Changing Lives, One Airway at a Time

Dr. Manjari Kulkarni, Changing Lives, One Airway at a Time
Speaker: Dr. Manjari Kulkarni
Category: Sleep Medicine
CE Credits: 1.5
Format: PDF
Myriad articles indicate a possible link between maxillary constriction and airway resistance; this piece proposes to show how orthodontic treatment with rapid palatal expansion may improve both ortho...more
  • 3.0 (1 Review)
  • Released: 10/1/2017
  • Expiration Date: 6/30/2025
  • Review Date: 6/30/2022
CE Details
Credit Details
This electronically delivered self-instructional program is designated for 1.5 hours of CE credit by Farran Media.
AGD Code: 330.

There is no fee to view this course. There is a fee of $36 to take the exam and claim CE credits for this course.

Myriad articles indicate a possible link between maxillary constriction and airway resistance; this piece proposes to show how orthodontic treatment with rapid palatal expansion may improve both orthodontic malocclusion and signs of airway resistance— including snoring and obstructive sleep apnea syndrome (OSAS)—in young, growing patients, resulting in an overall, life-changing health improvement.

Educational Objectives:
Upon completion of this course, you should be able to:
  • Define pediatric obstructive sleep apnea and related terminology.
  • List common symptoms and treatment of obstructive sleep apnea syndrome.
  • Identify which questions are appropriate for diagnosis and treatment-planning young orthodontic patients.
  • Determine possible methods to orthodontically assist patients who have OSAS.
Description of Speaker:
Dr. Manjari Kulkarni is a native of Pittsburgh, where she earned both her Doctor of Dental Medicine and a master’s in orthodontics at the University of Pittsburgh. After completing her orthodontics training, Kulkarni spent eight years in Manhattan practicing orthodontics in the New York/ New Jersey area before returning home with her husband and two daughters. She has served on the University of Pittsburgh Orthodontics faculty for six years, and believes in sharing her skills with both her students and patients with love. Kulkarni practices alongside Dr. John Grady at GKG Orthodontics, where there is a special emphasis on comprehensive care along with excellent customer service.

In the past 12 months, the lecturer/author declares that neither he/she nor any member of his/her family have a financial interest/arrangement or affiliation with any commercial entities nor have been paid directly by dentists and other health professionals within the field of dentistry or health care.

CE Reviews


3.0  (1 Review)
More than OSA
User: drbarry
Date: 2/20/2019
This is an entry-level approach - a very good one, but limited - to a more complex subject than OSA. 1) Children do not have to desaturate in order to have fragmented sleep. Even the THREAT of desaturation can trigger a Sympathetic response that discourages deeper levels of sleep. Airway resistance itself makes breathing more difficult and should be considered a more prevalent problem than OSA. And most ENT's will not pick up on this for children. 2) The shape of the face is a primary risk factor - independent of swollen tonsils and adenoids and independent of obesity - for airway resistance and fragmented sleep. And facial collapse - in all three dimensions of space, not just tranverse - is also a result of poor breathing. This form and function spiral must be intercepted as soon as it is seen, often at 3 or 4 years of age. If there is no primary spacing, the problem is almost certainly there by then. 3) Retainers are not the only way to maintain the results of palatal expansion. Did you ever stop to think about WHY maxillary collapse occurs? It is imperative to address the soft tissue dysfunctions that lead to maxillary collapse as well as the anatomical deficits they create. I applaud Dr. Kulkarni's work. Yes, she is helping children. And there are so many more that need her help that she may be missing.
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This activity meets the educational criteria required for verifiable Continuing Professional Development under the General Dental Council Lifelong Learning scheme and represents 1.5 hours of verifiable CPD.

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