Check your sleeping position...

Keeping a wrong position during the sleep may cause you a number of health problems.
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Health, comfort and psychophysical well-being may be compromised by incorrect postures assumed during the day, but above all by incorrect static positions (decubitus) assumed during the sleep.
People who sleep lying face downwards on the bed, on their stomach or on their hips, weigh heavy with static load on their jaws. By keeping such incorrect positions during the sleep for years, these people gradually, with time, develop the symptoms of the so-called: Galiffa's Mandibular Decubitus Syndrome. Descending Postural Syndrome.

The symptoms are the following: headache; migrane, trigeminal neuralgia, cervicofacial pains, backache, myalgic asthenia, ocular retrobulbar tension and pain; hum, tinnitus, hear ringhing, whistle, noise In the ear, dizziness, vertigo ; pyorrhoea, paradentosis, temporomandibular disorders; TMJ syndrome; bruxism; clicking, grating, crackling, anxiety, neurosis; mandibular unbalance; facial asymmetry. acne facial.

Curriculum Vitae

Dr. Galiffa graduated in Medicine and Surgery at the University "La Sapienza" in Rome, where he also obtained a Specialization in Dentistry and Stomatology. Moreover, he holds a specialization in Otorhinolaryngology and Cervicofacial Pathologies from the University "La Cattolica" in Rome. He has been, for several years, head of the Dentistry Department of the civic hospital "G.Mazzini"in Teramo.

He wrote the article "Madibular Decubitus Syndrome" published on the revue "Dental Cadmos", n° 3, 1992. His publications also include:


The following are wrong postures assumed during the day, which exert an unbalancing load on the jaw.


The following are wrong static positions assumed during the sleep (mandibular decubitus).

Sleeping in one of these positions, the jaw is moved and forced to unbalanced lateral teeth occlusion. Every night, for hours, a static load lies heavily on the three components of the Stomatognathic System:

  1. Neuromuscular
  2. Osteoarticular
  3. Dentoperiodontal

A wrong sleeping position (decubitus) hinders the Spontaneous Automatic Deglutition. The latter is an unconditional movement, whereby every 4 minutes any human being spontaneously swallows (night and day, lifetime). If this functional action performs, while the jaw is free to move and in a correct position, exerts compression and decompression on the teeth, this simple movement favours blood circulation in teeth , periodontium , gum ,periodontal ligament and cement, alveolar bone, temporo mandibular joints, chewing muscles. If instead it performs in a wrong position (see above), the Spontaneous Deglutition does no long exerts its beneficial function but it rather causes stress on the chewing muscles, teeth chafing, clicking, grating, crackling, (BRUXISM) , thereby damaging the overall structure of the teeth, gum, periodontium, masticatory bones, and TMJ.

In wrong sleeping position the weight of the head pushs the mandibula to lateral occlusion and exerts non stop compression ( for many hours)on the teeth, gum, periodontium and TMJ, therefore obstructs the blood circulation and moves the teeth in bad occlusion. In order to swallow, masticatory muscles must activate themselves to center the jaw and then must bring the teeth from forced lateral malocclusion to centered occlusion (maximum Intercuspidation occlusion), gnashing the teeth, THIS IS THE CAUSE OF NOCTURNAL BRUXISM and negative trophic action on the gum , periodontium and TMJ.

Malocclusion and mandibular unbalance are the results of the Mandibular Decubitus, which destroys the morphofunctional balance of the Stomatognathic System causing the TMJ syndrome and the descending postural syndrome. The parafunctional trauma (BRUXISM) and the static load are the cause of periodontal problems (periodontitis , paradentosis, pyorrhoea, have the same cause and etiopathogenesis of bedsore, infection due to the continuous static load hindering blood circulation )

In wrong sleeping position Mandibular condyle exerts non stop compression ( for many hours) on the articular disc and retrodiscal tissue that is highly vascularized and innervated. Obstructs the blood circulation in the cochlea (Therefore HUM tinnitus ,whistle), in the vestibule(Therefore dizziness, vertigo)

The most frequent symptoms of the Galiffa's Mandibular Decubitus Syndrome are:

THE FIRST AND MOST IMPORTANT, BUT LESS KNOWN IS HUM

  1. Hum ,Tinnitus, ear ringhing, whistle, noise in the ear, dizziness, vertigo
  2. Bruxism, teeth chafing . Clicking, grating, crackling, pains and noises when opening and closing the mouth
  3. myalgic asthenia. Pains and muscle contraction or tension of the face, temple, nape and neck, shoulders, back and loins; ocular retrobulbar tension and pain
  4. mandibular unbalance, descending postural syndrome.
  5. Increase in tonicity of the whole body muscles
  6. Limitations of the ordinary functionality of the mouth; impossibility to open completely the mouth when waking up; deformation of the condyle head; alteration of the articular disk of the capsula and ligaments,
  7. T.M.J syndrome ,temperomandibular arthrosis
  8. Difficulty to keep the mouth opened for a long time
  9. Muscular difficulties when chewing
  10. Tendency to bite one's own cheek and tongue Increase in tonicity of the whole body muscles
  11. Nocturnal automatic bruxism, non-functional grinding teeth chafing, or gnashing of teeth; clicking, grating, crackling
  12. Teeth wear facets; Mobility and displacement of the teeth on which a static load has been exerted much more
  13. Gum recession, periodontal pockets, pyorrhoea, paradentosis Opening of gaps and diastems between the front teeth on one side, teeth protrutions on one side of the incisors
  14. Fractures of teeth, pivots and roots .
  15. mandibular deviation and face asymmetry
  16. Acne facial, insanable boils that disfigure skin of the face
  17. Orthodontic anomalies such as lateral deviation of the mandibular, -monolateral cross-bite, deep bite, jump of mono-lateral class. (Angle)

History taking and Empirical evidence prove that all the people who suffer from one or more of the above-mentioned symptoms, sleep lying face downwards or on their stomach. No one sleep in correct position. It thus follows by logic that a wrong static sleeping position (decubitus) is the main cause of these symptoms.

The variety of pathologies which may occur is only due to individual predisposition, various favoring factors and the duration of the decubitus. People suffering from these symptoms can eliminate all their chronic pains they don't need , BITE, and expensive therapy, medicines or prosthesis. Everybody can recover simply by adopting the correct positions suggested below.

Definitive recovery will take place only after having kept a correct sleeping position for a period of 4 to 6 months.

All the people who sleep supine or in lateral position with the face turned toward upper never suffer: headache; migrane; trigeminal neuralgia, cervicofacial pains, backache; myalgenic asthenia, ocular retrobulbar tension and pain; hum, tinnitus, hear ringhing, whistle, noise In the ear, dizziness, vertigo; pyorrhoea, paradentosis, temporomandibular disorders; TMJ syndrome; bruxism; clicking, grating, crackling, anxiety, neurosis; mandibular unbalance; facial asymmetry. acne facial.

Obviously, all the people, who have lost many teeth, need special therapies in association with a correct sleeping position. Nevertheless, there is little hope to achieve total recovery without eliminating the wrong positions (mandibular decubitus), which is the most important cause of the above-mentioned problems. All the people who undergo treatment of Tmj syndrome, pyorrhoea, paradentosis , need correct sleeping positions in order to avoid certain relapse.


The following positions are correct and make recovery. With the time your body will adapt to them. They will ultimately result usual habitual and relaxing.

Sleeping on the back is natural, comfortable, makes recovery. In these positions, no static load lies on the three components of the Stomatognatic (Chewing) System; the jaw is not constrained and its space of action is free; the Spontaneous Deglutition is thus not hindered.

What I define as “autoharmonization” is an automatic harmonizing action carried out by the Spontaneous Deglutition. The “autoharmonization” is possible due to the control capacity, adjustment capacity and remodeling CAPACITY of the three components of the Stomatognathic System:

  1. The Neuromuscular component, leader of the system, is an active component provided with control and adjustment capacity. It works as a sort of Bio-computer made up of:
  2. The Osteoarticular component is a passive component with adjustment and remodeling capacity in accordance with the functional load. It is provided with sensory receptors, which transmit inputs to the Stomatognathic System
  3. The Dento-periodontal component is a passive subject, with adjustment and remodeling capacity

The teeth pressed by a repeated functional stimuli caused by spontaneous deglutition, can be moved, worn and mobilized until they assume a position which is in harmony with the rest of the components.

The SPONTANEOUS DEGLUTITION is a permanent, automatic, unconscious and unconditioned act, which every four or five minutes occurs in the maximum intercuspidal position and occlusal harmony. It is to be defined as a Check Control, a Guide to recover and preserve the harmony of the whole Stomatognatic System. It takes place with short contacts between the teeth and intermittent loads which activate compression and decompression, thereby improving the blood pumping action.

During the Spontaneous Deglutition, teeth are pushed vertically into the bone with coordinate muscular contractions and pressure modulated by receptors. It is a muscular and vascular “gymnastics“ that exerts a eutrophic action for all the components. Spontaneous Deglutition is an amazing natural device for recovery and maintenance of health.

Mandibular Decubitus hinders such vital bio-mechanism, provoking severe damages to the Stomatognatic System.

Democracy and Freedom generate Harmony, prosperity and well-being. Dictatorship and lack of freedom generate Disharmony and Discomfort. The MANDIBULAR DECUBITUS is a dictator for the jaw. It exerts violence on the teeth, the periodontal ligaments, TMJ, and the Neuromuscular component.

If you suffer from one or more of the symptoms described above and you are seeking quick answers to your questions, please address your inquiries to the following fax number: +39 0861 242878. Or write to the following e-mail address: info@galiffa.it

Our aim is to collect as much empirical evidence as possible proving the benefits of the described methodology. The final goal is to convince the scientific community of the truthfulness of this scientific discovery. For such purpose, we need the cooperation of all the people that have tried Dr. Galiffa' s method.

If you suffer from one or more of the symptoms described above and you have noticed significant improvements by adopting one of the suggested correct positions, please send an email describing your initial problems and the results achieved to the following email address: info@galiffa.it

Your contribution can help other people suffering from your same problems!