September 2018 DSM Insider 28 | Page 30

PATRICK TESSIER THE NOSE KNOWS WHY NASAL BREATHING IS AN IMPORTANT PART OF TREATING SLEEP DISORDERED BREATHING T he Dental Sleep Medicine community has long focused on opening the airway with oral appliances. Whether you are using the industry leading TAP devices or another mandibular advancement device, the goal is the same. Pull the mandible forward to open the airway. Most of us understand that when we breathe in through the nose, our tongue postures forward. Which helps get that tissue out of the throat, clearing the airway. Therefore, nasal breathing is an excellent treatment technique. But, a recent article by Dr. Tom Colquitt, illuminates some of the other significant benefits of nasal breathing. • This pumps the lymphatic system and helps ward off infection and inflammation. Most people that try it report a noticeable improvement and find it very comfortable. 4) Nasal exhalation keeps the nasal airway moist and warm. The good folks at Airway Management are now developing a “mouth shield” to attach to the dreamTAP appliance. So far, the results are encouraging and we hope to have it available to our clients by the end of 2018. • Limits over breathing of CO2, to maintain blood pH. To summarize, nasal breathing is a very important component to effective treatment. The founder of Airway Management, Dr. Keith Thornton, is continuously refining and improving the TAP system. Some of his recent work has been centered on how we breathe in the air. Specifically, nasal breathing vs. mouth breathing. See you in Dallas… JOIN ME AT THE NADSM SYMPOSIUM! REGISTER NOW 1) Nasal inhalation cleans, humidifies and warms the inspired air. 2) Nasal inhalation mixes Nitric Oxide, which is secreted by paranasal sinuses, with the air. • The Nitric Oxide kills invasive pathogenic microorganisms before they can inflame tissues downstream. • Nitric Oxide is a potent vasodilator which maximizes O2 saturation in the body 3) Nasal breathing uses the diaphragm to fully fill and empty the lungs. Last year, Dr. Thornton introduced an add-on device for the myTAP. It is a “mouth shield” which mounted over the post of the myTAP. This soft silicone is positioned in front the teeth and behind the lips. It is very effective in promoting nasal breathing. It also prevents dry mouth and saliva drool. PATRICK TESSIER DIRECTOR OF DENTAL BUSINESS DEVELOPMENT AIRWAY MANAGEMENT