Podcasts about breathe institute

Send us a textThis week on The Less Stressed Life, I'm so excited to welcome Dr. Elizabeth Dy, DMD, a former restorative dentist turned airway wellness expert, who is now a leader in addressing oral ties, airway health, and sleep-disordered breathing for patients of all ages.In this episode, we dive into the fascinating world of oral ties and their impact on everything from infant feeding to sleep and behavioral health. Dr. Dy shares her journey from general dentistry to finding her passion for functional and integrative care, as well as the importance of treating function, not just anatomy, in tongue-tie releases.We also explore how oral ties can influence sleep quality, growth, and behavior in kids and adults, the role of nervous system preparation in successful treatment, and what to look for if you suspect oral ties might be affecting you or your child.KEY TAKEAWAYS:“We don't grow out of oral ties; we grow around them.”How oral ties can contribute to issues like poor sleep, mood changes, feeding difficulties, and even migraines.Why function-based treatments, including myofunctional therapy, are essential for long-term success.The importance of nervous system prep for surgery and how it helps with healing.Signs to look for if you or your child might have oral ties, including behavioral concerns, mouth breathing, and tension-related symptoms.ABOUT GUEST:Dr. Elizabeth R. Dy ("Dee") is a Tufts University-trained dentist specializing in a functional and integrative approach to oral ties, orofacial pain, and sleep-disordered breathing. After 12 years in general dentistry, she transitioned to focus on airway wellness and now serves as CEO and Airway Wellness Director at the Sleep and Breathing Wellness Center in Tampa, FL.A passionate educator, Dr. Dy teaches for The Breathe Institute and the Applied Integration Academy. Outside of work, she balances wellness pursuits with raising her three young sons and enjoys cooking, star-gazing, and connecting with loved ones. Known for her authenticity and bold leadership, she channels her passion into improving the lives of her patients.WHERE TO FIND:Website: https://www.sleepandbreathingtampa.com/Instagram: https://www.instagram.com/tampatonguetie/ WHERE TO FIND CHRISTA:Website: https://www.christabiegler.com/Instagram: @anti.inflammatory.nutritionistPodcast Instagram: @lessstressedlifeYouTube: https://www.youtube.com/@lessstressedlifeLeave a review, submit a questions for the podcast or take one of my quizzes here: ****https://www.christabiegler.com/linksNUTRITION PHILOSOPHY:Over restriction is deadWhole food is soul food and fed is bestSustainable, synergistic nutrition is in (the opposite of whack-a-mole supplementation & supplement graveyards)You don't have to figure it out aloneDo your best and leave the restSPONSOR:  Thanks to Jigsaw Health for sponsoring this episode! Try their MagSoothe or MagSRT for better sleep and less stress. Use code LESSSTRESSED10 at JigsawHealth.com for 10% off—unlimited use!

Specialty care is great, but integrative care can be transformative! Learn more as Dr. T sits down with special guest Lily Corley to discuss how new therapies can be brought together to enhance your total health and well-being through addressing oral issues. From personal triumphs over TMJ issues through cranial sacral therapy and myofunctional techniques, Lily shares her inspiring journey from overcoming dental challenges to becoming a myofunctional therapist. Together, she and Dr. T recount our unexpected encounters at community gatherings and myofunctional therapy classes, which sparked a collaborative venture bridging traditional dentistry with alternative therapies.Discover how myofascial and myofunctional therapies are redefining dental care by focusing on issues such as nasal breathing, tongue posture, and swallowing patterns, especially in children. Our clinical experiences highlight the synergy that happens  between a dentist and a myofunctional therapist, showing how diverse therapies can enhance patient outcomes and improve quality of life.From Myobrace and TMJ therapy to the innovative Oralase technology using Fotona lasers, we share how these advancements are shaping our practice. The expansion of Green City Dental and the launch of O2Dontics showcase our dedication to evolving patient care through continuous learning and innovative techniques. Our stories from the Breathe Institute and insights on tongue-tie treatments illuminate the transformative potential of blending dental insights with bodywork perspectives, promising listeners an engaging exploration of next-level dental care.

Mentioned in this Episode: Airway info:The American Academy of Physiological Medicine & Dentistryhttps://aapmd.org/ The Breathe Institute https://thebreatheinstitute.com/ Dr. Staci's Favourite Products:https://nopokids.com/wp-content/uploads/2022/01/8.5x11-Doctor-Stacis-Favorite-Things-Sheet-5.pdf Books: Sleep Wrecked Kids: Helping Parents Raise Happy, Healthy Kids, One Sleep at a Timeby Sharon Moorehttps://www.amazon.com/s?k=sleep+wrecked+kids&hvadid=409960995493&hvdev=c&hvlocphy=9032306&hvnetw=g&hvqmt=e&hvrand=3579283142949983331&hvtargid=kwd-515797719586&hydadcr=24657_11410751&tag=googhydr-20&ref=pd_sl_6a9wdzxypf_e Breath: The New Science of a Lost Artby James Nestorhttps://www.amazon.com/s?k=Breath+-+James+Nestor&crid=4BLPKVW74JB9&sprefix=sleep+wrecked+kids%2Caps%2C320&ref=nb_sb_noss_1  For more on Dr. Whitman, you can follow her on Instagram @doctor_staci, on TikTok @doctor_staci and through her websites doctorstaci.com, nopokids.com and fygg.com For more on Argavan Nilforoush, be sure to follow her on Instagram @babystepsnutrition, on Facebook: Baby Steps Nutrition page, on YouTube: Baby Steps Nutrition Podcast, on Twitter @argavanRDN, on LinkedIn @ArgavanNilforoush and through her website www.babystepsnutrition.com.    

681: Airway Dentistry IS Possible in Your General Practice – Dr. Elizabeth TurnerIf you haven't already, it's time to add airway to your practice. Not only is it possible, it's becoming necessary to have in your general practice. To help you get started, Kirk Behrendt brings in Dr. Elizabeth Turner, an up-and-coming airway guru, with advice for approaching the topic with your patients. Airway is here to stay! To learn how you can guide patients to better airway health, listen to Episode 681 of The Best Practices Show!Episode Resources:Send Dr. Turner an email: drliz@foxpointdental.com Follow Dr. Turner on Instagram: https://www.instagram.com/drlizzztLearn more on Dr. Turner's website: https://foxpointdental.comSubscribe to The Best Practices Show podcast: https://the-best-practices-show.captivate.fm/listenJoin ACT's To The Top Study Club: https://www.actdental.com/tttSee ACT's Live Events Schedule: https://www.eventbrite.com/cc/act-dental-live-workshops-306239Get The Best Practices Magazine for free! https://www.actdental.com/magazineWrite a review on iTunes: https://podcasts.apple.com/us/podcast/the-best-practices-show/id1223838218Links Mentioned in This Episode:Read Breath by James Nestor: https://www.penguinrandomhouse.com/books/547761/breath-by-james-nestorRegister for Dr. Jeff Rouse's course: https://campus.speareducation.com/workshops/airway-prosthodontics-prevent-control-resolve/details/syllabusRegister for Dr. Rebecca Bockow and Dr. Michaeal Gunson's course (2024 dates TBA): https://www.arnettgunson.com/healthy-growth-healthy-faces-seattleLearn more about The Breathe Institute: https://thebreatheinstitute.comMain Takeaways:Listen to your patients' goals. Don't jump into airway.Build trust with patients before the airway conversation.Start small when talking to patients about airway health.Interdisciplinary care is crucial when implementing airway.Educate your patients to guide them to better airway health.Quotes:“In our country, we look at the medical system as very reactive. We wait for something to get so bad, and then we attempt to fix it. Why are we not listening to our patients? And that comes in a dental setting. Like, what are our patients' goals? If the patients' goals are whiter teeth and they don't give anything about airway health, maybe it's not something we dive right into. We have to help them understand what's possible for them, but we...

Megan Van Noy was the first Registered Dental Hygienist specializing in Orofacial Myofunctional Therapy in Portland, OR. She founded NW Myofunctional Therapy in 2016 and has been working with patients locally as well as across the globe via telehealth. Megan collaborates with specialists in all areas of airway health including ENTs, sleep apnea specialists, pediatric dentists, holistic dentists, orthodontists, and orthodontists to address all functional underlying causes of sleep apnea, mouth breathing, clenching/grinding, orthodontic relapse, and tongue tie restrictions.Megan has studied with and completed training through the AOMT. She has implemented training protocols through The Breathe Institute and became an Ambassador for their programs, as well as audited the Tongue-Tied Academy of Richard Baxter (author of Tongue-Tied and leader in the field). She has taken courses specializing in TMJ/D pain with the Fast and Functional team. She is also a Munchee Educator with Myo Munchee based out of Australia and studied Buteyko breathing re-education courses. She is a member of the AAPMD and is a part of my local CoLab. She attends continuing education through the American Laser Study Club Symposiums, Biolase Conferences, and more.Megan hosts an educational podcast called The Munch Bunch Podcast that features many thought leaders and researchers in the field.NW Myofunctional therapy has several associates and Megan mentors other myofunctional therapists in the field as well as has a program to help implement myofunctional therapy and airway protocols into dental offices. She joins Dr. Pascal to discuss her journey and how her technique affects her patients and family members. Learn more about Megan here: https://www.orofacial-myology.com/ or on Instagram https://www.instagram.com/nwmft/

In today's episode, Brittny chats with the wonderful Dr. Muhammad who is an airway and cosmetic dentist with over 10 years of expertise in clear aligner therapy. Dr. Muhammad and Brittny talk MYO, expansion, TMD/orthotic therapy, tongue-ties, and another new modality Dr. Muhammad has in her toolbox, photobiomodulation and Oralase with her Fotona Light Walker laser.Dr. Muhammmad  holds certificates from the leading institutions in the Airway dentistry field: Vivos Institute, The Breathe Institute, Airway Health Solutions, Myoaligner, Synergy Academy, Fotona, and The Air Institute. Find Dr. Muhammad on Instagram@brooklynoakdental 

On this episode of Jaw Talk, Dr. Annie takes us on her journey from general dentistry to specializing in airway health. Highlights include her extensive myofunctional therapy training, her personal experience with tongue ties, and the significance of frenuloplasties and lasers in improving overall health.Dr. Annie, a general dentist since 2011, is passionate about the whole-body connection, with a focus on airway dentistry. She's dedicated to helping individuals reach their full potential by promoting proper breathing, tongue position, and facial muscle function. Dr. Annie believes in a collaborative approach to care, working closely with fellow providers to ensure optimal outcomes for patients' current and future health. She has pursued extensive continuing education in myofunctional therapy and tethered oral tissues, learning from experts like Dr. Soroush Zaghi, Dr. Richard Baxter, and Sarah Hornsby. In 2021, she became an ambassador for The Breathe Institute, dedicated to advancing research and collaboration in airway health, and chose to specialize in functional frenuloplasties and frenectomies.Join us as we journey through the fascinating world of dentistry and airway health.We talk about:[0:00] Intro[02:26] Dr. Annie's journey[05:44] Myofunctional therapy course[09:05] Dr. Annie's personal experience with tongue ties[11:37] Frenuloplasties and lasers[15:06] Creating a collaborative practice[18:31] Insurance in dentistry[20:40] Diagnostic tools[21:51] Postural improvements and tongue releases[24:27] Navigating the gray areas[27:20] Retrognathic Mandible[33:18] The Triangular Approach to Airway, Myo, and TMJ Health[41:28] Continuing educationConnect with Annie here:https://linktr.ee/bracesforallagesairwayConnect with Tiffany here:Courses: https://www.tmdcollective.online/https://www.tmdcollective.comhttps://www.instagram.com/tmd.collective/Patreon: https://www.patreon.com/tmdcollectiveSupport the show

So In this podcast alone we are talking about the oral microbiome and dental health.  But it is sooo much more than that.  We don't have to just do what the traditional dentist does or use the techniques that traditional dentistry has used for many many years  and some of them that are disruptive to our health. Ok…let me introduce my guest in this podcast conversation.  Dr. Staci... Dr. Staci Whitman is a Functional Kids' Dentist in North Portland, Oregon. She is the founder of NoPo Kids Dentistry where she takes a whole-body, holistic, and functional approach with her patients. Her dentistry/practice is grounded by science and powered by love. Doctor Staci attended Tufts University School of Dental Medicine and worked as a general dentist for 2 years before earning a certificate in pediatric dentistry from Oregon Health & Science University (OHSU). She has always been passionate about children's sleep and airway health, focusing her research in residency on how to improve airway assessments and diagnostic tools in the pediatric population. In 2019, she founded NoPo Kids Dentistry with a mission to practice a whole-body approach to dentistry. She became a Diplomate of the American Board of Pediatric Dentistry in 2012 and is a Board-Certified Pediatric Dentist and a Fellow of the American Academy of Pediatric Dentistry. She is also involved in many organized dentistry groups, including the Holistic Dental Association, the International Academy of Oral Medicine and Toxicology, the International Academy of Biological Dentistry and Medicine, and the American Association of Ozonotherapy. Doctor Staci also has Certification in Laser Proficiency and has taken numerous courses and training programs in children's sleep and airway medicine, studying orofacial myofunctional therapy and craniosacral therapy. She is a Breathe Institute Ambassador and Affiliate. Doctor Staci is an Internationally Certified Health and Wellness Coach from the Institute of Integrative Nutrition and is currently attending the American College of Integrative Dentistry and Medicine and the Institute of Functional Medicine, with expected certification dates in 2022. She dreams of a world without cavities and believes in motivating families to join her as a team, keeping their children healthy and thriving with small, manageable daily changes. In this podcast we hit so many topics that will blow your mind and have you heading into a new oral care routine pronto.  We talk about how to test the oral microbiome with something called Bristle.  We touch on the connection with oral microbiome, leaky gums, DNA testing and how our DNA affects our oral health, what really causes cavities, gum regeneration, remineralization of teeth without harmful fluoride, why mouthwash is a bad idea, sleep and breathing as it relates to oral health, how to get your kids to floss and love it, mercury, detox, tongue ties and how many are missed even in adults, how breast milk itself does not cause cavities, picky eaters, best toothpastes and why you should leave it in your mouth! These topics and so much more in this podcast please take the time to listen for yourself, your kiddos and to pass this information on to anyone that could benefit and that means all of us. Links from podcast:   Dr. Staci's floss:  totally biodegradable https://www.happifloss.com/ https://www.instagram.com/happifloss/ https://www.instagram.com/nopokidsdentistry/ https://www.doctorstaci.com/ Dr. Steven Lin  https://a.co/d/dH1UVaC Dr. Mark Burhenne  https://a.co/d/8pWqlld American Academy of Physiological Medicine and Dentistry: https://aapmd.org/ The Breathe Institute  https://thebreatheinstitute.com/ Sleep Wrecked Kids - book. https://a.co/d/g3eOGw Bristle oral health test:  https://www.bristlehealth.com/products/oral-health-test  

In this episode, Dr. Dassani is joined by the esteemed Dr. Tina Rokadia to unravel the mysteries surrounding Functional Frenuloplasty, Tongue-Ties, and their connection to sleep.   Join us as we delve into the essence of Functional Frenuloplasty, highlighting how it differs from a simple snip and its potential impact on tongue-ties. Discover the profound effects of tongue-ties on growth and breathing, shedding light on their far-reaching consequences.   Moreover, we talk about the correlation between teeth grinding and sleep apnea, unraveling the secrets behind a good night's sleep.   About Dr. Tina Rokadia Dr. Rokadia is an American-trained Prosthodontist based in Dubai. She is a dedicated dental care professional with over 17 years of experience, specializing in restorative and cosmetic dentistry. Over the last few years, she has undergone extensive education in the field of sleep & Airway dentistry. She is an Ambassador of the Breathe Institute, Los Angeles, focused on the treatment of tongue-ties in children and adults. She is a Vivos and Myobrace provider. She is also qualified dentist by the American Academy of Dental Sleep Medicine, to offer oral appliance therapy for adults.   Connect with Dr. Tina Rokadia Website: https://www.samedayme.com/doctor/dr-tina/? Instagram: https://www.instagram.com/Airwaydentistdubai/   About Meghna Dassani Dr. Meghna Dassani is passionate about promoting healthy sleep through dental practices. In following the ADA's 2017 guideline on sleep apnea screening and treatment, she has helped many children and adults improve their sleep, their breathing, and their lives. Her books and seminars help parents and practitioners understand the essential roles of the tongue, palate, and jaw in promoting healthy sleep.   Connect with Dr. Meghna Dassani Website: https://www.meghnadassani.com Facebook: https://www.facebook.com/healthysleeprevolution Instagram: https://www.instagram.com/healthysleeprevolution/ Youtube: https://www.youtube.com/@meghnadassanidmd197 Get a copy of Airway is Life: https://www.airwayislife.com Get a copy of The Tired Child: https://thetiredchild.com  

Listen in as Katie Oshita and Dr Niki Boloorchi discuss tongue tie, training, timing, teams and all the things in this fields.  Dr Niki is one of the rare providers who actually practices what she preaches, and understands timing of release, encouraging parents to work with lactation and bodywork before and after a release.  Dr Niki doesn't even offer a release day of consultation unless referred by a preferred provider and prearranged!  Listen as they discuss why this is important and how it effects the outcome of release.Podcast Guest: Dr. Niki Boloorchi is a dentist and dental anesthesiologist who also has advanced training in treating tethered oral tissues (functionalDr. Boloorchi holds a BA in International Development and earned her Doctorsre of dental surgery with honors from USC. She further specialized at the Loma Linda Dental Anesthesiology Residency Program and received special airway training in laser dentistry under Dr Zaghi (The Breathe Institute) and Dr. Richard Baxter.  Currently, she proudly is an affiliate of the Breathe Institute in Northern California. She is the owner of Tooth + Tongue in Walnut Creek , Ca.  Her practice focuses on dentistry under sedation, airway, and tongue/lip tie releases with a comprehensive team approach.  Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Emma is joined by Dr. Kevin Coppelson, an oral and maxillo-facial surgeon at the Breathe Institute in Los Angeles, CA. In this episode: * Dr. Coppelson explains how narrow nasal cavities can lead to mouth breathing, nasal obstruction, and sleep problems. * Not having enough space for the tongue to rest at the roof of the mouth and why that causes problems breathing at night. * Nasal resistance and how that leads to collapsing of the airway. * Dr. Coppelson explains all the existing techniques for palate expansion including SARPE, DOME, and EASE. * The M.I.N.D. (Minimally Invasive NasoMaxillary Distraction) technique Dr. Coppelson has developed and the benefits he sees for patients. * Dr. Zaghi's M.I.N.D. procedure and how it felt to perform surgery on a colleague and friend. * CBCT scans and the paper Dr. Coppelson and Dr. Zaghi wrote, read it here: https://pubmed.ncbi.nlm.nih.gov/36841260/ * Dr. Coppelson's definition of success as a cure for his patients rather than the lesser standard of the 'Sher' criteria commonly used to assess the success of surgical procedures treating sleep apnea. * MMA surgery and how Dr. Coppelson is getting great results with strong 3D-printed titanium plates. Connect with Dr. Coppelson: https://www.drcoppelson.com/ https://www.instagram.com/drcoppelson/ https://www.facebook.com/drcoppelson https://www.youtube.com/@kevincoppelsonmddds6718 https://youtu.be/jr3GMub3afc (Webinar) Connect with Emma: Get on the email list ⁠⁠⁠here⁠⁠⁠ Follow the podcast on Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ @sleepapneastories⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Email Emma at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠sleepapneastories@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.sleepapneastories.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Sponsors: BetterHelp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ https://www.betterhelp.com/emma⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for 10% off your first month of online therapy NEW! Support the Podcast! If you would like to support Emma and the 'Sleep Apnea Stories' podcast, you can now contribute monthly. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://podcasters.spotify.com/pod/show/emma-cooksey⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Click "Support this Podcast". Disclaimer: This podcast episode includes people with sleep apnea discussing their experiences of medical procedures and devices.  This is for information purposes only and you should consult with your medical professionals before starting or stopping any medication or treatment. --- Support this podcast: https://podcasters.spotify.com/pod/show/emma-cooksey/support

Welcome to the Airway Answers Podcast: Expanding your Breath of Knowledge. Our wonderful host is Nicole Goldfarb, M.A. CCC, SLP- COM®! In this episode, join Nicole as she welcomes a very special guest, the incredible Dr. Michael Gunson! _________________________________________________ ABOUT OUR SPEAKER: Michael J. Gunson DDS, MD, oral and maxillofacial surgeon, practices at Arnett Gunson Facial Reconstruction in Santa Barbara, CA. He graduated from UCLA Dental School and Medical School and received his specialty certificate in oral and maxillofacial surgery from UCLA. Dr. Gunson partnered with Dr. G. William Arnett at the Center for Corrective Jaw Surgery in Santa Barbara, California. Their surgical practice was limited to facial reconstruction performing thousands of corrective jaw surgeries. Dr. Gunson presently diagnoses and treats patients with facial aesthetic and functional problems as well as sleep conditions. Dr. Gunson's orthognathic and aesthetic surgical techniques provide accurate, aesthetic, and functional results that improve patient health and satisfaction. Dr. Gunson is an associate clinical professor at Boston University, a resident faculty at Spear Education, and has hospital privileges at Goleta Valley Cottage Hospital and Stanford University Hospital. He loves teaching and lectures throughout the world and publishes research on orthognathic surgery, facial function and aesthetics, obstructive sleep apnea, and the treatment of TMJ arthritis and condylar resorption. _________________________________________ ABOUT OUR HOST: Nicole is a Speech-Language Pathologist, Certified Orofacial Myologist, an International speaker, and an Ambassador for the Breathe Institute. Nicole is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She has a special passion and interest in sleep-disordered breathing and diagnosing restricted frenums as they relate to myofunctional disorders. For more on Nicole, visit her practice: www.sandiegocenterforspeechtherapy.com. Follow her Facebook: San Diego Center for Speech Therapy __________________________________________ At Airway Circle we offer a safe and supportive space for like-minded professionals to connect, collaborate and share information regarding airway-related issues and whole-body health. Our website: https://airwaycircle.com/

Leyli Norouz Knutson Is the co-founder of the Breathe Institute. You can reach her at the www.breatheinstitute.comLeave a review for my podcast on I tunes or Apple Podcasts. Send me a screenshot of your review to support@padmaali.com and receive a bonus audio on "Attracting Abundance" ********Subscribe to my YouTube Channel to get more content specifically on spiritual growth*********If you are ready to discover and monetize your Life's Purpose / your Dharma, watch this FREE training 'Monetize Your Purpose'.Padma Ali is a coach and a guide helping evolved purpose-driven, executives like you to create impact by aligning with your highest potential For more information visit www.padmaali.com.****Special Announcement****I have  TWO spots for one-on-one coaching for Jan 2023, please Email padma@padmaali.com to request a call or schedule a one-time session here. Serious interest only.***************If you've enjoyed this episode and felt inspired, we'd love to hear about it and know your takeaway. Take a screenshot of you listening on your device, post it to your insta stories and tag me @padmaali.OTHER RESOURCES FOR YOUPlease leave a review on iTunes or Spotify! InstagramLinked InYouTube ChannelFacebook

Emma is joined by Dr. Nora Ghodousi-Zaghi from "Breathe Kids Dental" at the Breathe Institute in Los Angeles, California. Together they discuss: * The signs Dr. Nora looks for in children to spot pediatric sleep-disordered breathing, including mouth breathing, mentalis strain, tonsil hypertrophy, ankyloglossia, dental wear and a narrow high arched palate. * Fairest.org - Functional Airway Evaluation Screening Tool - developed to enable clinicians to spot signs of sleep-disordered breathing but available to anyone at www.fairest.org * How to find a specially trained airway-focused pediatric dentist. * What to watch for in your sleeping child - sleeping position, noisy breathing or snoring, open or closed mouth. * How to address nasal hygiene with a neti pot or Xlear spray and look at air quality in your home. * Poor sleep in kids resulting in poor concentration and ADHD-like symptoms. * Collaboration between different specialists at the Breathe Institute. * Tongue-ties in kids and the impact on their sleep. * Kids grinding their teeth and why that can sometimes be due to sleep-disordered breathing. * Palate expansion in kids and how early treatment can help jaws develop properly. Connect with Dr. Nora: www.instagram.com/dr.norazaghi https://www.breathekidsdental.com https://www.thebreatheinstitute.com/ Follow the podcast on Instagram: @sleepapneastories Email Emma at sleepapneastories@gmail.com www.sleepapneastories.com Disclaimer: This podcast episode includes people with sleep apnea discussing their experiences of medical procedures and devices. This is for information purposes only and you should consult with your medical professionals before starting or stopping any medication or treatment.

In today's epsiode, Brittny chats with the wonderful Dr. Nora Ghodousi-Zaghi, DDS. Dr. Nora Ghodousi-Zaghi provides functional and integrative pediatric oral health care as well as airway centric interceptive orthodontics with a focus on whole-body health and well- being. She is a board-certified pediatric dentist, published author, clinical researcher, and educator. Dr. Nora is a graduate of The Breathe Institute's MyoMasterminds program, a faculty member of the Myofunctional Research Company, and provides education with The Breathe Institute. As the director of pediatric dentistry at Breathe Babies and Kids, her goal is to create a positive long-term relationship with children and their families to provide longitudinal and multi-disciplinary care.**BONUS**: Dr. Nora gives us tips on the types of pacifiers, bottles, and cups for toddlers she recommends to her patients when necessary!Website: https://www.breathekidsdental.com/about.html

In today's episode, Brittny chats with her fellow colleagye, Dr. Ratti Handa, DMD. Ratti Handa, D.M.D. is an internationally renowned airway, TMJ, and cosmetic dentist. Dr. Handa is a dentist in Acton, MA who has worked with some of the most prestigious specialty practices in Massachusetts. Dr. Handa has been specially trained in the areas of Biorejuvenation Dentistry, Sleep and Airway Dentistry, and Myofunctional Therapy. She has been a continuous learner attending some of the most prestigious higher education dental programs including the Pankey Institute, The Spear Institute, The Stewart Center, Airway Health Solutions, Vivos Education, and The Breathe Institute.In today's episode, Brittny and Dr. Handa talk about the importance of properly prepping a patient for tethered oral tissue release and how Dr. Handa creates a safe and healing environment for her patients from the moment they step into the office. This even impacts the success of a procedure. Dr. Handa dives into fascia and compensations. Brittny and Dr. Handa end the episode discussing what they would tell their younger selves and the importance of creating boundaries and staying on task for a healthy YOU.This is an episode you do not want to miss!https://www.rattihanda.com/our-dentist-office/ratti-handa-dmd/

PODCAST/YOUTUBE Welcome to the Airway Answers Podcast: Expanding your Breath of Knowledge. Our wonderful host is Nicole Goldfarb, M.A. CCC, SLP- COM®! In this episode, join Nicole as she welcomes a very special guest, the knowledgeable and hilarious founder and owner of True Sleep Diagnostics, Ken Hooks! ___________________________________________ Listen in as they review and discuss topics like: “The Upper Airway Resistance!” What impacts Airflow The Stages of Sleep What exactly SDB looks like on sleep studies Sleep behaviors like central apnea, sigh breath, nightmares, night terrors, and much more! ___________________________________________ ABOUT OUR GUEST: Ken Hooks is the Founder/Operator of True Sleep Diagnostics. He is a registered respiratory therapist with 10 years of experience and a registered polysomnographic technologist for adults and pediatrics with 9 years of experience. He is the former sleep medicine representative for Bon Secours St Francis in Greenville, SC and Clinical Director and instructor of the Polysomnographic Technician Course at Greenville Technical College. He co-authored the case report “Rapid Maxillary Expansion and Adenotonsillectomy in 9-Year-Old Twins with Pediatric Obstructive Sleep Apnea Syndrome: An Interdisciplinary Effort. For more on Ken and for course information, check out his website at www.truesleepdiagnostics.com ___________________________________________ ABOUT OUR HOST: Nicole is a Speech-Language Pathologist, Certified Orofacial Myologist, an International speaker, and an Ambassador for the Breathe Institute. Nicole is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She has a special passion and interest in sleep-disordered breathing and diagnosing restricted frenums as they relate to myofunctional disorders. For more on Nicole, visit her practice: www.sandiegocenterforspeechtherapy.com. Follow her Facebook: San Diego Center for Speech Therapy __________________________________________ At Airway Circle we offer a safe and supportive space for like-minded professionals to connect, collaborate and share information regarding airway-related issues and whole-body health. Our website: https://airwaycircle.com/

Welcome to the Airway Answers Podcast: Expanding your Breath of Knowledge with our wonderful host is Nicole Goldfarb, M.A. CCC, SLP- COM®! In this episode, join Nicole as she welcomes very special guest Dr. Barry Raphael of the Raphael Center for Integrative Orthodontics! ___________________________________________ Listen in as they review and discuss topics like: Soft tissue dysfunction in orthodontic malocclusion Physics and the particle principle The role of the tongue, according to the Orthodontist vs. the tongue itself The "Airway Timeline" Case study review of twins and development through genetics Image credits: Dr. Chris Farrel, of the Myofunctional Research Co. ___________________________________________ ABOUT OUR GUEST: Dr. Barry Raphael has been a specialist in orthodontics since 1983 but had a change of heart and mind in 2008 when he learned that Soft Tissue Dysfunction is THE cause of malocclusion. Since that time he has included helping children and adults achieve an optimal physiologic airway and breathing pattern as a primary goal of his treatment with the straightening of teeth as a secondary "icing-on-the-cake" outcome. He labeled his practice in Clifton, New Jersey, as the Raphael Center for Integrative Orthodontics in 2014. Today, over 80% of the people that come to see him and his team come for airway, growth and development and overall wellness as primary goals for themselves. His team includes a myofunctional therapist, a craniosacral therapist, a functional physician, a nutritionist, and a team of Myobrace Health coaches to teach his patients how to maximize their oral and overall health. For more on Dr. Raphael check out his website: www.morethanstraightteeth.com Follow his Facebook: Raphael Center for Integrative Orthodontics ___________________________________________ ABOUT OUR HOST: Nicole is a Speech-Language Pathologist, Certified Orofacial Myologist, an International speaker, and an Ambassador for the Breathe Institute. Nicole is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy. She has a special passion and interest in sleep-disordered breathing and diagnosing restricted frenums as they relate to myofunctional disorders. For more on Nicole, visit her practice: www.sandiegocenterforspeechtherapy.com. Follow her Facebook: San Diego Center for Speech Therapy __________________________________________ At Airway Circle we offer a safe and supportive space for like-minded professionals to connect, collaborate and share information regarding airway-related issues and whole-body health. Our website: https://airwaycircle.com/

Myofascial release therapy is wonderful and not frequently understood or widely available.  Katie and Kendra discuss how myofascial works on the body, what treatments are like and who can benefit from this form of bodywork.  Kendra has also been the bodyworker for Katie's children before and after their releases.  When Katie started her myofascial release therapy with Kendra she experienced a healing crisis, and they discuss how this can happen based on trauma, immune issues, gut dysbosis, and scar tissue.   Podcast Guest: Kendra LaGrande is passionate about the effectiveness of John Barnes Myofascial Release as it has been immensely beneficial in her healing journey. This holistic form of authentic healing has helped her the most achieve lasting results to alleviate chronic pain. She has been exclusively practicing Myofascial Release for 8 years and using her many years of experience as a PT to assist all ages- infants to the elderly.  She is an expert level Myofascial Release therapist and assistant for John Barnes' Myofascial Release Seminars.  Kendra has been a Physical Therapist for 24 years and specialized in the area of pediatrics for over 16 years. She has worked in numerous pediatric settings including outpatient clinics, a preschool, All Children's Hospital, a hippotherapy program, and a center for medically fragile children. She is NDT (Neurodevelopmental Treatment) certified in the Treatment of Children with Cerebral Palsy and other Neuromotor Disorders. She is also trained in Craniosacral Facial Therapy- The Gillespie Approach and has taken numerous courses on Tethered Oral Tissues, including through the Breathe Institute.  Kendra graduated with a Masters in Business Administration from Nova Southeastern University in 2002, and the University of Central Florida with a Bachelors of Science in Physical Therapy in 1998 and a Bachelors of Science in Health Services Administration in 1996.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine. Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs. Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially tongue tie and gut/allergy related issues. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Hello FIRE Goddesses!  Welcome to Episode 97.  In this episode, I brought on my airway dentist and friend, Dr. Ratti Handa to the episode.  You may or may not have realized that I am very passionate about getting the word out about the importance of having a healthy airway, and I'm very excited to bring on an airway expert to dive deeper in to the subject.   Dr. Ratti Handa's website:  www.rattihanda.com Dr. Handa's Instagram: https://www.instagram.com/rattihandadmd/ 'Breath' by James Nestor:  https://www.amazon.com/Breath-New-Science-Lost-Art/dp/0735213615/ref=sr_1_1?keywords=breath+james+nestor&qid=1664398334&qu=eyJxc2MiOiIyLjY1IiwicXNhIjoiMi4zNCIsInFzcCI6IjIuMzkifQ%3D%3D&sprefix=breath+james%2Caps%2C128&sr=8-1 The Breathe Institute:  https://kkk.633.myftpupload.com/ 'Sleep, Interrupted':    https://www.amazon.com/Sleep-Interrupted-physician-reveals-reason/dp/0980236738/ref=sr_1_1?keywords=sleep+interrupted+by+steven+park&qid=1664398564&qu=eyJxc2MiOiIxLjcyIiwicXNhIjoiMS40NiIsInFzcCI6IjEuNTMifQ%3D%3D&sprefix=sleep+inter%2Caps%2C89&sr=8-1&ufe=app_do%3Aamzn1.fos.304cacc1-b508-45fb-a37f-a2c47c48c32f 'Gasp':  https://www.amazon.com/Gasp-Airway-Health-Hidden-Wellness/dp/1536995266/ref=pd_bxgy_sccl_1/143-9627657-5384604?pd_rd_w=cSVEI&content-id=amzn1.sym.7757a8b5-874e-4a67-9d85-54ed32f01737&pf_rd_p=7757a8b5-874e-4a67-9d85-54ed32f01737&pf_rd_r=921N0PFR33R51HJDJX1H&pd_rd_wg=arGWk&pd_rd_r=442bba1b-4b4f-4ec6-b1ef-8f7405d59d72&pd_rd_i=1536995266&psc=1 'Airway is Life':  https://www.amazon.com/Airway-Life-Waking-familys-crisis-ebook/dp/B08XDVYX3H/ref=sr_1_1?crid=30XO2ZGD4H8LA&keywords=life+is+airway&qid=1664398848&s=digital-text&sprefix=life+is+airway%2Cdigital-text%2C69&sr=1-1 So FIRE Goddesses, Stay Tuned!  

Welcome to Dear Momma! This is the podcast for moms seeking community, connection and compassion while on their health journey. Join for laughs, hacks and health information. _____________________________________ About Our Guest: Dr. Jasmine Elmore is a board-certified pediatric dentist, a Certified Specialist in Orofacial Myology, and is one of a few people in the world to have a Professional Degree in the Science of Breathing Behavior. Her personal pain journey led her to airway dentistry. She has been fortunate to be trained by many of the legends in the field. She has studied in Australia and Canada, in addition to multiple states in the U.S. to understand how the entire body connects for ideal outcomes. Her “airway fairy godfather” is Dr Barry Raphael who personally trained her in his office after she completed the Airway Mini-Residency. She's the first dual mini-resident proctored by both Dr Soroush Zaghi and Dr Chelsea Pinto at The Breathe Institute. Dr Elmore has taken courses with physical therapists, osteopaths, lactation consultants, speech language pathologists, and other essential providers to learn more about the whole patient to provide an elite level of care. Combining her studies with pediatric dentistry, airway health, restricted oral tissues and behavioral breathing has helped her holistically heal both children and adults alike. _____________________________________ About Our Host: Dr. Catherine Murphy is an orthodontist transforming her career while serving as a holistic health advocate. She's a presenter and the author of “Dear Momma…”, a picture book and hug for moms enduring unexpected hurdles with breastfeeding. Follow Dr. Murphy on Instagram: https://www.instagram.com/drcatherinemurphy/ and TikTok @drcatherinemurphy To learn more about the host, check out www.DrCatherineMurphy.com. Please reach out to Dr. Murphy via email at contactus@inharmonyorthodontics.com for questions, comments or to set up a presentation. Dear Momma book: https://amzn.to/3vrv8y6 ______________________________________ At Airway Circle we offer a safe and supportive space for like-minded professionals to connect, collaborate and share information regarding airway-related issues and whole-body health. Our website: https://airwaycircle.com/

Listen in for a ground-breaking episode you don't want to miss!Dr Nora is a Board-Certified Pediatric Dentist, researcher, and educator. She has advanced training in myofunctional therapy and certifications in feeding treatment modalities. She practiced functional pediatric dentistry, focusing on whole-health baed dentistry for her patients in a collaborative space including an ENT/Sleep Surgeon, Infant -Tongue Tie expert, SLP CCC/LC, CST, Pediatric PT, myofunctional therapists, sleep psychologist, integrative pharmacist, oral surgeon, and sleep hygiene expert.Links:RisewellBokaDevelopmental Fluoride Neurotoxicity Article, PMID: 31856837Association Between Maternal Fluoride Exposure During Pregnancy and IQ Scores, PMID: 31424532The Breathe Institute AmbassadorsThe Breathe Institute Affiliates

For parents wanting to pull their hair out, help is on the way! Sleep training guru, Certified Child and Family Sleep Consultant Jenni June is in the house! Jenni June is known for being on talk shows, celebrity sleep coach, The Doctors show, Breathe Institute, and mom of 4. She has an online virtual program called "Toddler and big Kid Sleep Program" as well as one on one virtual sleep coaching. Even our little "Munch Buncher" Izzy is going through her program for sleep training. "Whether your child raises holy hell at bedtime, can't fall back to sleep on their own, or flat out refuses to stay in bed or in their room, it's no wonder you're worn out and worn down. Now imagine what this same sleep deprivation does to your child. It elevates their stress levels, too. The bad news is you can't make your child sleep. Know what you can do? Teach them to sleep. Toddler & Big Kid Sleep will show you how." -Jenni June There is nothing more frustrating for everyone in the family when the kids don't sleep. It takes hours for them to be put down, or they inevitably end up in your bed uninvited, not to mention if they PEE in your bed. Jenni is a renowned sleep consultant who helps people to use biologic rhythms, hormones, and sleep hygiene to set up for good restful sleep. Jenni has a trade marked "4 Pillars of Sleep Hygiene" and is willing to give us the inside scoop, as well as teach us fascinating science behind WHY we sleep and the cleaning power of deep sleep and how REM sleep helps act like natures psychologist. You gotta listen! To connect with Jenni for her self-paced online program or for one on one coaching find her https://jennijune.com/online-course/# and Instagram @jennijunesleep To contact Megan for a virtual Myofunctional consultation www.orofacial-myology.com or email megan@nwmyofunctionaltherapy.com Don't forget to mention the $25 off for our Munch Bunch listeners! To contact Kimi for a virtual Myofunctional consultation www.mouthmusclememory.com or email mouthmusclememory@outlook.com Don't forget to mention the $25 off for our Munch Bunch listeners!

Dr. Soroush Zaghi graduated from Harvard Medical School, completed residency in ENT (Otolaryngology- Head and Neck Surgery) at UCLA, and Sleep Surgery Fellowship at Stanford University.The focus of his sub-specialty training is on the comprehensive treatment of nasal obstruction, snoring, and obstructive sleep apnea.Learn the position of the tongue and find out how to breathe more effectively from Dr. Zaghi in this episode and the what help to seek for sleep apnea:The Breathe Institute is a concierge healthcare affiliate/practice that empowers people to reach their health and wellness goals through knowledge sharing and exposure to some of the most sought after physicians in America.We believe in focusing on preventative care. While traditional medical care is reactionary and in a state of disease-management, we take pride in being more proactive – knowing that it is easier and healthier to keep you well! Not only do we focus on disease prevention, but on your total health optimization.Our multidisciplinary center for precision diagnosis and comprehensive treatment of nasal obstruction, snoring, obstructive sleep apnea (OSA), and breathing disorders is at the forefront of airway management. You will be nurtured in a welcoming, and unhurried environment that brings ease to your busy schedule.Clinical interests: Airway and Breathing Disorders, Tongue-tie, Snoring, Obstructive Sleep Apnea, Nasal Obstruction, Upper Airway Resistance Syndrome, Deviated Septum, Tonsil Hypertrophy, TMJ Pain, Teeth-grinding, Mouth Breathing, Maxillary Expansion, Maxillary-Mandibular Advancement, Facial and Airway Reconstruction Surgery, Hypoglossal Nerve Stimulation, Septoplasty, Turbinate Reduction, Frenuloplasty, Sinus Surgery, and Aesthetic Jaw Surgery (Genioplasty)Read more at: thebreatheinstitute.com.--------DisclaimerAll content found on Master The Pause podcast, including: text, images, audio, or other formats were created for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on this podcast.Donate to Master the PauseThis podcast is run in part from the generous donations from listeners like you. Thank you for supporting me & the podcast.Maryon MaassNamaste

On today's episode we have Dr. JAMIE LIU. We nerd out over tongue ties why they happen, a holistic approach to working with tongue tie patients, and what to expect in the process with your infant if you have to go down this path. This episode is a MUST listen if you are going to have a tongue tie release consult for your baby. So many amazing nuggets of wisdom. Dr. Jamie Liu graduated from the University of Windsor with a degree in Biology. She obtained her Doctor of Dental Surgery degree at the University of Toronto. Dr. Liu furthered her dental education by completing a one-year postgraduate residency program at Stony Brook University in New York. She is a member of the International Consortium of Oral Ankylofrenula Professionals, whose vision is to promote best practices for the assessment, diagnosis and integrative treatment of restricted oral tissues. Dr. Liu has gained additional training to perform tongue-tie releases in infants who are struggling to feed well, from Tufts University in Boston. She has also attended courses at The Breathe Institute in Los Angeles so she can perform functional frenuloplasties in children and adults. In addition, she continues to take courses to further her education on breastfeeding, oral myofunctional therapy, and airway dentistry We are Lara, and Sarah. We are the hosts of Radically Thriving. We also hang out on Instagram @dynamicdoulas, and @radicallythriving. This podcast is best consumed along side a cup of coffee, or on a long walk by yourself. We are moms, coffee and kombucha lovers, health nuts, doulas, friends, and on this journey to not just survive but to THRIVE. There is so much available to us in this life, and the auto pilot for motherhood is martyrdom. We are trying to move through the mom guilt, the childhood patterns that were demonstrated to us, and we do that by only offended 1/10 listeners per week. Please Rate, Review, and Subscribe if we leave you wanting more. Give us a follow and see more of our REAL. We provide classes, virtual courses, coaching and in person birth and postpartum support for families entering the crazy journey of parenthood! Check out our newest online course “Preparing for a Positive Birth” Find the link in our bio! ALSO use code "FIRST50OFF for $50 off our Prenatal Education course.

Please Leave a Review! On this episode of A Tale of Two Hygienists repeat guest, therapist, speaker, mentor, and entrepreneur Sarah Hornsby, RDH joins us in honor of Children's Dental Health Month to talk about myofunctional intervention in our pediatric patients!  This episode has FREE CE! Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Take the CE course for this episode HERE Interview Starts: 06:45.985 Episode Highlights In the media  Kotlow's free-tongue measurement grading scale Tongue range of motion ratio Communicating with parents  Lifelong childhood conversations Therapy options You've identified a tongue tie: next steps Quotes “How many of us have had an opportunity to teach the next generation and promote the profession?”   “Sometimes kids don't have obvious signs.”    “If weight gain is the only qualifier you are looking at, a lot of babies are going to be ‘fine'.”    “Two tongue tied parents will also likely lead to a tongue tied baby.”    “The parent has to resonate with it or they are not going to do the work.”    “As an individual goes through all stages of growth and development there is a chance for relapse.”    “When you are mouth breathing your body is in a state of fight or flight.”    “Suturing is the modern way to do tongue tie surgery.”    “Suturing is critical to success.”    “What other part of your body would you do surgery on and not close the wound?”    “Everything we see in kids we see in adults, but they are at the age we can make changes.”    “Baby teeth should all have primate spacing, you should be able to fit a dime or nickel between every tooth and we hardly see that anymore.”    Links  Instagram: https://www.instagram.com/sarah_k_hornsby/  Websites: www.myfaceology.com  www.myomentor.com  www.sarahkhornsby.com  Breathe Institute: https://www.thebreatheinstitute.com/   Find Sarah on our other episodes! 209, 210, 211, 212 and 258    A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage  AToTH on Facebook  AToTH on Instagram AToTH on LinkedIn

Please Leave a Review! On this episode of A Tale of Two Hygienists repeat guest, therapist, speaker, mentor, and entrepreneur Sarah Hornsby, RDH joins us in honor of Children's Dental Health Month to talk about myofunctional intervention in our pediatric patients!  This episode has FREE CE! (COMING SOON, Check back) Interview Starts: 06:45.985 Episode Highlights In the media  Kotlow's free-tongue measurement grading scale Tongue range of motion ratio Communicating with parents  Lifelong childhood conversations Therapy options You've identified a tongue tie: next steps Quotes “How many of us have had an opportunity to teach the next generation and promote the profession?”   “Sometimes kids don't have obvious signs.”    “If weight gain is the only qualifier you are looking at, a lot of babies are going to be ‘fine'.”    “Two tongue tied parents will also likely lead to a tongue tied baby.”    “The parent has to resonate with it or they are not going to do the work.”    “As an individual goes through all stages of growth and development there is a chance for relapse.”    “When you are mouth breathing your body is in a state of fight or flight.”    “Suturing is the modern way to do tongue tie surgery.”    “Suturing is critical to success.”    “What other part of your body would you do surgery on and not close the wound?”    “Everything we see in kids we see in adults, but they are at the age we can make changes.”    “Baby teeth should all have primate spacing, you should be able to fit a dime or nickel between every tooth and we hardly see that anymore.”    Links  Instagram: https://www.instagram.com/sarah_k_hornsby/  Websites: www.myfaceology.com  www.myomentor.com  www.sarahkhornsby.com  Breathe Institute: https://www.thebreatheinstitute.com/   Find Sarah on our other episodes! 209, 210, 211, 212 and 258    A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage  AToTH on Facebook  AToTH on Instagram AToTH on LinkedIn

Having a tongue tie affects breathing, sleep, energy levels, and physiology in the movement of the neck and shoulders.  It has full health implications and yet many people don't know a lot about them.  Highlights  10:53 What a tongue tie is  15: 24 Symptoms and challenges with breastfeeding  30:27 Tongue ties in adults  33:00 Treatment options  Guest:  Chelsea Pinto Resources We Mention:  The Breathe Institue  Related Episodes:  Podcast 052: Functional Orthodontics: How Crooked Teeth and Mouth Breathing are Affecting Our Health with Dr. Ariana Ebrahimian, DDS Podcast 050: The Connection Between Your Oral Health and Your Hormones with Dr. Leedia Riman, DDS Podcast 020: What Your Oral Health Reveals About Your Overall Health with Functional Dentist Dr. Burhenne Health Resources Healing Hashimoto's Course Thyroid Lab Guide + Tracker (free)  Recommended Non-Toxic Products Connect With Carly: CarlyJohnsonBrawner.com Instagram: @carlyjohnsonbrawner Sponsors: Organifi (Use code Carly for 20% off) BiOptimize: Magnesium Breakthrough (use code Carly10 for 10% off) Complete Show Notes Here

Having a tongue tie affects breathing, sleep, energy levels, and physiology in the movement of the neck and shoulders.  It has full health implications and yet many people don't know a lot about them.  Highlights  10:53 What a tongue tie is  15: 24 Symptoms and challenges with breastfeeding  30:27 Tongue ties in adults  33:00 Treatment options  Guest:  Chelsea Pinto Resources We Mention:  The Breathe Institue  Related Episodes:  Podcast 052: Functional Orthodontics: How Crooked Teeth and Mouth Breathing are Affecting Our Health with Dr. Ariana Ebrahimian, DDS Podcast 050: The Connection Between Your Oral Health and Your Hormones with Dr. Leedia Riman, DDS Podcast 020: What Your Oral Health Reveals About Your Overall Health with Functional Dentist Dr. Burhenne Health Resources Healing Hashimoto's Course Thyroid Lab Guide + Tracker (free)  Recommended Non-Toxic Products Connect With Carly: CarlyJohnsonBrawner.com Instagram: @carlyjohnsonbrawner Sponsors: Organifi (Use code Carly for 20% off) BiOptimize: Magnesium Breakthrough (use code Carly10 for 10% off) Complete Show Notes Here

In today's episode Brittny speaks with the inspiring, Dr. Meggie Graham. Dr. Graham is the owner of a leading Southeast Wisconsin fully-dedicated airway center and affiliate of the Breathe Institute. Dr. Graham believes in the collaborative nature and alignment with an entire care team, which can include ENT, primary care physician, pediatrician, physical therapist, chiropractor, lactation consultant, and many others​. She is committed to life long learning in order to offer the most beneficial, non invasive, predictable treatment options to her patients.Websites:https://www.untetheredtonguetiecenter.com/https://www.lakepark.dental/

In today's episode, Ryan Jordan chats with Anna Gross and Dr. Chelsea Pinto from The Breathe Institute in Los Angeles about lip ties, tongue ties, and the importance of supporting oral motor and feeding development with a collaborative care team. Find us on Social Media!www.instagram.com/educatednanniesPlease snap a screenshot and tag us if you found this episode informative, inspirational, or educational. Hashtag #educatednannies and we can share your post too!

My guest this week is Dr. Staci Whitman. In this episode, Dr. Staci and I discuss all things oral health, cavities, and children. The mouth could just be the tattletale you actually want in your child's life! There's a forgotten link between oral health and systemic health/immune function. Issues in the mouth can actually be one of the first clues that something bigger might be going on physically or brain-wise that we need to deal with. So helping kids have healthy mouths is about a lot more than just the cavity issue. Dr. Staci and I dive into contributing factors to rampant cavities and other oral health issues we are continuing to see at younger ages. She shares many tips on how to make dental hygiene non-negotiable in an approachable and realistic way, as well as overcoming (and avoiding) anxiety and dental phobias. Dr. Staci provides lifestyle tips, resources, and product suggestions that she uses in her pediatric dental practice that can support your whole family's health journey. Dr. Staci Whitman is on a mission to create a world without cavities. She's the founder of NoPo Kids Dentistry, where she takes a whole-body holistic and functional approach with her patients. She attended Tufts University School of Dental Medicine and worked as a general dentist for two years, and then went on to earn a certificate in pediatric dentistry from Oregon Health and Sciences University. In 2019, she founded NoPo Kids Dentistry, became a diplomate of the American Board of Pediatric Dentistry, and is a board-certified pediatric dentist and fellow of the American Academy of Pediatric Dentistry. She has taken numerous courses and training in children's sleep and airway medicine, studying oral myofunctional therapy, cranial-sacral therapy, and is a Breathe Institute ambassador. She's also an internationally certified health and wellness coach, and dreams of a world without cavities, and believes in motivating families to join her as a team, keeping their children healthy and thriving with small, manageable daily changes. Episode Takeaways: [00:01:38] Introduction to Dr. Staci Whitman & Holistic Dentistry [00:06:45] How the Mouth is Significantly Connected to Overall Health [00:10:18] Why Kids Are Having More Cavities and Oral Health Problems [00:15:45] Chewing and Facial Development [00:18:36] Cavities: Causes and Reversal & Prevention [00:26:00] Tips for Brushing and Flossing for Kids [00:32:06] Reducing Anxiety & Phobias Around Dentist Visits [00:36:40] Systemic Health & Airway Health [00:41:26] Deep, Oxygenated Quality Sleep is Foundational [00:43:24] Oral Microbiome Importance [00:46:43] Resources and Episode Wrap Up Connect With Dr. Nicole: Instagram Facebook Drbeurkens.com

Myofunctional therapy is used to correct the improper function of the tongue and facial muscles. But how can it affect our gut function? Is there even a connection. In this episode, we have Sarah Hornsby to further explain to us what myofunctional therapy is.  Sarah Hornsby is a dental hygienist, orofacial myofunctional therapist, speaker and entrepreneur. She is also Co-Director of the Myofunctional Therapy Department at The Breathe Institute where she is actively involved in publishing research on myofunctional therapy in an effort to grow the field.TIMESTAMP: 0:00 Intro05:58 Symptoms that will motivate people to reach you out18:52 Tongue and Vagus Nerve28:15 Mouth Breathing and Facial Features54:41 Mouth Taping1:08:14 Tongue and DiaphragmGet connected with Sarah! Facebook - https://www.facebook.com/SarahHornsbyRDH/ Instagram - https://www.instagram.com/sarah_k_hornsby/ Twitter - https://twitter.com/SarahHornsbyRDH YouTube - https://www.youtube.com/user/sarahkh12 ​Faceology Website - www.myfaceology.com

In today's episode, Brittny chats with a fellow colleague and myofunctional  therapist — Sarah Hornsby. Sarah Hornsby is the founder and creator of Myo Mentor, owner of  Faceology, and co-director of the Myofunctional therapy program at the Breathe Institute. Brittny and Sarah talk all things myo related from tough Myofunctional therapy cases to all of the innovative work the Breathe Institute is doing to advance the field. Sarah focuses on discussing floor of the mouth engagement and how Dr. Zaghi and others at the Breathe Institute are trying to come up with a standard measurement. 

Knowledge Bomb: Dr. G discusses the #1 way to heal your whole life. Every facet of your health. How to live the life you came here to live. How to remember your purpose and change the life of yourself and others. Special Guest Segment: World renowned, Dr. Soroush Zaghi, joins the show to discuss how to identify disordered breathing in your children and what the root causes are. He is paving the way to changing the long term health of children and adults by optimizing their breathing which in essence optimizes every facet of our health. Guest Bio: Dr. Soroush Zaghi: Dr. Zaghi graduated from Harvard Medical School, completed residency in ENT (Otolaryngology - Head and Neck Surgery) at UCLA, and Sleep Surgery Fellowship at Stanford University. The focus of his sub-specialty training is on the comprehensive treatment of nasal obstruction, snoring, and obstructive sleep apnea. He is very active in clinical research relating to sleep disordered breathing with over 80+ peer-reviewed research publications in the fields of neuroscience, head and neck surgery, and sleep-disordered breathing. Dr. Zaghi practices in Los Angeles, CA as Medical Director of The Breathe Institute, which provides comprehensive functional and structural treatment options for pediatric and adult sleep and breathing issues. Dr. Zaghi is particularly interested in how tethered-oral tissues (such as tongue-tie) and Oral Myofascial Dysfunction impact maxillofacial development, upper airway resistance syndrome, and obstructive sleep apnea. He is an invited lecturer, author, and journal reviewer for topics relating to sleep-disordered breathing and tongue-tie disorders. Fairest Six, and other resources: https://www.breathecourses.com/resources If you want to check out The Prima Bath Gem, or any of the products I mention over the next few weeks, just go to www.intheknow.com/healthyself to check out my dedicated channel and get easy access to all of these featured products. Be sure to like and subscribe to #HealThySelf Hosted by Doctor Christian Gonzalez N.D. Follow Doctor G on Instagram @dr.christian.gonzalez (https://www.instagram.com/dr.christian.gonzalez/)

In today's episode, Brittny has a blast chatting with the wonderful Dr. Jasmine Elmore. Dr. Jasmine is a board-certified pediatric dentist, a Certified Specialist in Orofacial Myology, and is one of a few people in the world to have a Professional Degree in the Science of Breathing Behavior.  Her personal pain journey led her to airway dentistry.  She has been fortunate to be trained by many of the legends in the field.  Her “airway fairy godfather” is Dr. Barry Raphael who personally trained her in his office after she completed the Airway Mini-Residency.  She's the first dual-mini resident proctored by both Dr. Soroush Zaghi and Dr. Chelsea Pinto at the Breathe Institute.  Dr. Jasmine has taken courses with Ron Hruska to learn more about Postural Restoration and is an active patient in the therapy.  Combining her studies with pediatric dentistry, airway health, restricted oral tissues and behavioral breathing has helped her holistically heal both children and adults alike. 

If you mouth breathe, struggle sleeping, snore, or have eustachian tube issues, then check this out! Mouth breathing is linked to sleep disorders, tooth decay, eustachian tube issues, and so much more, what do you do about it? Could the answer be myofunctional therapy? That's what I sift through with Myofunctional therapist Melissa Mugno. In this podcast, you'll learn: Why Steph Curry chews on his mouthguard the way he does Why do we clench and grind our teeth? The importance of breastfeeding on orofacial development What myofunctional therapy is and where it belongs in the healthcare system The two causes of the mouth breathing epidemic and how to tackle this problem How behavior change plays a crucial role in a successful outcome The intersection of physical and myofunctional therapy Why belly breathing is totally overrated The myofunctional therapy intervention process The link between swallowing and eustachian tube dysfunction and TONS more If you are ready to make your upper airway healthy as can be, then definitely check this podcast out. Look here to watch the interview, listen to the podcast, get the show notes, and read the modified transcripts. Learn more about Melissa Since becoming an Orofacial Myofunctional Therapist in 2014, Melissa has improved the lives of hundreds of patients and lectured around the country. Melissa treats patients of all ages suffering from a wide range of conditions stemming from adverse myofunctional habits. Her background as a Dental Hygienist and experience in the fields of Orthodontics and Pedodontics contributes to her success. Melissa works in Las Vegas, NV, and is a Breathe Associate at The Breathe Institute in Los Angles, CA. Her website Show notes Here are links to things mentioned in the interview: Joy Moeller - One of the foundational people in the field of myofunctional therapy. Sandra Coulson - Another foundational person in myofunctional therapy. Myobrace - A possible way to improve teeth position. Dr. Tara Erson - A great dentist in Las Vegas Dr. Hockel - My dentist who is doing my palatal expansion. Dr. Kareen Landerville - She is my go-to optometrist in Las Vegas The Breathe Institute - Where I got my tongue-tie release done. Dr. Soroush Zaghi - The doctor who did my tongue-tie release. AOMT - That's who I took my myofunctional therapy course through. You can peep the review here.  Bill Hartman - Daddy-O Pops himself. My mentor. The Enduring Impact of What Clinicians Say to People With Low Back Pain - A great article that goes into how maladaptive beliefs can manifest.  Modified Transcripts Why Steph Curry chews on his mouthguard Zac Cupples: So, Steph Curry walks into your office, and he asks you, hey, Melissa, why is it that I like to chew on my mouth guard so much? Melissa Mugno: So, the chewing is because of his airway. Zac: Mm-hmm. Do tell. Tell me more. Melissa: So, in sleep dentistry or airway, we've really come full circle to understand that like chewing and clenching, has a lot more to do with a deficiency in the airway than it does anything else. So, there are habits that are created, that actually kind of stimulate the jaw to come forward, and there's a feeling that feels good. It gives us more air, more serotonin overall, and it actually will give you a lot more clarity. Get some good oxygen, you feel better. So that's actually what's happening. So, the chewing couple times you do it, you're like, it feels good, right? Most humans continue to do things that feel good, stop doing things that feel bad. So, please stop doing that. But the thing was, Steph Curry that's quite interesting is he doesn't just chew on it. He doesn't even - more interesting, he flips it out of his mouth and holds it. And what I was saying to you before was, again, I have not worked on Steph Curry so I do not know. This is just me looking at it, I was intrigued by it. My husband brought it up and said, ‘'Hey, this guy's really known for doing this'' and I was interested. I've always thought there was a big sports connection. I started looking at how thick his mouth guard was and I'm like, "oh, it's at least two millimeters, two and a half." One of the things we do, the dentist will do or to help patients that have sleep issues, is they'll actually open up their bite, open up the jaw, so they can't close all the way, which naturally will allow their jaw to come forward, and that does is it opens up the airway and allows for the air to flow easier. So, he's holding it, and he's protruding his own bite and you can see it's literally bringing his jaw forward. I started looking and then I watched some YouTube video and I saw that Forbes I think it was? It might be off one of the bigger publications that did an actual survey or did some type of research of how many free throws that he made when the mouthguard was out versus when it wasn't. He shot significantly better with it in! It was a no-brainer to me. he's breathing better. Oxygen will absolutely get you focused and therefore he is more comfortable. So why wouldn't you keep doing it? Yeah, so now it's become this whole thing. Now, I guess like, tons of athletes do it and I was like, yeah, of course, yes, it protects your teeth, but there's a lot more to it. Zac: But when you're clenching as well, how does that open up the airway then? Because I would think... Melissa: Clenching and grinding are not opening up the airway. It's a side effect of having a reduced airway. I love my analogies. So, I call it the body's fire alarm. And so, it triggers something and what's happening is the body knows it's getting a reduced amount of air, so it acts to check that. It's going to create some type of function, some type of habit to make sure everything's good down there. So, this, the grinding, and I have this little theory that we grind when we're kids because we're carefree and we clench when we're older because we're trying to control it. [caption id="attachment_13634" align="alignnone" width="810"] Grinding, but not like the Clipse :( (Photo credit: Free Dental Photos)[/caption] Zac: Gotcha. Melissa: It seems that way more adults clench than kids and I realized some of my, I mean, it's not absolutely proven, but my adults that grind are usually my cool cats. They just grind it out, let that jaw flow. The adults are like they're trying to control, they don't want that feeling. It's they're trying to control that bite. They don't know why their jaw wants to move. So, I believe the clenching has a lot to do with trying to contro Zac: Prevent it. Melissa: Exactly. It's also connected to the mind--anxiety and all like so much more mental health and stuff like that. I think it's a natural thing that happens as we become adults that we just want to control. Zac: Yeah. Melissa: That control leads to me building some type of subconscious behavior, to take it out on, and activating the buccinators and we're straining out all in here. No nasal breathing. Breastfeeding Melissa: That's one reason why breastfeeding is so important. Yes, it has a lot of cool nutrition value, but one of the coolest things is that happens is it actually teaches you how to breathe and eat at the same time. The tongues pushes the nipple up, and then be able to help extract the milk, and then the baby's actually letting the mom's body know, hey, you got to keep producing. When moms don't produce milk, they automatically assume it's their fault because they have mom guilt. So, then it's like, I just got to make my baby free to be able to eat and stuff. And they think that the formula is doing the trick but what's not happening is that then the bottle goes in, and now the tongue goes down. Zac: Then you can't control the rate at which the liquid is coming in when it's a bottle versus when you're breastfeeding. Melissa: Then nipple companies make it go quicker, the older you get, make it easier, it just flow it in there, no work needed. Then we don't learn how to breathe nasally really young, then problems ensue. Teeth clenching and grinding Zac: From my standpoint, when we see someone clenching or grinding on the PT side of things, usually that's done to restrict available movement. So, you almost make the system more rigid. And to your point when you're talking about who is this it's those type-A people and a lot of times, I forget what book it was where they talked about the chairs in the waiting room of a cardiologist. Melissa: Oh, yes in the armrests. Yeah, because like they're gripping way hard; fight or flight. Zac: Yeah, and maybe it's just to change the pressurization that's going on in the airway. The importance of breathing Melissa: I laugh a little bit, when people will be like, airway dentistry, PT, speech, what has that have to do with it? "I'm like, Oh, yeah. Who needs air?" Oh, we don't have enough research and I just want to be silly and be like, so we don't have enough research on how important oxygen is? Or seeing the interconnectivity of the body? We all heard that elbow bone is connected to the wrist bone song as a kid, right? Zac: Yeah. Melissa: I just paid you to tell me to breathe? I am breathing! Well, I mean, that's left to be decided, right? [caption id="attachment_12187" align="aligncenter" width="250"] Then you end up looking like this guy #gross[/caption] Myofunctional therapy Zac: Well, and I think most people don't even know that your specialty exists; myofunctional therapy. Melissa: I don't know if I'm the best representation of myofunctional therapists. Zac: You're just my favorite. Melissa: Because it's been more about connecting the dots for me and I think myofunctional therapy happened to be a vehicle that I could I drive that allowed me to go to all these places and I don't think that would maybe be the same for most. I think most love the skill and the passion of myofunctional therapy and what it is day in and day on and how to make the exercises better and that one on one with the patient. I love my patients, don't get me wrong but it's more of this bigger thing for me. I like looking at the teeth, tongue, and more. It opens the door to another place. It's probably my ADHD. The beginning of my journey was untraditional. I was an orthodontic assistant for a long time, hygiene, whatever but I ended up not really even practicing all. My real calling was running a business, selling dental stuff, and making sure the patient and being that liaison to connect everything but at the end of the day, what does that mean? It means making sure the numbers and production and collection were good and I was good at that. We had this really amazing pediatric dental program, but we had this hole in our practice. We would get these referrals for kids who we couldn't start because they didn't have all their molars in yet.  How do I make that work? So long story short, I'm from New Jersey, we don't have a very long summer there. And the doctor comes in and he's like hand me this thing and he's like, we're going to go to this course, I'm like, in August in New Jersey, no, thank you, and ended up being a Myobrace course. There was this patient with a class III bite (where maxilla is behind the mandible). These presentations can occur either genetically or because the tongue sits low, pushing the jaw forward instead of the maxilla. The only real way to fix it is to do surgery (or so I thought). Zac: Yeah, a lot of times they'll break the jaw and pull it back. Melissa: Yes. That's a whole other thing. Zac: I had a friend who did that and I didn't know him at the time. He was a coworker and I told him ahead of time, my buddy was like, don't do this. If anything, you got to bring the jaw forward. Melissa: Did you know that? This was before you started doing? Zac: Yeah. Melissa: so, you were already? Zac: Yeah. I knew like a little bit of airway stuff and like some of my earlier things, it was more about using splints to change occlusion. I started with a gelb splint. [caption id="attachment_13637" align="aligncenter" width="375"] Ah, the classic[/caption] Melissa: Really? Zac: Yeah, because my wisdom teeth were still in and I had no truce of movements in the jaw and so we use the gelb to try to get me a little bit extra just for moving perspective but then the fix was to get the wisdom teeth taken out. So, then we went that route. I wasn't really having sleep issues, then but as I got older, it was - Melissa: Well, you did your sleep study show sleep apnea? Zac: No, I got upper airway resistance syndrome. Melissa: I wonder because of your athleticism and all those things that because you – elongation in the sense you did, it would look like you might be more of a sleep apnea patient, but really, you're UARS?  Apparently, you and I are in the same club. Zac: I know right? Melissa: So we had this mom who all three of her boys had an underbite. She challenged us and asked if there was really nothing I can do besides surgery? We ended up implementing myobrace and started to notice some decent changes, but the execution was rough; we didn't know what to look for and how to progress. So, the journey then, long story short, kind of went in that I really started to crave the need of like, okay, who created these exercises? Where did they come from and that actually kind of brought me full circle to Sandra Colson and realizing she was a huge part of working with them. Her husband was an orthodontist, she was a speech therapist, and they were getting amazing results. Learning from her made sense to the cases we had that relapsed. And it was important. I didn't hear tonsils and adenoids so much like we weren't bringing like was sort of doctors doing an orthodontist is doing his you know console, he's usually rattling off stuff, that type of by you know, class one class two, upper post for your class or whatever, convex all the different profiles have any they might say, you know, within normal limits, but I noticed we started seeing WAY more enlarged tonsils. [caption id="attachment_12197" align="aligncenter" width="500"] Tonsils are the bottom read and white spot thingy. Looks like a solid "3" there, Bob. (Photo credit: Spider.Dog)[/caption] My real aha moment was working with this amazing orthodontist who produced incredible smiles. It was my first job assisting, so I didn't know any different, but he used removable appliances, nothing cemented. Zac: Really? Melissa: And we always were doing early expansion, twin blocks maras, we would use anything, everything was removable, prop that bite up, pull it forward, and expand the heck out of it. Zac: Wow. Melissa: Now he - how do I say this a nice way? He had, I guess back then I probably would have called an arrogance. He commanded the room. Right? Like you didn't question. He just carried himself in a way. There was no option but the one he gave. Like if Bobby didn't wear it. Like that's your problem, then you shouldn't make him wear like, so that level of expectation. So why that's important to understand. So, I go through and I remember one day we're in the office and I know nothing, right? Like, I'm just figuring out how to do this. He walks by, and the patients are humble, we do and he's like God, somebody should cut that kid's tongue out of his mouth. It's messing up my teeth. It sounds dramatic but now I totally understand but I didn't. I was like, wow, what a jerk. Right? Like, he doesn't care. So, come all the way full circle, I'm now inMyobrace class, I'm doing it, and it was like this light went off, I was like, oh my gosh, this is what he was talking about. The kid was tongue-thrusting. No matter what he did to that bite, he couldn't close it. Zac: Because the tongue kept pushing on the teeth. Melissa: Yes, that's what he meant. He's like God, that tongue is going to destroy everything. So, he knew it. But the crazy thing is if you go back into his story, he was originally an engineer. He was a mechanical engineer prior. Then after had gotten married, went back in dentistry and became an orthodontist. Essentially, orthodontics is engineering. It's all about force and movement and I think that's what makes most orthodontists very specialized is because they can see things in a different way. With Myobrace, we could take it to another level. Years go by and I go back to school and all those things. And I noticed, almost every orthodontist just cements everything in and they just, I didn't even know you cemented it. It allowed me to basically see all aspects of dentistry, and I needed this whole journey to see it. That myofunctional was the most powerful thing. Oh, that's why the teeth keep relapsing because we didn't address the tongue thrust or we didn't retrain the tongue, we would maybe tell the kid hey, Bobby, try to put your tongue up or we put a habit in there or something. Well, anyone that's ever had a real habit, thought was very easy to overcome, right? Especially if you don't even know why you're doing it. And mouth breathing and tongue posture, I mean, if you're drinking all the time, you kind of know what you're doing is wrong, right? Well, you know what the culprit might be, like this is what's causing this? But if you don't even know that it's wrong to mouth breathe and have a low tongue posture, now I tell you, oh, you have a breathing issue. It's because of your tongue. What? Like how do you do that? How do you fix that? Zac: Especially considering how common mouth breathing is. Melissa: Well look at how it's changed. So, you look in Disney movies, so if you go back to like Snow White, the older ones, all of the characters are lips closed. Zac: Really? Melissa: And now you go to Frozen, she's drooling with her mouth open. Zac: Wow. I never even noticed that but that totally make sense. Like sleeping beauty, was she snoring? Melissa: No, no, lips closed, breathing through. Zac: If you have this epidemic of mouth breathing, and maybe this is where you are realizing the limitations of myofunctional therapy. Just like I have limitations as a PT that's why I talk to you and work with a ton of other people who have skills that I don't. Where myofunctional therapy starts Melissa: In a perfect world, you'd start with breastfeeding. Every baby that's born would address whether or not the baby has a tongue-tie, and has a tongue tie to the new protocols and standards. Unfortunately, the system makes that hard. So now we go out longer and longer. Now, time starts dwindling. So that's in the perfect world, that becomes the standard and protocol. Zac: Interesting. Melissa: Just like, when you have a baby, they come and they check hearing and they've checked all the other stuff, like, we'd want to have the tongue checked as well. I also think we could put protocols in and say what we should all do but I think maybe just the real simple of somebody when they come in and they talk, the lactations will come and I know when I had my first daughter, and they talk about why it was important to breastfeed, they definitely talked about how important it was for connection and they talked about the nutrition value but they didn't tell me that hey, by the way, she might have some breathing issues, she might not be able to latch, she might not be able to really eat, could change the way her diet is, it could change her airway positioning. There is some research out there now that shows that unchecked could send somebody down the road of having sleep issues. Possibly, we know that there's a correlation in connection to ADHD with kids that snore. I wish I would've gotten that information because I did not breastfeed my first daughter. I mean, I have lots of my own reasons, but I don't know I had made my decision but I didn't feel like I was given all the information, right. So, don't we have the right to know everything? So, if we don't educate the parents, how can they make an educated decision? I don't know so I think education is probably the first thing that would make the biggest difference. [caption id="attachment_13638" align="aligncenter" width="600"] Get your knowledge up, yo! (Image by Sasin Tipchai from Pixabay)[/caption] It's all about building these programs, implementations, having standards and I mean, listen, when I first started and it's been like 11 years, 12 years now, and where we are today is leaps and bounds.  But as you grow new issues happening, like places like the breathe Institute, Dr. Zaghi, I mean, the whole industry change from Dr. Zaghi chose sleep, airway, tongue positioning to become his passion and his drive for research. It opened the door for so much. So, I mean, you have all these pioneers that are pushing limits and doing things all the time. Myofunctional therapy is what you guys do, in a way, but in the mouth. So, it's like physical therapy in the mouth. That's really all it is. And I feel like maybe we should also use maybe some of your standards, more to standardize what we do. So maybe I have a question for you and your fam is this. I was just like, I don't know, anyone that ever has had a rotator cuff surgery and then they go, yeah, maybe do PT, maybe not, like I don't know, like, it's not an option, right? Zac: Well, they're doing that for total hips now but sometimes you get a total hip replacement, and they will not recommend physical therapy. Melissa: And can I just be honest, like, is that because they have insurances? Like, where does it come from? Zac: I'm not sure. Yeah, I don't know. Melissa: I am sure if we went down that rabbit hole, we could find out. Zac: I have my suspicions. I think part of it is, you know, and in some cases, they're not showing physical therapy as having good outcomes. Melissa: Because it's not quick. You got to put work into it. Zac: Definitely. Melissa: We have to train the tongue just like we do any muscle. You must address the structure, function, and behavior. So, fixing the structure, and not addressing how the structure got there, to me is kind of stupid. like, I don't get it. You have to put in the work. Zac: Yeah, and that's the hard thing because really, any type of major lasting change has to do with a change in behavior of some kind. Melissa: Oh, absolutely. Zac: That is what makes our jobs that much harder as we really have to find ways to induce behavioral changes in the people, when, as humans, we inherently, if we can be lazy, we will and I don't think that's a fault, like a character flaw. It just, it takes work and work takes energy – Melissa: and let's give everybody a break. Be honest, is like what is expected of humans and for us to survive and add some kids in the mix and the house and a spouse and a dog and, you know, podcast and two jobs and or whatever it may be, to level up or do what you needed to get your hustle on or whatever, maybe there's just not a lot of extra time. And then you also are then to do to overcome these lifestyle changes, these behavioral changes that are going to have a Long Lasting structural and functional behavior change require self-assessment, looking in the mirror and taking time to evaluate and understand, oh, wow, I did not realize that was affecting this and connecting those dots. And when that doesn't, so you barely have time to do these basic little exercises that we're doing, and yet, you think you're going to have a behavior change? You worked with my mom. I'm going to use it as an example and my mom's good with this because she doesn't know what she doesn't know. So, she came out and she pretty much just wanted to have surgery. Yeah, that was her goal. I mean, she was excited. Now here's me, and I'm like, you even know why you're going to have the surgery? So, tell me exactly what's going to change after the surgery? And I was like, No, no, you're going to go see my buddy. And my mom is - she knows what I do for a living. She's seen me lecture. My mother's gotten some decent gifts of any little success I have. So, you would think she's like, of course, I'll go see your friend and she found out you're out of network. And she's like, Oh, he's not covered by my insurance and I was like, and that's exactly why you are going to see him. I was going to pay for it but think about that mentality, and I'm like, Oh, my God, it's touching nothing and then so now she comes back. She's like, wow, how amazing. I saw her really, you know, try and working and she started to feel better. She's like, it's so weird. I feel better. What do you mean, it's so weird? I get like, so here's somebody and I'm using this as an example. Like, it is my mother. How is she not getting and yet when something successful happens, it's like, I wonder without, what do you mean I wonder without? She knew but it was like, she almost had to be reminded. It's because, in her mind, the only thing that was going to fix her is if you did the surgery, or whatever it may be, right. So, if you can play on that, like not to go into her stuff, but I feel like isn't that across the board some of the stuff we're dealing with? Zac: Absolutely. Well, it's because it requires you to have some autonomy and you to have some ownership and almost intrinsic motivation to better yourself. It's within your control. Melissa: And most people don't want to believe anything they're doing or what they could do could better it because then it's on them. Zac: Or something that they're doing is causing it. [caption id="attachment_13639" align="alignnone" width="810"] But I'm not the problem. (Image by S. Hermann & F. Richter from Pixabay)[/caption] Melissa: I could easily change destructive habits, but it made me struggle having empathy for people that couldn't do that. Where does myofunctional therapy belong? Melissa: I think it belongs in lots of different areas: in speech therapy, dental offices, and physical therapy. I mean, it's everywhere. I mean, it should be bodyworkers, there are so many people because it affects - it's part of the whole thing if your mouth is weak, and your tongue is out, your mouth opened, you're going to be mouth breathing with the oxygen is going to change, you're not breathing through your nose, it's going to cause sinus issues, you're going to be more likely to have sinus stuff. It's going to affect your face; it's going to affect your cranial facial development, and then that can affect not that I don't know, but neck, the shoulders, your posture. Mom's will be like, if so if your teeth are off like this, I was like, so how's this constipation? And the dad's like, well, now you fix constipation. I was like, Oh, well, I mean, if you can't chew your swallowing whole, so hard for you know, go potty. And the mom was like "oh my god, he goes to the bathroom three times a week when that happens." It's really hard. I'm like, Oh, yeah, you can't? Yes. Yes. No contact back there. He's trying to so texture food is going to change the way he swallows the food. How quick he eats, how slow. I mean, it's like cutting scissors that don't line up. And he doesn't even know to tell you. Hey, Mom, I don't have any occlusion. I can't chew that meat. And we're like, eat your food, Johnny better eat your food, close your mouth. And literally, he's like, I can't breathe, I can't chew but I got to do it all so I'm just going to swallow it and real quick, get that down. It's going to make it a lot harder for us to digest food and then digesting now sleep, right? Now that's going to affect other things, I mean, long term and I can't imagine that. Me talking about this, that we can't go connect us that people that end up in your position with you are suffering from my stuff. And the people I see that are suffering from this need to be seeing you. Right? So, it's important to keep the connection going. Zac: Yeah, well, with that, the tongue is one component of the airway and, we've kind of talked about this a little bit where, you know, with you, you kind of specialize in the airway that's more upper whereas a lot of the PT stuff that I do is more airway lower. So, you really have to, I think, blend all of that in order to elicit or to maximize respiratory capabilities, which has wide-ranging effects. You know, we talked about vagus nerve, and you look at all the influences that I have across our physiology and - Melissa: anything when you say like your family or people I mean, that's, that's your place. You guys are all cool with that. So, the fact of like, your people and my people, while we haven't all sat down had dinner, like, you know, I mean until today. That's important because I think there's so much, I should learn from you and you should learn from me. And I hope one day that there is a course, that helps us all connect the dots and my stuffs included in your education and your stuffs vice versa, right? Like, the idea is to up the ante and build the specialties, and really help teach the students how to connect the dots. It shouldn't be something you have to learn once you get out of school. Zac: Yeah. 100%. Melissa: That should be taught in the beginning. Zac: Yeah, it's almost like you need a different profession that combines it all or you need a team and this is kind of where I think you are. You are realizing that you are one piece of a greater - Melissa: Oh, yeah, I mean, I've known that. That's always been but sometimes you got to do all the work to prove that you need help. Zac: Absolutely. Melissa: You got to show where you're falling weak and collaboration is everything. But with collaboration, also will bring some other hurdles. Patients, like we were saying before, don't like hard work. Well, they also don't like being told they have to go see nine people. Zac: Yeah, no, I and that's an issue that I've ran into with some people and I think I struggle with me, referring people into this space is, when I have that conversation of well, you might need a few different things, that's hard. I even just look at like myself, I've seen, I've been to Lincoln, Nebraska, and then that took me to getting wisdom teeth pulled in Phoenix, Arizona, and then that took me to getting the roto rooter done in Memphis, Tennessee. And then now I'm in San Francisco getting this and then working with you and it's just and then Zaghi cutting my tongue. Melissa: How do you build the ultimate practice? So, the question is, does that practice look like an airway-focused dentist? and you know, this airway focus dental thing has become like, who is this person? I mean, I hope that one day, it's just all dentists, because it's not about maybe others you know, they'll be Specialists of who does what technique, but the idea of, that's how you treatment plan. So, they actually, when you go get your six-month cleaning, it's discussed of what your airway looks like, or, hey, if you're mouth breathing, you can cause more decay, tell me how many of most people know that? When people are like, if you mouth breathe, your mouth is dry. If your mouth is dry, you have no saliva, you have no saliva, no antibodies, you have no antibodies, you have nothing to protect your teeth, you're going to get more decay. [caption id="attachment_13640" align="aligncenter" width="354"] But can you nasal breathe tho? (Image by Klaus Hausmann from Pixabay)[/caption] You can brush your teeth all day long. Yeah, like, where somebody else who has tons of saliva, and, you know, it goes like, so these are things like, we should always treatment plan to, hey, your tongue is not sitting where it's supposed to, have you noticed this? And not wait till it's to the point where now it's like, right now you mouth breathe, you snore, you this, you have to go and drop, you know, I've seen my money insurance doesn't cover. I mean, that's a shock to the system. So hopefully that will come to a point of that. But for now, seeing groups come together and it might have a PT, it has a myofunctional therapist, it has a dentist, a body worker, but now it's also a lactation consultant. We could go across the board. I hope that we'll be there and hopefully, we'll have these great little medical many places that can offer all of that, but you got to get your group, you got to get your crew. And I feel like also as a collaborative group, you got to talk finances with each other. What are your patients looking at? What's it going to cost for one patient to see everybody?  Already, how many people know that? Like, if you refer, what's the end of the day out of pocket? I don't know. I've always been curious. I always think of that, like, so if I'm going to send the nine people. I think it'd be like, thank you for the $50,000 journey. I don't know. Zac: Yeah, that's quite conservative. Melissa: Yes, and I've just seen because those are uncomfortable areas, right? You don't want to talk to your fellow colleague and be like, what you charge them. But what do you think about us working together? These are awkward conversations and I don't know if they're realistic. I don't know but I feel like no one ever says it, no one ever wants to talk about it. Zac: Yeah, but it can be a big barrier to, like, if you know so and so's going to charge 10k for an appliance and that's not in the cards for someone because they're on Medicaid or something. Melissa: It's just not in the cards. Zac: Yeah, you have to find a different avenue for that person to get better. Melissa: And I mean, like, again, going back to the things like what is wrong with you? What do you do? Well, you know, money. Zac: It's an unfortunate thing with our system. Melissa: Yeah, but let's be honest, I think even in other systems, do you think they're really addressing this? Zac: Probably not. Melissa: I have to say, I don't think there's any system that's looking at truly getting into what's really going on, which I'll tell you, in all systems do. I think I could sit here and tell you that if we were more aware of some of these breathing issues, we would see a decrease in multiple things like heart issues, Alzheimer's, I mean, we could go down the line. It's about more than fascia Zac: I think all of the tissues adapt and accommodate to ensure our survival and I think if you isolate it to one specific thing, then you're probably missing the boat. And not only that, it's like, say you do a fascia treatment, so you mean to tell me that nothing else changed you and you were able to isolate fascia, you were able to bypass the skin? Not create a ton of changes within the muscle. Melissa: Well, you literally had to go this whole journey to get there but nothing else was affected? Zac: Yeah, you can't isolate the tongue, because you're probably going to also have influences on the teeth, the nasal airway, it all works together. Melissa: And I think from your community and your family to ours, most people, and let's just get medical professionals out of here, let's just talk about our patients, the glaze people, right? You know, if you tell somebody like there's something that's connected to their toe all the way up to their tongue, they're like, no, and I'm like, No, really? Because we sometimes also forget, most people have no concept of what the body actually does, or how it actually is affected. Like, really, I find that to be - they have no understanding how if I walk one way with one shoe funny for a long period of time already, that's going to affect something. That helps us try to explain a little bit easier to patients, how come the tongue position can affect other things? Yeah. So, learning where other systems would only make it better for us to talk about it. Coaching breathing mechanics Melissa: Let's talk about breathing. We're always hands-on, like, when you breathe, you need diaphragmatic breathing, right, like you want to breathe in. And so the beginning, we kind of tried to keep it simple for kids, it was just like a very basic of, you know, put your hands on your stomach and chest, sit up straight and don't let your chest move. Because it's really hard to do if you slouch. So, it just became like, sit up straight, shoulders back, head up, because it felt like, at least opened it. But you would actually kind of had said, you know, it's not always about sitting like that. So, what would be that something to kind of show them that we can help each other? What would be a way that you would fix that? Zac: From my standpoint, when I look at that, you have to look at the actions that should happen at the rib cage. So, the rib cage should move as you breathe in and breathe out because if you think about it, when I take a breath of air in the tissues are filling our lungs, so the rib cage has to make room for the lungs and so it has to stand in all directions so we have these actions at the rib cage called the bucket handle, which would be lateral expansion, pump handle, which is anterior and superior expansion. And then you have posterior expansion. But I think what you were trying to do with the belly breath is trying to mitigate an accessory muscle breathing strategy, where I'm lifting the rib cage up as a unit with muscle such as the scalene, the sternocleidomastoid. We don't want that. I want the rib cage to stretch out. Melissa: Yes, but you would normally want to be more about explaining how it's rounded out and how you want to see it go like here and there. But we're keeping and trying to be simple because oftentimes, I most of all, say like take a deep breath and it looks awful. Zac: Well, when you demonstrated that you emphasize a lot of inhalation. Most people can't get an effective exhale. Melissa: Okay, yeah. Zac: So, you have to get as much air out as humanly possible and then guess what? So, if I am just doing a belly breath, I'm not getting any expansion of the rib cage. Well, you can think of it as like my mentor, Bill Hartman, he has a toothpaste analogy. So, if I take a toothpaste tube, and I squish the top of the toothpaste tube, I get all of the toothpaste going into the bottom. Well, the same thing happens with belly breathing, when I take a breath of air in and I do not allow expansion of the rib cage, I have greater downward pressure into the abdominal contents. So, the diaphragm will actually descend to the point where it's flat, which creates a negative pressure environment in the thorax, which causes compression, too much outflow into the abdominal contents, which is the same thing you see in sleep apnea. But now - because what is that? I have a negative pressure environment that I can't maintain the integrity of the upper airway, it collapses. When you're coaching belly breathing, you're creating the same environment, but now you're doing it in the lower part of the airway. Melissa: Wow. Zac: So then now I have a mismatch of intra-thoracic and intra-abdominal pressure. Melissa: So that is 100% correct. So, where we struggle with this is, most people I've noticed, I say breathe and they really do not know what the feeling is, like they really do not understand what it means to truly get a diaphragm out or like to really get that because that, like you see it in their eyes like to calm them down. So, they can't feel that difference. So sometimes, the way we kind of were like not saying, it's being picked from different kind of systems, and that we've been trained on, we got to get them to at least feel it before you can critique it. And that the more the deeper that professionals getting, is, how do we evolve it, to also get them to feel it, but do it properly to promote positive and like, also children versus adults is going to be very different. How we do that, how we teach it, how long that habits been into play. And I am hands down. If you can't get the breathing, right. I think miles doesn't have a chance to stand. So, to me, breathing has always been the biggest, has been a huge part and I have a lot of theories of like people, there are two ways that you end up with mouth breathing and one is like, there was something wrong with a structural situation with the nose early on and then that created low tongue posture because you had to breathe through your mouth. Or Yes, you had a tongue tie, right? And that tongue tie was tethered. You could have been breastfed, but it was further back. Tongue keeps pulling down and then eventually just slowly opens and then you start to mouth breathe anyway and then you stop breathing through the nose and then that changes the way the air comes in, and now the nose becomes a face ornament, and it's just hanging out and therefore, it's very hard for people. They think they're breathing through their nose, and they're not. And you know, the ones that are like [whoo] like, though, like, you put like one of the boom, boom sticks. You're trying to incentivize some type of nasal breathing. When you're stuffy, you should be doing nasal sinus rinses, 24/7 trying to force yourself to clean out your own sinus, but we go, Oh, no, I'm stuffy. Okay, you know, that's - Zac: It's not normal. Melissa: It's not normal. You need to breathe more. I'm sick. I'm taping my lips up even more, forcing myself to breathe and it's hard, don't get me wrong, but you got to push through it and you will absolutely always overcome something sinus-wise; a cold or something quicker if you force more nasal breathing. Treating adults with myofunctional therapy Zac: Yeah. So then with your treatment process, why don't you talk us through the - And I know it's going to be case-specific and I hate protocols. Like that was one of my - it was a little bit of a beef with I think when you're first learning some of this stuff is, they say, first, you do this, then you do this. You do this, do this and I think there are some case-by-case variants. Yeah. I mean, we're doing weird stuff with me. But say someone comes to you, and we'll say it's an adult, because most of the family - hopefully now that you know, we're talking about some of the stuff that. Melissa: you'll see with kids too Zac:  if an adult comes to you, and let's say they have these issues, they can't attain a palatal tongue posture, they have difficulty breathing through their nose, they have the gamut but it's not a surgical case and maybe it's someone that could just - they just need you. Melissa: They just need myofunctional therapy. Zac: They just need you. Where do you start? And maybe we could talk into your assessment and Melissa: So, I always have to be like, well, I do myofunctional therapy very different right off the bat than most. I only do it in conjunction with dentists. I mean, almost 5% of I mean, there's a couple of patients, I'm close with that end up knowing they're going to go into an appliance because they're going to somebody, but I very rarely not do that. If I could get tongue space, probably tattooed on me. I would. For me, that's my objective. If you don't have enough space, I mean, anyway, if you have a lion and the little cat cage, yeah, doesn't really matter what we do. Right. And so, I get really frustrated sometimes. I don't know, I guess also, I don't love to do things myself. I mean, you'll get changes and there's always benefit, like even myself, if I didn't do myofunctional therapy, I probably would have a way worse situation than I have. The therapies done quite well. I should use myself as an example and I struggle with space, but because at least I have tongue strength, I am able to hold at least what I have so I don't collapse so much and it's funny a CBCT scan, if you look, my tongue is like flat up, because I have like a little cocktail straw. I have like three, four millimeters in my airway. It's really tight. And so, I don't have an option. My tongue can't go back. I mean, game over, right? Zac: Yeah, low resting tongue posture. Melissa: Yeah. And so that's why I can nasal breathe because I had no choice. Right? It was like, this is what it was going to be because it felt so much in my throat. So, you can do myofunctional therapy, just to be able to abstain from what you have if you don't want to fix it, right and so, what would be the base? If someone is really good at nasal breathing, they can breathe, that's fine and keep their lips closed and you can do an easy test like, someone just puts a popsicle stick or they hold and just breathe through their nose for two, three minutes and they're able to do that, then yeah, I would definitely do some therapy and starting off with just doing tongue, just getting to understand where the tongue supposed to be sitting and then from there, you kind of go into being able to move the tongue and then compensation comes into play of can we separate the jaw from the tongue? Because that's when we really start to work the tongue muscles themselves because a lot of people think they can do things with their tongue but really, their jaws were doing it for them. And I mean, I'm no way in speech, but I always like, I asked parents all the time. I'm like, does he mumble and they're like - we'll say, well, do they have any speech issues? Or even adults? Oh, no, I go. Someone ever told you, you, you mumble Oh yeah, all the time. It's kind of a speech issue. Because the mumbling is if you do not have a lot of range, you'll notice someone will say like 123 their upper lip, like the inadequate movement of the upper lip because the lower jaw just kind of - well the tongue is down so you have to bring it up, right? So, they reduce tone. So, they'll talk quicker to get it out or they'll change the words because they're modifying. Humans are amazing. We're going to figure it out. So those are areas that we might work in just to help you build awareness and then body scanning right? What does that feel like? Does that affect your neck? Do you feel that down in your back? Does it feel weird? Like, where do you notice it? Because if I don't build awareness so that you feel the difference of where the tongue is? What's going to keep you in the long run? But I got frustrated with some cases that I wasn't getting better. In 2017 I was pregnant and watching everything Dr. Zaghi is putting out and what's this guy up to, whatever and I was like, oh, okay, I'm going to get this guy, I asked this guy, what about these patients? So, I actually started paying for consults for all my patients, just so I could get on this. So, I could introduce the patient, present it and ask him why they can't go any further. I know the joke is that eventually what I was like, sorry, on staff, like, Hi, like, I was just being me and I'm presenting patient and that and now I felt like oh, my God, someone was finally able to say like, oh, the tongue, he's tied, etc. And now I had somewhere to send them. And I was like, ah, and now listen, the tongue tie got released and we were able to overcome it but the ones we couldn't, which, unfortunately, were more I shouldn't say my patients were, I was lucky enough, I already had the tool in my arsenal. There was expansion going on, right? Like I was working with doctors so if it was a BWS, which I know - Zac: What's a BWS? Melissa: So BWS is a Bent Wire System, which comes from the company Myobrace and they use BWS, and then they have you wear the brace over it to kind of help do with [unsure word 1:06:10] The theory was to kind of do with the crows that did right, so. So whatever may be Crow's out all of these different things. I was lucky enough that I had somebody that we knew we needed to make t space like that's how we were showing that we were getting results. Or then if I would have somebody that would get good expansion, then they would relapse. That's how long I was keeping them so that they were relapsing with me. Because I was on this journey, I needed to know where is going. So then now, I was able to show Dr. Zaghi like, okay, we've done this, we've expanded, we've done, and now this has happened. And like everything happens for a reason. That's how I was able to really so grateful for that situation. So now I was able to see, then you had that tongue-tie release in there, huh? Zac: Because it really takes a team. Melissa: It does. Yeah, and I know I have a hard time being like I could do the therapy, but we don't have enough space so I don't know. But that's me, right? There are a lot of therapists do it. And then they only need tongue ties in there to expand and that's fine. This is just my vehicle and that's what I saw. And I really do think we now finally are like getting into a community. I mean, people are talking about tongue space more and we're more aware of the structure and that you need to be able to withhold all this, be able to have a place for the tongue, the tongue is able to be somewhere so that it can be in the right position. So, it is more and that's what's uneasy about it. And then you know, they're finally in a good place, they've had the release, they go home and now they have anxiety, they're depressed, I don't know, they get divorced, whatever their life comes into play. And we didn't really get into the fact of what the behaviors are, and then they come creeping back, or they get a little new doggie that they're highly allergic to, and they don't realize it and they're mouth breathing again. So, the body or they're doing you know, they have neck issues, or I don't know all these different things, I feel like you also have to bring that aspect into it, and you have to be able to address all of it. So, the treatment planning is complex so most of the time, when a patient comes, I feel confident, I'm able to quickly say to them, okay, this is what you present with, I know your low tongue posture, you have this, this is where I would go, I would start with probably looking to get some type of an appliance. Let's open up that bite work on that structure. While we're doing that, let's work on nasal breathing but while you're getting your structure fixed, let's work on nasal breathing. Let's see how you feel comfortable getting your lips closed. Seeing how that becomes comfortable and then once that structure is done the right thing, then kind of come in, let's bring that tongue up, start noticing where the tongue spot is, and then kind of prepare for the tongue release. Because if I'm setting a patient up, I don't want them to go get the tongue release done until they have tongue space. So then now, I'm going to focus on that, I'm going to keep it pretty structured, there was that tongue ties done. Now we go in and we do some swallowing techniques and we really kind of bring it all around, and hopefully now they're able to keep it and now they don't have their teeth moving and they're not functioning as much. And if they do move a little bit, they know why they have the tools in their toolbox to go back and do the therapy again and do things on those lines, Zac: Which again, gives them a locus of control. So then is it fair to say nasal breathing, space. Step one has to have that, range of motion, I'm assuming would be second and a little bit of awareness of the palatal tongue posture, because I would think if you don't have the range of motion available, it's going to be really tough to attain that position. Melissa: Well, so right if I go back, so I don't know for me range of motion. Okay, so it depends on so, like, we have four grades of tongue-tie, right? Then a two-step release might be the first thing to do. Zac: Interesting. Melissa: Yeah, just get up there. We got now we got to just do that. Then once we do that therapy, work on nasal breathing, work on the structure, then we go back and prepared for the functional frenuloplasty. Zac: Gotcha. Because I have a client who I'm working with right now, he's potentially a candidate for a second step. But so, they do anterior first, and then the posterior tongue tie second. Melissa: So, the concept of why the therapy is so crucial for a tongue tie release, specifically functional for any of us, is because they need to be able to do certain exercises, certain motions and movements, and hold it during the procedure. So, they're numb during the procedure so, they better have really good muscle memory, and know how to do these things, to hold it when you're numb, right. So, you better be able to do a cave suction really well and also, that's going to help build muscles. So now when the doctor goes in, and does that release, you're going to see the separation between fascia, you know, fascia fibers muscles, it makes it a lot easier for the surgeon to get in there and see that difference. Zac: Absolutely. Melissa: Now anyone that's ever worked for a doctor, anything we can do to make their jobs easier is always a win. A win for the patient, win for the doctors, win for everybody. So that's what's crucial for that beginning step. So, if you're so tied, right, anteriorly, which is a lot of people that are out there that will say, Oh, I had a -you know somebody that had a tongue tie release 20 or 30 years ago, I promise you, they still need another one. Because that was a snip. They saw that it was so tongue-tied, they couldn't move it. So, they were just doing what we do with the first step to prepare for the second one. I mean, that's how I look at it. Yeah, yeah. So, you know, look, I was like, Yeah, we got to give you enough rope so we can at least get you to move in, so we can get you to hit this, hit the tongue spot, and be able to then hold that cave, workup, get a little muscle tone, be able to, work there. So, we can get some identifying and be able then to get you ready for healing. And also, it's a lot easier to do therapy exercises for healing, when you already know them and you've gotten muscle memory when you're sore and in pain than it is to learn them when you're in pain. So, I'm like, Well, why would you not do it before the procedure? Because who wants to be learning something when they're also sore? and it's crucial afterward. Once the sutures off, you're doing therapy, I mean, every four hours, six hours. You know you've regimented; you don't want that stuff to reattach. You want to keep that moving. I mean, you want to use this amazing moment, and ability to - now your range of motion being so much wider, you want to continue and that's not going to happen. You can see it become worse, tethered up if they don't have a really great regimen and they didn't have good muscle tone to begin with. Zac: Yeah, and that's something that even in PT, like, if we have someone who's going into surgery, we try to see them - in a perfect world, you would see them pre-op for the exact same reason. Melissa: Yeah Zac: It makes it so much easier on the backend. Melissa: Of course. Zac: They have those concepts in place. Melissa: It's not new. And most of it all, it goes back to the implementation and trying to make sure people understand it. I think that's going to be a battle but I think more conversations like this, more people using their mind and opening up and finding unique places to educate patients. We talk about something earlier, but not to go into I but I believe people are a little bit - I'd like to give them more credit than we do. I think people are able to make decisions. I think we make a choice, unfortunately, to choose what information pertains to them and what they need. Because we don't think that they have the ability to always maybe make the right decision for themselves. I don't know. I feel like all people, this just should be spoken out. They should know, every option. Hey, if you choose not to do it once you've been given all the information. Okay, cool. It's your choice. I have an issue when you weren't presented with the side effects if you don't do it like I'm sure if I was going and having that hip. If no one came in and told me Hey, listen, okay, you don't you know, you couldn't do therapy. You could do PT prior, you know, pre and post. This is the benefits, whatever. If you don't, you know this can happen, this can happen, this can be a little bit more challenging, not everybody, but it does happen, and you truly set the expectations and limitations of both, let the patient choose. Once they're educated, they know, hey, do whatever you want. I have an issue that it's not. We don't do that. Educating patients on airway without inducing maladaptive beliefs Zac: Yeah, which makes sense, because then you're not making them an informed consumer. The thing that I struggle with, and I see this a lot, and I especially see this online is sometimes when you give someone a story, and you give them the doom and gloom of what could happen, a lot of times the maladaptive beliefs that they develop from that, become an issue. So, there was this article, this guy was named Darlow, and I forgot the name of the title is I'll link it in the show notes. And he had this thing that this patient says basically interviewed all these patients based on what doctors had told them. Okay. And I don't know what the doctor specifically said but the patient's interpretation of what he said was, he was so afraid of back pain. He was so afraid of the disalignment of his back that he thought that his spinal cord was going to sever and that led to tons of anger, fear, anxiety, lack of movement, and things like that. And I especially think in this domain, because it is a huge rabbit hole and there are some scary procedures that some people may have to go down like, sure. We're talking about appliances and myofunctional therapy and things of that nature but what if you got someone who needs the MMA surgery? How do you balance not instilling fear and maladaptive beliefs that this is, like, if I don't do this, my life is screwed versus informing them? Melissa: This is what I know, I'll just live with it. And I mean, I truly understand that. So, I said to you like I have a formula for an airway. I do this for a living. I'm aware of what I should do, right. Like, do I know that I should have surgery? It's scary and I know, from the best. So now the other side, right? It's human. Like, I'm going to try this first one, it's a scary thought. And let's be honest also I go into like, do I have it in me to do, you know, my own insecurity of will I follow through? Will, I get it done? Will it truly make a difference? And I think it's just like, I'm always high energy. I'm always like, appear, right? My fight or flight? That's become part of my identity. It's who I am. Is there something inside of me that also scares me from it? Because I'm scared of who I'd be without it. I mean, I'm going a little dark here and a little deeper, but it's, I mean, it's my truth. Zac: Oh, or sure. Melissa: And I play in my own head all the time. I'm like, I can't do it this because my kids like, you know, and I can make every excuse not to do it because at the end of the day, it's huge and it's a leap of faith. I think I respect that and I hope that nobody thinks that anyone's saying it's easy, and it's one shot and, and do it but the question is - then the other comes back to is, maybe I just don't think it's affecting my life that bad. Yeah. Yeah. Even though I statistically notice. Zac: You know what you don't know. Melissa: But the other thing is, you know, maybe I'm comfortable like this, I'm not ready to, I haven't hit my place of like, I can't do this anymore. This is no law. I can't live like this. Right. So, I'm willing to go do that. Where I think like, in some ways, like, those are extreme cases, right? But, you know, kind of just go away. Like, let's go to rotator cuff surgery, right, like, so that's not something, my arms like I can't move it, I don't want to have a choice. That's bottom. I got to fix it.  Well, I'm almost saying like, what are we doing? Why are doctors not - Of course, PT or - Like, why would that not be automatic? I mean, that's part of it. I feel like to say that if that's not the standard, that's scary. And I think things like you've had braces three times. Do you want to try something different. So, you've had braces three times and you also have sleep apnea and so there's a lot of things that have now are coming in your way that you'll pay for this, this, and this. Hey, do you want to also address these other issues? Then maybe we get through there? Just those kinds of conversations. Zac: Yeah. You have to give people options. It's funny you when you're mentioning the identity stuff because I totally run into some patients who will forever be a patient because that is who they are. That is their identity and that's who they become. Yeah, you do have to wonder like if I take that away from them, so your high energy. Well, if you – you get the chill pill and I think it was in Mark Manson's book, not the subtle art of not giving a Fuck but everything is, he talks about - I just read it the other day. Oh. In order to change who, we are, we have to mourn who we were. Yeah. It's such a profound quote and it's true. It's like some people just might not be ready to go through that grieving process of changing those things, those dark things that are about you. Melissa: Well, if you're anxious, you're living in the future. If you're depressed, you're living in the past and if you're content you're in the now. It's hard. Mental health is a big deal. Zac: In terms of like it being the X factor, or maybe the thing we're not addressing. Melissa: Actually, it's personal. So, that's like my connection to certain things. So, I had a patient, an office I was at and I walk into the room, they had the scan up. I mean, the kid has no airway. I mean, never mind, forget the cranial facial stuff and forget the teeth, who cares about the teeth? I like turned around and I was like, hey buddy, he was nervous. He's all these things anyway. So, I was like, great. I got the assistants taken out of the room and I said so any behavioral issues like the mom starts crying. I mean, anger issues, can't calm down,  bathroom issues, can't eat and I'm like, I want to like, just cry, right? Because I'm like, this is a kid in my mind, this young man and the mom is like, she thinks it's just who he is, right. Like, you know, we have one bad seed because I'm telling you, I'm telling her things and she's like, so that has to do with that and like with a little bit of disbelief, right? Like, yeah. Right lady. No joke, the father was in there, he had a mask on, new design and I brought up one thing, I said, so is he really good in like science? And then all of a sudden, like he's reading and comprehension seems to be lower and the mom's like, yeah, he gets stronger grades. Then I asked if he keeps rereading the same page and the dad like takes on his thing, he goes, why he gets that from me. Dad pulls down and he has this crazy deep bite. And I go, I know he gets it from you. I agree. You just have the same habits. And he's like, what? I go, yeah. I go, you both, like you live in fight or flight. Like you just, I just start reading out loud. It will change the game. His dad was like, no way. So the mom's like, I go watch it. So the kid came back and we gave him one little snippet of thing. We told him to read it to himself. I gave him three questions. and read it aloud. He was able to get it! Zac: Essentially recruited another sensory system. Melissa: Absolutely. Zac: Well, and then that goes into, and I don't know if you've ever checked this with those folks. Like if they have any visual issues along with that. Because a lot of times - Melissa: I got to fix it, I'm fixing bathroom issues. Now I got to fix my eyes. Zac: Absolutely. Yeah. Which Dr. Kareen, if you're tuning, I got you! Melissa: Okay. I'm sending it right. I mean, and I'm so sorry, not that I don't know how important the visual aspect is. Zac: Well, to me, I think this all relates to airway because if I have to assume a particular head posture, well, that's going to change where my eyes are looking in space. And so, you could potentially see some changes in the shape of the eyes potentially, or the focusing type stuff or eye teaming. Melissa: Well, we look at it when they, when they - Well, actually I always look like I can. They always like my little last, super what do you call it? Like my tarot card thing is I'll walk and I'll be like, Oh, so you only true on the left side of your face, where I looked in their mouth. And they're like, what? I'm like, well, one side of your face is stronger than the other. I can tell you only work those muscles, but also like the moment you bring somebody up and expand them out their eyes, all of a sudden open up. because they were squinting like this. And so, I guess, yeah, I knew the eyes were part. Everything's affected. Eustachian tube dysfunction So, let's just wrap on the one last thing. I mean, now we've done ears, we've done eyes and mouth. So, kids that have had tubes in theirs. Okay. Kids that have tubes in theirs can't swallow, that's why they can't clear their eustachian tubes. So they have a swallowing issue. That's why it keeps building up fluid. Zac: Yeah, so wait, you're going to have to unpack that a little bit because this is - so if someone has you stationed to dysfunction, how does that relate to the swallow? So are you saying that - Melissa: So, normally what happens? Right. So, swallowing and I am not a hundred percent, but like if the idea of the concept of the swallowing is what helps clear it. Like it helps the fluid run through. So, the concept of like, if you can't swallow, so if your tongue's low, so swallowing for anyone who doesn't know, right. So, the tongue should be up, you should be able to swallow with minimal facial movement. The tongue should just go up,

Today's episode features time with Cassandra Carlopio, a meditation/sleep consultant currently collaborating with The Breathe Institute and trained as a clinical psychologist on the Gold Coast of Australia. We talk about the importance of sleep, address some of the falacies associated with meditation, and she graciously leads us through a short guided meditation. We also talk about how she loves the mountains and beach equally, her newfound love of kite boarding, about the role of the nervous system and sleep, about how there's very little communication "between the field of sleep medicine and the field of psychology and the field of meditation", in the role that meditation can play in helping people sleep at night, traffic in Los Angeles, the notion of using virtual reality to help with sleep issues, and how gifting someone with sleep issues "Why We Sleep" by Matthew Walker may not be the right kind of present. Stay tuned after the outro music to hear Skipper stumble through the pronunciation of Cassandra's name, something that he does with every guest on the show. Special Guest: Cassandra Carlopio.

Contrary to what we see in mainstream media and entertainment, snoring is not a sign of deep sleep. In fact, it can be very dangerous. Did you know 80-90% of patients remained undiagnosed with a sleep breathing disorder? Dr. Zaghi, the founder of The Breathe Institute, and world-renown ENT Sleep Surgeon, Otolaryngologist, and Maxillofacial Surgeon, joins Dr. Stewart to discuss the epidemic of sleep breathing disorders.

Please Leave a Review! Andrew and Michelle had this week's guest on for an entire series on myofunctional therapy earlier this year, and now that 2020 is at long last winding down, she's returned to give an update on the status of all things myo since COVID-19 swept the industry and the world.   Returning guest Sarah K. Hornsby, RDH, is a myofunctional therapist, speaker and mentor. Her interest in myofunctional disorders arose from her own myofunctional problems, inspiring her to ask bigger questions about why these issues are prevalent in today's society. This ultimately led to her launching her own myofunctional therapy practice, Faceology, a decade ago.   In this episode, Sarah explains why having to wear a mask isn't an excuse to mouth-breathe, reveals the surprising benefits of humming, and stresses why you should get to know your own nose.     EPISODE HIGHLIGHTS:   Interview starts: 17:22   - Sarah delves into the overarching benefits of having more hygienists speak to their patients about any myofunctional issues.   - The reason it can be difficult for some patients to grasp the actual mechanics of their own tongues.   - Confronting a national bad habit: mouth-breathing.   - One neat trick for building up valuable nitric oxide in your nasal passages.   - The shifts Sarah has noticed in the educational and industry landscape since the pandemic began.   - Sarah's big announcement for the future of the Breathe Institute.   - Why everyone needs to take the initiative to learn about their own nose.     QUOTES:   “Putting a mask over your mouth-breathing is kind of like, well, shouldn't your nose be doing that?”   “There are so many opportunities for education. I have noticed booming changes in online courses.”   “We don't need to fight amongst ourselves. We have bigger battles.”   “It's so much easier to read a book, take a course, join a webinar, but the scariest, hardest thing is to see your first patient.”   “I don't want people to get into a program that they can't finish.” LINKS: The Breathe Institute - https://www.thebreatheinstitute.com/    Faceology - https://myfaceology.com/    MyoMentor - http://www.myomentor.com/    Sarah's homepage - https://www.sarahkhornsby.com/    Sarah on YouTube - https://www.youtube.com/user/sarahkh12    Sarah on Facebook - https://www.facebook.com/SarahKHornsby/    Sarah on Twitter - https://twitter.com/SarahHornsbyRDH    Sarah on Instagram - https://www.instagram.com/sarah_k_hornsby/        THIS EPISODE COUNTS FOR CE! - but read the disclaimer below as it might not count for your state. Go here to take the test and get your CE Credit!   A Tale of Two Hygienists homepage - https://ataleoftwohygienists.com/     AToTH on Facebook - https://www.facebook.com/aTaleOfTwoHygienists/     AToTH on Instagram - https://www.instagram.com/ataleoftwohygienists     AToTH on LinkedIn - https://www.linkedin.com/company/atoth/?originalSubdomain=ca  

Our very own Megan Van Noy tells her story about going to LA to have Dr Zaghi at The Breathe Institute do her tongue tie release. She tells all about the process and how it felt. She did a home sleep study results, showing she had positional UARS or upper airway resistance syndrome when she is on her back. The Breathe Institute did a 3D jaw and airway image showing her bone structure is still deficient even with expansion as a kid and a small airway size. After the full work up she was cleared to do the release (note she has done myo for years, bare minimum is 6-8 weeks per our training). She has always had issues with: mouth breathing at night, GERD and acid reflux, digestive issues, clenching, headaches, had an expander as a kid, shin splints and tight back, neck tension, bedwetting as a child, colicky as a baby, allergies. She has noticed since her release: reduction in head and neck tension, chiro adjustments are easier, less myofascial tension with her massages, less acid reflux, sleeping well. We will make a recording and pre and post pictures for youtube so you can all see! Find Megan Van Noy for myofunctional therapy at www.orofacial-myology.com and insta and facebook NWMFT and Munch Bunch Myo Podcast Find Kimi Nishimoto for myofunctional therapy at www.mouthmusclememory.com and insta and facebook Mouth Muscle Memory and Munch Bunch Myo Podcast