PART 2 of Implementing Sleep, Airway and Myo to Restorative Dentistry - PDP263

PART 1 if you missed it! https://youtu.be/wGbgbW8muUI You’ve spotted the signs—wear, scalloping, fragmentation, maybe even a low AHI—but what does that really mean? When the data doesn’t match the symptoms, how do you move forward? And how do you integrate airway into full mouth rehab without compromising function, stability, or predictability? In this episode, Jaz is joined by Dr. Aston Parmar (https://www.instagram.com/astonparmardentalsleep/) to explore the real-world application of airway dentistry. They discuss how to help patients own their problem, why sleep testing matters, and how airway influences diagnosis, treatment planning, and long-term outcomes. Protrusive Dental Pearl: Nasal Breathing and Simple Screening - Nasal airflow can be a major limiting factor in sleep quality. - Simple test: flare nostrils → if breathing improves, nasal resistance may be present. - Nasal dilators can be a cheap, low-risk intervention for selected patients. - Not all patients need mandibular advancement — sometimes the issue is nasal. - Second pearl: test snoring improvement by advancing the mandible. - If forward positioning reduces snoring sound → mandibular advancement may help. Key Takeaways - Apnea-Hypopnea Index (AHI) has limitations—context and patterns matter more than raw scores - Upper Airway Resistance Syndrome (UARS) is common but underdiagnosed - Sleep fragmentation can exist even with low AHI scores - Myofunctional therapy improves compliance and outcomes - Multi-night sleep testing provides more accurate insights - Collaboration with ENT specialists improves diagnostic accuracy - Dentistry should be airway-sympathetic, not just tooth-focused - Mandibular advancement devices are effective but require careful titration - Morning occlusal guides help reduce bite changes from appliances - The environment (airway, function, biology) matters more than the teeth Highlights of this episode: 00:00 – Teaser 00:35 – Introduction to Upper Airway Resistance Syndrome 03:00 – Pearl: Nasal Breathing and Simple Screening 08:17 – Recap: Myofunctional Therapy and Indications 10:15 – Patient Communication and Case Acceptance 14:34 – Frictional chewing pattern: 23:53 – Sleep-Disordered Breathing Spectrum 24:23 – Apnea vs Hypopnea and Apnea-Hypopnea Index (AHI) Limitations 30:15 – Upper Airway Resistance Syndrome (UARS) 35:59 – Management of UARS 37:15 – Mandibular Advancement Devices (MAD) 39:15 – Maxillary Expansion and Surgical Options 41:16 – Midroll 44:37 – Treatment Pathway and ENT Involvement 01:02:48 – Airway-Sympathetic Dentistry 01:05:16 – Treatment Philosophy and Case Selection 01:12:16 – Managing Side Effects of MAD 01:15:16 – Career Insight and Final Reflections 01:21:55 – Outro Want to learn more? Also, check out Stop Blaming Bruxism with Dr. Sandra Hulac – PDP142 (https://protrusive.co.uk/ccp-part-2) 🦷Master Airway Dentistry in Practice Join Dr. Aston Parmar’s course on 8th May in Cardiff - Learn how to screen, test, and manage airway patients - Understand real-world workflows and patient communication - Build confidence in integrating airway into your practice 👉 Book via: https://dentalsleep.co.uk 🦷 Ergonomics Day – Dentistry Without Back Pain! Join us Saturday, 13th June, Heathrow with Dr. Anikó Ball, world-leading ergonomics expert! Learn proper posture, positioning, and techniques to prevent back problems while practicing dentistry. 💺 Hands-on workshop with a mobile dental chair 📸 Live camera demo on a big screen 💻 Can’t attend in person? Join online with live stream & replay 🎟 Early bird tickets include a full event video! 👉 Grab your spot now (https://splintcourse.samcart.com/products/dentist-early-unbreakable-london-2026)! #PDPMainEpisodes #CareerDevelopment #OrthoRestorative This episode is eligible for 1.25 CE credit via the quiz on Protrusive Guidance (https://protrusive.co.uk/ultimate).  This episode meets GDC Outcome C ----------------------------------- Apply for FREE access to the Nicest and Geekiest Dental Community in the World 🌍 https://protrusive.app - it’s absolutely Free We also have paid plans so you can Claim Verifiable CPD/CE + EXCLUSIVE content: https://protrusive.app 🔊 Subscribe on Apple: https://protrusive.co.uk/apple 🔊 Subscribe on Spotify: https://protrusive.co.uk/spotify 📷 Instagram: https://www.instagram.com/protrusivedental/ Online Courses: 😬 Learn Occlusion Online: https://occlusion.online/ 📚 Learn TMD and Occlusal Appliances: https://www.splintcourse.com 🦷 Gain Confidence with Resin Bonded Bridges: https://rbbmasterclass.com 🎒 Learn Vertipreps, Rubber Dam and More: https://protrusive.co.uk/ultimate Life by KV /kvmusicprod Creative Commons — Attribution 4.0 International — CC BY 4.0 Free Download / Stream: https://www.audiolibrary.com.co/kv/life Music promoted by Audio Library Life – KV (No Copyright Music)