Ep. 648 - Becoming an Airway-Centric Dentist

Are you addressing the root cause of your patients' dental problems, or just treating the symptoms? Many common dental issues like bruxism, scalloped tongues, and repeated crown failures may actually be signs of underlying sleep-disordered breathing.

Dr. Jacqueline Patterson brings over 15 years of experience as a general dentist and certified orofacial myofunctional therapist. She received her Doctor of Dental Surgery from UC San Francisco, her undergraduate degree in Dental Hygiene from UNC Chapel Hill, and completed specialized training as an Orofacial Myofunctional Therapist through the International Association of Oral Myologists. Dr. Patterson has developed expertise in airway-centered disorder therapies and non-invasive treatment approaches that address the underlying causes of dental and systemic health problems.

This episode explores how sleep-disordered breathing connects to common dental findings and reveals a comprehensive approach to patient care that goes beyond traditional restorative treatment. Dr. Patterson shares her journey from general dentistry to airway-focused practice, demonstrating how specialized training can transform both patient outcomes and practice fulfillment. The discussion covers practical assessment techniques, treatment protocols, and the importance of medical-dental collaboration in managing sleep-related disorders.

Episode Highlights:

• Visual assessment techniques for identifying sleep-disordered breathing include recognizing mouth breathing posture, narrow arches with crowding, scalloped tongue edges indicating clenching patterns, and venous pooling under the eyes. These clinical signs often correlate with poor sleep quality and can be identified during routine dental examinations.
• Adult palatal expansion using clear aligner therapy focuses on expansive rather than retractive orthodontics, avoiding unnecessary extractions and minimizing interproximal reduction. This approach aims to increase airway space while addressing crowding and aesthetic concerns simultaneously.
• Sleep screening protocols using digital assessment tools can identify at-risk patients across all age groups, from low-risk to severe-risk categories. Follow-up protocols include medical history review and coordination with sleep physicians for definitive diagnosis and treatment planning.
• Myofunctional therapy certification through organizations like the International Association of Oral Myologists provides training in head and neck anatomy, muscle retraining exercises, and habit modification techniques. This therapy complements appliance treatment and surgical interventions for comprehensive airway management.
• Medical-dental collaboration requires structured referral relationships with sleep physicians, primary care providers, and ENT specialists to ensure proper diagnosis and insurance coverage. Educational outreach through lunch-and-learns and community presentations helps establish these partnerships and improve patient access to care.

Perfect for: General dentists interested in sleep medicine, dental hygienists seeking expanded scope opportunities, and practitioners looking to develop airway-focused treatment protocols that address root causes rather than just symptoms.

Discover how recognizing airway health issues can transform your approach to restorative dentistry and improve patient outcomes dramatically.