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AAPMD.ORG
Airway , Breathing and Sleep
A Collaborative Approach

AIRWAY CENTRIC
AAPMD.ORG
Airway , Breathing and Sleep
A Collaborative Approach

AIRWAY CENTRIC
AIRWAY CENTRIC™
DENTISTRY

A New Paradigm
AIRWAY CENTRIC™ DENTISTRY
Michael Gelb DDS,MS
GNYDM –
Michael L. Gelb DDS,MS

AIRWAY CENTRIC ™
AIRWAY RESTORATIVE DENTISTRY
AIRWAY CENTRIC ™ ORTHODONTICS
AIRWAYCENTRIC ™
Gel-B™
Gelb 4/7TM
Airway Restorative
THE DILEMNA
•

Kids with learning disabilities, ADHD,Autism

•

Surge in Obesity and Diabetes

•

Surge in Allergies

•

Headaches, Neck Pain

•

Increase in OSA, CV disease, Obesity

•

Dementia. Alzheimers
AIRWAY CENTRIC
ANSWERS- EPIGENETICS
•

Bulldog- narrowed airways and epigenetics

•

Diet and Sugar –Lustig

•

Mercury,Lead,Heavy metal toxicity

•

Toxins in air, water,food and work/home envir

•

Too many meds

•

Vitamin and Mineral deficiency

•

Increased inflammation

•

Stress and sympathetic tone

•

Get off the couch
PHYLOGENY
•

Descended epiglottis

•

Floating hyoid with no strut

•

Flexible pharynx

•

Upright posture

•

Large brain

•

Flat face

AIRWAY CENTRIC
JOHN REMMERS

TODD MORGAN AND
DESCENDING EPIGLOTTIS

AIRWAY CENTRIC
BIRTH – 6 MONTHS

AIRWAY CENTRIC

BRAIN PALMER
6-12 MONTHS

AIRWAY CENTRIC

BRIAN PALMER
AIRWAY CENTRIC
HEAD TO TOE
HEAD TO TOE
DANIEL LIEBERMAN TRACKS THE EVOLUTION OF THE
HUMAN HEAD.
HEAD TO TOE

DANIEL LIEBERMAN TRACKS THE EVOLUTION
EPIGENETICS IN
EVOLUTION AND DISEASE
AIRWAY CENTRIC
FREE FLOATING HYOID

AIRWAY CENTRIC
AIRWAY CENTRIC
AIRWAY CENTRIC
MORGAN AND REMMERS
AIRWAY CENTRIC
BREATHING
and MYOFUNCTIONAL
THERPAY

OBESITY and
METABOLIC
SYNDROME

MYOFACIAL
REEDUCATION
Pediatric Sleep
Disorders

Non-Retractive
ORTHODONTICS

AIRWAY
RESTORATION
And
Prevention
OROFACIAL
MYOFUNCTIONAL

THERPAY

BREATHING

LITERACY
and BRAIN
DEVELOPMENT

PHYSICAL
THERAPY

PEDIATRIC
DENTISTRY

ORTHODONTIC
ORTHOPEDIC
EXPANSION

The
AirwayCentric™
TEAM
STRESS
REDUCTION

SLEEP
DISORDERS
Pediatrics to
Geriatrics

BIOBLOC
ORTHOTROPICS
PEDIATRIC
SLEEP
MEDICINE
AIRWAY CENTRIC
TONGUE AND JAW DROPPING

AIRWAY CENTRIC
AIRWAYCENTRIC A NEW PARADIGN
TM

•

Collaborative care for Wellness

•

Teamwork and Endothelial Dysfunction

•

Work together to Alleviate Fatigue

•

Sharp Again Naturally –Memory

•

The Wrong Deficit-ADHD, Neurobehavioral

•

Multidisciplinary- Obesity

•

SDB – Bedwetting and Night terrors

•

Airway and Headache

•

Dentistry to Thrive
BREATHING
and MYOFUNCTIONAL
THERPAY

OBESITY and
METABOLIC
SYNDROME

MYOFACIAL
REEDUCATION
Pediatric Sleep
Disorders

Non-Retractive
ORTHODONTICS

AIRWAY
RESTORATION
And
Prevention
OROFACIAL
MYOFUNCTIONAL

THERPAY

BREATHING

LITERACY
and BRAIN
DEVELOPMENT

PHYSICAL
THERAPY

PEDIATRIC
DENTISTRY

ORTHODONTIC
ORTHOPEDIC
EXPANSION

The
AirwayCentric™
TEAM
STRESS
REDUCTION

SLEEP
DISORDERS
Pediatrics to
Geriatrics

BIOBLOC
ORTHOTROPICS
PEDIATRIC
SLEEP
MEDICINE
HISTORY
•

Evolution of the Jaws- EpiGenetics

•

History of dentistry and orthodontics

•

Centric relation

•

Gelb 4/7

•

Dr Harold Gelb 1947 Tufts Dental – 2013

•

Dr Michael Gelb 1982 Columbia Dental
NYU 1989-2013

AIRWAY CENTRIC
PRIMITIVE JAW VS MODERN JAW PALMER

The modern jaw = narrow
The modern jaw = narrow

Primitive Jaw: Larger, wider – bigger was better!
Modern Jaw: Narrow arch
AIRWAY CENTRIC

The primitive jaw = wide
Airway centric(™)1
Airway centric(™)1

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Airway centric(™)1

Notes de l'éditeur

  1. AirwayCentric TM refers to a new brand in dentistry . AirwayCentric TM mouthwear includes oral appliances for enhancing breathing and oxygenation as well as devices for performance and headache and clenching management . AirwayCentric TM educational services provide multidisciplinary training , education and awairness to medical, dental and other healthcare professionals as well as the public. AirwayRestorativeDentistry is the future of dentistry and a branch of medicine dedicated to the well being of the patient . It is dentistry for wellness not repair. Maintsinance of an open airway and easy breathing is the cornerstone of AirwayCentric TM Airway restorative Breathing. For the last 75 years , dentistry in the United States has closed the airway making breathing more difficult and expending extra energy .AirwayOrthodontics places the focus on developing an open airway starting as early as birth with breastfeeding and lactation education . Early intervention combining palatal expansion with T and A and myofunctionaltherpapy is recommended before age 5 as early as age 3 .
  2. Gel-B TM oral products optimize breathing , balance and the bite. Gel-B TM oral devices optimize athletic performance using the Gelb 4/7 TM jaw position .
  3. Autism rates have doubled recently from 1 In a 100 to 1 in 50. ADHD, obesity and diabetes have reached epidemic proportions. In 1982 when I graduated dental school obesity rates were 8-10% , in 2013 obesity rates are over 30%in most states with predicted increases up to 50%.Allergies are also more prevalent than at anytime in history. Over 25 % of women complain of chronic headache and neck pain. OSA jumped from 2-4% of the population up to 20-25% . As we live longer dementia and Alzheimers are becoming the norm and part of every assisted living center and nursing home
  4. As the human has evolved the jaws have become smaller with rarely enough room for all 32 teeth. . The palate has been become narrow and vaulted . The constriction is often associated with crowding and crooked teeth. Lowere jaws are often retruded or retrognathic. To make matters worse Dentists have been pushing jaws back for the past 80 years.
  5. The ideal upper jaw or maxilla is rarely seen today . Most of us are mouth breathers with the high allergy prevalence. More often we see crowding and constriction which further congests nasal breathing.
  6. 85%of all upper jaws are retruded and constricted . Narrow maxillas are associated with nasal resistance and obstructed breathing .