Tag Archives: Advance! Dental Study Group

ARE YOU A SMOKER?

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Are you a smoker? If so, the chances are that you have obstructive sleep apnea. Smokers are three times more likely to have obstructive sleep apnea (OSA) than are people who have never smoked.
The Correlation
Smoking may irritate the tissues in your nose and throat and cause inflammation and fluid retention in your upper airway. This swelling causes a blockage which restricts air flow.
Both smoking and OSA are deadly conditions that, in combination, will wreak havoc to your quality of life and can severely shorten your life span.
FAT GUY SLEEPING
Smoking and Sleep Apnea:  1+1 = 1000
Both sleep apnea and smoking can cause all sorts of cardiovascular and respiratory health problems. OSA can lead to stroke and heart disease while smoking increases one’s chance of contracting mouth, throat and lung cancer. Studies have even shown that sleep apnea victims who smoke, generally have heightened triglyceride levels and lowered HDL levels.
The Studies
The average person loses 1.2 minutes of sleep for every cigarette they smoke, due to nicotine’s stimulating and subsequent withdrawal effects, according to a  University of Florida study in 2011.
Men’s Health reported, “People who smoke within two hours of bedtime struggle to fall asleep because the nicotine disrupts their natural sleep-wake cycle, and withdrawal symptoms set in before the morning alarm goes off, often leaving smokers feeling even more restless and agitated.”
Patients who suffer from untreated sleep apnea are rarely able to reach the cycles of deep sleep where dreaming occurs. With treatment, patients begin to dream again and it takes time to get used to it.  Vivid dreaming is a common occurrence in those who are in the process of quitting smoking and have begun sleep apnea treatment.
Conclusion
A 20012 report in Chin Med concludes: “Smoking may act as a risk factor for OSA and join with OSA in a common pathway to increase the risk of systematic injury. OSA, in turn, may be a predisposing factor for smoking. Thus, smoking cessation is recommended when considering treatment for OSA, and treating OSA may be a necessary precondition for successful smoking cessation.”
Resources
American Journal of Respiratory and Critical Care Medicine.
Johns Hopkins University 2008 
University of Florida
Chin Med
Mayo Clinic
WebMD

 

WHAT ARE THE RISK FACTORS OF OBSTRUCTIVE SLEEP APNEA?

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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.
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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

 

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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
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. .

 

OSA HAS NO REGARD FOR AGE, GENDER OR FAME

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Legendary Dolphins coach Don Shula was hospitalized and treated because of sleep apnea and fluid retention, said his wife Mary Anne Shula.

SHULA

Shula is the winningest coach in NFL history (with 347 regular-season and playoff victories) and is a Pro Football Hall of Famer. He is also the owner of a successful chain of steakhouses throughout the country.

The 86-year-old was treated and released from the Aventura Hospital and Medical Center. Dr. Barry Freydberg, a Dental Sleep Medicine expert, and lecturer for Sleep Group Solutions, screens and treats patients for snoring and sleep apnea says, “I am glad to hear his sleep apnea was treated, Nearly 18 million people remain undiagnosed with sleep apnea.”

Sleep apnea contributed to the premature death of star Green Bay Packers defensive end Reggie White in 2004.

IS THERE ANY BETTER OPPORTUNITY IN DENTISTRY TODAY?

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THE OPPORTUNITY
It was only three years ago that I read that less than 1% of American licensed dentists were practicing sleep medicine. In those few years that number has risen to 4%. If we have approximately 205,000 practicing dentists in the USA, then there are only 8200 Dentists serving the needs of the multitude of people affected with sleep disorders.According to a Harvard health report there are 18.9 million undiagnosed cases of obstructive sleep apnea and a minimum of 40% – 1.3 million -of CPAP users who are non-compliant. So that alone conservatively projects 20.2 million victims of obstructive sleep apnea who may be helped by a dentist trained in oral appliance therapy (OAT).
Is there any better opportunity in dentistry?

Dental sleep medicine: the hottest button in dentistry today.
Awareness of sleep apnea in America is at an all-time peak. The fires of awareness are being stoked by the public media and by social media. Patients are understanding and becoming increasingly more concerned about the blockage of oxygen to the brain and to other organs. Strokes. Heart attacks. Diabetes. Dementia. Motor vehicle accidents. People are recognizing that they have the symptoms and are asking their Dentists about it. Some doctors have the solutions. Every Dentist would like to be “The Sleep Dentist.”Seminar training courses are now available through Sleep Group Solutions every week, in different cities, throughout the United States. They are training dentists to discover the victims of sleep apnea and to treat them with the most appropriate modalities. Oral appliance therapy (OAT) is the most convenient and preferred therapy for the mild and moderate cases and for those patients who cannot tolerate the CPAP device. Fortunately, this is where the dentist in shining armor rides in on a white horse to the rescue. Dentists, we like to say, are on the front line of the battle against sleep apnea. Dentists are in the optimum position to see the signs and symptoms and can offer the most preferred solutions to the problem.
 Are you ready to join the battle? 
5-31-12 BRANDIN IRON
STRIKE WHILE THE IRON IS HOT

SLEEP APNEA- 22 MILLION AMERICANS SUFFERING.

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 It is estimated that 22 million Americans suffer from sleep apnea, with 80 percent of the cases of moderate and severe obstructive sleep apnea undiagnosed. 
FAT GUY SLEEPING
If we accept the reports that a minimum of 80% of Sleep Apnea is undiagnosed, then only 20% is actually addressed in any fashion.

The undiagnosed may fit into these categories:

1. Patients have no idea that such a thing as Sleep Apnea exists.

       Hard to believe it but there are such people.
2. They know about, but have no idea that they suffer from, Sleep Apnea .
        “Isn’t snoring normal?”  “Doesn’t everyone wake up 4-6 times a night?”
3. They know they have the symptoms of Sleep Apnea but are in denial.
        I know a smart lawyer who insists sleep apnea does not exist. He tells me that I am “just as bad as [his] wife” who listens to him snore and gasp for breath every night.
4. They know they have problems but refuse to do anything about it.
       Some have heard horror stories about CPAP machines and simply do not want to take action. They need to learn about the oral appliance therapy (OAT).
5. Misdiagnosed Sleep Apnea.
        There is a lack of knowledge of sleep apnea among many health professionals.

It is very difficult to get these people to want to be screened and diagnosed by just telling them that something is wrong. It is necessary for them to “see” it for themselves and for them to adopt a top down approach – of their own volition.The best way to do this is to educate them in the most simple, effective, non intimidating and cost effective way – we can show them films of OSA victims having sleep events.  We must find a way to get them diagnosed and filmed and then show them their results. This is an massive education deficit issue.
8-2-14 MATH FOR DUMMIEsS 8

LEARNING DSM TO BUILD A REWARDING PRACTICE

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Dr. Barry Freydberg, a nationally recognized authority on the treatment of sleep disorders shared his unique perspective on his very successful Dental Sleep Medicine practice at a training course in Florida on Feb. 12,13.  This was an awesome learning experience.
 FREYDBERG 001
Next up in the DSM training seminars is Charlotte with Dr. George Jones and Las Vegas with Dr. Marty Lipsey.   Both seminars are held on Friday and Saturday, Feb. 19-20.
Included in these A to Z presentations is Medical Insurance billing, Codes, Fees and Procedures.  And you will receive 16 CE credits to jump start your new year.
GENIUS
You will be prepared to do far more as a comprehensive care-giver for your patients and the new ones who seek your services.
Review the course outlines and register here:

02/19/2016 – 02/20/2016		 CHARLOTTE, NC CHARLOTTE, NC 

DoubleTree by Hilton Hotel Charlotte Airport
02/19/2016 – 02/20/2016 LAS VEGAS, NV LAS VEGAS, NV 

The Westin Las Vegas Hotel – Casino & Spa

ARE YOU LOOKING FOR A WAY TO STAND OUT IN YOUR COMMUNITY?

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5-20-12 HUMAN PYR

Here is how you can gain respect as a thought leader, generate New Patients, and provide a great public service.

Select a topic that will draw an audience. The “hottest” topic today is Sleep Apnea. Just google into the internet and you will see the widespread interest in Obstructive Sleep Apnea. People are becoming very aware of the dangers caused by the stoppage of breathing while they are asleep. They are looking for answers and very few Dentists are prepared to help them. Take a training course or a seminar, become knowledgeable in the signs and symptoms, the risk factors, and in the various treatment options. Sharpen your expertise.
6-2-12 BRAIN
Here’s how you do it:
Present a free seminar in your Reception Room. Select a date at least one month out so you and your invitees will be able to get it into your schedules.
How to Announce and Promote it:
  • Have a “sign-up sheet in your office
  • Send out email announcements to patients of record; ask them to assure their place by return email.
  • Let each invitee know they may invite two friends or relatives.
  • Place a large colorful poster in your Reception Room.
  • Distribute flyers to local businesses and professional offices.
  • Place a small display ad in your local newspaper.

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Some Tips for your Seminar
  • Present it in the largest room in your office- usually the Reception Room
  • Prevent any interruptions – turn off phone ringers, etc.
  • Have a “Welcome Table” with some juices and other beverages (sugarless, of course).
  • Have your flyers, brochures, and business cards on the “Welcome Table”.
  • Prepare a power point presentation with video.
  • Subjects like Sleep Apnea are serious, but to keep the audience entertained, infuse some humor.
  • Encourage interactive participation. Invite questions from the audience.
  • Prepare some hand-outs for the participants to take home.
  • These are just a few ideas. I am sure you will think of a lot more.

Objectives and Outcomes

You will be respected as a Leader and Educator.

You will generate New Patient leads.

You will provide a needed and valuable public service.

If you want some help with any of this you may email me: cskdoc@ aol.com

Here is how Abfractions are caused by Obstructive Sleep Apnea.

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This may be used as patient education in your web site or as a hand-out.

(Take the Quiz at the end.)

“Doctor, I always thought these notches are from brushing too hard. They are painful and I have them on my teeth on both sides. What causes them?” 

7-13-13 ABFRACTION

Here is a simplified explanation:

An abfraction occurs on the lower part of the crown of a tooth, near the gum line as shown in the picture above.

            The enamel covering the crown tapers down to its thinnest there. When the occlusion (bite) is not balanced, there will be uneven pressures on the biting surfaces of teeth. Those pressures cause a torque on the tooth which produces a slight bend at the center where the crown meets the root. As the tooth keeps bending, the thin enamel at the bottom of the crown, near the gum line, chips away. The sensitive “dentin” surface inside the enamel is now exposed. Vigorous, improper teeth brushing will then wear away the unprotected dentin and the notches will grow deeper and larger.

The dentin also becomes vulnerable to acid erosion from foods such as citrus.

3-22-15 ABFR DRAWING RODS

The uneven bite pressures also cause a loss of gum and bone attachment around the roots so the roots become progressively exposed adding to the acute sensitivity to touch and cold. Advanced effects can be fracture of the tooth at the crown-root junction, tooth mobility and serious gum disease. 

             Abfractions can resemble other conditions like decay or toothbrush abrasion, but the treatment is more specific. The treatment, after diagnosing the cause as a bite dysfunction, consists of balancing the bite to equally and properly distribute the pressures and then to restore the lost tooth structure. An occlusal guard may be required. About 25% of the population clench or grind their teeth at night (Nocturnal bruxism) and are completely unaware of it!. Obviously, the earlier this condition is discovered, the less damage to the teeth and bone will have occurred. In advanced cases crowns may need to be placed to protect the weakened teeth. There is a convincing connection to Obstructive Sleep Apnea. There are some cases where orthodontic treatment may be necessary. 

3-22-15 ABFR DRAWING

Abfractions are non-carious cervical lesions (NCCL) caused by flexural forces; the enamel, especially at the cementoenamel junction (CEJ), undergoes this pattern of destruction by separating and breaking the enamel rods.  

Abfractions are common in patients with OBSTRUCTIVE SLEEP APNEA. Nocturnal bruxism, which is indicative of OSA, plays a major role. The effective solution requires treatment of the causes. I created this explanation to serve as an aid to educate patients on the need to understand the CAUSES of abfractions- and to treat those causes.

QUIZ

True/False

  1. Abfractions are usually caused by improper teeth brushing.                   (F)
  2. Abfractions are a specific type of dental decay.                                       (F)
  3. Correction of an abfraction requires more than just a cervical filling.       (T)
  4. Nutrition plays a role in worsening abfractions.                                         (T)

Multiple Choice

Which are correct?

  1. .Abfractions occur primarily on the facial surfaces of teeth.
  2. A porcelain veneer can have an abfraction.
  3. Abfractions occur only on maxillary teeth.
  4. An abfraction may be able to cause a separation fracture of a tooth crown.
  5. All the above.

The treatment options include all except one of the following:

  1. Orthodontics
  2. Nutritional adjustments
  3. Occlusal adjustment
  4. Periodontal Therapy
  5. Cervical restorations

☆ LEARN SLEEP WITH DR. FREYDBERG ☆

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Dr. Barry Freydberg is a nationally recognized authority on the treatment of sleep disorders. He will share his unique perspective on his very successful Dental Sleep Medicine practice. “Be like Barry.” 
Included in this A to Z presentation is Medical Insurance billing, Codes, Fees and Procedures.  And you will receive 16 CE credits to jump start your new year.
Send us an email cskdoc@aol.com and let us know what you’d like Dr. Freydberg to add to the two day course. 
Getting tired yet of the freezing weather?  Join Dr. Freydberg in Fort Lauderdale on Friday and Satuday, February 12 and 13.  The warmest part of the continental U.S. has been here in south Florida. Enjoy Abraham Lincoln’s birthday weekend in sunny Florida.
5-24-15 Lincoln_quote
You will be prepared to do far more as a comprehensive care-giver for your patients and the new ones who seek your services.
Review the course outline and register here:
     FT. LAUDERDALE, FL
Sleep Group Solutions

 

SATISFIED IS NOT ENOUGH !

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“Satisfied” doesn’t do much for you.  Make them leave you ENTHUSIASTIC and eager to tell the first person they see about their great experience.
clip_image002MA26870622-1398
Make them want to tell their friends and families that you are caring and professional. Caring enough to be concerned about treating the entire person, not just their teeth, and professional enough to know how the conditions in the oral cavity effect the other systemic organs.
6-4-12 CLIENT IS KING
Dentists who perform services like a sleep disorder screening and are able to offer solutions like an intra-oral appliance will “wow” their patients and encourage them to be enthusiastic ambassadors. It’s easy, economical and powerful to develop your patients into a marketing team like that. Simply take a course and learn Dental Sleep Medicine. 
The objective is to have every patient leave the office ENTHUSIASTIC and eager to tell the first person they see about their great dental office experiences. The side benefit of adding Dental Sleep Medicine to your practice is that you will be filling a underserved need and helping a lot of suffering patients.
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