WHAT ARE THE RISK FACTORS OF OBSTRUCTIVE SLEEP APNEA?

Learn Dental Sleep Medicine in Louisville, KY on  July 22-23.

 

 3-3-13 EINSTEIN- DISCOVERY

Dr. George Jones will explain the WHY and the HOW of these Obstructive Sleep Apnea connections:

  • WHY is High Blood Pressure a symptom of SA?
  • WHY is Acid Reflux (GERD) a symptom of SA?
  • WHY is Diabetes a symptom of SA?

Learn the risk factors and HOW they contribute to OSA:

  • Excess weight. Fat deposits around your upper airway may obstruct your breathing. However, not everyone who has sleep apnea is overweight. Thin people develop OSA, too.
  • Neck circumference. People with thicker necks may have narrower airways. Women- greater than 15″ diameter and men-17″ diameter are at greater risk.
  • A narrowed airway. You may have inherited a naturally narrow throat. Or, your tonsils or adenoids may become enlarged, which can block your airway. An enlarged or inflamed uvula will block the airway.
    Being male. Men are twice as likely to have sleep apnea. However, women increase their risk if they’re overweight, and their risk also appears to rise after menopause.
  • Age. Sleep apnea occurs significantly more often in adults over 60.
  • Family history. If you have family members with sleep apnea, you may be at increased risk.
  • Race. In people under 35 years old, blacks are more likely to have obstructive sleep apnea.
  • Use of alcohol, sedatives or tranquilizers. These substances relax the muscles in your throat.
  • Smoking. Smokers are three times more likely to have obstructive sleep apnea than are people who’ve never smoked. Smoking may increase the amount of inflammation and fluid retention in the upper airway. This risk likely drops after you quit smoking.
  • Nasal congestion. If you have difficulty breathing through your nose — whether it’s from an anatomical problem or allergies — you’re more likely to develop obstructive sleep apnea.
https://adental.files.wordpress.com/2014/01/1-30-14-girl-w-tapes-on-neck.jpg
Earn 16 CE credits and become The Sleep Dentist.
Brand yourself as a Doctor who understands, discovers, treats sleep  problems.
Read more about this.  www.TheSleepMagazine.com

 

https://adental.files.wordpress.com/2014/01/1-21-13-logo-dental-pros-sharing.jpg

See the Two day course outline and register here: http://join.sleepgroupsolutions.com/seminars/louisville-ky/

http://sleepgroupsolutions.com/2.0/speakers/73/dr-george-jones

Dr. George Jones is a native of Wheeling, WV and earned his BS in Chemistry from Wheeling Jesuit University. He received his Dental Degree from the University Of Florida College Of Dentistry, and relocated to coastal North Carolina in 2003. Over the years, Dr. Jones has served as a consultant and evaluator for several dental manufacturers and maintains a private practice in Sunset Beach, NC. .

 

Scary connection: Sleep Apnea and Acid Reflux

10-28-14 GHOST 1

How it happens:
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 upcoming Sleep Apnea seminars.
You can view the course outlines and register here:

Oct 2015

ATLANTA, GA –           10/16/2015 – 10/17/2015 Register Now! 
LOS ANGELES, CA – 10/16/2015 – 10/17/2015 Register Now! 
SEATTLE, WA –         10/23/2015 – 10/24/2015 Register Now! 

Nov 2015

PHILADELPHIA, PA –   11/06/2015 – 11/07/2015 Register Now! 
SALT LAKE CITY, UT – 11/06/2015 – 11/07/2015 Register Now! 
IRVINE, CA –                 11/13/2015 – 11/14/2015 Register Now! 
OKLAHOMA CITY, OK –11/13/2015 – 11/14/2015 Register Now! 
LAS VEGAS, NV –          11/20/2015 – 11/21/2015 Register Now! 
MEMPHIS, TN –              11/20/2015 – 11/21/2015 Register Now! 

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.

HAVE INSOMNIA? HERE ARE THE “DOs” and “DONTs”

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Insomnia is ubiquitous. Almost everyone experiences insomnia at some point, especially as we age. Why? According to the National Institute of Neurological Disorders and Stroke (NINDS), short-term insomnia can result from stress, depression, diet, jet lag and other causes. Here are some causes and solutions.
1. Caffeine
DON’T
Caffeine is a powerful stimulant. Even one cup will have you racing all day. It can also increase nighttime urination and adversely impact your sleep, according to Andrew Weil, MD, founder and director of the Arizona Center for Integrative Medicine at the University of Arizona.
DO
Caffeine can stay in your system for up to 7 hours, so if you have trouble sleeping, drink it before noon.
2. Alcohol
DON’T
University of Maryland Medical Center reports that about 10-15% of chronic insomnia cases result from substance abuse, especially alcohol. Excess alcohol tends to fragment sleep and cause you to wake every few hours.
DO
Limit yourself to one or two drinks with dinner.
3. Sleeping Pills
DON’T
Sleeping pills come with a lot of risky baggage and they’ve been linked to negative side effects like headaches, nausea, fatigue, memory loss, addiction and parasomnias such as sleep walking. Long time use of these chemicals in your systems can make you feel like you’re always in a fog.
DO
Try natural alternatives like melatonin: It’s a hormone produced in your body that controls your sleep cycle. As we age, melatonin levels drop, so you may want to try a supplement. 
Blue light emitted from your electronic devices can mess up your body's sleep cues.
4. Lights Out!
DON’T
Light emitting devices stimulate and engage the mind, which is the opposite of what you want to be doing right before bed.
DO
Cell phones, laptops, iPads, TVs, night lights—they all need to be switched off if you expect to get a good night’s sleep. All the way off. Prevent any light from coming into your retinae. Wear an eye mask. Open the blinds or go outside as soon as you wake to get energized
5. Up in Smoke
DON’T
Nicotine is a natural stimulant, so it keeps you from falling asleep. Even worse, withdrawal pangs may keep you awake at night. Studies show that smokers are four times more likely to feel not as well rested after a night’s sleep than nonsmokers.
DO
As if you needed another reason to quit.
6. Eat early and eat well 
DON’T
Digesting food requires energy, so if you eat a heavy meal late at night, your body will be hard at work digesting when it should be sleeping. Steer clear of greasy or fatty foods before bed as well, as they cause reflux which can wake you up during the night, says Sandra Fryhofer, MD, from the Council on Science and Public Health.
DO
Eat balanced meals throughout the day, and make breakfast your biggest.  Cherries are a great source for naturally boosting your melatonin levels. “When consumed regularly, tart cherries may help regulate the body’s natural sleep cycle and increase sleep efficiency, including decreasing the time it takes to fall asleep,” says Russel J. Reiter, PhD, one of the world’s leading authorities on melatonin. (In fact, drinking cherry juice was shown to help people sleep 90 more minutes a night.)
Eat cherries for a boost of melatonin.
7. Stay cool
DO
When your body temperature drops, you start to produce more melatonin, so keep your bedroom temperature between 65° and 75°F. Taking a hot shower or bath right before bed helps too, since the quick drop of temperature after you get out makes you feel sleepy.

When your body temperature drops, you produce more melatonin
8. Consistent  Exercise
DO
Some say that exercising in the evening makes elusive sleep harder to find, but it really depends on the person. Find the time of day that exercise makes your body most happy, and stick with it. One study showed that having a regular exercise schedule helped insomniacs feel less depressed and more energized throughout the day.
9. Say om to yoga.
DO
Gentle yoga before sleep will put your mind and body to rest. You can even do these easy poses in bed!
Short meditation: Sit cross-legged on your bed and lean back slightly onto your pillows. Rest your hands on your thighs, close your eyes and just breathe for a few minutes.
Cross-legged bend: Still in this position, bend forward from your hips and stretch your arms out in front of you on the bed. Stay here for a few minutes.
Reclining twist: Lie flat on your bed. Hug your right knee into your chest, then twist your leg across your body to the left while turning your head to the right. Lower your leg, and then do the same with your left leg.
10. Consistent Sleep Schedule
DO
The National Sleep Foundation recommends that you stick to a regular bedtime routine. That means going to sleep and waking up at the same time every day (yes, even weekends!). Try to avoid spending more time in bed than you need. Maintaining good light hygiene will help: Shut out all light at bedtime, open the blinds or go outside as soon as you wake to get energized.

 

HOW LACK OF SLEEP EFFECTS WEIGHT GAIN

We know from studies that lack of sleep is causally connected to many physical problems. One of the common symptoms of obstructive sleep apnea is being overweight. So then, how do sleep disorders contribute to weight gain?
1-30-14 OBESE
 Ghrelin: the Hunger Hormone
Lack of sleep increases ghrelin, and decreases leptin, both effects producing increased hunger and obesity. Leptin is the “anti-hunger” hormone. When the circadian rhythm is interrupted by exposure to light at night, gherlin is released.
Ghrelin is known as the “hunger hormone” It is produced in the gastrointestinal tract  and functions as a neurotransmitter. The receptor for ghrelin is found on the same cells in the brain as the receptor for leptin, the satiety hormone that has opposite effects from ghrelin.
 
An inverse relationship between the hours of sleep and blood concentrations of ghrelin exists; as the hours of sleep increase, ghrelin levels trend lower and obesity is less likely.  Short sleep duration is associated with high levels of ghrelin and obesity.
When the stomach is empty, ghrelin is secreted. When we eat something the stomach is stretched and ghrelin secretion stops. Ghrelin acts to increase hunger and to increase gastric acid secretion and gastrointestinal motility to prepare the body for food intake.
What else does Ghrelin effect?
Beyond regulating hunger, ghrelin also plays a significant role in other systemic functions. Ghrelin influences body composition, it stimulates the release of growth hormone and regulaties the distribution and rate of use of energy.
Conclusion
This is just another convincing reason to get adequate healthy sleep. Light is the circadian rhythm disrupter. Avoid light disturbances during sleep: have no lights in the bed room, pull the shades down to block any outside light, wear an eye mask.
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Resources
WebMD
Wikipedia
Zarouna SWozniak G, Papachristou
  • Stalo Zarouna, Psychology Department, University of Cyprus, Nicosia 1678, Cyprus.
  • Department of Cell Biology, Physiology and Immunology, University of Cordoba, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), and CIBER Fisiopatología de la Obesidad y Nutrición, 14004 Córdoba, Spain.

BREATHE EASIER, LIVE LONGER IN DENVER ★★★★★


Dentists can get paid for an “Office Visit” like a Physician.
You can bill your services to your patient’s benefit company and to Medicare.
Sleep Apnea victims will not have to go untreated in YOUR office.

SUBJECT:           Introduction to Dental Sleep Medicine
DATE:                   May 9th and 10th – Friday and Saturday
TIME:                     8 A.M. to 5 P.M.
LOCATION:          Denver, CO at The Embassy Suites Downtown/Convention Ctr.
PRESENTER:      Dr. Marty Lipsey

Dr. Marty Lipsey is one of the foremost authorities on electronic medical billing and successful insurance coding and processing for Sleep Apnea services. He trains dental practices from New York to Los Angeles in Dental Sleep Medicine and Medical Billing systems.

 

Sleep apnea is dangerous because if untreated, it leads to high blood pressure (among other diseases) and is associated with an increased chance of heart attack, abnormal heart rhythms and heart failure. Studies have shown that sleep apnea can decrease life expectancy by several years.

4-28-14 things-to-do-in-denver-when-youThis was a four star movie in 1995.

 

By the way, did you know how many motor vehicle accidents each year can be blamed on fatigue? The number is 100,000 and climbing, according to the U.S. National Highway Traffic Safety Administration. Think of this way: can you imagine how much safer our roads would be if everyone would just get enough rest?

Article Source: http://EzineArticles.com/1374511


Dr. Lipsey will guide you thru a protocol for learning Dental Sleep Medicine from A to ZZZZZZ.

1-29-13  SNORINGThis 2 day course is designed to provide you with the knowledge to confidently return to your practice and immediately begin implementing new screening and treatment protocols.

The course includes:

  • Patient Education,
  • Case Presentation and Treatment Acceptance,
  • Hands-on working with the popular Oral Appliances including TAP, Respire, EMA, Silent Night and others,
  • Sleep Apnea Medical Insurance Codes, Fees, and Billing Procedures,
  • And much more.

LIP 8 AAfter the Seminar Dr. Lipsey will continue to Mentor you, giving you the confidence to be a Sleep Medicine Doctor.

LIP 5

Watch this video, read the full course outline, and register here:
http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?action=View&event_id=0000003048

About Dr. Marty Lipsey :

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/or improving their dental sleep medicine practices, including electronic medical billing and successful insurance coding and processing. Dr. Lipsey is a Sleep Group Solutions Executive Instructor, and teaches Dental Sleep Medicine from coast to coast.

IS SOMETHING IMPORTANT MISSING FROM YOUR N.P. EXAM?

Does your New Patient exam include a 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 and dementia.  
-The public asks their dentists for help- most dentists are unprepared. 
-Less than 4% of practicing dentists are trained and qualified to screen and treat 
the over 40 million victims of Sleep Apnea. 
-One of the next three patients that walk thru your doors is a Sleep Apnea victim. 
-Are you prepared to help them? 
1-29-13  SNORINGDentists are in the first line of discovery and defense of many systemic diseases. 
We are often the first ones to discover sleep apnea, diabetes and oral cancer. 
These serious conditions lare 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. An interdisciplinary 
approach, enabling conferencing and sharing of information between patients' 
full medical teams will provide the most reliable diagnosis and optimal treatment.
Dr. Jeff Horowitz has a unique perspective on Dental Sleep Medicine and 
will share ideas from his own successful dental practice

Learn Dental Sleep Medicine with 16 CE credits. 

Friday and Saturday, May 2nd and 3rd in Miami, Fla., at the Sclar Center.  
In beautiful South Miami, Florida, the Sclar Center is just 20 minutes from 
Miami International Airport by car or taxi. It is easily accessible by all major airlines.  
After enjoying the Dental Sleep Medicine seminar, you can also take advantage 
of Miami's excellent recreational activities and dining options.
4-23-14 SCLAR

This course is designed to provide you with the knowledge to confidently return to your practice and immediately begin implementing new screening and treatment protocols.


In this 2 day seminar Dr. Jeffrey Horowitz presents a Dental Sleep protocol from A to Z, including Medical Insurance billing- Codes, Fees and Procedures.1-21-13 LOGO DENTAL PROS SHARING

Review the course outline and register here:

http://sleepgroupsolutions.com/2.0/modules/piCal/index.php?action=View&event_id=0000003047

Dr. Jeffrey Horowitz

5-16-13 JEFF HOROWITZ

Dr Horowitz has dedicated himself to continuing education, earning fellowship award from the Academy of General Dentistry, Mentorship status at the prestigious Kois Center for Advanced Dental Studies, and fellowship in the Pierre Fauchard Academy. Dr. Horowitz is also a member of the American Association of Dental Sleep Medicine.

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