The OrthoSmile™ Newsletter

What's New on the Block?

Sunday, August 7, 2011


The medical profession is far behind when it comes to understanding adrenal gland problems. In 2011, they still do not recognize adrenal insufficiency, adrenal exhaustion or adrenal burnout as real health conditions. This is very sad, as the situation is so common.

The gene on chromosome 10 is called CYP 17; it makes the hormone Cortisol. Cortisol (hydricirtisone) Is a steroid hormone, or glucocorticoid, produced by the adrenal gland. Is is released in response to stress and a low level of blood glucocorticoids.

Cortisol is in every system of the body. It is a hormone that literally integrates the body and the mind by altering the configuration of the brain. Cortisol interferes with the immune system, changes the sensitivity of the ears, nose and eyes, and alters various bodily functions. When you have a high level of cortisol in the blood, you are by definition, "under stress." Cortisol is synonymous with stress. Chronic stress might be the most common disease in the industrialized world.

Upper Airway Resistance Syndrome (UARS) raises our cortisol level at night. See: (Hypothalmus, Pituatary Adenal axis).
(UARS) is a sleep disorder characterized by airway resistance to breathing during sleep, which often goes undiagnosed or masquerades as another problem. Headaches, myalgia, sleep onset insomnia, sleep maintenance insomnia, bruxism, anxiety and depression are all symptoms of chronic stress which can be related back to respiratory effort related arousals and (UARS).1,2

Dentists do not need an MD to diagnosis Upper Airway Resistance Syndrome. With a strong background in craniofacial pain we can recognize the symptoms in our patients and provide effective treatment protocols. Patients that exhibit symptoms of chronic stress can be tested with ambulatory polysomnography to determine if there is a pattern of arousal and light sleep all night long. If we can break the pattern of chronic stress and lower cortisol levels, it will take our patients out of sympathetic mode and slow down their pulse rate and give them a more restorative night's sleep. Homeoblock(tm) appliance therapy treatment, myofunctional therapy and breathing exercises can help with this problem.

Cortisol is synonymous with stress. Stress is with us daily in our high pressure society. It is what happens to our stress (cortisol) levels at night which is so important to our health and well being. If we have high levels of cortisol in our blood at night we are subject to sleep maintenance insomnia and a reduction in deep (slow wave) sleep and REM sleep3

Obstruction in areas 1, 2,or 3 can cause upper airway resistance and cortisol in the blood.

Maxillary development with the Homeoblock(tm) appliance reduces obstruction in area 1

Increased vertical height accomplished with a 5mm bite block on the 2nd bicuspid and first molar of the Homeoblock(tm) appliance lowers the soft palate and reduces obstruction in area 2.

Bringing the tongue forward through the teeth to the lips while biting on the bite block will contract and tone the genioglossus and reduce the obstruction in area 3.

The Homeoblock(tm) appliance therapy can be demonstrated to reduce UARS and result in less arousal and a more restorative nights sleep.

1- Stephen Y. Park, MD; Sleep Interrupted, Jodev Press LLC (2008)

2-Recent article linking genetics, cortisol and depression;

3-The data show a strong influence of cortisol on total sleep time and slow wave sleep (SWS) as well as rapid eye movement (REM) sleep

Dr. Theodore R. Belfor graduated from New York University College of Dentistry in 1966 and has been in private practice for 40 years.

He has been published in The New York State Dental Journal, Philippine Journal of Orthodontics, Indian Dentist, Dental News (Lebanon), Novoe V Stomatologii (Russia), APEX (UK), The Journal of Cosmetic Dentistry, Aesthetic Dentistry Today, Dentistry Today, The Journal for the American Academy of Gnathologic Orthopedics, The Functional Orthodontist, International Journal for Orthodontics, Sleep Diagnosis and Therapy, Anti-Aging and Cosmetic Surgery Magazine.

Dr Belfor has been lecturing, teaching and training the Homeoblock(tm) protocol since 2005, at USA venues in Phoenix, Arizona; Los Angeles, California; San Diego, California; Miami, Florida; Philadelphia, Pennsylvania, Nashville, Tennessee, New York, New York; internationally in Mumbai, India, Sydney, Australia, Warsaw, Poland and London, UK.

Additionally, Dr. Belfor has lectured on the Homeoblock(tm) at meetings of professional organizations including:

American Academy for Craniofacial Pain (AACP)
NYU College of Dentistry, Dental Sleep Medicine University
Sacro Occipital Technique Organization (SOTO)
Clinical Foundation of Orthopaedics & Orthodontics (CFOO)
The New York State Society of Sleep Medicine (NYSSSM)
The Center for Exceptional Practices (Cleveland, OH), John Herald, DDS
American Association for Functional Orthodontics, National Conference. (AAFO)
Annual Appliance Therapy Practioners' Association Symposium (ATPA)
Conference on Dental Management of Snoring and Sleep Apnea, Dr. Edward Spiegel
Excellence in Orthodontics and Dentofacial Orthopaedics (EODO), Dr. Derek Mahony
International Board of Orthodontics (IBO)
International Association for Orthodontics (IAO)
Mid-America Orthopedic/Orthodontic Institute (MAOOI)
Mini-Residency on Interdisciplinary Treatment for Orofacial Pain, Dr. Steven Olmos
Pennsylvania Craniomandibular Society (PCS), Dr. Stephen Smith

Dr. Belfor is Chairman and President of OrthoSmile, Inc. and the inventor of the patented Homeoblock(tm) orthopedic/orthodontic appliance.

Incorporate the Homeoblock(tm) treatment protocol into YOUR practice:
Become a Homeoblock(tm) CERTIFIED dental professional:
Contact Theodore R. Belfor, DDS:
OrthoSmile, Inc
+1 518-943-7703

to speak to your study club, group or conference.


Hear Dr. Belfor at:

International Association for Orthodontics (IAO)
2011 IAO Annual Meeting
April 7-10, 2011
Scottsdale, AZ

Clinical Foundation of Orthopaedics & Orthodontics (CFOO)
TRIPLE-O Dental Laboratory
May 6-7, 2011
London, UK

SOTO/USA 12TH National Clinical Symposium
Sacro Occipital Technique Organization (SOTO)
May 19-22, 2011
Nashville, TN

NYU College of Dentistry, Dental Sleep Medicine University
June 17, 2011
New York, NY

American Academy of Craniofacial Pain (AACP)
26th Annual International Clinical Symposium
July 29-30, 2011
Baltimore, MD

International Association for Orthodontics [IAO]-Poland
October 01-02, 2011
Warsaw, PL

Clinical Foundation of Orthopedics and Orthodontics
October 28-30, 2011
Gainsville, TX

Johns Dental Laboratories
Chicago, IL
November, 11-12, 2011

International Association for Orthodontics [IAO]-NEW ENGLAND
December 2-4, 2011
Windsor Locks, CT

Singh GD. Diaz J, et al. Facial Changes Following Treatment with a Removable Orthodontic Appliance in Adults. Funct Orthod. 2004;15:27-30
Belfor TR. The Dentist's Role in Facial Anti-Aging. Int J Orthod 2009;20 (2) 35-37
Belfor TR. Epigenetic Orthodontics. NYSDJ. 2010;76(6) 18-21