The 3i Course (Identifying Invisible Influencers) will be valuable to the provider who is interested in supporting improved patient care by becoming familiar with restrictions that are often more important than those that are easy to see with our eyes. The participant to be instructed on the principles and identification of restrictions to function that often fall between the cracks and contribute to suboptimal treatment outcomes.
The 3i course is designed to help providers identify restrictions to patient responses that are metabolic, functional and neurologic in origin including:
Invisible Influencers Course Agenda
Introduction to Concepts
a. Neurology “Rules” as the primary determining factor of sleep physiology and as a reflection of adverse childhood effects and trauma
b. Neuroplasticity and neuromodulation through mechanotransduction and optogenetics
c. Hierarchy of needs – Cerebral perfusion
d Osteopathy as a concept and application
i. Cranial vault mobility
ii. Cranial vault symmetry and strains
e. The Fascia Factor
Retained primitive reflexes: The Trump Card
a. FPR
b. Moro
c. Overview of others and relevance to oral environment
Clinical applications of influences to the Locus Coeruleus
a. Cranial base reflexes
b. Bite response reflexes
Sleep physiology and architecture
a. Importance of monitoring stage 3 sleep transitions, duration and QOL
b. Remmers statement: AHI only determines reimbursement
c. Looking beyond the airway choke point and into the signaling of sleep
Trigeminal Cardiac Reflex
a. Etiology
b. Diagnostics
c. Treatment options
d. Misdiagnosis and consequences
Cranial nerve stimming and toning
a. Literature review
b. Clinical applications
The mental dental connection
a. Interpretation of pain through limbic pathways
b. Depotentiation through Havening
The Me5 (mesencephalic nucleus of the trigeminal nerve)
a. Pathway
b. Implications in dentistry and sleep physiology
c. Primary vs permanent dentition
Fascia, Fascia, Fascia
a. The role of the buccopharyngeal fascia
i. Mandibular labial tendon
ii. Buccinator aponeurosis
iii. Airway corset
b. Sublingual fascia
i. Mills research
c. Upper cervical fascia and influences on the dural membrane system
Fit2BTied – Tongue restriction analysis
a. Visual vs functional assessment
b. ROM and palpation
c. Tongue anatomy and physiology
d. The role of OraLase and BabyLase in a highly efficient treatment model
Airway assessment
a. Tonsil
b. Nose
c. Mallampati
d. Tongue posture
Osteopathy in the Cranial Field
a. Sutural homeostasis
b. Symmetry
c. Fluids and membranes
d. Growth and developmental influences
e. Intracranial inflammation
i. Symptoms
ii. Solutions
iii. Williams research/Zamboni effect
Dysautonomia
a. Connective tissue implications
b. Autonomic nervous system implications
c. Vascular considerations
Clinical exam for neurological, fascial and structural restrictions
a. Relating the SO to the AP through the Starfish (Moro), SWITCH and STOP Assessments
b. Significance of palpation exam findings related to diagnosis and treatment
c. If this, then that: Treatment sequencing
Indications for referral for structural co-treatment
Metabolic and nutritional considerations
a. Vit D, B, K, Ferritin and Mg
b. Insulin resistance and sleep fragmentation
c. Inflammatory markers
d. Dopamine pathways
e. Restless leg syndrome/periodoc limb movements and their relevance to sleep disordered breathing
f. The endocannibinoid system
Clinical examination: Letting your fingers do the walking and the patietn's fingers do the talking
a. Palpation (finger and thumb, finger game)
b. Cranial sutural release response assessment
Wrapping it up and moving on
a. Documentation
b.Clinical implementation
c..Communication with referring providers
d. How to build a treatment TEAM
Now what? How not to get overwhelmed by the unanswered questions
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