TMJ 'dysfunction' - Health implications

Wikipedia reports:

"Dr Christian Guilleminault (1938– 9 July 2019) was a French physician and researcher in the field of sleep medicine who played a central role in the early discovery of obstructive sleep apnoea and made seminal discoveries in many other areas of sleep medicine

Born in 1938 in Marseilles, France, he earned his medical degree and PhD at the University of Paris and completed residencies in psychiatry and neurology in Paris and at the University of Geneva.

While working at the Stanford University Sleep Disorders Clinic in 1972 as a visiting assistant professor, Guilleminault became keenly interested in reports published by Italian sleep researcher Elio Lugaresi who had reported that nocturnal hypertension was present in patients who snored.

Guilleminault persuaded cardiologists John Shroeder and Ara Tilkian to spend nights in the hospital's clinical research centre monitoring the systemic and pulmonary arterial blood pressure in sleeping patients. The team observed that when patients fell asleep and began snoring, prolonged pauses in their breathing (apnoea) were noted that corresponded with dramatic elevations in their resting blood pressure, simulating strenuous exercise as if the patient were lifting weights.

Guilleminault then went on to publish several articles illustrating dramatic improvements and reversal of sleep apnoea following tracheostomies. Tracheostomy proved curative in these patients, and demonstrated reversal of cardiac arrhythmias and blood pressure abnormalities during sleep; temporarily capping these artificial airways would re-capitulate the changes of sleep apnoea, further establishing the causative relationship between sleep apnoea and cardiovascular abnormalities.

Guilleminault then went on to describe obstructive sleep apnoea in non-obese patients, being the first to coin the term "obstructive sleep apnoea syndrome" (OSAS), a term commonly used nowadays.

In addition, he described the presence of OSAS in children, demonstrating its association with learning and attention problems along with cardiovascular derangements.

Following this work, he went on to describe the presence of elevated upper airway resistance in children in 1982, emphasizing the symptoms of attention deficit, hyperactivity, and abnormal behaviour during wakefulness and sleep, learning disabilities and sleepwalking, sleep terrors and enuresis that accompanied this form of sleep-related breathing disorder."

Comments:
It is a shame that no one in cardiology shows much insight into the relationship of sleep apnoea and cardiac arrythmias. We know that Sleep apnoea is mainly caused by poor maxillary development which is very treatable.

Furthermore, the other childhood disorders mentioned above clearly indicate poor oxygenation of the cerebellum, again a very treatable condition, but those in charge of treating such patients display little association between the two.

A lot more information is available on this forum to enable you to understand the intricate relationship of the teeth and jaws to almost every other function in your body.

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