⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.
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📝 𝐄𝐩𝐢𝐬𝐨𝐝𝐞 𝐒𝐮𝐦𝐦𝐚𝐫𝐲📝
✅ How can early intervention transform the lives of children with Down syndrome? 👶
✅ The episode explores oral sensory motor therapy as a vital foundation for speech clarity and safe feeding. 🍽️
✅ Discussion focuses on identifying red flags like hypotonia and "relative macroglossia," where the tongue appears large in a small oral cavity. 👅
✅ The interview highlights the success of family-centered programs using Talk Tools to build jaw stability and "wake up" oral muscles. 🧠
✅ Integration with orthodontic expansion is crucial for airway health and creating necessary tongue space. 🦷
✅ Experts emphasize that OSM work is a necessary, lower-level precursor to higher-level myofunctional therapy. ✨

𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!

👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞 (𝐟𝐮𝐥𝐥 𝐞𝐩𝐢𝐬𝐨𝐝𝐞): https://youtu.be/HQ3HGgdtE90

👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow

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ABOUT OUR GUEST:
Heather Vukelich, MS, CCC-SLP, is an ASHA-certified Speech-Language Pathologist, Feeding Specialist, and certified TalkTools® Instructor with nearly two decades of experience serving infants and young children with Down syndrome and complex orofacial needs. She works from offices in Paso Robles and Danville, California, and is widely known for her practical, family-centered approach to oral sensory-motor development, feeding, breathing, and early communication. Heather trains therapists worldwide, teaches large-scale virtual parent education courses, and collaborates closely with pediatric dentists, orthodontists, ENTs, and airway specialists to support children with hypotonia, feeding challenges, and developmental delays. In this episode of Airway Answers, Heather shares the real-world strategies, therapy foundations, and clinical pearls she uses every day to support children with Down syndrome — including how to build oral motor strength, improve sensory regulation, establish safer and more efficient feeding skills, and optimize breathing and airway development from infancy through early childhood.

https://happykidstherapy.com/
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ABOUT THE HOST:

Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. She has completed numerous presentations on orofacial myofunctional therapy as it relates to sleep-disordered breathing in both children and adults. She is the author of a 2023 article in Dental Sleep Practice Magazine “Why Every Dentist and Orthodontist Should Have an Orofacial Myofunctional Therapist on Their Team”, and she also wrote an article for Sleep World Magazine for sleep MDs, respiratory technicians, and other sleep specialists titled “Helping to Restore Proper Rest: How orofacial myofunctional therapy can aid in the treatment of sleep-disordered breathing”. She is also the author of a two-part chapter on orofacial myofunctional therapy in a medical textbo

⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.
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Some insights from this interview:

✅Holistic Perspective: Dr. Decker emphasizes that orthodontics must connect breathing, teeth, function, and development; ignoring underlying issues leads to relapse.

🔑 Early Intervention:
He champions interceptive
treatment starting as early as age four because growth can be guided
easily, providing huge opportunities compared to struggling with complex adult
cases.

👃 Signs vs. Symptoms:
Dentists must look for the "smoke" (early signs like lack of primate
gaps or mouth breathing) to prevent the "fire" (adult destruction and
severe malocclusion).

💖 Function is Retention: All orthodontic
patients need a functional assessment (OMT). Success hinges on creating adequate space for the
tongue and facilitating nasal breathing, which leads to better behavior,
health, and stability.

🧠 Case Insight:
Expanding the palate in a Down syndrome patient resulted in improved hearing,
better speech, and the cessation of snoring.
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⁣𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!

👉🎧 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow
👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞 (𝐟𝐮𝐥𝐥 𝐞𝐩𝐢𝐬𝐨𝐝𝐞): https://youtu.be/T8h0r1DUeWI
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ABOUT OUR GUEST:

Dr Steffen has been an Orthodontic Specialist since 2012. He completed his primary dental training and his specialist training in Germany, Switzerland and the US. Dr Steffen is highly trained and experienced in early interceptive orthodontic treatment (from as young as 4). He considers the whole patient development throughout his treatment and connects the dots between breathing, teeth, function and development. In getting the structure of the arch organized at an early age, we can improve breathing, the risk of teasing at school or traumatic damage to the teeth is greatly reduced.He is one of the world’s leading Clear Aligner providers in children and lingual orthodontists having treated over 1300 lingual orthodontic patients and has served as a member of the Global Advisory Board for 3M and Align Technology and has been their Clinical Advisor for Western Europe for 3M.He is the Director of the Orthodontic Specialist Academy. Dr Steffen was an Official Invisalign Clinical Speaker, lecturing worldwide and is now a KOL for Angel Align. Dr. Decker is as well the first and only Kois Recognized Specialist in the UK and John Kois Scientific Advisor for Orthodontics and Airway.

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ABOUT THE HOST:

Nicole Goldfarb, M.A. CCC, SLP-COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author.
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🎧𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐀𝐮𝐝𝐢𝐨: https://airwayanswers.buzzsprout.com/2408017/follow
💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞: www.AirwayAnswers.info
📩𝐄𝐦𝐚𝐢𝐥: Nicole@AirwayAnswers.info
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegospeechandmyotherapy/
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐓𝐢𝐤𝐓𝐨𝐤: https://www.tiktok.com/@

⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.

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Dr. Yousefian is an Orthodontist specializing in airway techniques to assist in the treatment of sleep apnea and other airway issues. 🌬️The profound interview covers the following topics, and more🔥:

✅ A review of a variety of expansion techniques on the upper and lower jaws.

✅The concepts of “telodontics” and “telegnathics” represent an orthodontic paradigm focusing on non-restrictive expansion of jaws and teeth for airway health. 🌬️This approach contrasts with traditional methods that may retract jaws and teeth and compromise breathing. ⬆️

✅A variety of ways to expand the mandible in order to achieve more meaningful expansion on the upper jaw as well as address other areas of airway deficiency. Mandibular expansion techniques like DAME (Distraction Assisted Mandibular Expansion) surgically widen the lower jaw in adults, which can significantly enhance the effectiveness of maxillary expansion for treating sleep apnea. 🛠️ Addressing the mandible in children is also extremely important and dental uprighting on the lower arch can allow more expansion on the upper.

✅The APNO TX appliance is a versatile tool used during treatment for TMJ, bruxism, snoring, and sleep apnea management. 🛌

✅This interdisciplinary philosophy bridges dentistry and medicine, providing comprehensive solutions for complex airway issues. 💡

𝑪𝒉𝒆𝒄𝒌 𝒐𝒖𝒕 𝒕𝒉𝒊𝒔 𝒊𝒏𝒕𝒆𝒓𝒗𝒊𝒆𝒘 𝒐𝒏 𝒀𝒐𝒖𝑻𝒖𝒃𝒆 𝒐𝒓 𝒂𝒏𝒚 𝒐𝒇 𝒚𝒐𝒖𝒓 𝒇𝒂𝒗𝒐𝒓𝒊𝒕𝒆 𝒑𝒐𝒅𝒄𝒂𝒔𝒕 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎𝒔!

👉👀 𝐘𝐨𝐮𝐓𝐮𝐛𝐞 (𝐟𝐮𝐥𝐥 𝐞𝐩𝐢𝐬𝐨𝐝𝐞): https://youtu.be/xlnxD_Sme1E

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ABOUT OUR GUEST: Dr. Joseph Yousefian, D.M.D, M.S, is a board-certified orthodontist in Bellevue, Washington, specializing in airway-focused orthodontics and dental sleep medicine. A Diplomate of both the American Board of Orthodontics and the American Board of Dental Sleep Medicine, he pioneered Teledontics and Telegnathics, innovative methodologies for treating temporomandibular disorders, obstructive sleep apnea, and complex craniofacial issues. Educated at Washington University and Ohio State University, he has published over 30 scientific articles and textbook contributions, lectures internationally, and has received numerous awards, including the American Association of Orthodontists Award of Special Merit, for advancing orthodontic prevention, diagnostics, and treatment.

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ABOUT OUR HOST: Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy and serves as a mentor and consultant in the field of OMT.

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💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞: www.SanDiegoCenterForSpeechTherapy.com
📩𝐄𝐦𝐚𝐢𝐥: Nicole@AirwayAnswers.info
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegospeechandmyotherapy/
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐓𝐢𝐤𝐓𝐨𝐤: https://www.tiktok.com/@airway.answers

⚠️𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.
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This part 2 episode delves into non-anatomical factors causing airway collapse and resistance. 🌬️
Some Key Topics:
✅Understanding the Pcrit, what is normal, the goal of therapy in terms of the ideal Pcrit, and what causes specific amounts of changes to the Pcrit including oral appliances, nose breathing, weight loss, etc.
✅The primary non-anatomical triad includes arousal threshold, loop gain, and muscle recruitment. 🧠💪
✅These physiological contributors upregulate the sympathetic nervous system, leading to inflammation and mitochondrial dysfunction. 🔥
✅Effective treatment requires a multi-therapy approach, as monotherapy is often insufficient to address all contributing factors. 🛠️
✅Understanding these elements is key for comprehensive sleep-disordered breathing management. 💡
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ABOUT OUR GUEST:
Dr. Steve Lamberg has been practicing all phases of general dentistry in Northport, New York, for 40 years with a focus on comprehensive restorative dentistry. He is a Diplomate of the American Board of Dental Sleep Medicine and has served on their board review faculty. He is the inventor of the Lamberg SleepWell Appliance “LSW”, which is an FDA-cleared appliance for the treatment of OSA and holds several related patents. He regularly contributes articles to peer-reviewed journals, is on the editorial review board of Dental Sleep Practice, and lectures internationally to help dentists integrate the many aspects of dental sleep medicine into their general dental practices. Dr. Lamberg also launched, and serves as the director of, the Pediatric and Adult Airway Network of New York (PAANNY), to provide a regional platform where dentists, physicians, orofacial myologists, and other related professionals learn and collaborate on treatment patients of all ages. Additionally, Dr. Lamberg serves as a Scientific Advisor for airway at the Kois Center in Seattle and has created a course there focusing on practicing dentistry on airway compromised patients. Dr. Lamberg also created and teaches a curriculum for Nierman Dental Sleep Medicine mini-residency. After creating a medical screening questionnaire, the Lamberg Questionnaire, he went on to publish a supporting book, "Treat the Cause…Treat the Airway”.
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ABOUT THE HOST:
Nicole Goldfarb, M.A. CCC, SLP- COM® is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, and author. She is the owner of San Diego Center For Speech Therapy & Myofunctional Therapy and serves as a mentor and consultant in the field of OMT.
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💻𝐂𝐡𝐞𝐜𝐤 𝐨𝐮𝐭 𝐨𝐮𝐫 𝐖𝐞𝐛𝐬𝐢𝐭𝐞: www.SanDiegoCenterForSpeechTherapy.com
📩𝐄𝐦𝐚𝐢𝐥: Nicole@AirwayAnswers.info
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤: https://www.facebook.com/profile.php?id=61565074499503
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦: https://www.instagram.com/sandiegospeechandmyotherapy/
👉𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐬 𝐨𝐧 𝐓𝐢𝐤𝐓𝐨𝐤: https://www.tiktok.com/@airway.answers