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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

 

Wednesday
Feb192014

How Sleep Apnea is Different in Adults and Children, With Dr. Larry Pribyl, Center for TMJ & Sleep Apnea, Independence, Missouri

Sleep apnea is classified based on the number of events one stops breathing at night.  An AHI, or apnea hypopnia index, is the classification system used to determine if one has sleep apnea and its severity, says Dr. Larry Pribyl, of the Center for TMJ & Sleep Apnea in Independence, Missouri.  When one stops breathing for less than 5 seconds, no apnea is present.  When one stops breathing for 5-15 seconds, it's considered mild apnea, for 15-30 seconds, it's moderate apnea and more than 30 seconds is considered severe.  "This has a vital impact on our vital organs and our heart," Dr. Pribyl says.

For children, if they have an apnea event just once, that's classified as needing treatment, as this is a serious issue, Dr. Pribyl says, adding that if a child isn't getting into good sleep, they're not producing enough growth hormone.

A sleep study is the gold standard when diagnosing sleep apnea for most patients, says Dr. Pribyl and for kids, it's an observed thing first by the parents.  He notes that the risks are more severe in a way when you talk about growing children who need their oxygen through the night.  "There is a strong relationship between sleep apnea and ADHD and those who bed wet," Dr. Pribyl adds.  In fact, children don't experience daytime sleepiness that adults do, as the sleep apnea manifests itself differently with children than adults, making them wired.

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

Signs and Symptoms of TMJ, With Dr. Larry Pribyl, of the Center for TMJ & Sleep Apnea, Independence, Missouri

When patients come in to Dr. Pribyl's dental office in Independence, Missouri to be evaluated for TMJ (temporomandibular joint) problems, the more common symptoms he sees are a limited range of jaw movement, jaw getting stuck, can't move the jaw without pain, headaches, earaches, ringing in ears and noise in the jaw.

TMJ problems can be hard to diagnose, says Dr. Pribyl and it used to be known as the "great imposter," and still is.  "We're usually the fourth or fifth provider they've seen related to their TMJ problem," he says, as TMJ issues manifest themselves as other things and people see other providers for those things.  If patients come in with headaches and earaches and noise in their jaw, it is "highly likely" they will have a TMJ diagnosis, Dr. Pribyl says.

There are other healthcare providers that treat patients for TMJ, including chiropractors and physical therapists, as patients can have referred pain in their neck and shoulders.  "We can get better results by working together," says Dr. Pribyl.

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.

Tuesday
Feb112014

Early Intervention Key For Children With Sleep Apnea, With Dr. Larry Pribyl, Center for TMJ & Sleep Apnea, Independence, MO

A dentist can do several things in the treatment of children with sleep breathing disorders, such as sleep apnea.  For one thing, a dentist can do a thorough evaluation and refer a child to an ENT if the dentist sees enlarged tonsils and adenoids.  Also, a dentist can make an oral appliance to reduce bruxism, or teeth grinding issues.  Additionally, a dentist can also evaluate a child's airway using a pharyngometer or rhinometer, which shows airway patency and how open the airways are, says Dr. Larry Pribyl of  the Center for TMJ and Sleep Apnea in Independence, Missouri.

Children can possibly grow out of sleep breathing disorders, says Dr. Pribyl, if their tonsils and adenoids shrink but if they have other anatomical issues, such as a narrow palate, small mouth or retruded jaw, they may need orthodontic help to accomplish better alignment of their jaws and open the airway.

The earlier the better for treating children orthodontically, says Dr. Pribyl.  By the time a child is 6 years old, they're about 80% done growing facially and by the time they're 11 years old, they're at the 90% level.  Teeth and arches can be moved on kids of any age, he says, but to affect a better airway and more stable orthodontic result, you need to treat early.

Dr. Pribyl says that genetics play a big role in children with sleep breathing disorders, in regards to facial structures.  They may have small mandibles and the anatomy of the neck plays a huge role in things.  With sleep apnea, there's only about an inch and a half of space that the airway collapse happens in, so there's not a big space available.  "We need to do what we can to increase that in size while the child is still growing," says Dr. Pribyl.

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
Feb062014

Symptoms of Sleep Apnea & Epworth Sleepiness Scale, With Dr. Larry Pribyl, of the Center for TMJ & Sleep Apnea, Independence, MO

If you are waking up unrefreshed, even after a good night sleep, are snoring or gasping for air at night or have decreased cognitive function throughout your day, chances are you may have sleep apnea, as these are all symptoms.

Dr. Larry Pribyl, a dentist in Independence, Missouri with the Center for TMJ & Sleep Apnea says that through his website, www.tmjsleepapnea.com, you can take the Epworth Sleepiness Scale test, which consists of 8 questions on which one is graded for the likelihood of having sleep apnea.  A score of less than 8 there is little likelihood of sleep apnea, greater than 8 one might and the closer one gets to 24, there is an extreme likelihood of having sleep apnea, possibly even narcolepsy, Dr. Pribyl says.

The test is automatically scored and you'll know right away what your grade is, 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
Feb062014

Sleep Breathing Disorders in Children, With Dr. Larry Pribyl, of the Center for TMJ & Sleep Apnea, Independence, Missouri

A sleep breathing disorder can develop with a child at any age.  If a parent observes their child snoring, Dr. Larry Pribyl, a dentist in Independence, Missouri, with the Center for TMJ & Sleep Apnea, advises the parent to take the child to a pediatrician or perhaps an ENT for further evaluation of their airway and tonsils and adenoids, which for children, is usually the first line of attack.

A sleep study can be done at any age and Dr. Pribyl finds that children's hospitals are very good at working with children and their families to get that done, as the diagnosis of sleep apnea is important so it can be dealt with properly.

Dr. Pribyl says that snoring and tooth grinding isn't normal and are usually sings of an underlying problem, whether it's enlarged tonsils and adenoids, a compromised airway or a jaw joint issue, such as TMJ.  A proper evaluation and diagnosis is needed in order to come up with a proper solution for the child, he 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.