January 2019 DSM Insider 30 | Page 31

TOM COLQUITT, DDS to help our patients develop nasodiaphragmatic breathing to improve their health 24/7/365 – not just during the third of their lives they spend sleeping - becomes obvious and should be included in any dental airway improvement protocol. nasal airways. This is for patients who do not require nocturnal protrusion with a MAD. For those patients who need mandibular stabilization or protrusion to provide nocturnal airway patency, Dr. Thornton has produced the new MyTap with a bent post which helps provide more tongue room with minimal protrusion and the oral obturator which now accompanies the MyTap. Mouth Shield with MyTAP This requires patient education and behavior modification for the patient to self-regulate their breathing from their previous dysfunctional breathing behavior so that their impaired physiology can correct itself. In our practice, once the patient understands these things, we begin a regimen of having them clear their nose before bedtime and then seal their lips with tape (Buteyko Snoreless Strips, 3m gentle paper tape) before they go to bed and sleep with the tape in place, assuming they are able to inhale and exhale without obstruction in their Tape can leak around the edges during sleep, minimizing its effect. The obturator is probably more predictably efficient in encouraging nocturnal nasodiaphragmatic breathing than the tape. TOM COLQUITT, DDS Custom Mouth Guard The soft obturator fits over the end of the appliance post. Instead of sealing the lips from without using tape, the soft flange of the obturator fits comfortably (can be trimmed with scissors) in the anterior vestibule, sealing the oral airway from within to maximize proper gas exchange and keep the mouth moist during sleep. Dr. Colquitt attended Baylor College of Dentistry. He has lectured internationally on Bruxism and Restorative Dentistry for over 30 years and on Airway- Centered Dentistry since 2006. He is an Adjunct professor, Sleep Fellowship Program, LSUHSC medical school in Shreveport, LA, since 2007 where he presents airway from a dental prospective to departments of Sleep, Neurology, and Pediatrics annually.