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𦷠Dentist Specialized in Airway, TMD, and Chronic Pain
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The Survival Rule of 3B: Breathing first, balancing the eyes with the horizon, and keeping the brain over the center of gravity.
I wrote this article four years ago, and while my knowledge has evolved tremendously since then, the application of the principles I shared remains unchanged.
Itâs both humbling and an honor to see other practitioners recognizing and applying these same principles. Sometimes, the simplest concepts are the ones that stand the test of time. đĄ
Iâve probably made a dozen posts about expansion and its potential role in improving breathing, but this point deserves to be stated clearly:
Opening the palatal suture is not synonymous with improving breathing.
There is far more to respiratory function than simply creating skeletal expansion. Airway dimensions, nasal resistance, soft-tissue anatomy, neuromuscular function, and the overall physiology of breathing all matter.
Surgically opening a suture may produce skeletal changeâbut skeletal change alone does not guarantee a meaningful improvement in physiological respiratory function.
The real question should never be, âCan we expand?â
It should be: âWhat is actually limiting this patientâs breathing, and will this intervention meaningfully address it?â
That distinction matters.
Expansion can be a valuable tool when appropriately indicated, but it should not be presented as a universal solution for breathing problems.
I hope this post answers some of the questions you may haveâand perhaps challenges a few assumptions along the way.
What do you think?
What if improving the shape of the palate wasnât just about creating more spaceâbut about improving breathing without disrupting the structures that support and coordinate the rest of the body?
The palate is closely connected to important neurological and sensory structures, including the eyes, ears, and the systems involved in balance, coordination, gait, and posture.
The way we breatheâand the way sensory information is integrated through the nervous systemâcan influence compensatory patterns throughout the body. Thatâs why I believe how we create change matters just as much as the change itself.
One of the concerns I have with surgical palatal expansion is the mobilization of the paramaxillary sutures, which are connected within a complex cranial system that interacts with other sensory structures.
For me, the goal is to use a gentler, more physiological approach: improve breathing while respecting the bodyâs natural architecture and minimizing unnecessary disruption to the rest of the cranium.
Different strokes for different folks. There isnât one approach that works for everyone.
What do you think? Would you choose a gentler approach when possible? đ
Did you know the shape of your body has a lot to do with how you function
Let me explainâŚ
Your posture isnât random. Itâs an accumulation of how your nervous system organizes your bodyâhow you position your bones, control your muscles, and manage movement against gravity.
And one of the most important things your body has to organize is breathing.
Your brain is constantly receiving sensory information from your environment and, importantly, from your own body. A huge amount of that sensory information comes from the face, eyes, jaw, inner ear, and other areas involved in orientation and balance.
Your nervous system uses all of this information to figure out:
â How to stand
â How to walk
â How to breathe
â How to move
â How to distribute your body mass
Left to right.
Top to bottom.
Front to back.
In a nutshell, that organization is reflected in the shape of your body.
So if you want to change the way your body looks and functions, itâs not always about âcorrectingâ posture or forcing your body into a certain position.
Itâs about creating better function so your body can occupy space with more symmetry, proportion, and stability.
And when your body feels more stable and organized, your nervous system can experience a greater sense of regulation and safety.
You can even see this reflected in your breathing.
Better breathing â better regulation.
Your body shape is not just how you look.
Itâs a reflection of how your system is organizing itself to interact with the world.
What do you think? đ
Let me know your thoughts in the comments.
What if I told you that the position of your upper cervical spine can be closely connected to your jaw, your bite, your tongue, and even the way you swallow and breathe? đ
Let me share the story of a patient who struggled with symptoms involving the muscles of swallowing, his airway, tongue, and neck.
He had tried adjustments beforeâbut nothing seemed to truly resolve the problem.
The missing piece wasnât simply another adjustment.
We had to create harmony between his dental occlusion (the way his teeth come together) and the relationship between the Atlas (C1) and the Occiput.
And this is where the body gets fascinating. đ§
The body isnât just a collection of separate structures. Everything is interconnected through structure, function, sensory input, and the way the brain perceives and organizes it all.
Sometimes, finding the solution means looking beyond the obviousâand understanding how all the pieces communicate with each other.
Thatâs the beauty of seeing the body as a whole. đ
Posture NeuroMusculoskeletal WholeBodyHealth FunctionalHealth HumanBody Chiropractic BodyConnection
⨠Another beautiful story. Another beautiful soul. â¨
After two months of phase, one diagnostic therapy therapy, her experience reminds us of something so important: everyoneâs body has a different story.
For her, the journey involved chronic pain and tightness through the facial structures, rib cage mechanics, and the relationship between the mouth and cervical spine. By addressing the body through one simple approachâproper positioning and understanding the demands placed on the systemâwe began to see meaningful changes, including improved sleep.
Because sleep isnât isolated. When the brain and nervous system begin to calm, the entire body can respond. Breathing, sleep, movement, and other downstream functions are often reflections of whatâs happening within the system.
When we stop focusing only on the pathology and start looking at the whole person, we can begin to understand the compensation patterns that may have contributed to it.
Every person has a different story. Every body compensates differently. And every journey deserves to be understood. â¤ď¸
I hope you enjoy listening to her story as much as I did.
Another beautiful soul who found a path toward solutions.
Grateful to be part of the journey. đâ¨
ChronicPain MovementHealth BodyAwareness HealingJourney PatientExperience
đ¨ **What if the problem isnât the therapy⌠but the ORDER youâre doing it in?**
Even something that seems completely harmlessâlike myofunctional therapy or the trendy **âmewingâ**âcan potentially reinforce compensation when itâs layered onto a system that isnât ready for it.
Over the last six years, one of the biggest things Iâve observed is this:
**You canât train one piece of the system while ignoring the organization of the system around it.**
If the cranial structures, jaw, airway, posture, sensory system, and nervous system arenât working together, simply âtraining the tongueâ may mean asking an already compensating system to compensate even harder.
And thatâs exactly what Iâm demonstrating in real time here. đ
**Asymmetry matters.**
Because if the system is still adapting around a distortion, adding more input without addressing the underlying organization may reinforce the very pattern weâre trying to changeâand potentially reduce the systemâs adaptive capacity.
The question isnât simply:
**âDoes this therapy work?â**
The better question is:
**âIs this the right input, for this person, at this time, in this order?â**
Thatâs where the conversation gets REALLY interesting. đ§ đ
What are your thoughts? **Have you seen therapy helpâor unintentionally reinforceâa compensation when the sequence wasnât right?**
WHEN POSTURE, MOVEMENT AND DENTISTRY COLLIDE đڎđ§ đŹ
Dr. Bahar Esmaili, DDS Dr. Bahar Esmaili shares how her background in movement and dentistry led her to look beyond the teeth and jaw alone.
In this clip, she discusses patterns she has observed involving posture, head position, the pelvis, the feet, jaw tension and the way the bite comes together.
Those observations encouraged her to broaden the way she evaluates patients and consider how different parts of the body may relate to the concerns they bring into the dental chair.
Her comments reflect her individual clinical perspective. Jaw discomfort, clenching, posture and bite-related concerns can have many possible causes and should be evaluated individually by qualified dental or healthcare professionals.
Dr. Bahar Esmaili is featured in the upcoming Bye Olâ Dentistry documentary series Byeoldentistry
Biological Dentistry, brought to you by Zanzi Zanzi Ai. Ask her anything.
Produced by Lolli Brands Entertainment , led by Anthony Lolli and TereZa Hakobyan-Lolli
Educational content only. Not medical or dental advice.
What if the key to improving foot posture, sleep, and breathing starts in the mouth? đڎđ§ đŚś
This patient spent over a decade searching for answers, seeing multiple doctors across dental and medical specialties. Yet no one took the time to ask the bigger questions or look at her health as a connected system.
Instead of focusing on isolated symptoms, we began looking at the sensory information her brain was receiving and how the mouth, jaw, eyes, posture, breathing, and nervous system work together.
Within just a few weeks, she achieved more progress than she ever imagined possible after decades of searching.
This is what happens when we stop treating the body as disconnected parts and start understanding the whole person.
The mouth is not just about teeth. It is part of a complex sensory system that influences how the brain organizes movement, stability, and function.
True healthcare begins when we stop asking, âWhat symptom can we treat?â and start asking, âWhy is the body responding this way?â
This is the future of healthcare I believe in. Not chasing symptoms. Not treating isolated body parts. Understanding the person as a whole. â¤ď¸
TMJ NervousSystem WholeBodyHealth FunctionalDentistry TrueHealthcare
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