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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
đ Episode Summaryđ
âą â
How neurodevelopmental traits like ADHD serve as early signals of lifelong physiological strain and how these characteristics are modifiable đ§
âą â
Why is comprehensive sleep and airway care often treated as a "luxury good" rather than a standard of health? đ
âą â
The discussion emphasizes moving from blame to agency, empowering parents with modifiable pathways for their childrenâs growth. đ€
âą â
Key points include the critical role of masticatory competence and diet (Firm, Fresh, Fibrous foods) as well as good breathing in developing the craniofacial respiratory complex. đ
âą â
Experts advocate for a shared narrative-based language across medical and dental silos to prioritize early intervention. đŁïž
âą â
Strategies are discussed as to how to speak to patients, parents, and families in order to help guide them without overwhelming them. đ
âą â AND MORE...
đȘđđđđ đđđ đđđđ đđđđđđđđđ đđ đđđđ»đđđ đđ đđđ đđ đđđđ đđđđđđđđ đđđ
đđđđ đđđđđđđđđ!Â
đđ đđšđźđđźđđ: https://youtu.be/pb-fnF6nCpo
đđ§ đđźđđąđš: https://airwayanswers.buzzsprout.com/2408017/follow
_______________
ABOUT OUR GUESTS:Â
Dr. Kevin Boyd, DDS, MSc, is a pediatric dentist and researcher in Chicago. An instructor at Lurie Childrenâs Hospital, he specializes in evolutionary medicine, focusing on how early childhood feeding and the craniofacial-respiratory complex impact long-term health, sleep, and breathing.
Dr. Dave McCarty is a board-certified sleep specialist and Chief Medical Officer of Reebus Health. An award-winning educator, he created the Empowered Sleep Apnea project to simplify complex sleep-wake disorders through patient-centered public education and shared clinical language.
Dr. Stefan Decker is a German orthodontic and dentofacial orthopedic specialist. As Director of the Orthodontic Specialist Academy, he focuses on early preventative care, holistically connecting breathing, teeth, and function to optimize development and airway health.
_______________
ABOUT THE HOST:Â
Nicole Goldfarb, M.A. CCC, SLP-COMÂź, is a speech-language pathologist, certified orofacial myologist, and international speaker. An author and owner of San Diego Center For Speech Therapy, she specializes in myofunctional therapy to treat sleep-disordered breathing and airway issues.
 _________________Â
đ§đđźđđŹđđ«đąđđ đđš đđźđđąđš đđšđđđđŹđ: https://airwayanswers.buzzsprout.com/2408017/followÂ
đ»đđĄđđđ€ đšđźđ đšđźđ« đđđđŹđąđđđŹ: www.AirwayAnswers.infoÂ
đ»đđĄđđđ€ đšđźđ đšđźđ« đđđđŹđąđđđŹ: www.SanDiegoCenterForSpeechTherapy.comÂ
đ©đđŠđđąđ„: [email protected]Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đ
đđđđđšđšđ€: https://www.facebook.com/profile.php?id=61565074499503Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đđ§đŹđđđ đ«đđŠ: https://www.instagram.com/sandiegospeechandmyotherapy/
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đđąđ€đđšđ€: https://www.tiktok.com/@airway.answers
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
đ Episode Summary
âą â The discussion explores how a tongue-tie can be a complex medical condition affecting breathing, sleep, speech and feeding, rather than just a dental issue.
âą đŠ· Experts identify critical red flags, including bedwetting, snoring, slow eating, and mouth breathing as primary functional indicators. Â
âą đ Evaluating for compensations is a necessary component to differentiate whether a frenum is restricted or not in children and adults.
âą đ§ Modern protocols emphasize using CBCT for adult risk assessment and sucrose water for infant pain management during procedures.
⹠⚠Long-term success requires a "team approach," integrating myofunctional therapy pre- and post-release to establish correct oral rest posture rather than treating the release as a standalone solution .
âŁđȘđđđđ đđđ đđđđ đđđđđđđđđ đđ đđđđ»đđđ đđ đđđ đđ đđđđ đđđđđđđđ đđđ đđđđ đđđđđđđđđ!Â
đđ đđšđźđđźđđ (đđźđ„đ„ đđ©đąđŹđšđđ): https://youtu.be/BspphJE0u0U
đđ§ đđźđđąđš: https://airwayanswers.buzzsprout.com/2408017/followÂ
_________
ABOUT OUR GUESTS:
Dr. Soroush Zaghi is a board-certified ENT, sleep surgeon, and founder of The Breathe Institute. A leading researcher, he redefined tongue-tie as an airway-centered medical condition, advancing evidence-based surgical techniques and interdisciplinary collaboration to improve global sleep and breathing outcomes.
Dr. Richard Baxter is a dentist and author of Tongue-Tied, translated into 12 languages. As owner of the Alabama Tongue-Tie Center, he utilizes a functional, patient-centered approach focusing on airway health and metabolic factors to shape global protocols.
__________
ABOUT THE HOST:Â Nicole Goldfarb, M.A. CCC, SLP-COMÂź, is a speech-language pathologist, certified orofacial myologist, and host of Airway Answers. She owns the San Diego Center For Speech Therapy, specializing in myofunctional therapy to help treat sleep-disordered breathing and restore proper oral function.
 ___________Â
đ§đđźđđŹđđ«đąđđ đđš đđźđđąđš đđšđđđđŹđ: https://airwayanswers.buzzsprout.com/2408017/followÂ
đ»đđĄđđđ€ đšđźđ đšđźđ« đđđđŹđąđđđŹ: www.AirwayAnswers.infoÂ
đ»đđĄđđđ€ đšđźđ đšđźđ« đđđđŹđąđđđŹ: www.SanDiegoCenterForSpeechTherapy.comÂ
đ©đđŠđđąđ„: [email protected]Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đ
đđđđđšđšđ€: https://www.facebook.com/profile.php?id=61565074499503Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đđ§đŹđđđ đ«đđŠ: https://www.instagram.com/sandiegosp
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
KEY POINTS:
â
Dr. Movahed explains how Maxillomandibular Advancement (MMA) surgery offers an 86% success rate for curing obstructive sleep apnea. đŹïž
â
Drug-Induced Sleep Endoscopy (DISE) is presented as an essential diagnostic for visualizing real-time airway collapse and optimizing surgical outcomes. đč
â
The discussion explores the move toward MARPE and segmental expansion, while emphasizing that anteroposterior (AP) advancement typically trumps transverse width for airway success. đŠ·
â
A remarkable case involving a seven-year-old illustrates the life-saving potential of total joint replacement in treating severe pediatric apnea. đ¶
â
Collaboration with myofunctional therapists is vital for long-term functional stability and preventing surgical relapse. âš
â
The upcoming "Winds of Change" conference will further explore multidisciplinary airway protocols
âŁđȘđđđđ đđđ đđđđ đđđđđđđđđ đđ đđđđ»đđđ đđ đđđ đđ đđđđ đđđđđđđđ đđđ đđđđ đđđđđđđđđ!Â
đđ đđšđźđđźđđ (đđźđ„đ„ đđ©đąđŹđšđđ): https://youtu.be/D-uV7zpgrYk
đđ§ đđźđđąđš: https://airwayanswers.buzzsprout.com/2408017/followÂ
_________
ABOUT OUR GUEST:Â
Dr. Movahed is a skilled Oral and Maxillofacial Surgeon, bringing his expertise to patients across the greater St. Louis region, San Francisco Bay area, and beyond. With a focus on treating dentofacial deformities and obstructive sleep apnea, he specializes in corrective jaw surgery, temporomandibular joint procedures, and combined orthognathic and TMJ surgeries. He is a Clinical Assistant Professor at Saint Louis Universityâs Department of Orthodontics. He is also a prolific writer with contributions to numerous chapters and scientific articles. He is also a coauthor of a textbook focusing on treatments for sleep apnea and dentofacial conditions. Dr. Movahedâs patients are consistently amazed by his clinical and compassionate bedside manner. His friendly and approachable personality instantly puts them at ease, fostering an environment of trust and open communication. With his extensive experience and warm demeanor, Dr. Movahed is dedicated to delivering the highest quality of care, ensuring that each patientâs unique needs are met with personalized attention and skillful expertise.
***WINDS OF CHANGE CONFERENCE 2026: https://windsofchangeconference.net/
__________
ABOUT THE HOST:Â
Nicole Goldfarb, M.A. CCC, SLP-COMÂź, is a speech-language pathologist, certified orofacial myologist, and host of Airway Answers. An author and speaker, she owns the San Diego Center For Speech Therapy, specializing in myofunctional therapy to treat sleep-disordered breathing and restore proper airway function.
 ___________Â
đ§đđźđđŹđđ«đąđđ đđš đđźđđąđš đđšđđđđŹđ: https://airwayanswers.buzzsprout.com/2408017/followÂ
đ»đđĄđđđ€ đšđźđ đšđźđ« đđđđŹđąđđđŹ: www.AirwayAnswers.infoÂ
đ»đđĄđđđ€ đšđźđ đšđźđ« đđđđŹđąđđđŹ: www.SanDiegoCenterForSpeechTherapy.comÂ
đ©đđŠđđąđ„: [email protected]Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đ
đđđđđšđšđ€: https://www.facebook.com/profile.php?id=61565074499503Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đđ§đŹđđđ đ«đđŠ: https://www.instagram.com/sandiegosp
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
đ đđ©đąđŹđšđđ đđźđŠđŠđđ«đČđ
â
How can early intervention transform the lives of children with Down syndrome? đ¶
â
The episode explores oral sensory motor therapy as a vital foundation for speech clarity and safe feeding. đœïž
â
Discussion focuses on identifying red flags like hypotonia and "relative macroglossia," where the tongue appears large in a small oral cavity. đ
â
The interview highlights the success of family-centered programs using Talk Tools to build jaw stability and "wake up" oral muscles. đ§
â
Integration with orthodontic expansion is crucial for airway health and creating necessary tongue space. đŠ·
â
Experts emphasize that OSM work is a necessary, lower-level precursor to higher-level myofunctional therapy. âš
đȘđđđđ đđđ đđđđ đđđđđđđđđ đđ đđđđ»đđđ đđ đđđ đđ đđđđ đđđđđđđđ đđđ
đđđđ đđđđđđđđđ!Â
đđ đđšđźđđźđđ (đđźđ„đ„ đđ©đąđŹđšđđ): https://youtu.be/HQ3HGgdtE90
đđ§ đđźđđąđš: https://airwayanswers.buzzsprout.com/2408017/follow
_______________
ABOUT OUR GUEST:Â
Heather Vukelich, MS, CCC-SLP, is an ASHA-certified Speech-Language Pathologist, Feeding Specialist, and certified TalkToolsÂź Instructor with nearly two decades of experience serving infants and young children with Down syndrome and complex orofacial needs. She works from offices in Paso Robles and Danville, California, and is widely known for her practical, family-centered approach to oral sensory-motor development, feeding, breathing, and early communication. Heather trains therapists worldwide, teaches large-scale virtual parent education courses, and collaborates closely with pediatric dentists, orthodontists, ENTs, and airway specialists to support children with hypotonia, feeding challenges, and developmental delays. In this episode of Airway Answers, Heather shares the real-world strategies, therapy foundations, and clinical pearls she uses every day to support children with Down syndrome â including how to build oral motor strength, improve sensory regulation, establish safer and more efficient feeding skills, and optimize breathing and airway development from infancy through early childhood.
https://happykidstherapy.com/
_______________
ABOUT THE HOST:Â
Nicole Goldfarb, M.A. CCC, SLP- COMÂź is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. She has completed numerous presentations on orofacial myofunctional therapy as it relates to sleep-disordered breathing in both children and adults. She is the author of a 2023 article in Dental Sleep Practice Magazine âWhy Every Dentist and Orthodontist Should Have an Orofacial Myofunctional Therapist on Their Teamâ, and she also wrote an article for Sleep World Magazine for sleep MDs, respiratory technicians, and other sleep specialists titled âHelping to Restore Proper Rest: How orofacial myofunctional therapy can aid in the treatment of sleep-disordered breathingâ. She is also the author of a two-part chapter on orofacial myofunctional therapy in a medical textbo
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
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đčđđđ đđąđĄ âđđ€ đŠđđą đđ đ đđđĄđđđđĄ đđ đ đđđđĄđđ đđ đđđđđđđ đ đđđđđđđđ đĄ đđđ âđđđ đđđĄ đĄâđ đđđđđđđĄ đđđđđđđ đđ đđđ đĄâđđ đđđĄđđ đđŁđđđđđđđđ đđđđđđĄđđđ.
âŁ
Some Key Points Discussed in This Episode:
âŁ
â
The central topic is đ§đđ«đđšđ„đđ©đŹđČ, defined as a neurological sleep disorder and a 24/7 disorganization of the sleep and wake cycle.
âŁ
â A primary question explored how narcolepsy is diagnosed, differentiating between đđČđ©đ đ (with cataplexyâthe abrupt onset of muscle weakness) and đđČđ©đ đ (without cataplexy).
âŁ
đŠ· The conversation emphasizes the đ«đšđ„đ đšđ đđđ§đđđ„ đđ§đ đđąđ«đ°đđČ đ©đ«đšđđđŹđŹđąđšđ§đđ„đŹ in identifying early warning signs, especially due to high comorbidity rates with sleep apnea (25% to 55%, possibly higher in specialized practices).
âŁ
đ§ Causes involve a genetic component (loss of the đđ«đđ±đąđ§ đ§đđźđ«đšđđ«đđ§đŹđŠđąđđđđ«, particularly in Type 1) often triggered by an environmental hit.
âŁ
đ Treatment options include pharmaceutical agents (stimulants, wake promoting agents, nighttime medications) and non-pharmaceutical strategies like đŹđđ«đąđđ đŹđ„đđđ©-đ°đđ€đ đđČđđ„đđŹ đđ§đ đŹđđ«đđđđ đąđđđ„đ„đČ đ©đ„đđđđ đ§đđ©đŹ.
âŁ
đ¶ In children, narcolepsy can be đŠđąđŹđđđ€đđ§ đđšđ« đđđđ đšđ« đđđ©đ«đđŹđŹđąđšđ§, often presenting as hyperactivity or the re-entrance of required naps.
âŁ
đȘđđđđ đđđ đđđđ đđđđđđđđđ đđ đđđđ»đđđ đđ đđđ đđ đđđđ đđđđđđđđ đđđ
đđđđ đđđđđđđđđ!Â
đđ đđšđźđđźđđ (đđźđ„đ„ đđ©đąđŹđšđđ): https://youtu.be/M_badw2OPagÂ
________
ABOUT OUR GUEST:Â
Maggie Lavender is a Board-Certified Family Nurse Practitioner licensed in Texas with specialization in Sleep Disorders Medicine and Neurology. She attended Louisiana State University Health Sciences Center, where she received her Bachelor of Science in Nursing. She began her career working in a pediatric intensive care and burn unit. She later moved to Houston, Texas and continued her career in a neuroscience intensive care unit at a level one trauma center. She then completed her Master of Science in Nursing and Post-Masterâs Emergency Nurse Practitioner Certificate simultaneously at the University of Texas Health Science Center. Her Nurse Practitioner career began in Houston, Texas at Comprehensive Sleep Medicine Associates (CSMA) alongside Dr. Jerald Simmons, beginning in 2012. She briefly moved to Pittsburgh and provided care at an Internal Medicine Practice before moving back to The Woodlands, Texas. She is currently practicing again at CSMA and is specializing in comprehensive sleep disorders, neurology, and epilepsy. Maggie has evolved to be a recognized Nurse Practitioner specialist on an international level, and currently functions as a published author, consultant and lecturer on the management of patients with narcolepsy and other sleep disorders. Maggie is the President and Founder of Sleep Medicine Advanced Practice Providers (SMAPP) Foundation. It is the first and only non-profit APP led organization to provide education, expert training, networking and empowerment to all Advanced Practice Providers in the field of sleep Medicine.
_______
ABOUT THE HOST:Â
Nicole Goldfarb, M.A. CCC, SLP- COMÂź is a Speech-Language Pathologist, Certified Orofacial Myologist
â ïžđđđđđđđđđđ: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers 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
_________
Some insights from this interview:
 â Holistic Perspective: Dr. Decker emphasizes that orthodontics must connect breathing, teeth, function, and development; ignoring underlying issues leads to relapse.
đ Early Intervention:
He champions interceptive
treatment starting as early as age four because growth can be guided
easily, providing huge opportunities compared to struggling with complex adult
cases.
đ Signs vs. Symptoms:
Dentists must look for the "smoke" (early signs like lack of primate
gaps or mouth breathing) to prevent the "fire" (adult destruction and
severe malocclusion).
đ Function is Retention: All orthodontic
patients need a functional assessment (OMT). Success hinges on creating adequate space for the
tongue and facilitating nasal breathing, which leads to better behavior,
health, and stability.
đ§ Case Insight:
Expanding the palate in a Down syndrome patient resulted in improved hearing,
better speech, and the cessation of snoring.
_________
âŁđȘđđđđ đđđ đđđđ đđđđđđđđđ đđ đđđđ»đđđ đđ đđđ đđ đđđđ đđđđđđđđ đđđ
đđđđ đđđđđđđđđ!Â
đđ§ đđźđđąđš: https://airwayanswers.buzzsprout.com/2408017/followÂ
đđ đđšđźđđźđđ (đđźđ„đ„ đđ©đąđŹđšđđ): https://youtu.be/T8h0r1DUeWI
__________
ABOUT OUR GUEST:
Dr Steffen has been an Orthodontic Specialist since 2012. He completed his primary dental training and his specialist training in Germany, Switzerland and the US. Dr Steffen is highly trained and experienced in early interceptive orthodontic treatment (from as young as 4). He considers the whole patient development throughout his treatment and connects the dots between breathing, teeth, function and development. In getting the structure of the arch organized at an early age, we can improve breathing, the risk of teasing at school or traumatic damage to the teeth is greatly reduced.He is one of the worldâs leading Clear Aligner providers in children and lingual orthodontists having treated over 1300 lingual orthodontic patients and has served as a member of the Global Advisory Board for 3M and Align Technology and has been their Clinical Advisor for Western Europe for 3M.He is the Director of the Orthodontic Specialist Academy. Dr Steffen was an Official Invisalign Clinical Speaker, lecturing worldwide and is now a KOL for Angel Align. Dr. Decker is as well the first and only Kois Recognized Specialist in the UK and John Kois Scientific Advisor for Orthodontics and Airway.
_________
ABOUT THE HOST:Â
Nicole Goldfarb, M.A. CCC, SLP-COMÂź is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. Â
_________________Â
đ§đđźđđŹđđ«đąđđ đđš đđźđđąđš: https://airwayanswers.buzzsprout.com/2408017/followÂ
đ»đđĄđđđ€ đšđźđ đšđźđ« đđđđŹđąđđ: www.AirwayAnswers.infoÂ
đ©đđŠđđąđ„: [email protected]Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đ
đđđđđšđšđ€: https://www.facebook.com/profile.php?id=61565074499503Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đđ§đŹđđđ đ«đđŠ: https://www.instagram.com/sandiegospeechandmyotherapy/
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đđąđ€đđšđ€: https://www.tiktok.com/@
â ïžđđđđđđđđđđ: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers 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
â
đżđ§đđ«đđŁ đđź đđđđ§ đŹđđ©đ đ©đđ đđđđ©đ đ€đ đ đđ€đ€đ đđ§đđđŁđ đđ© đđđ 47 đ©đ€ đ©đđ đŁđđđ§ đđđđ©đ đ€đ đ đđ€đĄđĄđđđđȘđâđš đđȘđšđđđŁđ, đđ€đ©đ đđ§đ€đą đȘđŁđ©đ§đđđ©đđ đšđĄđđđ„ đđ„đŁđđ, đżđ§. đđ€đ đ€đĄđđŁđ đ©đđĄđĄđš đđđ§ đšđ©đ€đ§đź đđŁđ đđđ§ đđŁđšđ„đđ§đđ©đđ€đŁ đđ§đ€đą đŹđ§đđ©đđŁđ đ©đđ đȘđ„đđ€đąđđŁđ đđ€đ€đ đ©đđ©đĄđđ đœđ§đđđ©đđĄđđšđš đŒđŹđđ đđŁđđŁđ.Â
đđšđŠđ đąđŠđ©đšđ«đđđ§đ đđšđ©đąđđŹ đđšđŻđđ«đđ đąđ§ đđĄđąđŹ đąđ§đđđ«đŻđąđđ°:
đđđ«. đđšđ€đđ„đąđ§đ'đŹ đđąđŹđŹđąđšđ§: Her book is a family drama/medical mystery promoting alternatives to CPAP, which has a pre-launch starting October 6. Dr. Sokolina aims to promote healthier breathing and rid the world of sleep issues.Â
âą đŠ· đđ«đźđ±đąđŹđŠ & đđźđđ«đđŹ: Night guards are not enough; holistic care must address the underlying causes of bruxism, often sleep disturbances or the search for emotional/physical balance. Myofunctional therapy is a crucial component of this balance.
âą đ©ââïž đđđ«đđđ§đąđ§đ : Dentists should screen all patients by looking for obvious signs of sleep disordered breathing, including broken teeth, large tonsils, thick nasal sides, and acid reflux clues.
âą đ§Ș đđđŁđđđđąđŻđ đđđđ: Microbiome saliva testing offers objective data to explain systemic connections, like inflammation and predisposition for Alzheimerâs or sleep apnea, to patients.
âą đ đđšđ„đ„đđđšđ«đđđąđšđ§: A major hope is to bridge the communication gap between the "dental planet" (dentists, myofunctional therapists) and the "sleep physician planet" (medical professionals).
âŁđȘđđđđ đđđ đđđđ đđđđđđđđđ đđ đđđđ»đđđ đđ đđđ đđ đđđđ đđđđđđđđ đđđ đđđđ đđđđđđđđđ!Â
đđ§ đđźđđąđš: https://airwayanswers.buzzsprout.com/2408017/followÂ
đđ đđšđźđđźđđ (đđźđ„đ„ đđ©đąđŹđšđđ): https://youtu.be/gcK195412Sk
__________
ABOUT OUR GUEST:
Dr. Maria Sokolina, founder and CEO of Harmony Dental Arts, promotes health through sound sleep and breathing. A NYU-trained dentist specializing in dental sleep medicine, implants, and cosmetics, she authored Breathless Awakening. Practicing in Manhattan and Clifton, sheâs a speaker, educator, and advocate connecting patients and experts worldwide.
_________
ABOUT THE HOST:Â
Nicole Goldfarb, M.A. CCC, SLP-COMÂź is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. Â
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đ§đđźđđŹđđ«đąđđ đđš đđźđđąđš: https://airwayanswers.buzzsprout.com/2408017/followÂ
đ»đđĄđđđ€ đšđźđ đšđźđ« đđđđŹđąđđ: www.AirwayAnswers.infoÂ
đ©đđŠđđąđ„: [email protected]Â
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đšđ„đ„đšđ° đźđŹ đšđ§ đ
đđđđđšđšđ€: https://www.facebook.com/profile.php?id=61565074499503Â
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đšđ„đ„đšđ° đźđŹ đšđ§ đđ§đŹđđđ đ«đđŠ: https://www.instagram.com/sandiegospeechandmyotherapy/
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đšđ„đ„đšđ° đźđŹ đšđ§ đđąđ€đđšđ€: https://www.tiktok.com/@airway.answers
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
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đłđđđđ đđđ đđđđđ đđđđ đ»đđđđđđđđđđ đđ đđ đđđđ đđđđđđđđđ đđđđ đđ-đđđđđ
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đđđđđđ đ«đ. đČđđđđ đŻđđđ.
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 đđđČ đđšđąđ§đđŹ đšđ đđąđŹđđźđŹđŹđąđšđ§:
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đđĄđ đđąđŹđŹđąđšđ§ đšđ đđšđšđđĄđ©đąđ„đ„đšđ°: Toothpillow can be described as, âYour virtual airway dentistsâ. Toothpillowâs philosophy is "preventing problems, saving lives" đ, with the specific mission to đ«đąđ đđĄđ đ°đšđ«đ„đ đšđ đŹđ„đđđ© đđąđŹđšđ«đđđ«đđ đđ«đđđđĄđąđ§đ . The core belief is that "We have to start getting it right for our kids".Â
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đđđđąđ§đąđđąđšđ§: Toothpillow is defined as a đŻđąđ«đđźđđ„ đđđ§đđđ„ đšđđđąđđ đ» specializing in tele-dentistry and airway screening; it is a program, not a proprietary appliance.
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đđ«đđđđŠđđ§đ đđšđđđ„đąđđČ: The program uses đ đźđąđđđ§đđ đđ©đ©đ„đąđđ§đđđŹ (such as Vivos Guides and Myobrace) which are described as low-cost, removable habit correctors for growing mouths.
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đđšđ„đąđŹđđąđ đđđ«đ: Success requires đđšđ„đ„đđđšđ«đđđąđŻđ, đĄđšđ„đąđŹđđąđ đđđ«đ. đŽđđđđđđđđđđđđ đđđđđđđ đđ đđđđđđđđđ đđđ
đđđđđđ đđđđđđđđđ
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đ đđđđđđđđđ đđđđ.Â
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đđđđ„đ & đđđđđŹđŹ: Toothpillow screens over 2,000 children monthly and recently hit the milestone of đđ,đđđ đđĄđąđ„đđ«đđ§ đąđ§ đŻđąđ«đđźđđ„ đđ«đđđđŠđđ§đ. Case submission for assessment is free.
âŁ
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đđđ§đąđđ„ đđ§đ đđđŻđđ«đąđđČ: Over 50% of submissions for older children (ages 10â12) are denied virtual care because their conditions require more aggressive expansion and in-office oversight.
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đđ«đšđ đ«đđŠ đđšđ đąđŹđđąđđŹ: Treatment involves đđ đŠđšđ§đđĄđŹ đšđ đŻđąđ«đđźđđ„ đšđŻđđ«đŹđąđ đĄđ for approximately $2,000, utilizing a HIPPA compliant app for communication and required check-ins. A pediatric sleep physician is also available for consultations.
đȘđđđđ đđđ đđđđ đđđđđđđđđ đđ đđđđ»đđđ đđ đđđ đđ đđđđ đđđđđđđđ đđđ đđđđ đđđđđđđđđ!Â
đđ đđšđźđđźđđ (đđźđ„đ„ đđ©đąđŹđšđđ): https://youtu.be/bCyvFNTygNs
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ABOUT OUR GUEST:Â
Dr. Kalli Hale is passionate about how our teeth affect our systemic health. Her training in obstructive sleep apnea has transformed both her personal and professional career. Dr. Hale works with dentists around the country to develop clinical protocols for the treatment of mild to moderate obstructive sleep apnea and sleep-disordered breathing. Her work in pediatric expansion and sleep-disordered breathing catapulted her speaking career and lives by the slogan âwe have to start getting it right, for our kids.â Kalli is the co-founder and Chief Clinical Officer of The Airway Dentists, a group of practices in Houston dedicated to ridding the world of sleep-disordered breathing." Kalli is a proud founder and the Chief Dental Officer for Toothpillow, Inc.!Â
www.theairwaydentists.com
www.toothpillow.com Â
INSTAGRAM: @theairwaycentereddentist
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ABOUT THE HOST:Â
Nicole Goldfarb, M.A. CCC-SLP, COMÂź, is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. She specializes in orofacial myofunctional therapy and sleep-disordered breathing, contributing to professional journals, textbooks, and a childrenâs book series. She owns San Diego Center for Speech & Myofunctional Therapy and mentors clinicians worldwide.
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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
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Dr. Yousefian is an Orthodontist specializing in airway techniques to assist in the treatment of sleep apnea and other airway issues. đŹïžThe profound interview covers the following topics, and moređ„:
â A review of a variety of expansion techniques on the upper and lower jaws.
â The concepts of âtelodonticsâ and âtelegnathicsâ represent an orthodontic paradigm focusing on non-restrictive expansion of jaws and teeth for airway health. đŹïžThis approach contrasts with traditional methods that may retract jaws and teeth and compromise breathing. âŹïž
â A variety of ways to expand the mandible in order to achieve more meaningful expansion on the upper jaw as well as address other areas of airway deficiency. Mandibular expansion techniques like DAME (Distraction Assisted Mandibular Expansion) surgically widen the lower jaw in adults, which can significantly enhance the effectiveness of maxillary expansion for treating sleep apnea. đ ïž Addressing the mandible in children is also extremely important and dental uprighting on the lower arch can allow more expansion on the upper.
â The APNO TX appliance is a versatile tool used during treatment for TMJ, bruxism, snoring, and sleep apnea management. đ
â This interdisciplinary philosophy bridges dentistry and medicine, providing comprehensive solutions for complex airway issues. đĄ
đȘđđđđ đđđ đđđđ đđđđđđđđđ đđ đđđđ»đđđ đđ đđđ đđ đđđđ đđđđđđđđ đđđ đđđđ đđđđđđđđđ!Â
đđ đđšđźđđźđđ (đđźđ„đ„ đđ©đąđŹđšđđ): https://youtu.be/xlnxD_Sme1E
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ABOUT OUR GUEST: Dr. Joseph Yousefian, D.M.D, M.S, is a board-certified orthodontist in Bellevue, Washington, specializing in airway-focused orthodontics and dental sleep medicine. A Diplomate of both the American Board of Orthodontics and the American Board of Dental Sleep Medicine, he pioneered Teledontics and Telegnathics, innovative methodologies for treating temporomandibular disorders, obstructive sleep apnea, and complex craniofacial issues. Educated at Washington University and Ohio State University, he has published over 30 scientific articles and textbook contributions, lectures internationally, and has received numerous awards, including the American Association of Orthodontists Award of Special Merit, for advancing orthodontic prevention, diagnostics, and treatment.
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ABOUT OUR HOST: Nicole Goldfarb, M.A. CCC, SLP- COMÂź is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy and serves as a mentor and consultant in the field of OMT.Â
 _________________Â
đ»đđĄđđđ€ đšđźđ đšđźđ« đđđđŹđąđđ: www.SanDiegoCenterForSpeechTherapy.comÂ
đ©đđŠđđąđ„: [email protected]Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đ
đđđđđšđšđ€: https://www.facebook.com/profile.php?id=61565074499503Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đđ§đŹđđđ đ«đđŠ: https://www.instagram.com/sandiegospeechandmyotherapy/
 đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đđąđ€đđšđ€: https://www.tiktok.com/@airway.answersÂ
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 part 2 episode delves into non-anatomical factors causing airway collapse and resistance. đŹïž
Some Key Topics:
â
Understanding the Pcrit, what is normal, the goal of therapy in terms of the ideal Pcrit, and what causes specific amounts of changes to the Pcrit including oral appliances, nose breathing, weight loss, etc.
â
The primary non-anatomical triad includes arousal threshold, loop gain, and muscle recruitment. đ§ đȘ
â
These physiological contributors upregulate the sympathetic nervous system, leading to inflammation and mitochondrial dysfunction. đ„
â
Effective treatment requires a multi-therapy approach, as monotherapy is often insufficient to address all contributing factors. đ ïž
â
Understanding these elements is key for comprehensive sleep-disordered breathing management. đĄ
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ABOUT OUR GUEST:Â
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.
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ABOUT THE HOST:Â
Nicole Goldfarb, M.A. CCC, SLP- COMÂź is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy and serves as a mentor and consultant in the field of OMT.Â
 _________________Â
đ»đđĄđđđ€ đšđźđ đšđźđ« đđđđŹđąđđ: www.SanDiegoCenterForSpeechTherapy.comÂ
đ©đđŠđđąđ„: [email protected]Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đ
đđđđđšđšđ€: https://www.facebook.com/profile.php?id=61565074499503Â
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đđ§đŹđđđ đ«đđŠ: https://www.instagram.com/sandiegospeechandmyotherapy/
đđ
đšđ„đ„đšđ° đźđŹ đšđ§ đđąđ€đđšđ€: https://www.tiktok.com/@airway.answers
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Nicole Goldfarb is a Speech-Language Pathologist & Certified Orofacial Myologist, providing information through "Airway Answers with Nicole Goldfarb". She interviews professionals in the fieldâŠ

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