Is Bulldog-Face the Next Modern Epidemic?

2 Doctors Say Unrecognized Airway/Breathing Issues are Prompting Facial Changes and a Host of Chronic Problems

What’s it like to be an English bulldog? More people are finding out, say integrated health specialists Dr. Michael Gelb and Dr. Howard Hindin.

“A bulldog’s airway passages are quite restricted because of the shape of its face, and they are often especially vulnerable to illnesses such as cardiac disease and cancer,” says Dr. Michael Gelb of The Gelb Center in New York (www.gelbcenter. com), a holistic dentist known worldwide for pioneering integrative treatments. Dr. Hindin of the Hindin Center for Whole Health Dentistry ( partners with Dr. Gelb in a multidisciplinary approach to treating chronic disease affecting millions of Americans.

“Our faces are becoming more like a bulldog, with smaller mouths, bigger tongues, misaligned teeth and bigger necks – all of which changes the structures of our mouths and makes breathing significantly more difficult,” Dr. Hindin says.

The doctors say that’s creating a health crisis.

They say these issues are often associated with Airway, Breathing and Sleep

• ADHD and other children’s issues: Ninety percent of our brains are developed by age 12. Obstructions and even increased effort in breathing cause children to have sleep disorders, and the effect is a range of related problems, from attention deficit hyperactivity disorder, to obesity and diabetes. The good news is that much of this is preventable – at 6, 18 and 30 months of age, doctors can predict children who are likely to develop behavioral and cognitive disorders due to poor breathing. Treatment is often complex and requires a team approach. Removal of tonsils and adenoids are among preventative measures, along with palatal expansion and myofunctional therapy. Additionally, early intervention can improve the shape of a child’s face, lips and smile.

• TMJ: As our faces are becoming pushed in and our mouths are getting smaller there is increased pressure on the TMJ as well as increased muscle tension and clenching.

• Sleep apnea: People with sleep apnea can stop breathing hundreds of times each night. Each time this happens, the brain triggers the person to awaken, ever so slightly, in order to resume breathing. Up to 90 percent of people with obstructive sleep apnea have not been diagnosed, according to the American College of Physicians. Sleep apnea is just one of the disorders that can have serious lifelong consequences. But the causes are easily corrected. Children who snore loudly are twice as likely to have learning problems and are more likely to develop behavior problems and ADHD.

• Chronic headaches: Morning headache is one sign of obstructive sleep apnea. As the face is pushed in, nasal breathing
is obstructed and mouth breathing results in a forward head posture. This puts a strain on the muscles and nerves at the base of the neck which increases headache.

• Other sleep disorders: You do not need to have apnea to have a sleep disorder that will interfere with performance and health. Snoring, restless leg syndrome and simple daytime drowsiness can be a signal that you are not getting the proper quantity and quality of restorative sleep. If you are suffering from chronic pain, inflammation, poor performance or behavior problems, consider looking into airway-breathing treatment.

About Michael Gelb, D.D.S., M.S.
Dr. Michael Gelb is an innovator in airway, breathing,
sleep, and painful TMJ disorders pioneering Airway
Centric. He has studied early intervention for sleep disordered
breathing (SDB) specializing in how it relates to
fatigue, focus, pain and the effects all of these can have on
family health. Dr. Gelb received his D.D.S. degree from
Columbia University School of Dental and Oral Surgery
and his M.S. degree from SUNY at Buffalo School of
Dental Medicine. He is the former Director of the TMJ
and Orofacial Pain Program at the NYU College of
Dentistry and is currently Clinical Professor in the
Department of Oral Medicine and Pathology at the NYU
College of Dentistry. He is a co-inventor of the NORAD,
or Nocturnal Oral Airway Dilator appliance that reduces
snoring by positioning the patient’s tongue and jaw so
that airways stay open. He co-founded the Academy of
Physiologic Medicine and Dentistry (APMD) and a nonprofit
to prevent the proliferation of chronic disease in
the U.S. based on airway, sleep and breathing awareness,
research and education.

About Howard Hindin, D.D.S.
Dr. Howard Hindin is trained in all aspects of general
dentistry. Since the 1990s, his practice has also focused
on cosmetic dentistry, temporomandibular joint disorders
and craniofacial pain. He is a graduate of New York
University College of Dentistry. An acknowledged pioneer
in the relationship between dental issues and whole
body health, Dr. Hindin is President (2000-present) of the
Foundation for the Advancement of Innovative Medicine
(FAIM). He is also an active member of the American
Academy of Pain Management, American Academy of
Cranio Facial Pain, American Academy of Dental Sleep
Medicine, Academy of General Dentistry, American
Dental Association, International Academy of Oral
Medicine and Toxicology, and the New York State
Society of Acupuncture for Physicians and Dentists and is
the co-founder of the American Association of
Physiological Medicine and Dentistry (AAPMD).

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