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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

 

Thursday
Feb062014

Teeth Grinding (Bruxism), With Dr. Larry Pribyl, of the Center for TMJ & Sleep Apnea, Independence, Missouri

Bruxism, or the grinding of your teeth, is more likely to occur during the deeper parts of sleep.  Bruxism can lead to muscle fatigue and soreness, says Dr. Larry Pribyl of the Center for TMJ and Sleep Apnea in Independence, Missouri.

The most common reasons why bruxism occurs is stress, a compromised airway so that one is struggling to open it while sleeping, which leads to the grinding and TMJ, where a little piece of cartlidge or pad is displaced in our jaw joint and the muscles work overtime while sleeping, says Dr. Pribyl.

Clenching deals with issues with muscle fatigue and soreness in the jaw joint and clenching itself doens't harm teeth.  Grinding, however, is very detrimental to the surface of our teeth, Dr. Pribyl says, and this is also reflective in our TMJ joint as well.

The side effects that Dr. Pribyl mentions includes muscle fatigue which leads to patients waking up with headaches, either due to lack of oxygen or muscle fatigue and wear and tear on the teeth.  Bruxism is managed with an oral appliance to help preserve the wear on the teeth but Dr. Pribyl says it's important to find out what's the real causes.  If it's an airway issue, it's important to create a more patent airway in solving the airway issues.  If it's stress, it's important to relieve the stress and if it's TMJ-related, then that should be targeted as well.

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

How Sleep Apnea is Diagnosed, With Dr. Larry Pribyl, of the Center for TMJ & Sleep Apnea, Independence, Missouri

To properly diagnosis sleep apnea, one must go to a sleep lab and receive a PSG, or polysomnogram, which takes many measurements, with an end result of sleep numbers that tell you how many times you've interrupted your breathing while asleep.  Dr. Larry Pribyl, a dentist in Independence, Missouri with the Center for TMJ & Sleep Apnea, says that during the sleep study, one factor that's monitored is the oxygen level.

Through the course of the night, an ideal oxygen level is 90% or more and when it's less than that ideal, it's a strong indicator of sleep apnea.  Additionally, your heart rate increases with sleep apnea, as does jerking and clenching with your muscles, Dr. Pribyl says.

Another way to diagnose sleep apnea is with a take home test, done in the comfort of one's own home.  While it doesn't monitor all of the things a PSG does, it does monitor the most important aspect of a sleep study, which is the obstructive events.

Sleep apnea is measured by measuring both apnea, the cessation of breath and hypopnia, a decrease in oxygen level.  The apnea hypopnia index indicates that with less than 5 events an hour, there is no sleep apnea.  Five to fifteen events an hour indicates mild apnea, 15-30 events an hour indicates moderate apnea and over 30 events an hour indicates severe apnea, according to 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

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

There are two main categories of sleep, REM sleep and non-REM sleep.  Non-REM sleep has 4 stages that go from light to deep and in deep sleep, growth hormone is produced, which is especially important for children, says Dr. Larry Pribyl, of the Center for TMJ & Sleep Apnea in Independence, Missouri.

Non-REM sleep precedes REM, or dreaming sleep.  During REM sleep, the eyes and diaphragm are the only two things moving and the rest of your body is paralyzed, more than likely so that we don't act out our dream, says Dr. Pribyl.  During the deep sleep cycle of non-REM sleep, the sleep is restorative and regenerative to overall health.

A sleep cycle lasts about 90 minutes and we go through 4-5 cycles through the course of the night.  We cycle through all different stages and we have our deepest and best sleep usually between 4-6 am, Dr. Pribyl says.  He adds that if you have sleep apnea and you remove your device, whether it's a CPAP or oral appliance, those hours are when most deaths occur because the sleep apnea is not being managed at that moment.

The main purpose of sleep, notes Dr. Pribyl is to restore the brain, give it a chance to rest and file what's happened during the course of the day.

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
Feb052014

How One Can Self-Test For Possible Sleep Apnea, With Dr. Larry Pribyl, of the Center for TMJ & Sleep Apnea, Independence, MO

Most patients aren't aware they are having sleep apnea events, as it's most often told to them by a bed partner, spouse or observer that they're stopping their breathing pattern.  Dr. Larry Pribyl, a dentist in Independence, Missouri, with The Center for TMJ & Sleep Apnea, talks to his patients about the importance of nasal patency, which is being able to breathe through your nose easily without obstructed airflow. 

Dr. Pribyl will perform a "sniff test" with his patients, where they close their lips, breathe hard and fast through their nose and Dr. Pribyl will notice if their nostrils flare or collapse, as an indicator of how much air is getting in and how open and patent their nasal airway is.

There is also an Epworth Sleepiness Scale that people can take, which is composed of 8 questions, scored from 0-3.  When done, the numbers are added together to determine the likelihood of sleep apnea, with 0-8 being least likely and 24 indicating a possible presence of narcolepsy or drug use or abuse.

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.

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