You’ve spotted the signs—wear, scalloping, fragmentation, maybe even a low AHI—but what does that really mean?
When the data doesn’t match the symptoms, how do you move forward?
And how do you integrate airway into full mouth rehab without compromising function, stability, or predictability?
In this episode, Jaz is joined by Dr. Aston Parmar to explore the real-world application of airway dentistry. They discuss how to help patients own their problem, why sleep testing matters, and how airway influences diagnosis, treatment planning, and long-term outcomes.
https://youtu.be/-zVV1FAT0NI
Watch PDP263 on YouTube
Nasal Breathing and Simple Screening
Nasal airflow can be a major limiting factor in sleep quality.Simple test: flare nostrils → if breathing improves, nasal resistance may be present.Nasal dilators can be a cheap, low-risk intervention for selected patients.Not all patients need mandibular advancement — sometimes the issue is nasal.Second pearl: test snoring improvement by advancing the mandible.If forward positioning reduces snoring sound → mandibular advancement may help.Patients must own their problem before accepting treatmentAirway dentistry is about risk reduction, not cureApnea-Hypopnea Index (AHI) has limitations—context and patterns matter more than raw scoresUpper Airway Resistance Syndrome (UARS) is common but underdiagnosedSleep fragmentation can exist even with low AHI scoresMyofunctional therapy improves compliance and outcomesMulti-night sleep testing provides more accurate insightsCollaboration with ENT specialists improves diagnostic accuracyAirway is the bookend of full mouth rehab (start and end)Dentistry should be airway-sympathetic, not just tooth-focusedMandibular advancement devices are effective but require careful titrationMorning occlusal guides help reduce bite changes from appliancesNot all patients need the same pathway—risk stratification is keyPredictability in dentistry depends on understanding the whole systemThe environment (airway, function, biology) matters more than the teethHighlights of this episode:
00:00 – Introduction to Upper Airway Resistance Syndrome02:08 – Pearl: Nasal Breathing and Simple Screening07:43 – Recap: Myofunctional Therapy and Indications08:30 – Role of Myofunctional Therapy in Treatment Planning09:40 – Patient Communication and Case Acceptance23:20 – Sleep-Disordered Breathing Spectrum23:50 – Apnea vs Hypopnea and Apnea-Hypopnea Index (AHI) Limitations30:00 – Upper Airway Resistance Syndrome (UARS)35:43 – Management of UARS37:00 – Mandibular Advancement Devices (MAD)39:00 – Maxillary Expansion and Surgical Options41:00 – Treatment Pathway and ENT Involvement44:00 – Risk Assessment in Full Mouth Rehab59:30 – Airway-Sympathetic Dentistry01:02:00 – Treatment Philosophy and Case Selection01:07:00 – Airway as Bookends of Treatment01:09:00 – Managing Side Effects of MAD01:12:00 – Career Insight and Final ReflectionsWatch part 1 of this episode: PDP262 – Implementing Sleep, Airway and Myo to Restorative Dentistry Part 1
Also, check out Stop Blaming Bruxism with Dr. Sandra Hulac – PDP142
🦷Master Airway Dentistry in Practice
Join Dr. Aston Parmar’s course on 8th May in Cardiff
Learn how to screen, test, and manage airway patientsUnderstand real-world workflows and patient communicationBuild confidence in integrating airway into your practice👉 Book via: www.dentalsleep.co.uk
🦷 Ergonomics Day – Dentistry Without Back Pain!
Join us Saturday, 13th June, Heathrow with Dr. Anikó Ball, world-leading ergonomics expert! Learn proper posture, positioning, and techniques to prevent back problems while practicing dentistry.
💺 Hands-on workshop with a mobile dental chair
📸 Live camera demo on a big screen
💻 Can’t attend in person? Join online with live stream & replay
🎟 Early bird tickets even include a full event video!
#PDPMainEpisodes #CareerDevelopment #OrthoRestorative
This episode is eligible for 1.25 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcome C
AGD Subject Code: 730 – Oral Medicine, Oral Diagnosis, Oral Pathology
To provide dentists with a practical understanding of airway-focused dentistry, including sleep assessment, risk-based treatment planning, and the integration of airway considerations into full mouth rehabilitation.
Dentists will be able to:
Recognize the limitations of AHI and the importance of sleep fragmentation in diagnosis.Understand the role of myofunctional therapy in improving airway function and treatment outcomes.Apply a risk-based approach when integrating airway considerations into restorative and occlusal treatment planning.