January 06, 2026

Your Patient’s Face Might Be Causing Their Sleep Problem with Dr Dave Singh – PDP253

1 hour 10 minutes

Can adults really expand their maxilla?

Is treating sleep apnea with a CPAP or mandibular advancement device only MASKING the problem?

How does craniofacial anatomy influence airway health, and what should dentists look for?

Dr. Dave Singh joins us to dive into CranioFacial Sleep Medicine. He breaks down how structural issues—like a narrow maxilla, high-arched palate, or limited tongue space—can be root causes of sleep-disordered breathing, rather than just treating symptoms.

The episode also touches on controversies in orthodontics and presents evidence supporting interventions once thought impossible in adults.

https://youtu.be/WUyeOjKquJU

Watch PDP253 on Youtube

Protrusive Dental Pearl: Obstructive Sleep Apnea is NOT just a “fat old man disease.” If you’re not screening every patient for sleep and airway issues, you’re missing a huge piece of their overall health. Snoring, bruxism, and craniofacial anatomy are all connected, and understanding these links can transform the way you approach patient care.

Key Takeaways:

Mandibular advancement appliances are not a universal solution. While effective for some patients, they often fail to address the underlying causes of airway collapse.

Craniofacial sleep medicine focuses on airway etiology, not just symptom control, by identifying why the mandible, tongue, and airway behave as they do during sleep.

The cranial base plays a foundational role in facial growth, jaw position, and airway size, directly influencing sleep apnea risk.

A retruded mandible is frequently due to developmental and epigenetic factors, rather than being an isolated mandibular issue.

Sleep apnea has multiple endotypes—including craniofacial, neurologic, metabolic, and myopathic—requiring individualized treatment planning.

Bruxism is not a reliable airway-opening mechanism and may be a primitive physiological response to hypoxia rather than a protective behavior.

Tooth wear can be an early indicator of sleep-disordered breathing, and should prompt clinicians to screen beyond restorative concerns.

Upper Airway Resistance Syndrome (UARS) can occur even when the apnea-hypopnea index (AHI) is low, particularly in non-obese patients with fatigue, pain, and poor sleep quality.

Palatal expansion should be understood as a 3D craniofacial intervention, aimed at improving nasal airflow and airway function—not merely widening the dental arch.

Effective care depends on an integrated, multidisciplinary approach, involving dentists, orthodontists, sleep physicians, ENTs, and myofunctional therapists.

Youtube Highlights:

00:00 Teaser

01:01 Introduction

02:56 Pearl: Debunking Myths About Sleep Apnea

04:27 Interview with Professor Dave Singh: Journey and Insights

13:23 Craniofacial Development

18:53 Epigenetics and Orthodontic Controversies

25:52 Diagnosis and Treatment of Sleep Apnea

32:49 Understanding Upper Airway Resistance Syndrome

34:17 Midroll

37:38 Understanding Upper Airway Resistance Syndrome

39:45 Diagnosing Sleep Disorders and Treatment Modalities

43:58 Exploring Bruxism and Its Hypotheses

45:19 CPAP and Alternative Treatments for Sleep Apnea

48:12 Managing Upper Airway Resistance Syndrome

55:11 Integrative Approach to Sleep Disorder Management

57:17 Diagnostic Protocols and Imaging Techniques

01:02:25 The Importance of Proper Device Fit and Function

01:07:16 Upcoming Events and Further Learning Opportunities

01:09:56 Outro

✨ Don’t Miss Out: Practical, anatomy-based approaches to sleep and airway management for dentists and specialists

📅 Event: Introduction to Craniofacial Sleep Medicine

📍 Location: Marriott Hotel, London Heathrow

💷 Course Price: £2,495

🐦 Early Bird Registration: £1,996

🎟️ Discount Code: Use “earlybird20” at checkout

🌐 Learn More: Visit REMA Sleep for details on courses, devices, and craniofacial sleep medicine resources.

🚀 Try Protrusive AI aka AskJaz today: Explore clinical reasoning and educational support directly within the Protrusive Guidance App!

If you loved this episode, watch 5 Airway Patients In Your Dental Practice Right Now with Dr Liz Turner – PDP226

#PDPMainEpisodes #OcclusionTMDandSplints #BreadandButterDentistry

This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.

This episode meets GDC Outcome C.

AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Sleep medicine)

Aim: To understand the craniofacial and dental considerations in managing sleep-disordered breathing, including the role of mandibular advancement, palatal expansion, and integrative dental approaches in sleep medicine.

Dentists will be able to –

Describe the craniofacial factors contributing to sleep-disordered breathing and upper airway resistance syndrome (UARS).

Explain the mechanisms, indications, and limitations of mandibular advancement devices and palatal expansion in dental sleep medicine.

Integrate diagnostic findings, craniofacial assessment, and interdisciplinary collaboration to formulate individualized treatment plans for patients with sleep-disordered breathing.

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By Jaz Gulati

4.7

2020 ratings