This article is a continuation from an interview with Dr. Richard Roblee, a featured speaker at the 2020 International Airway Symposium. For Part 1, click here. We continue our conversation with Dr. Roblee on his overall philosophy and how airway now fits into his busy orthodontic practice.
When it comes to treatment options for breathing and airway disorders in adults, I like to divide this up into two components. There are patients that can begin treatment that same day, to help deal with their immediate symptoms. Then there are patients that I must begin planning for more long-term and definitive resolutions.
Dr. Richard Roblee is an airway-focused orthodontist that practices in Fayetteville, AR. Dr. Roblee is one of our featured speakers at the 2020 International Airway Symposium. He is also the author of Interdisciplinary Dentofacial Therapy: A comprehensive Approach to Optimal Patient Care. Kelley Richardson, our Airway Curriculum Liaison, sat down with him to discuss his interdisciplinary approach and how Dr. Peter Dawson helped shape his overall philosophy.
Check out our latest whitepaper by Associate Faculty, Dr. Joseph Gaudio, Optimal Airway Allows Us to Thrive.
CBCT's can be helpful not only for evaluating the temporomandibular joints and looking at the cortex and integrity of the bone and joint spacing, but also for airway.
The question comes up, what does airway have to do with TMD or what does TMD have to with airway problems? And the answer is sometimes there's very little overlap, sometimes there's quite a bit of overlap, and sometimes there's total overlap.
So I think that my patient hay have an airway disorder. Where do I start? What are the first steps that need to happen in order to diagnosis and treat this?
Dr. Barry Raphael discuss how many of our dental school and residency orthodoxies are now very different than what was taught. He'll turn your thinking about Sleep Dentistry around, too. Traditionally, in orthodontics we align the teeth first, set the occlusion, get the jaws to balance and match the joints, hope the muscles will follow the form, and see about the airway last (if at all).
One of the things that really keyed us into the fact that airway and breathing disorders are very significant is that we began to see some things from studies that were done overnight that showed that it's very common for patients that have, let's say, sleep apnea, to have an apneic event, and at the end of that event, to have a bruxism episode.
So as we move into the future of complete dentistry, we're going to be finding that we will be doing more and more integration of airway disorders into our treatment planning and even into solving occlusal problems.
So for example, when someone's evaluated and we are able to identify that they have a breathing disorder or an airway disorder, we recognize that part of their airway disorder may be that they're now a mouth breather. As a result of that, their tongue remains low in the floor of their mouth, and as a result of that, their maxillary arch is not developed and they have crowding of the maxillary and maybe the mandibular arches.