AIRWAY CENTRIC

Airway , Breathing and Sleep

A Collaborative Approach

AAPMD.ORG

AAPMD.ORG

Airway , Breathing and Sleep

A Collaborative Approach

AIRWAY CENTRIC

AIRWAY CENTRIC™

DENTISTRYA New Paradigm

AIRWAY CENTRIC™ DENTISTRY

GNYDM –Michael Gelb DDS,MS

AIRWAY CENTRIC ™

AIRWAY RESTORATIVE DENTISTRY

AIRWAY CENTRIC ™ ORTHODONTICS

Michael L. Gelb DDS,MS

AIRWAYCENTRIC ™

Gel-B™

Gelb 4/7TM

Airway Restorative

THE DILEMNA

• Kids with learning disabilities, ADHD,Autism

• Surge in Obesity and Diabetes

• Surge in Allergies

• Headaches, Neck Pain

• Increase in OSA, CV disease, Obesity

• Dementia. Alzheimers

AIRWAY CENTRIC

ANSWERS- EPIGENETICS

• Bulldog- narrowed airways and epigenetics

• Diet and Sugar –Lustig

• Mercury,Lead,Heavy metal toxicity

• Toxins in air, water,food and work/home envir

• Too many meds

• Vitamin and Mineral deficiency

• Increased inflammation

• Stress and sympathetic tone

• Get off the couch

PHYLOGENY

• Descended epiglottis

• Floating hyoid with no strut

• Flexible pharynx

• Upright posture

• Large brain

• Flat face

AIRWAY CENTRIC TODD MORGAN AND

JOHN REMMERS

DESCENDING EPIGLOTTIS

AIRWAY CENTRIC

BIRTH – 6 MONTHS

AIRWAY CENTRIC BRAIN PALMER

6-12 MONTHS

AIRWAY CENTRIC BRIAN PALMER

AIRWAY CENTRIC

HEAD TO TOE

HEAD TO TOE

DANIEL LIEBERMAN TRACKS THE EVOLUTION OF THE

HUMAN HEAD.

HEAD TO TOE

DANIEL LIEBERMAN TRACKS THE EVOLUTION

OF THE HUMAN HEAD.

EPIGENETICS IN

EVOLUTION AND DISEASE

AIRWAY CENTRIC

FREE FLOATING HYOID

AIRWAY CENTRIC

AIRWAY CENTRIC

AIRWAY CENTRIC

MORGAN AND REMMERS

AIRWAY CENTRIC

The

AirwayCentric™

TEAM

Non-Retractive

ORTHODONTICS

ORTHODONTIC

ORTHOPEDIC

EXPANSION

PEDIATRIC

DENTISTRY

SLEEP

DISORDERS

Pediatrics to

Geriatrics

STRESS

REDUCTION

PEDIATRIC

SLEEP

MEDICINE

LITERACY

and BRAIN

DEVELOPMENT

OROFACIAL

MYOFUNCTIONAL

THERPAY

BREATHING

OBESITY and

METABOLIC

SYNDROME

BREATHING

and MYO-

FUNCTIONAL

THERPAY

AIRWAY

RESTORATION

And

Prevention

BIOBLOC

ORTHOTROPICS

PHYSICAL

THERAPY

MYOFACIAL

REEDUCATION

Pediatric Sleep

Disorders

AIRWAY CENTRIC

TONGUE AND JAW DROPPING

AIRWAY CENTRIC

AIRWAYCENTRICTMA NEW PARADIGN

• Collaborative care for Wellness

• Teamwork and Endothelial Dysfunction

• Work together to Alleviate Fatigue

• Sharp Again Naturally –Memory

• The Wrong Deficit-ADHD, Neurobehavioral

• Multidisciplinary- Obesity

• SDB – Bedwetting and Night terrors

• Airway and Headache

• Dentistry to Thrive

The

AirwayCentric™

TEAM

Non-Retractive

ORTHODONTICS

ORTHODONTIC

ORTHOPEDIC

EXPANSION

PEDIATRIC

DENTISTRY

SLEEP

DISORDERS

Pediatrics to

Geriatrics

STRESS

REDUCTION

PEDIATRIC

SLEEP

MEDICINE

LITERACY

and BRAIN

DEVELOPMENT

OROFACIAL

MYOFUNCTIONAL

THERPAY

BREATHING

OBESITY and

METABOLIC

SYNDROME

BREATHING

and MYO-

FUNCTIONAL

THERPAY

AIRWAY

RESTORATION

And

Prevention

BIOBLOC

ORTHOTROPICS

PHYSICAL

THERAPY

MYOFACIAL

REEDUCATION

Pediatric Sleep

Disorders

HISTORY

• Evolution of the Jaws- EpiGenetics

• History of dentistry and orthodontics

• Centric relation

• Gelb 4/7

• Dr Harold Gelb 1947 Tufts Dental – 2013

• Dr Michael Gelb 1982 Columbia Dental

NYU 1989-2013

AIRWAY CENTRIC

PRIMITIVE JAW VS MODERN JAW PALMER

AIRWAY CENTRIC

Primitive Jaw: Larger, wider – bigger was better!

Modern Jaw: Narrow arch

The modern jaw = narrow

The primitive jaw = wide

The modern jaw = narrow