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Larry D Pribyl, D.D.S Independence, Missouri

Center for TMJ and Sleep Apnea

4801 S. Cliff Ave #212 Independence, Missouri

Phone:  816-795-1000

Toll Free: 866-667-6073

Website: http://tmjsleepapnea.com 

Larry Pribyl has been in private practice over 34 years. He practices with a special interest in treating, head, neck, facial pain as well as dental sleep medicine. His training comes from experts in these fields where he has acquired hundreds of continuing education hours in post graduate studies.

Practice: Private practice limited to Diagnosis and Treatment of Head, Neck, and Craniofacial Pain, Temporomandibular disorders, Snoring and Sleep Disorders (2001-present).

Education:

South Dakota State University 1971-1972

Creighton University, Undergraduate  1972-1974

Creighton University, DDS 1974-1978

Webster University MBA 1985-1987

 

Faculty:

Lake Area Vocational School, Dental Assisting Program 1979-1981

Johnson County Community College, Adjunct Professor, Dental Hygiene 2008-present

 

Diplomate: 

American Academy of Dental Sleep Medicine (2008-present)

Academy of Clinical Sleep Disorders Disciplines

Mini Residency, AACP, TMJ

United States Dental Institute (Orhodontics)

TMJ Institute of the American Academy of Craniofacial Pain (Graduate)

 

Fellowship:

American Academy of Craniofacial Pain

 

Master of Excellence:

American Academy of Craniofacial Pain

 

Professional Associations/Societies:

American Dental Association

Missouri Dental Association

Missouri Dental Association, Chairman Peer Review Committee

Kansas City Dental Society

American Academy of Craniofacial Pain

American Academy of Dental Sleep Medicine

International College of Cranio Mandibular Orthopedics

American Academy of Functional Orthopedics

American Academy of Functional Orthopedics

Academy of Clinical Sleep Disorders Disciplines

 

Sleep Lab Affiliations:

Work Closesly with sleep labs to help develop and implement protocol for oral appliance therapy.

 

Publications:

"Dakota Dental Consultants"

A Practice Manual for General Dentists

 

Tuesday
Feb252014

Oral Appliances From a Dentist to Treat Sleep Apnea, with Dr. Larry Pribyl, Center for TMJ & Sleep Apnea, Independence, Missouri

Oral appliances are designed to move your lower jaw, or mandible, and tongue forward.  The tongue is a major driver when it comes to sleep apnic events or snoring, says Dr. Larry Pribyl, dentist with the Center for TMJ & Sleep Apnea in Independence, Missouri.  The tongue falls back into the airway and compresses the tissues and cuts off the airway.

Over the counter oral appliances are one size fits all and a lot of them are to be boiled to fit into the mouth and puts the jaw into a position you select.  They don't have a long life expectancy, Dr. Pribyl notes.

Custom-made oral appliances are made off of an impression made in a dental office, with material used that will last a longer time.  It fits the teeth tightly and also holds your jaw to a more fixed position and predictable posture so that you can better manage your apnea.  Plus, Dr. Pribyl adds, it's monitored by a dentist.

There are over 100 FDA-approved oral appliances to treat sleep apnea and many more just for snoring, says Dr. Pribyl.  He says it's the dentist's responsibility to determine which one is the best for each patient.  Dr. Pribyl's office has an in-house laboratory that can make oral appliances within a couple of days.  Other labs he uses can take anywhere from 2-4 weeks to make an oral appliance.

Dr. Larry Pribyl is a leading sleep expert with Sleep Better TV, providing online, on-demand, sleep breathing disorder videos, and is a dentist in Independence, Missouri with the Center for TMJ & Sleep Apnea.

Thursday
Feb202014

Dr. Larry Pribyl and The Center for TMJ & Sleep Apnea in Independence, Missouri

Dr. Larry Pribyl, at the age of 10, decided he wanted to become a dentist, mainly to make it his mission to make it less of a painful process for patients.  To that end, technology has been huge, he says.

At the Center for TMJ & Sleep Apnea, his dental practice in Independence, Missouri, Dr. Pribyl not only has computer monitors stationed in each exam room, he also uses CT scans and laser therapy, among many other things, which has made dentistry a "much more exciting profession."

Dr. Pribyl uses cold laser therapy to make cold sores disappear quickly, TENS units and ultrasound units for pain therapy, just to name a couple of technologies.  In order to make the technology work for you, Dr. Pribyl explains, you have to make the right diagnosis.  "That's key," and technology helps to get us there, he says.

At the Center for TMJ & Sleep Apnea, their mission statement is "designing a better quality of life for you," and in the things they do, they want to help their patients in the office and have them leave feeling better than when they came in.  When you're dealing with sleep apnea and TMJ problems, most of the time, patients are not better right away.  "There is a commitment on our part to work together to achieve a good result for the patient," Dr. Pribyl says.

Dr. Larry Pribyl is a leading sleep expert with Sleep Better TV, providing online, on-demand, sleep breathing disorder videos, and is a dentist in Independence, Missouri with the Center for TMJ & Sleep Apnea.

Thursday
Feb202014

Relationship Between TMJ & Trigeminal Neuralgia, Fibromyalgia, Migraines and Tinnitus, With Dr. Larry Pribyl, Independence, MO

The more common health issues Dr. Pribyl sees, at the Center for TMJ & Sleep Apnea in Independence, Missouri, are trigeminal neuralgia, fibromyalgia, migraines and tinnitus.

With trigeminal neuralgia, a patient realizes certain triggers elicit sharp stabbing or burning pains in their face, and patients diagnosed with TMJ problems can also have symptoms very similar to those with trigeminal neuralgia.

Fibromyalgia is characterized by widespread pain, neck pain and joint stiffness, as well as some difficult swallowing and sleeping.  TMJ symptoms can be associated with neck pain and joint stiffness as well, so there's an overlap of symptoms making it more difficult to make the correct diagnosis, Dr. Pribyl says.

Migraines usually manifest themselves unilaterally, last from a couple of hours or days but associated symptoms may include sensitivity to light, sound or smell.  Headaches are the most common symptom of TMJ patients, notes Dr. Pribyl.

Tinnitus, or ringing in the ears, can come from several sources, including ear infections, extreme noise, emotional stress, medications and a diagnosed TMJ problem.  In the scope of his practice, he sees a very strong relationship between the tinnitus and certain kinds of TMJ problems.

Dr. Pribyl says all of these are related by way of trigeminal nerve involvement or input, which can have an impact on all of these things.  These are inflammatory conditions coupled with pain, so they exhibit referral patterns within these, where one issue can make it seem like it's something else.  Dr. Pribyl explains that it can be challenging to get the right diagnosis with the way the symptoms are overlapping.  "Therein lies the challenge to come up with a correct diagnosis so we can provide correct treatment for patients, he says.

Dr. Pribyl works with various other practitioners in helping his patients, to include neurologists, rheumatologists,  ENT specialists, endocrinologists, pulmonologists, physical therapists and chiropractors.  "It takes a team effort and collaboration in working together many times to solve the pain puzzle for the patient," Dr. Pribyl says.

Dr. Larry Pribyl is a leading sleep expert with Sleep Better TV, providing online, on-demand, sleep breathing disorder videos, and is a dentist in Independence, Missouri with the Center for TMJ & Sleep Apnea.

Thursday
Feb202014

ALF Appliances & Biobloc Orthotropics, With Dr. Larry Pribyl, Center for TMJ & Sleep Apnea, Independence, Missouri

There are a series of orthdotnic appliances to help children with their airway problems.  Biobloc orthotropic appliances are designed to help promote growth and development for a healthier mandibular joint and for the airway, says Dr. Larry Pribyl, of the Center for TMJ & Sleep Apnea in Independence, Missouri.

This treatment can help realign the upper and lower jaws to improve a patient's airway, says Dr. Pribyl.  When a patient undergoes this treatment, it can decrease the chances of them developing obstructive sleep apnea when they get older and can eliminate or reduce their snoring.  The treatment can positively affect the size of the airway and it's "awesome when you talk about being the recipient of more air," Dr. Pribyl says.

The ALF appliance, or advanced lightwire functional appliance, is used for Dr. Pribyl's TMJ patients.  It provides subtle movement for either the maxillary or upper jaw, upper teeth, mandible and lower jaw, which can go a long way in reducing pain in his patients.  He says that while not everyone needs this type of appliance, when it is needed, it "presents itself as a real workhorse."  Dr. Pribyl says that the ALF appliance is a great appliance for adults and kids alike and for those who have headaches of TMJ origin or crowded dental arches or facial asymmetries, the ALF appliance is the appliance of choice in his office.  For adults who have chronic crowding later in life, the ALF appliance straightens out the imperfections in their teeth.

The biobloc appliance is most effective with children between the ages of 6 and 9, as this appliance depends on capturing the growth during this time period to give optimal results.  If you miss this period, you can still get results, just not as optimal as between the ages of 6 and 9, says Dr. Pribyl.  The main focus of using the biobloc for his TMJ patients is managing their pain, vs. promoting facial growth changes.

The ALF for kids between the ages of 4 and 12 does an exceptional job, according to Dr. Pribyl, as it's easy for the child to speak, eat and as it's functioning 24 hours a day, the results are fairly stable as far as the teeth not moving again later in life.  "ALF has proved to have a profound effect on patients of all ages in our practice," Dr. Pribyl says.

Dr. Larry Pribyl is a leading sleep expert with Sleep Better TV, providing online, on-demand, sleep breathing disorder videos, and is a dentist in Independence, Missouri with the Center for TMJ & Sleep Apnea.

Wednesday
Feb192014

Different Types of Sleep Apnea, With Dr. Larry Pribyl, Center for TMJ & Sleep Apnea, Independence, Missouri

The most common type of sleep apnea is obstructive sleep apnea, where the airway closes off totally when one is asleep and you're unable to catch any breath, says Dr. Larry Pribyl, of the Center for TMJ & Sleep Apnea in Independence, Missouri.  We realize that during the deep REM sleep, where more apnic events occur.

Central sleep apnea is when the connection between the brain and diaphragm doesn't work properly and this type of apnea is managed by a breathing machine.  There is also mixed sleep apnea, which is the combination of both obstructive and central apnea and is also treated with a breathing machine.

One of the most complicated types of sleep apnea, according to Dr. Pribyl, is complex apnea.  When you put a CPAP device on the patient and all of a sudden their apnic events start going right back through the roof.  This type of apnea needs to be managed by a very specialized breathing machine used at night.

Oral appliances work for most obstructive sleep apnea patients and doesn't have any effect on other types of sleep apnea.  They also have a very positive effect on those diagnosed with UARS, or upper airway resistance syndrome.  UARS is when you make a great effort to breath and the airway doesn't close off totally.  It's still open but you are working very hard to move that air through a narrower airway, vs. obstructive sleep apnea, which has a totally closed airway, Dr. Pribyl says.  He also notes that those with UARS are extremely exhausted upon waking because it is very tiring for them.

Dr. Larry Pribyl is a leading sleep expert with Sleep Better TV, providing online, on-demand, sleep breathing disorder videos, and is a dentist in Independence, Missouri with the Center for TMJ & Sleep Apnea.