WHAT IS MISSING IN YOUR COMPREHENSIVE DENTAL EXAM?

A truly professional comprehensive dental exam examination (D0150 or D0180) should include much more than what the CDT codes delineate.
What is essential?
Beyond the obvious FMX, the charting of existing and needed dental and periodontal conditions, and an oral cancer screening, there are many other useful evaluations which are directly related to our services and are within our range of authority and responsibility. 
The Comprehensive Exam should also include measurement of vitals such as blood pressure, a sleep dysfunction (Obstructive Sleep Apnea) screening such as the Epworth Sleepiness Scale, a nutritional analysis and a careful discussion of any notable items (alerts) in the patient’s med history. These things don’t need to be spelled out in the CDT code. They come with our desire to do what we know is right. .
11-27-11 APPLE A DAY
  TMJ exam, facial muscle palpation, Mallampati classification (of the airway entrance) and 
an oxygen saturation test will provide critical information.  Any dentist/hygienist will chose how extensive they wish their dental exams to be and what should be included.
Would we be “spending too much time” in a dental exam visit?

Not if we care about our patient’s total well being, about our conscience, and about our dental license.

And is this nearly always accepted by patients as hugely valuable and with appreciation?     YES, it is, where the dental team shows their patients how much passion, care and skill they have. I see it in many dental offices.    The really successful ones.

5-20-12 HUMAN PYR

A Hygienist is in a uniquely key position.
Here’s your opportunity to increase your service to your community, to create your “niche”, and  to stand out in your community as a complete care-giver.
It is reported that 34% of the population has Sleep Apnea symptoms. 
One of the next three patients that walk thru your doors is a Sleep Apnea victim. Are you able to help them?
Does your New Patient Exam include a screening for Sleep Apnea?
1-21-13 LOGO DENTAL PROS SHARING

Interested? Then check this out:   www.sleepgs.com

SLEEEP SOUNDLY this fall- don’t sleep WITH SOUND.

8-3-14 SAW WOOD  

 In denial, many people still ask, “What’s the big deal about snoring?” “Don’t most people snore?”

Snoring is disturbing and is a major cause of spousal alienation. Who can sleep with the sounds of a freight train two feet away from their ear? Spouses of snorers often have to move into separate bed rooms and sales are up of homes with two Master bed rooms. Snoring is, however, the most attention demanding WARNING SIGN of serious sleep dysfunction. 

It is the common denominator in the Sleep Apnea equation. Snoring, like pain, should sound an alert to us that there is something more serious to look for under the surface.

We continue to learn about more illnesses connected to Sleep Apnea–

Cancer

Researchers suggested a correlation between sleep apnea and increased cancer risk of any kind. A Cancer study of 1,240 participants who underwent colonoscopies found that those who slept fewer than six hours a night had a 50 percent spike in risk of colorectal adenomas, which can turn malignant over time. Another 2012 study identified a possible link between sleep and aggressive breast cancers. (Ref: 2010 American Cancer Society) 

Other serious ailments known to be tied to Sleep Apnea are:    Heart Disease. Strokes, Dementia, Depression, Diabetes Mellitus, High Blood Pressure, Chronic Daytime Fatigue, Motor Vehicle Accidents

With an assortment of health threats like these, all Sleep Apnea related, we need to show more respect to snoring.

3-24-14 SNORING

The word equinox means “equal night”; night and day are about the same length of time. This occurs two times each year: Vernal in late March and Autumnal in late September.

Scary that most Sleep Apnea victims have Acid Reflux…. and other comorbidities.

10-28-14 GHOST 1

The Causes:
During the cessations of breathing the body will increase its efforts to take in air.
Abdominal contractions are exaggerated and increase until breathing resumes.
The contractions squeeze the stomach and force acid up the esophagus.
The efforts to breathe also increase a negative pressure in the esophagus which also pull up acid.

Become a Sleep Medicine Dentist and help your patients that have these Sleep Apnea connected comorbidities and symptoms-
Diabetes, High Blood Pressure GERD, headaches, nocturnal bruxism.

Explanations like this are presented in the upcoming Sleep Apnea seminars:
Oklahoma City    Dr.Damian Blum
Atlanta                 Dr. Marty Lipsey
Hollywood, FL     Dr. Dan Tache’
Boston                
Dr Barry Freydberg
Indianapolis        Dr. George Jones
Orlando               Dr Anjoo Ely
Miami                 
Dr Barry Freydberg
Houston              
Dr.Damian Blum
Scottsdale           Dr. Marty Lipsey

You can view the dates and course outlines and register here:
http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?smode=&op=&cid=2

6-16-12 BUTTON #2

HOW TO BENEFIT FROM THE END OF DST


The days are getting shorter. Darkness arrives earlier.in the evening. Daylight Saving Time ends on November 2nd and we turn our clocks back one hour. When we wake up Sunday morning it will be a little darker than yesterday morning. We’ll have one extra hour for sleep.
10-29-13 fall-back 3
In order to fulfill the essential number of regenerating sleep cycles the average adult needs 7-8 hours. A five stage sleep cycle repeats consistently throughout the night. One complete sleep cycle lasts about 90 minutes. So during an average night’s sleep (8 hours), an adult will experience about four or five cycles of sleep.


A Little History of Daylight Saving Time
The concept of setting the clocks ahead in the spring in order to make better use of natural daylight was first introduced in the US by inventor Benjamin Franklin in 1784.

12-30-11 Benjamin_Franklin_1767During his time as an American envoy to France, Ben Franklin publisher of the old English proverb, “Early to bed, and early to rise, makes a man healthy, wealthy and wise” anonymously published a letter suggesting that Parisians economize on candles by rising earlier to use morning sunlight. This 1784 satire proposed taxing shutters, rationing candles, and waking the public by ringing church bells and firing cannons at sunrise.
US President Franklin D. Roosevelt instituted year-round DST in the United States, called “War Time” during World War II from February 9, 1942 to September 30, 1945. The change was implemented 40 days after the bombing of Pearl Harbor and during this time, the U.S. time zones were called “Eastern War Time”, “Central War Time”, and “Pacific War Time”. After the surrender of Japan in mid-August 1945, the time zones were relabeled “Peace Time”.
Congress decided to end the confusion and establish the Uniform Time Act of 1966 that stated DST would begin on the last Sunday of April and end on the last Sunday of October. However, states still had the ability to be exempt from DST by passing a local ordinance.
Healthy nights of sleep are essential to recharge our human organs and maintain good health and longevity. 

 This fall, dentists have the opportunity to spring forward with Dental Sleep Medicine and help the millions of their Sleep Apnea victims. 

Upcoming training seminars by DSM experts are available in the following cities:


Oklahoma City    Dr.Damian Blum
Atlanta                Dr. Marty Lipsey
Hollywood, FL     Dr. Dan Tache’
Boston               Dr Barry Freydberg
Indianapolis        Dr. George Jones
Orlando              Dr Anjoo Ely
LIP 8
You can view the dates and course outlines and register here:
http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?smode=&op=&cid=2

 

DENTISTS STRIKE GOLD IN SAN FRANCISCO

 

10-5-14 GOLD RUSH 6Attending the Sleep Group Solutions training seminar on Sleep Dysfunctions in San Fransisco, a new team of dentists prospected for gold and found it there.
Dr. Marty Lipsey presented a two day comprehensive course which included:

  •  The science of sleep,
  •  Identifying the 34% of their patients who were Sleep Apnea victims,
  •  Patient Education,
  •  Case Presentation and Treatment Acceptance,
  •  Understanding and handling the comorbidities,
  •  Hands-on working with the popular Oral Appliances including TAP, Respire, EMA, Silent Night and others,
  •  Sleep Apnea Medical Insurance Codes, Fees, Billing Procedures.

9-27-14 MS  SAN FRAN.FROM BACK.jA

These lucky dentists who struck it rich are now able to begin screening and treating their patients who desperately need their help.

Next up in Dental Sleep Medicine courses (16 CEU) :

          Pick your expert or city:

10th October 2014 Friday
11th October 2014 Saturday
Charleston, SC – Dr. Jeffrey Horowitz
17th October 2014 Friday
18th October 2014 Saturday
Washington, D.C. – Dr.George Jones
17th October 2014 Friday
18th October 2014 Saturday
Portland, OR – Dr. Barry Freydberg
24th October 2014 Friday
25th October 2014 Saturday
Philadelphia, PA – Dr. Damian Blum
24th October 2014 Friday
25th October 2014 Saturday
Dallas, TX –     Dr. Marty Lipsey
7th November 2014 Friday
8th November 2014 Saturday
Oklahoma City, OK – Dr. Damian Blum
7th November 2014 Friday
8th November 2014 Saturday
Atlanta, GA –    Dr. Marty Lipsey
14th November 2014 Friday
15th November 2014 Saturday
Hollywood, FL – ADVANCED Dr. Dan Tache’
14th November 2014 Friday
15th November 2014 Saturday
Boston, MA – Dr. Barry Freydberg

Read the course outline, see the speakers and register here to get your gold:    http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?smode=&op=&cid=2

10-5-14 GOLD RUSH 1

Autumn Starts September 21st- Sleep Well!

Sleep soundly this fall- don’t sleep with sound.

8-3-14 SAW WOODIn denial, many people still ask, “What’s the big deal about snoring?” “Don’t most people snore?”

Snoring is disturbing and is a major cause of spousal alienation. Who can sleep with the sounds of a freight train two feet away from their ear? Spouses of snorers often have to move into separate bed rooms and sales are up of homes with two Master bed rooms.Snoring is, however, the most attention demanding WARNING SIGN of serious sleep dysfunction. 

It is the common denominator in the Sleep Apnea equation. Snoring, like pain, should sound an alert to us that there is something more serious to look for under the surface.

We continue to learn about more illnesses connected to Sleep Apnea

Cancer

Researchers suggested a correlation between sleep apnea and increased cancer risk of any kind. A Cancer study of 1,240 participants who underwent colonoscopies found that those who slept fewer than six hours a night had a 50 percent spike in risk of colorectal adenomas, which can turn malignant over time. Another 2012 study identified a possible link between sleep and aggressive breast cancers. Ref: 2010 American Cancer Society Other serious ailments known to be tied to Sleep Apnea are:

Obesity, Dementia, Depression, Diabetes Mellitus, High Blood Pressure, Chronic Daytime Fatigue, Motor Vehicle Accidents

With an assortment of health threats like these, all Sleep Apnea related, we need to show more respect to snoring.

3-24-14 SNORING

The choice is yours; either way, next week YOU WIN!

The winners in this difficult economy will be those Dentists who are able to offer the combination of patient engagement and niche marketing.

On Fri. and Sat., August 15, 16, you can chose between training by two of the most respected Dental Sleep Medicine educators in the nation. Sleep Group Solutions presents:

Dr. Damian Blum in Boston, MA 

Dr. Dan Tache’ in Minneapolis, MN

.   Those Dentists who convince people that they understand their needs, truly care about them, and have a unique and essential service to offer, will stand out.  Patients’ priorities have changed. The money is still there. They are willing and ready to spend money on their priorities.

5-31-12 HOT IRON 2STRIKE WHILE THE IRON IS HOT!

The current need and “buzz” is in discovering and treating sleep apnea.  Patients are asking their Dentists about sleep apnea. How comfortable are YOU with the answers? It is reported that less than 4% of practicing Dentists are able to assist the more than 50 million people who suffer from sleep apnea. There is a growing public awareness of the hazards that come from a nocturnal stoppage of breathing. Your patients are becoming increasingly more concerned about the blockage of oxygen to the brain and other organs. Strokes. Heart attacks. Diabetes. As a Care Giver, think of how you can serve. Serve an unfilled need.

Your patient doesn’t want to buy crowns and fillings. Your patient wants to buy YOU. Once a patient likes you, trusts you, believes in you, and knows you are REALLY concerned about them, they will want to accept your recommendations. BUILD RELATIONSHIPS.

Here’s a mnemonic for you to remember:

STAND UP for what you believe in. Be a complete healer.

STAND OUT with a unique and valuable service.

BE OUTSTANDING !

 

BUFFALO- Are you able to help these patients?

Does your New Patient Exam include a screening for Sleep Apnea? 
It is reported that 34% of the population has SA symptoms. Of the next three patients 
that walk thru your doors, one is a Sleep Apnea victim.  Are you able to help them?
1-29-13  SNORING
In a 2 day seminar Dr. Marty Lipsey presents a Dental Sleep protocol A to Z, 
                                    including his unique systems on 
                  Medical Insurance billing- Codes, Fees and Procedures.

                     Friday and Saturday, July 25 and 26 in Buffalo, NY
7-18-14 BUFFALO NITE SKY Dentists are in the first line of discovery and defense of many systemic diseases. 
We are often the first ones to discover diabetes, oral cancer, SLEEP APNEA. 
The three serious conditions listed above are all too frequently under-diagnosed. 
New tools and techniques are now available for dental professionals to be able to 
do far more as comprehensive caregivers for their patients. 
Sleep Apnea Screening
--Patients are realizing how a blockage of oxygen to the brain, caused by 
nocturnal apnoeic events, can influence systemic damage. 
-Sleep Apnea is connected to strokes, cardiac arrest, diabetes, dementia and 
motor vehicle accidents. 
-The public asks their dentists for help and most dentists are unprepared. 
- Less than 1% of practicing dentists are trained and qualified to screen and treat 
the over 40 million victims of Sleep Apnea.
                                     -Are you prepared to help them? 

LIP 5In a 2 day seminar Dr. Lipsey will train you in Dental Sleep Medicine with 16 CE credits. 
                   Friday and Saturday, July 25 and 26 in Buffalo, NY


Review the course outline and register here:
http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?smode=
Daily&action=View&event_id=0000004261&caldate=2014-7-18 Dr. Marty Lipsey Dr. Marty Lipsey, received his DDS degree from UCLA and a Master of Science 
from Northwestern University Dental School. Dr. Lipsey is the founder of 
Dental Sleep Med Systems, offering dental teams assistance in implementing and 
improving dental sleep medicine practices, including electronic medical billing 
and successful insurance coding and processing. Dr. Lipsey is also a 
Sleep Group Solutions Instructor, and teaches Dental Sleep Medicine regularly.
                  Are you providing a Comprehensive Exam?
11-26-13 DOS EQUOS

LEARN DENTAL SLEEP MEDICINE IN OPRYLAND June 6-7

Of the next three patients that will walk thru your doors, one will be a victim of Sleep Apnea.

Will YOU be able to identify and treat that patient?

Learn how to truly save lives in Nashville, TN on June 6-7, 2014 with Dr. Dawne Slabach at the Gaylord Opryland Hotel and Resort

5-8-14 NASHILLE SIGN

5-8-14 NASHILLE SKYLINE

Earn 16 CE credits and become The Sleep Dentist.

Brand yourself as a Doctor who understands and treats sleep apnea problems.

The winners in this difficult economy will be those Dentists who are able to offer the combination of patient engagement and niche marketing.

  The current need, and “buzz”, is in discovering and treating sleep apnea.  Patients are asking their Dentists about sleep apnea. How comfortable are YOU with the answers? It is reported that less than 4% of practicing Dentists are able to assist the more than 50 million people who suffer from sleep apnea. There is a growing public awareness of the hazards that come from a nocturnal stoppage of breathing. Your patients are becoming increasingly more concerned about the blockage of oxygen to the brain and other organs. Strokes. Heart attacks. Diabetes, Dementia.  As a Care Giver, think of how you can serve an unfilled need.

3-24-14 SNORINGSee the two day course outline and register here: http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?action=View&event_id=0000003051

Dr. Dawne Slabach has a clinical practice focused on Sleep-Disordered Breathing, TMJ disorders and orthodontics. Her passion for treating patients comes from her own personal experiences with all three areas of treatment. Dr. Slabach received her B.S. in Biochemistry in 1984 and her Doctor of Dental Surgery in 1988, both from the Ohio State University. She is a Diplomate in the Academy of Sleep Disorders Disciplines, Distinguished Fellow in the American Academy of Craniofacial Pain and a Certified Assistant Instructor for the International Association of Orthodontics. She is also a member of the American Academy of Dental Sleep Medicine and an assistant instructor for Rondeau Seminars. She has been practicing and teaching Dental Sleep Medicine for the past 8 years.

SIZE MATTERS- Sleep, Longevity and Telomere Length

Size matters. 
That old quip has been used, misused and abused. But when it comes to the size 
of your telomeres, nothing could be more important to you. The length of your 
telomeres can determine how long and how well you will live. 
Longevity and Quality of Life.

Telomeres are little protective caps at the ends of your chromosomes. They are 
likened to the aglets at the ends of your shoe laces, protecting your laces from 
fraying.
  5-1-14 TELOMERE 1In the journal Sleep, January issue, there are several studies relating sleep to 
telomere length (TL). 
One study shows the connection of sleep to longevity. The evidence is piling 
up that the aging process may be accelerated by not getting enough 
quality sleep.
"Telomeres are the DNA-protein structures located like caps at the ends of chromosomes. 
They shorten with aging and may also be a marker of biological, not chronological, aging. 
They are believed to be involved in protecting the chromosome  from inflammation and various 
stressors. In some studies, their diminishing length has been associated with 
diabetes and atherosclerosis."

The study demonstrated that poor sleepers, as defined by poor sleep quality or short duration 
(less than 7 hours per night), had significantly shorter telomere length. Even more interesting 
was the finding that in the older adults, adequate sleep was associated with telomere lengths 
comparable to middle-aged adults. The authors concluded that the study provides evidence that 
sleep is linked to cellular aging.
With Sleep Apnea, you are starving your body of oxygen and are being jarred closer to consciousness at least 6 times an hour. With normal regenerative sleep, you should
be enjoying a heightened anabolic (building up and restoring) state, with growth and rejuvenation of the immune, nervous, skeletal and muscular systems. The dozens of near-awakenings keep the Sleep Apnea sufferer in a vigilant and catabolic (breaking down and using up) state that should be reserved for the on-the-go, waking hours.
The telomere shortening mechanism normally limits cells to a fixed number of divisions, and animal studies suggest that this is responsible for aging on the cellular level and sets a limit on lifespans. 
We know that telomeres shorten with biological aging. We also know that they 
shorten in response to chronic inflammation and oxidative stress. In fact, even 
the telomeres of newborns exposed to physiological stressors in utero have 
been found to be shorter. We also have learned that the shortening of telomeres 
can result in increased susceptibility to tissue damage, including cancer.

 Telomeres protect chromosome ends from being mistaken for broken pieces of 
DNA that would otherwise be fixed by cellular repair .  When the telomeres get 
short enough, our cells no longer divide and our body stops making those cells. 
Over time, this leads to aging and death.
5-1-14 TELOMERE 2               Magnification of Chromosomes showing Telomeres
It is becoming increasingly obvious that not getting enough quality sleep will cause systemic destruction and may accelerate the aging process.
What is “enough quality sleep”? Stay tuned in.
References
  1. AtGoogleTalks, August 20, 2008 Molecular biologist Elizabeth Blackburn
  2. Passarge, Eberhard. Color atlas of genetics, 2007.
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