Oral Systemic Balance Therapy

Therapeutic Systems Approach

The OSB Therapeutic Systems Approach

Oral Systemic Balance® Therapy is a process that occurs over time and starts with a specific diagnosis. A comprehensive history, as well as a highly specialized interview process, physical examination, radiographs (x-rays), pulse oximetry, heart rate variability testing (HRV), postural analysis, and diagnostic dental casts are combined with the patient's own account of their chief complaints and health concerns. Treatment is designed to establish a more open throat that allows for greater ease of swallowing, speaking, and breathing. Once the ease of these primary oral functions has been established, the sympathetic nervous system no longer needs the fight-or-flight reaction. The patient often feels safer and more relaxed than they remember ever being.

HRV is a measure of the level of physiologic function and adaptability that quantifies the activity of the sympathetic and parasympathetic nervous systems. It is a predictor of cardiovascular disease and stroke. The National Heart, Lung and Blood Institute has acknowledged the increased risk of stroke for patients with jaw related muscle pain (TMJ) problems and sleep disordered breathing (SDB). Use of HRV provides a special level of safety for the patients, especially those with multiple systemic disorders.

The OSB treatment system uses intra oral orthotics, patented devices that look a little like orthodontic retainers and that fit comfortably over the teeth, usually the lower teeth. The OSB laboratory individually designs and fabricates the orthotics. Shapes and forms are built into and added onto these orthotics that trigger reflex changes in the tone of the tongue so that the tongue has a place to rest in the mouth and prevents the tongue from falling back into the throat. The jaw is held at the most appropriate vertical and horizontal dimensions to support ease of the primary oral functions. Once a patient takes a few easy, deep breaths with a fully adjusted orthotic, head posture improves, healthy and vital facial skin tones appear, head and neck pain fades and leaves, and the patient is free to enjoy the relaxed and peaceful, whole-body effects of effortless breathing.
Follow-up radiographs are taken to be sure that the OSB orthotic is providing optimal improvement in jaw position, tongue posture and opening of the throat.

A variety of OSB orthotic designs are available to allow for individualized treatment. Some of the orthotics prescribed fit on the lower and/or upper teeth, whereas others fit both upper and lower teeth at the same time and have either a rigid or a mechanical connection between the upper and lower components. Orthotics designed for daytime wear are inconspicuous and often enhance the clarity and tone of the voice. Many patients with snoring or OSA will require separate nighttime orthotics, like the one pictured, that stabilize the jaw and tongue position One of several orthotic designs dependably during sleep. available through OSB laboratories.

Many people have difficulty tolerating standard dental appliances that do not support the reflex patterns to maintain appropriate muscle tone. Some appliances can be bulky and can steal space from the tongue. Such appliances can actually increase nighttime clenching and aggravate morning headaches, cause Temporomandibular Joint (TMJ) pain, and excessive salivation. OSB appliances do just the opposite: They provide appropriate tongue space and provide normal neuromuscular reflexes that support normal muscle tone. This results in decreased clenching and improved breathing.

Doctor Arthur Strauss, an OSB practitioner in Falls Church, Virginia, treated Reverend Dan Horner who said, “It has occurred to me that the mandibular repositioning devices (MRDs) are so crude and stress inducing in comparison (to OSB orthotics). They (other MRD) held my lower jaw in an unnatural position and filled my mouth with plastic. The OSB nighttime appliance is so comfortable in comparison. I feel relaxed when I am wearing it and my jaw is no longer sore like it was after a night wearing an MRD.”