Dr. Girish. P.V

Dr Girish PV completed his Dental school fr om V.S Dental College, Bangalore in 2004 and went on to do his Masters in Orthodontics from Maaruti Dental college, Bangalore in the 2008. Since his postgraduation days he had a penchant for learning something extra apart from the curriculum which led him to do his training under Dr.Fillion for Lingual Orthodontics and practiced Clear Aligner cases using manual methods with the Biostar machine. He cleared his Supreme health council exams in Doha, Qatar and then worked as a Visiting Orthodontist for 2 years in Premium Care Polyclinic from 2012 to 2014. In 2013 he was awarded for doing the maximum number of Clear aligner cases in India and then he went on to train Orthodontists in Singapore and Malaysia for Clear Aligner therapy. He then got trained by Dr.Stuart Orton Jones of Panky’s Institute, UK- in Occlusal appliance therapy and TMD management in October 2013. He did his Fellowship in Neuromuscular Orthodontics in Italy under the able guidance of Dr.Fabio Savastano in his office in Albenga, Italy- wh ere he was trained to treat and manage TMJ cases using Neuromuscular Orthodontics and Orthotics. For the last 2 years he is focused on diagnosis and Neuromuscular Orthodontics using the K7 (Myokinesiography- Jaw tracker) for TMJ patients. He also has a Fellowship in ICOI (International Congress of Implantology) and is Invisalign certified. He is currently the only Orthodontist to be certified in DNA appliance for treatment of Sleep Apnoea (Vivos -Therapeutics Inc, USA). He is currently working on Accelerated Orthodontics and Micro-implant assisted Palatal expansion therapy in his practice. He is currently the Vice President of ICCMO India section and is practicing in The Rite Bite Craniofacial Pain Care Center, Bangalore

Topic: Distraction Osteogenesis Maxillary Expansion (DOME) for adult obstructive sleep apnea patients combined with ENT Surgery (40 MIN)

Abstract

Maxillofacial and oropharyngeal anatomy are critical contributors to the pathophysiology of obstructive sleep apnea (OSA). Maxillary constriction with a high arch palate is associated with high nasal airway resistance. Coupled with decrease in oral cavity volume, transverse deficiency of the maxilla is known as a contributor to the development of OSA. DOME is a two-step process starting with insertion of custom-fabricated maxillary expanders anchored to the hard palate by mini-implants followed by minimally invasive osteotomies. After maxillary expansion will complete, orthodontic treatment to restore normal occlusion will be initiated. In many patients there is also the need for Septoplasty and/or Turbinoplasty- as suggested by an ENT surgeon. This situation calls for an additional surgery that the patients may have to undergo in future. Therefore combining these two procedures i.e the ENT and DOME procedure is the most effective way for correction of the Oro-nasal compromise.