1. Introduction to Concepts
a. Neurology “Rules” as the primary determining factor of sleep physiology
b. Hierarchy of needs – Cerebral perfusion
c. Osteopathy as a concept and application
i. Cranial vault mobility
ii. Cranial vault symmetry and strains
d. The Fascia Factor
2. Retained primitive reflexes: The Trump Card
a. FPR
b. Moro
c. Overview of others and relevance to oral environment
3. Clinical applications of influences to the Locus Coeruleus
a. Cranial base reflexes
b. Bite response reflexes
4. Sleep physiology and architecture
a. Importance of monitoring stage 3 sleep transitions, duration and QOL
b. Remmers statement: AHI only determines reimbursement
c. Looking beyond the airway choke point and into the signaling of sleep
5. Trigeminal Cardiac Reflex
a. Etiology
b. Diagnostics
c. Treatment options
d. Misdiagnosis and consequences
6. Cranial nerve stimming and toning
a. Literature review
b. Clinical applications
7. The mental dental connection
a. Interpretation of pain through limbic pathways
b. Depotentiation through Havening
8. The Me5
a. Pathway
b. Implications in dentistry
c. Primary vs permanent dentition
9. Fascia, Fascia, Fascia
a. The role of the buccopharyngeal fascia
i. Mandibular labial tendon
ii. Buccinator aponeurosis
iii. Airway corset
b. Sublingual fascia
i. Mills research
ii. Academy of Breastfeeding medicine position ststement
c. Upper cervical fascia and influences on the dural membrane system
10. Fit2BTied – Tongue restriction analysis
a. Visual vs functional assessment
b. ROM and palpation
11. Airway assessment
a. Tonsil/adenoid influence
b. Nose patency
c. Mallampati
d. Tongue posture
12. Osteopathy in the Cranial Field
a. Sutural homeostasis
b. Symmetry
c. Fluids and membranes
d. Growth and developmental influences
13. Dysautonomia
a. Connective tissue implications
b. Autonomic nervous system implications
c. Vascular considerations
d. HRV as an effective screening tool for the complex patient
14. Clinical exam for neurological, fascial and structural restrictions
a. Relating the SO to the AP
b. Significance of palpation exam findings related to diagnosis and treatment
c. If this, then that: Treatment sequencing
15. Indications for referral for structural co-treatment
16. Metabolic and nutritional considerations
a. Vit D, B, K and Mg
b. Insulin resistance and sleep fragmentation
c. Inflammatory markers
d. Intracranial inflammation
i. Symptoms
ii. Solutions
iii. Williams research/Zamboni effect
17. COVID Vaccine and virus: short term and long-term implications
18. NINJA fabrication
19. Cranial releases
20. R&B Home care
21. Letting your fingers do the talking
a. Palpation (finger and thumb, finger game)
b. Cranial sutural releases