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.
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.
During 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.
Atlanta Dr. Marty Lipsey
Hollywood, FL Dr. Dan Tache’
Boston Dr Barry Freydberg
Indianapolis Dr. George Jones
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? 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 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? In 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, 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.
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. In 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.
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.
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The Body Mass Index (BMI) appraisal is one of the most widely used tools to measure healthy body weight. This ratio of height to weight will help assess whether you are underweight, normal weight or overweight.
|Category||BMI range – kg/m2||BMI Prime|
|Very severely underweight||less than 15||less than 0.60|
|Severely underweight||from 15.0 to 16.0||from 0.60 to 0.64|
|Underweight||from 16.0 to 18.5||from 0.64 to 0.74|
|Normal (healthy weight)||from 18.5 to 25||from 0.74 to 1.0|
|Overweight||from 25 to 30||from 1.0 to 1.2|
|Obese Class I (Moderately obese)||from 30 to 35||from 1.2 to 1.4|
|Obese Class II (Severely obese)||from 35 to 40||from 1.4 to 1.6|
|Obese Class III (Very severely obese)||over 40||over 1.6|
We know there is a correlation between bruxism and sleep apnea, but how does the one contribute to the other?
It has been observed that a third of bruxism patients also suffer from sleep disorders like sleep apnea, restless legs syndrome, etc. Bruxism may be the effect or the cause of many types of sleep disorders including obstructive sleep apnea, snoring, daytime lethargy.
The effects of stress, anxiety and caffeine ingestion come into play here. Studies link high anxiety levels to bruxism, and the symptoms of sleep apnea itself may cause anxiety. Additionally, the daytime sleepiness caused by apnea may lead to high levels of caffeine consumption which, in turn, is linked to a high risk of bruxism. This is the vicious cycle.
The relationship between sleep bruxism and sleep apnea can be attributed to an arousal response. When an apnea event ends, various oral phenomena may occur: snoring, gasping, choking, grunting and teeth grinding. Immediately after the apnea episode, a physiological compensation occurs. The jaw will open and close, thus dilating the upper airway in order to facilitate normal breathing. The patient then pushes the tongue forward to move away from the air tract and forces it against the teeth.
Research has shown that increase of teeth grinding is directly proportional to the increase of frequency of apnea episodes.The results of these studies suggest that when sleep bruxism is related to apnea/hypopneas, the successful treatment of these breathing abnormalities may eliminate bruxism during sleep.
Beyond the obvious FMX, charting of existing and needed dental and periodontal conditions, and an oral cancer screening,there are many other 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, etc., sleep dysfunction screening such as the Epworth Sleepiness Scale, 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. If I were still practicing today I would certainly perform these and a nutritional analysis.
TMJ exam, facial muscle palpation,Mallampati classification (correlates tongue size to pharyngeal size) and an oxygen saturation test will provide critical information. Any dentist/hygienist/team will chose how extensive they wish their dental exams to be and what should be included.
And is this “nearly always accepted by patients with huge value and 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.
Do you want to do more?
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 SA 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?
Interested? Then check this out: http://sleepgroupsolutions.com/2.0/
May is High Blood Pressure Awareness week.
Javier Nieto, MD, associate professor, Epidemiology, Johns Hopkins School of Public Health said, “The connection [to Sleep Apnea] is important because high blood pressure can lead to serious adverse health consequences, including heart attack, stroke, and kidney disease.”
In a study involving more than 6,000 adult men and women age 40 or older, he presence of sleep apnea was detected using polysomnography, which simultaneously records brain waves, heart waves, blood oxygen levels, and breathing rate while a person sleeps.
High Blood pressure? Salt is the killer.
For several years dentists and hygienists have been making the public aware of the connection between Periodontal (gum) Disease and many other systemic diseases. It is well documented that the same bacteria (primarily spirochetes) that harbor in the gums and are directly related to heart disease, strokes, lung disease, kidney failure, and premature underweight births.
The frequency of spirochetes is significantly higher in the brains of
Alzheimer patients compared to controls. The statistical analysis is
based on the cumulative data of the literature entered in the table
The association is statistically significant in the four groups analyzed:
in the group where all types of spirochetes were detected using
neutral techniques (All spirochetes), in the group of oral periodontal
pathogen spirochetes (Oral spirochetes), in the group where Borrelia
burgdorferi was detected alone (B. burgdorferi) and in the group
where all studies were considered (All studies).