Conference Presenters
"The Impact of Increased Vertical Dimension of Occlusion on Nasal Inspiratory and Expiratory Resistance and Flow"
- Dr. Pamela Marzban
- United States
Biography
Dr. Marzban feels that her professional goal in life is to help people recognize their potential and unlock it. She does this through chair side clinical care of patients and by helping dental professionals be more successful. She believes that dentists should be strong leaders in their offices and in their community.
Dr. Marzban’s commitment to the field of dentistry is evident in the fact that she attained fellowship in the Academy of General Dentistry, Las Vegas Institute of Advanced Dental Studies, as well as the International Associates of Physiologic Aesthetics. She is a self published writer, a speaker, and consultant on the clinical and business side of Dentistry. Dr. Marzban also serves as an alternate Delegate for the VDA and serves as a Regent for the International College of Crania-Mandibular Orthopedics. She also volunteers her time educating and mentoring students as a clinical instructor for Virginia Commonwealth University School of Dentistry. For years, she and her team have been repeatedly ranked a Top Dentist office by patients and her peers in every local publication and have been selected nationally in the Consumers' research Council of America to be in their Guide to America's Top Dentist publication on multiple occasions. She truly is passionate about our dental profession and works hard to continue to see it thrive.
Abstract
The majority of patients that suffer from TMD present with bimaxillary retrognathia. This occurred during childhood craniofacial development because the mid face was stunted in growth stopping short of "A point" genetic potential expression. If the maxilla is setback, the mandible is set back thereby posturing its condylar head bilaterally into a posterior superior position, causing joint compression, muscular dysfunction and anatomically begins to constrict the oropharynx, the oral airway (the exception is the patient with a skeletal Class 3 relationship). All oral appliances we use therapeutically for our TMD patients changes the position of their mandible. This study is to observe and analyze one dimension of change, the increase of the vertical dimension of occlusion and its impact on nasal inspiratory and expiratory resistance and flow measured with Rhinomanometry. Changes in jaw posturing changes the airway resistance throughout the oropharynx that impact the airway resistance throughout the nasopharynx. I disclose my finding with patients that were provided functional appliances in the form of orthodontic expanders, orthotics, and mandibular advancement devices for sleep apnea. The patient population involves both children and adults with various clinical conditions but all that suffer from bimaxillary retroghnatia. Learning objectives: · Does increased VDO change nasal inspiratory and expiratory resistance · Does increased VDO improve nasal airway flow · Does increased VDO modify the autonomic nervous system
