The Full Breath Solution
As of February 1, 2006, the Academy of Sleep Medicine has designated “…sleep oral
appliances as the NUMBER ONE treatment avenue for mild and moderate sleep apnea
and snoring.”
Because Dr. Keropian’s procedure and mouthpiece were so successful at improving
breathing during sleep, it seemed appropriate for it to be known as THE FULL BREATH
SOLUTION. In the initial testing we submitted to the FDA we found a more than a
60% reduction in the number of instances of blockage, also know as apnea episodes.
With the FULL BREATH SOLUTION, the air passage is open throughout the night, enabling
sufficient oxygen to reach the lungs. Full Breath is what you need to stop snoring,
breathe fully and enjoy peaceful, restful sleep!
Dental appliances are the #1 non-surgical treatment solution recommended by the Academy
of Sleep Medicine when the CPAP cannot be tolerated. They are an effective solution
for snoring problems and for patients with mild or moderate Sleep Apnea.
The Full Breath Solution appliances are patented, small, comfortable and
effective
No matter how bad it is, no matter what treatments you have tried in the past, your
sleep problems CAN BE IMPROVED using the Full Breath Solution from this Center.
Call 877-807-0101 or use our on-line information request to find out how you can
take advantage of the Full Breath Solution and handle sleep problems.
A History of the Development of the Full Breath Solution
By Dr. Keropian
In 2001, a beautiful woman came into my office, despondent and crying. She was about
40 years old and had started snoring when she was 36. As a result of snoring and
Sleep Apnea, she had no energy; she was constantly fatigued. She lost her job because
she was continually too exhausted to work. She went to a doctor and he put her on
a CPAP machine. It was effective for her as well, but she, just like so many others,
could not tolerate wearing the CPAP on her face all night. She could not sleep at
all with it on!
Subsequently she tried one of the mouthpieces existing at that time, but found she
could not tolerate the bulk of it.
She endured four years of this, and by the time she came to see me, was taking Prozac
and told me she was ready to commit suicide. You can imagine how much I wanted to
help her.
Using a computer to show me a person's airway volume, I made an appliance to
set the bite for maximum air intake.
A week later she returned to the office crying. The snoring, exhaustion and headache
problems were not relieved. She was more distraught than ever and was losing hope
that anything would ever work.
There was no way I'd give up on her. I thought long and hard, trying to come up
with something different, something that would work more effectively. It was common
knowledge in the field of sleep medicine that the tongue could fall backward and
block the airway. It occurred to me that none of the current mouthpieces had any
way to hold the tongue down! So, I developed an upper retainer, but also ran two
wires across the back of the mouthpiece to hold the tongue down.
As time went on, it became clear that the tongue was not just falling back during
sleep. It was also pushing upward, blocking the airway. No mouthpiece had ever been
designed to handle this problem!
With this in mind, I carefully worked the device so it would not only hold the tongue,
but also keep it from pressing upward.
She returned three days later, the tears replaced by a appreciative smile that changed
all of us, too, in the clinic. She reported that she had been getting the best sleep
she'd had in many, many years!
That was all the encouragement I needed. I refined and documented my design and
production techniques and obtained a patent, followed by FDA clearance. I had developed
the smallest and most effective mouthpiece available. I am proud and pleased to
share this breakthrough with you!
Dr. Bryan Keropian
Mechanism of Treatment, The Full Breath Success, and the History Of Its
Development
The history and development of the FBS is
an excellent illustration of our successful method of treatment. The
following is an overview of the development of the FBS and why it is
successful. You can see how, step –by-step, we gained our effectiveness.
When I newly entered into treatment of
sleep in 2002 I used the standard mouthpieces that the dental profession was
using. My success was limited. The treatment of choice for the Dental
Industry was to move the lower forward from a ¼ inch up to ½ an inch. In
some cases, this resulted in TMJ or facial pain, and in some cases the jaw
would get stuck forward and there would then be bite problems
(malocclusion). I was not happy with treatments provided by dentistry, but
knew this was a deadly, serious problem for my patients and mankind. Within
4 months, as I explain on this website’s section on “A History of the
Development of the Full Breath Solution,” I realized that the tongue goes
back and up. With the lady in the story I developed an upper retainer that
had a bar that ran from the left side of the mouth to the right side. This
bar was located at the back of the mouth, at the first or second molar and
ran across the roof of the mouth and restrained and controlled the tongue
from going up and back. It is shown in the figure below.
Fig 2: FBS changed to all plastic with bump on bar
The bar was the key to restraining the
tongue, and it brought our initial success.
In 2004 a 54 year old man came in
complaining that his snoring was disturbing his 37 year old girlfriend and
he was sleeping in another room due to his snoring. He was highly agitated
by this occurrence. He could not tolerate the CPAP and wanted my help.
I initiated treatment. Unfortunately I was
unsuccessful at eliminating his snoring. I tried all my treatment methods
with The Full Breath Solution that you see in FIG 1., but he continued to
snore. I decided to add small bumps on the back bar to try to deflect the
tongue down, and prevent the upward and backward movement. It was worth a
try. Unfortunately, it was unsuccessful.
Several weeks later he lost his mouthpiece
on vacation. So I sent an order to the Dental Laboratory and had it remade.
I told the lab to add 3 bumps on the bar. However, I failed to tell them how
big to make the bumps. When I got is the mouthpiece back I found that they
had made the bumps 3-4 times longer than the bumps I had made.
Fig 1: Original Upper Full Breath Solution Upper Retainer Sleep Appliance
I wasn’t sure what to do with this. I tried
it in his mouth and he could tolerate the long bumps. So I sent him home.
The next morning I got a call from him. Right off the bat he excitedly told
me, “Doc you’re a genius, this stopped my snoring.” Wow, the lab made it
long and it worked. Well, what worked? The long “icicles” on the bar
prevented the tongue from going up and back, and thus he did not snore.
With the first patient, the lady out of
work for 4 years, we controlled the tongue from going back and blocking the
airway. In this case with snoring, the bumps got the same result and we were
able to keep the airway open. A
strong message was being passed on to me: Control the tongue, and we will be
successful treating snoring and sleep apnea.
About a year later, a very overweight
attorney came into my office. His airway was blocked 75 times an hour, and
he was CPAP intolerant. He wanted to try my treatment. I placed the
appliance and a week later he told me that he really liked it. After wearing
his FBS for a week he wanted the tail extended. After experimenting with
several designs, we established a “popsicle stick” at the back end of the
bar. It was very successful with him. I tried it on a number of patients and
had found it brought me greater success. We got quicker treatment, better
results unblocking the airway, and we were more successful at stopping
snoring. I eventually obtained the 4th FDA Certification for the Full Breath
Solution with this advance.
Fig 3: FBS made with long bumps on tail
The tail gave us greater leverage in
restraining and inhibiting the tongue. We have been able to add to the
length and thickness of the tail. It eventually led us to depressing the
tongue, and this is our present mode of treatment. We depress the tongue in
a matter similar to the same way an MD depresses the tongue when he views
your throat. With the Full Breath Solution, we create a comfortable tongue
depressor in the mouth, thus keeping the airway open all night. It is
paramount that it be comfortable. As the tail is increased in size it is
always done with a method so that every patient leaves with the FBS
comfortable in his mouth. No patient leaves feeling like he has too much in
his mouth. It is the same process used with teenage orthodontic patients who
get retainers. They leave with the retainer comfortable.
Fig 4: Modern Full Breath Mouthpiece
Presently, the Full Breath Solution is
fitted on the lower teeth in 98% of the cases, and the tail is used as a
depressor. With this design we have a 79% success rate at lowering the
number of times the airway is blocked hourly, and 99% success rate at
eradicating snoring.
Full Breath Solution | Dr.
Keropian