The Impact of Rapid Expansion Appliances on Sleep and Nasal Airway Resistance
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Can expanding the jaw do more than straighten teeth? In this episode, Dr. Mark A. Cruz and Dr. Richard Stevenson explore groundbreaking research on rapid palatal expansion (RPE) and its impact on sleep, nasal airway resistance, and overall health. Beyond reviewing a recent clinical study, they challenge the traditional, reductionist approach to evidence-based dentistry and discuss why treating the airway requires looking beyond teeth alone.
The conversation dives into the limitations of relying solely on measurements like the Apnea-Hypopnea Index (AHI) and explains why patient outcomes, breathing quality, and overall function should play a greater role in evaluating treatment success. They also discuss how airway-focused dentistry connects structure, function, and behavior, raising important questions about mouth breathing, sleep-disordered breathing, ADHD, cardiovascular health, and long-term wellness.
Whether you're a dentist, orthodontist, healthcare professional, or someone interested in sleep and airway health, this episode offers an insightful perspective on where dentistry is headed and why understanding the airway may be one of the biggest shifts in modern healthcare.