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AirwayCentric® Dental Education.

Cranio : the journal of craniomandibular practice·2016
See all related articles

Related Experiment Video

Updated: Apr 25, 2026

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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Airway centric TMJ philosophy.

Michael L Gelb

    Journal of the California Dental Association
    |September 2, 2014
    PubMed
    Summary

    The airway is crucial for breathing, sleep, and daily function. An Airway Centric approach prioritizes airway patency, followed by temporomandibular joint and muscle management, with occlusion as the final consideration.

    Area of Science:

    • Dental Medicine
    • Sleep Science
    • Orthodontics

    Background:

    • The airway is essential for respiration, sleep quality, and daytime performance.
    • Temporomandibular joint (TMJ) disorders and occlusal issues can impact airway function.
    • A holistic approach is needed to manage airway, TMJ, and occlusion.

    Purpose of the Study:

    • To introduce and define the Airway Centric paradigm.
    • To emphasize the primacy of airway management in dental and occlusal philosophies.
    • To outline the sequential importance of airway, joint/muscle, and occlusion.

    Main Methods:

    • Conceptual framework development.
    • Literature review on airway, TMJ, and occlusion.
    • Establishing a hierarchical model for treatment considerations.

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    Main Results:

    • The Airway Centric paradigm places the airway as the foundational element.
    • Temporomandibular joint and muscle function are secondary to airway patency.
    • Occlusion is the final component to be addressed within this paradigm.

    Conclusions:

    • Prioritizing airway patency is fundamental for overall health and function.
    • A comprehensive dental approach must integrate airway, TMJ, and occlusal management.
    • The Airway Centric model provides a structured framework for clinical decision-making.