WE “FALL BACK” ON SUNDAY, NOV. 6th AND CAN GAIN AN EXTRA HOUR’S SLEEP

Before going to bed Saturday night, set your clocks back one hour.

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How are you planing to take advantage of the extra hour? In order to fulfill the essential number of regenerating sleep cycles the average adult needs 7-8 hours.

Do you sleep soundly or sleep with sound?

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Instead of “falling back” his 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:

Nov 2016

LAS VEGAS, NV –         11/04/2016 – 11/05/2016 Register Now! 
MEMPHIS, TN –             11/04/2016 – 11/05/2016 Register Now! 
OKLAHOMA CITY, OK – 11/11/2016 – 11/12/2016 Register Now! 
WASHINGTON, DC –    11/11/2016 – 11/12/2016 Register Now! 
BOSTON, MA –              11/18/2016 – 11/19/2016 Register Now! 
GREENVILLE, SC –       11/18/2016 – 11/19/2016 Register Now! 
SAN FRANCISCO, CA – 11/18/2016 – 11/19/2016 Register Now! 

Dec 2016

CHICAGO, IL –                12/02/2016 – 12/03/2016 Register Now! 
TAMPA, FL –                   12/02/2016 – 12/03/2016 Register Now! 
DENTAL STAFF BOOT CAMP – 12/02/2016 – 12/03/2016Register Now! 
DALLAS, TX –                  12/09/2016 – 12/10/2016 Register Now! 
NEW YORK CITY, NY –   12/09/2016 – 12/10/2016 Register Now! 
HUNTINGTON BEACH, CA – 12/16/2016 – 12/17/2016 Register Now! 
SALT LAKE CITY, UT –    12/16/2016 – 12/17/2016 Register Now! 
TUCSON, AZ –                  12/16/2016 – 12/17/2016 Register Now! 

SLEEP GROUP SOLUTIONS presents “Treating Snoring and Sleep Apnea in the Dental Office” to Broward County Dental Association (Florida)

Monday November 21st, 2016, 6 PM
Call BCDA 850-628-7939 for reservations
John Nadeau, VP of SGS, presents this Intro to Dental Sleep Medicine, including Medical Billing for Dentists
5-16-16 b- tip of iceberg
You can join the battle to combat this serious disease Sleep Apnea..
Get trained and prepared to help the 40 million victims of sleep apnea.
 Many of them are already your patients.
Be a shining light and stand out as a doctor who literally saves lives.
9-11-14 UNIQUE BULB

DO WE HAVE TOO MANY DENTAL HYGIENISTS?

A Hygienist/Staffing Specialist in Cleveland/Akron, Ohio posed this question on LinkedIn to the American Dental Education Association:   “…why are schools graduating so many Dental Hygienists in a field that is very saturated, with little chance of job opportunities for these new Dental Hygiene grads? “

I am also interested in hearing the answer. Here in south Florida there is a plethora of well trained, dedicated Hygienists who are working part-time for Staffing Agencies, or as clinical assistants, and in other industries, because there are not enough opportunities in dental offices. My colleagues in Philadelphia and southern California tell me the situation is similar there.

Do you find this to be the case in YOUR area?

From The Bureau of Labor Statistics:
Job prospects are expected to be favorable in most areas, but will vary by geographical location. Because graduates are permitted to practice only in the State in which they are licensed, hygienists wishing to practice in areas that have an abundance of dental hygiene programs may experience strong competition for jobs.

Projection data from the National Employment Matrix Occupation:
Dental hygienists

174,100 2008
237,000 2018
36% increase

Do you feel that expanding the legal functions of Hygienists, and relaxing their areas of “direct supervision” will alleviate this problem?

ARE YOU A SMOKER?

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

 

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.
  • 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 much 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.
  • Neck circumference. People with a thicker neck may have a narrower airway.
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/

George-Jones_2016

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. .

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. .

 

MAY IS NATIONAL STROKE AWARENESS MONTH

Be aware that untreated Sleep Apnea is a major risk factor of strokes. One out of 15 adults has moderate to severe sleep apnea and men with moderate to severe sleep apnea are 4 times more likely to have a stroke.
A 2014 study published in the Journal of Clinical Sleep Medicine showed that people with moderate to severe obstructive sleep apnea were four times more likely to have a stroke even when results were adjusted for factors like obesity, cholesterol levels, hypertension, and smoking.
                                                               **************
How?  Simply stated, when there are repeated cessations in breathing, as in Obstructive Sleep Apnea, adequate oxygen is not carried to the brain.
7-14-12 BRAIN
                                       ********************************************* 
The National Stroke Foundation explains that “sleep apnea can be an after effect of stroke, but can also be the cause of a first time or recurrent stroke. The condition causes low oxygen levels and high blood pressure, both of which can increase the risk of a future stroke.”
Isn’t this another good reason for you to get a sleep test?
5-16-16 tip of iceberg
 Read the signs and symptoms from the Center of Disease Control (CDC):

SLEEP APNEA- 22 MILLION AMERICANS SUFFERING.

 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

Here is how Abfractions are caused by Obstructive Sleep Apnea.

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 roleThe 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

THANKSGIVING FOOD SAFETY TIPS

 Cooked turkey can be kept in the refrigerator 3-4 days, and in the freezer 2-3 months- for best quality.

(Look it up below by clicking on a link.)

Another Question:  Is it OK to Put Hot Food Directly Into the Fridge?

Answer: It’s fine to place hot food directly in the refrigerator.

Don’t worry about overheating the fridge — as the U.S. Department of Agriculture points out, the refrigerator’s thermostat will maintain a safe temperature of 40° F or below.

What you do need to worry about is whether the hot food will cool off quickly enough to reach a safe temperature once it’s in the refrigerator. So never put deep containers of hot food in the refrigerator- place the hot food in shallow containers so it will chill quickly.

A large pot of soup or stew, for instance, should be divided into smaller portions and placed in smaller containers before being refrigerated. A large cut of meat or whole poultry should be divided into smaller pieces and wrapped separately or placed in shallow containers before refrigerating.

Here’s a complete safety guide for thousands of foods and beverages. You can keep this on your computer desktop where you can refer to it daily.
Click on any question for the answer:

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