â ïžđđđđđđđđđđ: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.Â
_______________Â
This interview with Dr. Steve Lambert highlights key insights into sleep disordered breathing (SDB) and obstructive sleep apnea (OSA) with special focus on đ§đšđ§-đđ§đđđšđŠđąđđđ„ đđđđđšđ«đŹ such as đąđŠđ©đđąđ«đđ đ©đĄđđ«đČđ§đ đđđ„ đđąđ„đđđšđ« đŠđźđŹđđ„đ đđźđ§đđđąđšđ§, đ„đšđ° đđ«đšđźđŹđđ„ đđĄđ«đđŹđĄđšđ„đ, and đźđ§đŹđđđđ„đ đŻđđ§đđąđ„đđđšđ«đČ đđšđ§đđ«đšđ„ (đĄđąđ đĄ đ„đšđšđ© đ đđąđ§).
đđđšđŠđ đđđČ đđšđąđ§đđŹđ:
â
Nearly all dental problems are related to đđąđ«đ°đđČ đđšđŠđ©đđ§đŹđđđąđšđ§đŹđŠ·.âŁ
â
OSA involves both đđ§đđđšđŠđąđđđ„ (đŹđđ«đźđđđźđ«đđ„) đđ§đ đ§đšđ§-đđ§đđđšđŠđąđđđ„ (đđźđ§đđđąđšđ§đđ„/đđđĄđđŻđąđšđ«đđ„) components, like impaired pharyngeal dilator muscle function, low arousal threshold, and unstable ventilatory control (high loop gain) đŹïž.âŁ
â
The goal of treatment is to achieve a "đđ«đąđđąđđđ„ đđ„đšđŹđąđ§đ đ©đ«đđŹđŹđźđ«đ" (đđđ«đąđ) of minus 10 centimeters of water, meaning the airway withstands negative pressure without collapsing đŻ.
âŁâ
đđ«đđ„ đđ©đ©đ„đąđđ§đđđŹ are management tools, not cures, and although they can be very effective for OSA, they usually cause bite changes đĄ.
â
Effective treatment requires a comprehensive " đđąđ«đ°đđČ đđźđđđđ " approach, combining multiple therapies rather than monotherapy, addressing structure, function, and behavior. đ§
â
Dr. Lamberg wrote the book đ»đđđđ đđđ đȘđđđđ... đ»đđđđ đđđ đšđđđđđ: đ»đđ đčđđđ đđ đșđđđđđđ đđđ
đșđđđđ đšđđđđ đđ đȘđđđđđđđđđđđ đ·đđđđđđđđđ đŽđđ
đđđđđ, developed the đđđŠđđđ«đ đđ«đšđđšđđšđ„ for screening, diagnosis, data collection, and targeted treatment, and the đđđŠđđđ«đ đđźđđŹđđąđšđ§đ§đđąđ«đ as a risk assessment tool đ. He also created the đđđŠđđđ«đ đđ„đđđ© đđđ„đ„ đđ©đ©đ„đąđđ§đđ.
___________
ABOUT OUR GUEST:
Dr. Steve Lamberg has been practicing all phases of general dentistry in Northport, New York, for 40 years with a focus on comprehensive restorative dentistry. He is a Diplomate of the American Board of Dental Sleep Medicine and has served on their board review faculty. He is the inventor of the Lamberg SleepWell Appliance âLSWâ, which is an FDA-cleared appliance for the treatment of OSA and holds several related patents. He regularly contributes articles to peer-reviewed journals, is on the editorial review board of Dental Sleep Practice, and lectures internationally to help dentists integrate the many aspects of dental sleep medicine into their general dental practices. Dr. Lamberg also launched, and serves as the director of, the Pediatric and Adult Airway Network of New York (PAANNY), to provide a regional platform where dentists, physicians, orofacial myologists, and other related professionals learn and collaborate on treatment patients of all ages. Additionally, Dr. Lamberg serves as a Scientific Advisor for airway at the Kois Center in Seattle and has created a course there focusing on practicing dentistry on airway compromised patients.  Dr. Lamberg also created and teaches a curriculum for Nierman Dental Sleep Medicine mini-residency. After creating a medical screening questionnaire, the Lamberg Questionnaire, he went on to publish a supporting book, "Treat the CauseâŠTreat the Airwayâ.
_______________
ABOUT THE HOST:Â
Nicole Goldfarb, M.A. CCC, SLP- COMÂź is a Speech-Language Pathologist, Certified Orofacial&