Study Club and Dental Society Members:

It’s November and you probably have your  CE credits locked in for this year.
Here’s how to get fast and easy CE credits for next year and score even greater benefits:
Have your Dental Study Club or local Dental Association schedule a speaker for a Dental Sleep Medicine presentation. We will provide a nationally known DSM speaker, all materials, CE credits and most importantly, a valuable introduction to Dental Sleep Medicine.
 Hands-on training
4-20-13 GELB 3
 Presentation Outline
These DSM presentations include:
  • analysis of patients’ symptoms and how to screen for them
  • scripts for an effective patient interview
  • how to motivate the Dental team to commit their patients
  • how to get your patients to “own” their disease
  • the morphology of the airway
  • comorbidities to look out for
  • the effects on the systemic organs
  • the reimbursement strategy and insurance billing using dental and medical coding.
Dentists who attended our DSM presentations have gone on to secure huge rewards for their patients and their practices. Email me at <> to find an available date for a presentation to your study club or dental society meeting.


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

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?

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! 


Have we been misled all these years being told that we need eight hours of sleep? Don’t you feel a little more alert and cognitive after getting seven hours of sleep?  And don’t you feel somewhat groggy the next day if you’ve had nine hours or more sleep?
Sleep scientists say that skimping on a “full night’s sleep”, even by 20 minutes, impairs an adult’s performance and memory the next day. And getting too much sleep—not just too little of it—is associated with health problems including diabetes, obesity and cardiovascular disease and with higher rates of death, studies show.  Getting the right amount of sleep is important in being alert the next day, and several recent studies have found an association between getting seven hours of sleep and optimal cognitive performance.
7-1-15  2 DOGS SLEEP
 If we reach the ripe old age of 100 years we will have spent one third of our life, or a total of 584,000 hours* sleeping. If you are 50 years old you would have on average been asleep for 16 years and 4 months*. Rip van Winkle did it all in one stretch but have you matched his feat?  ( *Excluding the additional days in leap years)
Do you want to get back some of that lost time? You can! Evidence-based studies of large samples show that, for an adult, the optimum sleep time is 7.2 hours. Your personal make-up may make you an exception but for most people 7.2 hours of healthy sleep will be the right amount.
7-1-15 snoopy asleep
Research Revelations
“The lowest mortality and morbidity is with seven hours,” said Shawn Youngstedt, a professor in the College of Nursing and Health Innovation at Arizona State University Phoenix. “Eight hours or more has consistently been shown to be hazardous,” says Dr. Youngstedt, who researches the effects of oversleeping.
Daniel F. Kripke, an emeritus professor of psychiatry at the University of California San Diego, tracked over a six-year period data on 1.1 million people who participated in a large cancer study. People who reported they slept 6.5 to 7.4 hours had a lower mortality rate than those with shorter or longer sleep. The study, published in the Archives of General Psychiatry in 2002, controlled for 32 health factors, including medications.
In another study, published in the journal Sleep Medicine in 2011, Dr. Kripke found further evidence that the optimal amount of sleep might be less than the traditional eight hours. The researchers recorded the sleep activity of about 450 elderly women using devices on their wrist for a week. Some 10 years later the researchers found that those who slept fewer than five hours or more than 6.5 hours had a higher mortality.
study in the journal Frontiers in Human Neuroscience last year used data from users of the cognitive-training web site Lumosity. Researchers looked at the self-reported sleeping habits of about 160,000 users who took spatial-memory and matching tests and about 127,000 users who took an arithmetic test. They found that cognitive performance increased as people got more sleep, reaching a peak at seven hours before starting to decline.
After seven hours, “increasing sleep was not any more beneficial,” said Murali Doraiswamy, a professor of psychiatry at Duke University Medical Center in Durham, N.C., who co-authored the study with scientists from Lumos Labs Inc., which owns Lumosity. He said the study replicated earlier research, including a look at memory loss. “If you think about all the causes of memory loss, sleep is probably one of the most easily modifiable factors,” he said.
study in the current issue of Journal of Clinical Sleep Medicine seemed to confirm that “you can’t overdose on healthy sleep. When you get enough sleep your body will wake you up”. Five healthy adults were placed in what the researchers called Stone Age-like conditions in Germany for more than two months—without electricity, clocks or running water. Participants fell asleep about two hours earlier and got on average 1.5 hours more sleep than was estimated in their normal lives, the study said.
Their average amount of sleep per night: 7.2 hours.
3-14-15 SHR
Experts say people should be able to figure out their optimal amount of sleep in a trial of three days to a week, ideally while on vacation. Don’t use an alarm clock. Go to sleep when you get tired. Avoid too much caffeine or alcohol. And stay off electronic devices a couple of hours before going to bed. During the trial, track your sleep with a diary or a device that records your actual sleep time. If you feel refreshed and awake during the day, you’ve probably discovered your optimal sleep time. You may need less sleep than you thought.


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.
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.
counting-sheep. a
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.


The days are getting shorter. Darkness arrives 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
You can view the dates and course outlines and register here:



On Sept. 12th and 13th you are given the chance to win big in
Hartford, CT or in Las Vegas, NV

9-6-14 DICE

On Fri. and Sat., September 12, 13, you can pick your training by either of these two most respected Dental Sleep Medicine educators in the nation.

Sleep Group Solutions presents:

Dr. Anjoo Ely in Hartford

Dr. Marty Lipsey in Las Vegas

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


8-3-14 SAW WOODThe 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.

These 2 day courses are designed to provide you with the knowledge to confidently return to your practice and immediately begin implementing new screening and treatment protocols.


You can learn more about the courses and register for one here:

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 Instructor, and teaches Dental Sleep Medicine regularly.

 Dr. Anjoo ElyDr. Anjoo Ely
Dr. Ely  is a graduate of the University of Michigan Dental School 1997, and is a Member of the American Dental Association, Michigan Dental Association, and American Academy of Dental Sleep Medicine. Dr. Ely’s passion for Dental Sleep Medicine stems from her loss of her father at a young age due to suspected undiagnosed sleep apnea. Her passion is not just treating sleep apnea patients but also educating more dentists to be able to treat their sleep affected patients.



Sleep Apnea victims will not have to go untreated in YOUR office. 

SUBJECT:             Introduction to Dental Sleep Medicine
DATE:                    August 22nd and 23rd – Friday and Saturday
TIME:                      8 A.M. to 5 P.M.
LOCATION:            Irvine, California  at The Glidewell International Tech Center
PRESENTERS:     Dr. Barry Freydberg,  Mr. John Nadeau,  Dr. Marty Lipsey

6-16-12 BUTTON #216 CE Credits

This 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,
  • The Fascinating Science of Sleep,
  • 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.

10-14-12 RESPIRE BLUEReview the course outline and register here:

Dr. Barry Freydberg,  is a Fellow of the Academy of General Dentistry, a Fellow of the International College of Dentists, a Fellow of the American College of Dentists and a Fellow of the International Academy for Dental-Facial Esthetics. He is considered a pioneer in raising dentists’ awareness of the ever-growing link between high technology and practice and clinical management. Barry is a frequent presenter of Sleep Group Solutions’ training seminars.

Mr. John Nadeau, SGS Vice President,  has been actively involved in the dental sleep medicine community since 2002. He has worked with several hundred dentists in the field and helped many of them get started with sleep in their own practices. An expert on airway acoustic imaging and home sleep testing John authored the SGS protocol manual detailing the steps-by-step process involved in taking a patient from initial screening through diagnosis, treatment and follow-up. John’s passion for dental sleep medicine comes through strongly in his lectures and he has been an invited guest instructor at many dental meetings and teaching facilities across North America.
Dr. Marty Lipsey, presenting Saturday, 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.

 This is an opportunity to stand out in your community as a skilled leader in discovering and treating the victims of Sleep Apnea. One of every three patients you see have the symptoms of Sleep Apnea. Do you want to help them?5-20-12 HUMAN PYRP.S.

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 HEALTHY sleep?

Article Source:


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 
  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.
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Did George Washington’s dentures contribute to his death?

HAPPY BIRTHDAY,  President Washington! 

282 years old   February 22, 1732-2014

Dentistry has come a long way since Dr. John Greenwood gave you those dentures in 1789 made from >>>>>>>>

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There must be dozens of portraits of George Washington. I have never seen any with him smiling. Those darn Hippo dentures with the spring openers must have been painful.

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Light from a red laser scans a resin reproduction of the 1789 lower denture originally carved from Hippopatamus ivory for George Washington.

Was the throat infection that took George Washington’s life caused by colonies of bacteria that grew in his world famous dentures?   What material were they made from?

By the time he became President, in 1789, at age 57, he had only one tooth remaining,   At his inauguration, Washington was wearing a full set of dentures which were attached to his final tooth. Washington had frequent dental problems during his tenure as commanding general of the Continental Army. A famous painting of Washington in 1779 shows a scar on his left cheek, believed to be the result of a badly abscessed tooth.

One cannot help but wonder if his teeth might have been the source of the chronic infections he suffered. His dental and health problems were intertwined.

Washington was treated by no fewer than eight prominent dentists who practiced in colonial America, but his favorite was Dr. John Greenwood.  Dr. Greenwood’s dentures had a base of hippopotamus ivory carved to fit the gums. The upper denture had ivory teeth and the lower plate consisted of eight human teeth fastened by gold pivots that screwed into the base. The set was secured in his mouth by spiral springs. The upper and lower gold plates were connected by springs which pushed the upper and lower plates against the upper and lower ridges of his mouth to hold them in place. Washington actually had to actively close his jaws tightly to make his teeth bite together.

His final dentures were made in 1798, the year before he died. This set had a swaged gold plate with individual backing for each tooth and was fastened together by rivets. Today, the lower denture is on display in the National Museum of Dentistry in Baltimore, and another the set was donated to the University of Maryland Dental School in Baltimore, the oldest dental college in the world.

Source: Research by Michelle Keib

2-15-14 PRES. DAY

Insurance companies are paying with Medical Codes, too. Learn how!

Wouldn’t it be nice to get paid for an “Office Visit” like an MD?

Presenters:      Dr. Marty Lipsey and Mr. John Nadeau

Dates:                    February 21 and 22, Friday and Sat., 8 a.m. to 5 p.m.

Location:              The Glidewell Technology Center, Irvine, CA

Sleep Apnea from A to ZZZZZZZZZZ  

7-14-12 SNORING

 Dr. Lipsey is a recognized and highly respected authority on electronic medical billing and successful insurance coding and processing for Sleep Apnea services.

February 22nd is George’s birthday. Look at the appliance he wore and be thankful we have progressed to modern dental sleep apnea appliances.
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  This 2 day course, on 2/21 and 2/22 is designed to provide you with the knowledge to confidently return to your practice and immediately begin implementing new screening and treatment protocols.

After the Seminar Dr. Lipsey will continue to Mentor you and your team, giving you the confidence to be a Sleep Medicine Doctor.


Meet them here, read the course description, and register here:

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 also a Sleep Group Solutions Instructor, and teaches Dental Sleep Medicine regularly.