Frenums, Fascia & Physiology
   Lecture Description  
  Today more practitioners are recognizing the presence and importance of restricted frenums with a tremendous growth in the number of frenum procedures being done. What should be the criteria for diagnosis and treatment? What other practitioners should be involved for optimal care? How is surgery, myofunctional therapy, physical therapy and expansion and other modalities incorporated for the individual patient to achieve optimal outcome.
This presentation will include presentations and discussion from leader of different disciplines.
Soroush Zaghi, MD
Dr. Zaghi is a graduate of Harvard Medical School, UCLA Otolaryngology (ENT) residency, and Stanford Sleep Surgery Fellowship. He is very active in clinical research with over 60+ peer-reviewed research journal publications and is a recognized leader on advancing standards of care for sleep-disordered breathing and tongue-tie surgery. He is now in practice in Los Angeles, CA in the United States through The Breathe Institute where the focus of his clinical practice and research efforts is now on understanding the impact of tethered oral tissues on sleep-disordered breathing and maxillofacial development in children and as a risk factor for upper airway resistance syndrome and obstructive sleep apnea in adults.

  Ron Hruska, PT
Ron graduated with a Bachelor of Science from the University of Nebraska Lincoln and matriculated to the University of Nebraska Medical Center, completing a degree in Physical Therapy. Following graduation from Physical Therapy school in 1980, Ron accepted a position as a staff PT at the Omaha Veterans Administration Medical Center. In 1983, he was promoted to Assistant Chief and Clinical Educator. During this time, he also earned a Masters of Public Administration through the University of Nebraska, Omaha. In 1984, Ron accepted a position as Director of Physical Therapy and Rehabilitation at St. Elizabeth Community Health Center in Lincoln, Nebraska, where he served in this role until 1997. In 1997, he began working with Inverse Technology Corporation as Director of Clinical Services. During this time, Ron was teaching courses across the country on “Patella-Femoral Dysfunction and Protonics”, as well as the first Postural Restoration® courses. In 1999, Ron opened a private practice physical therapy clinic, Hruska Clinic Restorative Physical Therapy Services, in Lincoln, Nebraska. In 2000, as a result of his extensive clinical and professional experience, he established the Postural Restoration Institute®, to explore and explain the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles. In 2011, Ron co-founded PRI Vision, LLC in Lincoln, NE with Dr. Heidi Wise. Ron has developed a strong interest in myokinematic, biomechanical, occlusal and visual influences on postural and peripheral adaptation patterns. Over 35 years of clinical experience assists him with direct patient interventions based on specific examination and evaluation data that best reflects neuromechanical stability, trunk symmetry and respiratory balance. In his earliest clinical practice at the Omaha Veterans Administration Medical Center, he recognized asymmetrical patterns that were influencing posture and movement, which led to the beginning of the science which is now Postural Restoration®. He lectures extensively and consults regularly with physicians, physical therapists, athletic trainers, optometrists, dentists, and other health care and fitness professionals across the United States and internationally on patterned postural position and pathology and his approach of restoring symmetrical balance using Postural Restoration® principles. As a result of his clinical experience and interdisciplinary evidence based integration, patients and healthcare professionals travel from across the country and internationally to the Hruska Clinic in Lincoln, Nebraska for consultation and treatment. These patients are usually experiencing symptoms of movement dysfunction associated with neuro-muscular, respiratory and sensorial asymmetry. Throughout his entire career as a physical therapist, he has remained a member of the American Physical Therapy Association, where he has served on the Judicial Committee, Reference Committee, and House of Delegates. Ron has served as President of the Nebraska Chapter of the American Physical Therapy Association. He has also served on the Federation of State Boards of Physical Therapy, where he was one of five individuals to be selected on the Model Practice Act Task Force. Ron has also served on the Nebraska Department of Health Physical Therapy Board, where he was appointed by the governor to Chairman of the Board of Examiners in Physical Therapy. Ron is co-inventor of the Protonics Neuromuscular Training System. Ron has also invented and patented the Prism and Priori PRI Aquatic systems. Over his career, Ron has presented at several national and state American Physical Therapy Association (APTA) conferences, as well as National Strength and Conditioning (NSCA) and National Athletic Trainer’s Association (NATA) national and local conferences. Ron has authored articles published in journals including; Orthopaedic Physical Therapy Clinics of North America, Dental Clinics of North America, The Journal of the American Dental Association, and EXPLORE. Ron is the Executive Director of the Postural Restoration Institute®, where he continues to teach nearly 20 courses each year across the country and internationally. He also continues to consult and practice at the Hruska Clinic, Restorative Physical Therapy Services, PRI Vision Clinic, and Hohl Orthodontics in Lincoln, Nebraska. In addition, Ron serves as a Biomechanical Consultant to the University of Nebraska-Lincoln through the Division of Athletic Medicine.
  Jeff Hindin, DDS
A graduate of SUNY at Buffalo School of Dental Medicine and the Buffalo VAMC residency program, Dr. Hindin practices general dentistry with an emphasis on the treatment of craniofacial pain, TMD and sleep disorders. Dr. Hindin has developed a system of evaluating physiology in the medical or dental office. He is conducting clinical research into the relationship between performance, splint therapy, physiological function and heart rate variability and is the lead dentist in the Proof of Concept Study of an Oral Orthotic to Reduce Tic severity in Chronic Tic Disorder and Tourette Syndrome at Weill Cornell Medical Center. He is a founding board member of the American Academy of Physiological Medicine and Dentistry and the Foundation of Airway Health. 

Jeffrey Hindin, DDS has developed a system of instrumentation to monitor HRV and ANS balance and add a new level of understanding and care for patients with airway disorders. The HindexRV® system produces objective data on the physiological effects of altered jaw position, tooth positioning and other dental procedures. Dr. Hindin has lectured internationally on this subject and is also an instructor and expert in software development for the Biofeedback Foundation of Europe. He incorporates biofeedback modalities into patient care 

Dr. Hindin is active in many professional societies including Fellow of the International Congress of Oral Implantology and memberships in the American Dental Association, Academy of General Dentistry, American Academy of Implant Dentistry, American Academy of Pain Management, American Academy of Craniofacial Pain, American Academy of Dental Sleep Medicine, Association of Applied Psychophysiology and Biofeedback, and Academy of Laser Dentistry.
In his spare time, he coaches a championship baseball team.
  Sanda Pinkerton, RDHAP
Sanda Valcu-Pinkerton’s philosophy is to treat people, not problems. One of her primary goals as a therapist is re-patterning and training the orofacial muscles to achieve optimal development. During surgery, she supports Dr. Zaghi in their functional frenuloplasty procedures through incorporating myofunctional therapy to optimize post-surgery outcomes. Besides her 25+ years of experience working in clinical practice as a Registered Dental Hygienist in Alternative Practice (RDHAP), she has continuously increased her knowledge and skill set by becoming an Orofacial Myotherapist (OMT) and a Buteyko Breathing coach. Sanda’s outstanding work facilitates a patient’s ability to achieve enhanced breathing resulting in superior overall health. 


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