaw pain, poor sleep, and speech impediment.
An article published in the 2019 August issue of Laryngoscope Investigational Otolaryngology showed that in 348 patients with tongue-tie, 91% of those patients were very satisfied with the physical results of tongue-tie release and myofunctional therapy.
This study showed the following:
-78% of patients noted a decrease in mouth breathing and increased nasal breathing
-77% of patients noticed a decrease in muscle tension
-73% noticed a reduction in snoring
-91% of patients noticed decreased clenching
Tongue-tie release is accomplished via laser procedure or in some cases with “Zaghi” Scissor technique.After anesthetic is placed, the Er:Yag and Nd:YAg lasers are used to release the tissue that is restricting the tongue.
Recovery is rapid, with mild soreness 24-48 hrs after the procedure.
Lip Tie illustration

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