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 theJournal of Clinical Sleep Medicineshowed 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.
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?
Read the signs and symptoms from the Center of Disease Control (CDC):
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.
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.
We “Spring forward” at 2 AM Sunday night, March 13 and lose an hour of sleep.
Are you planingto get to bed one hour earlier? In order to fulfill the essential number of regenerating sleep cycles an adult requires 7-8 hours of healthy sleep.
Do you sleep soundly or sleep with sound?
Are you keeping your partner awake?
Sleep Awareness Week™, which takes placethis yearMarch 6-13, is an annual public education and awareness campaign to promote the importance of sleep. The week begins by the announcement of the National Sleep Foundation’s Sleep in America and ends with the clock change toDaylight Saving Time, where Americans lose one hour of sleep.This week, focus on sleep education and Sleep Dysfunction screening.
If you are a Dentist consider helping the 34% of your patients that have a sleep breathing disorder. Learn how: www.sleepgs.com
The prestigious National Dental Association (NDA) has selected Sleep Group Solutions (SGS) to present “The Successful Treatment of Snoring and Sleep Apnea in the Dental Office” at the 103rd Annual Convention of the NDA in Atlanta, Georgia.
SGS, a leader in Dental Sleep Medicine, trains dentists nationally to screen and treat the many victims of sleep apnea. SGS lecturers present two day CE seminars every weekend in several cities across the country.
The National Dental Association had its earliest beginnings in 1900 when a group of 200 minority practitioners felt they needed a professional organization. After several evolutions, including a name change in 1907 to the Robert T. Freeman Dental Society (in honor of the first Black dental college graduate), in 1932 the National Dental Association was formed.
In 1965, the American Dental Association changed its policies to urge the cessation of discrimination based on race, religion, ethnicity or creed among its member groups and affiliates.
Dr. Hazel J. Harper became the first female president of the NDA in 1997.
The NDA, with 7000 members, has grown beyond the national borders of the United States, adding members in Canada and the Caribbean. In 2009, it was working to expand intoAfricaandSaudi Arabia.
Dr. Barry Freydberg, a nationally recognized authority on the treatment of sleep disorders shared his unique perspective on his very successfulDental Sleep Medicinepractice at a training course in Florida on Feb. 12,13. This was an awesome learning experience.
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 receive16 CE creditsto jump start your new year.
You will be prepared to do far more as a comprehensive care-giver for your patients and the new ones who seek your services.
Lack of sleep is causally connected to many physical problems. We know that from numerous reliable studies.
Obstructive Sleep Apnea (OSA)is a major cause of sleep loss and one of the common symptoms of (OSA) is being overweight. Sleeping less than six hours — or more than nine hours — a night appears to increase the likelihood of weight gain. So then, how does OSA effect weight gain?
There are three hormones that factor in the equation of lack of sleep contributing to weight gain.
1. Ghrelin: the Hunger Hormone
Lack of sleep increases ghrelin, and decreases leptin, both effects producing increased hunger and obesity. Ghrelin is produced in the gastrointestinal tract and functions as aneurotransmitter. When the circadian rhythm is interrupted by exposure to light at night, gherlin is released.
2. Leptin: the Anti-hunger Hormone.
Leptin is the satiety hormone that has opposite effects from ghrelin. The receptor for leptin is found on the same cells in the brain as the receptor for ghrelin.
Melatonin maintains the body’s circadian rhythm by regulating the other hormones.The circadian rhythm is an internal 24-hour “clock” that plays a critical role in when we fall asleep and when we wake up. When it is dark, your body produces more melatonin. When it is light, the production of melatonin drops. Being exposed to bright lights in the evening, or too little light during the day, can disrupt the body’s normal melatonin cycles. For example, jet lag, shift work, and poor vision can disrupt melatonin cycles.
Melatonin supplements can be helpful for those who are sleep disadvantaged but adherence to directions is recommended.
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 do to effect weight gain?
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 regulates thedistribution and rate of use of energy.
This is just another convincing reason to get adequate healthy sleep…. at the right time. 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.
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.
Patients are realizing that snoring is a warning sign of a more serious condition. A blockage of oxygen to the brain, caused by 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- most dentists are unprepared. -Less than 5% 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 suffers from a sleep disorder.
–Are you prepared to help them?
Are you providing a truly comprehensive exam?
On December 4th and 5th in Tampa, Fla., Dr. Barry Freydberg will show how to incorporate Dental Sleep Medicine into a dental practice. He has a unique perspective on DSM and will share ideas from his own successful dental practice, including medical Insurance billing- Codes, Fees and Procedures.
Learn with 16 CE credits and have a hands-on experience with the diagnostic materials and equipment.
Date : Friday and Saturday, Dec. 4th and 5th
Time: 8 AM to 5 PM
Venue: Tampa Hilton Hotel.
After enjoying the Dental Sleep Medicine seminar, you can take advantage of Tampa’s excellent recreational activities and dining options.
Dr. Barry Freydberg, a 1968 graduate of the University Of Illinois College Of Dentistry was a full-time practicing general dentist, until recently, where he now spends most of his chair-side time practicing dental sleep medicine in Illinois and Arizona. He says, “In my senior practice years, sleep medicine is fascinating, physically much easier than general dentistry and more rewarding.”
Dr. Freydberg was named University of Illinois “Alumni of the Year” in 2004. He 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 a leading speaker on conservative “Prepless” esthetic dentistry and is considered a pioneer in raising dentists’ awareness of the ever-growing link between high technology and practice and clinical management.
It’s late-October and there are just a few months left to get those CE credits.
Here’s how to do it 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.
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 <firstname.lastname@example.org> to find an available date for a presentation to your study club or dental society meeting.
Most Sleep Apnea sufferers have Acid Reflux…. and other comorbidities.
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 the upcoming Sleep Apnea seminars. You can view the course outlines and register here: