Medically Indicated Breathing / Airway Care - Dr. Duane Grummons DDS, MSD

posted Feb 2, 2017, 11:45 PM by Admin SRSAN   [ updated Feb 2, 2017, 11:56 PM ]

The behavioral and neuro-cognitive sequelae of poor sleep are well documented.  The physical co-morbidities of bad sleep are numerous and well documented. Sleepiness in adults and hyperactivity in children are well recognized and are a menace to our society. How many children could learn and behave better with a good night’s rest, and how many adult car, bus, train, and boat accidents could be prevented by good sleep?    

By the time a person succumbs to sleep apnea, it is way too late to do anything simple and preventive except to CPAP mask (pun intended) the problem, or do jaw surgery, or wear a mouth appliance forever which is only a crutch to relieve some symptoms.  

Making sleep and breathing screening a priority in our young patients (with early screening and treatment protocols) will lessen the risk factors for sleep disorder consequences well before we get to crisis management.

Medically Indicated Screening intercepts breathing / sleep / brain function  compensations (bad habits) which typically lead to poor facial growth and altered airway development. We can help these young patients by equipping parents and teachers to screen the children, and for dental / medical colleagues to be physicians of the face. As part of an interdisciplinary team, we can change the outcomes of bad breathing for children so they need not get to the point where they can’t sleep well, behave and learn optimally, and thrive in adulthood.

Protocols are available which can be easily inserted into schools, and into a pediatric and orthodontic practice to deal with these issues. While new learning and some re-tooling is needed, the biggest obstacle is the revision of orthodox beliefs about how it can’t be done. It can be done and is being done; get on board.

To summarize, medical and learning consequences occur when a child cannot breathe through the nose, or cannot hold their lips together without strain, cannot keep the tongue resting on the palate, or cannot swallow without having to recruit facial muscles to help.

The medical indications for overall health are when a child has poor body posture, eats foods that are challenging to the body, does not breathe well enough to efficiently support proper metabolism and brain function, and the child does not get a good, restorative night of sleep. Note that none of these conditions has anything to do with how crooked the teeth are.

When we together, as parents, teachers, medical/dental professionals and as a society, can take responsibility for these medical indications, we will then observe much healthier people (the youth especially) who thrive.

Dr. Duane Grummons
Board Certified in Facial Orthopedics and Orthodontics 

Dr. Duane Grummons: Airway-Focused Orthodontics

posted Jan 6, 2017, 11:04 AM by Admin SRSAN

Dr. Duane Grummons:  Airway Focused Orthodontics



To see presentation click this link:

Orthodontic pioneer, Duane Grummons, challenges us to look at orthodontics in a different way. This discussion highlight how we have failed to put into practice information that has been available to us for decades. Maybe it's time for us to catch up.

Cardiometabolic prevention targets sleep disorders

posted Mar 19, 2016, 1:20 PM by Admin SRSAN

"Cardiometabolic Prevention Targets Sleep Disorders" - Liana Groza, DDS    This article, which was published in the Feb 25, 2016 Journal of Business Special Report on The Future of Health Care, discusses the hidden economic cost of untreated sleep apnea to both employers and employees  and the benefits of early detection through employer-based wellness programs.  

Toward an Integrated Care Model for Obstructive Sleep Apnea

posted Feb 14, 2016, 10:50 AM by Admin SRSAN

Groza L. Working Off the Same Matrix: Toward an Integrated Care Model for Obstructive Sleep Apnea.Dental Sleep Practice, Winter 2015

Proposes new collaborative approaches to improve compliance with sleep apnea therapy and reduce the risk of obesity, diabetes, heart disease, stroke and other inflammation-driven conditions
Read full article on Dental Sleep Practice website at

Kids' Sleep: Searching for Rest

posted Oct 17, 2015, 1:14 PM by Admin SRSAN   [ updated Oct 17, 2015, 1:25 PM ]

Chelsea Bannach of InHealth magazine discusses the health implications of sleep-disordered breathing in children and common diagnostic challenges with several local providers.
Read article at

CBCT and 3D imaging goals for orthodontic patients

posted May 22, 2015, 12:00 PM by Admin SRSAN

Duane Grummons DDS, MSD - CBCT and 3D Imaging Goals for Orthodontic Patients 

November 4, 2014

Sleep Apnea: Understanding the Cardiometabolic Vicious Cycle

posted May 22, 2015, 11:54 AM by Admin SRSAN   [ updated Nov 25, 2015, 8:37 PM ]

Innovations for CBCT with 3D Diagnosis and Orthodontic Planning and Treatment

posted May 15, 2015, 2:54 PM by Admin SRSAN   [ updated May 15, 2015, 2:59 PM ]

  Source: ORTHOTOWN MAGAZINE September 2012

Sleep Apnea Local Networks: Bridging the Communication Gaps

posted May 15, 2015, 2:47 PM by Admin SRSAN   [ updated May 26, 2015, 2:22 AM ]

Liana Groza, DDS - Sleep Apnea Local Networks: Bridging the Communication Gaps

 Source:  Journal of Dental Sleep Medicine 2015;2(2):59.

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