‘it’s THE START that STOPS most People’

We know you are interested in developing a strong presence in the exciting and profitable world of Dental Sleep Medicine.    Here are answers to the most frequently asked questions.
  1. “Are there enough patients who need my DSM Service?”

If  you did not get one new patient coming to your office because of your new magnet (DSM) you could keep a schedule filled with your existing patients. Studies show that 34 percent of the American public have symptoms of sleep disorder. That means that one of every three people that you currently treat (IN ADDITION TO those new patients that hear about you), are there for you to help.

According to a Harvard health report there are 18.9 million undiagnosed cases of obstructive sleep apnea and 40% (1.3 million) of CPAP users 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 today in dentistry?

  1. “Why is THIS the best time for me to learn DSM?

Dental Sleep Medicine is 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. People are recognizing that they have the symptoms and are asking their Dentists about it. Some Dentists have the solutions. Every Dentist would like to be “The Sleep Dentist.

  1. “How would I get paid? Do Insurances cover the Services?”

With training in Dental Sleep Medicine you will learn the answers to these often asked questions about reimbursement:

-What is the difference between dental and medical codes?
-What is Durable Medical Equipment and how does that apply to us, as dentists?
-How some dentists leave thousands of dollars of medical reimbursement on the table and lose case acceptance in the process    -What  are the deductibles?
-What documents do I need for successful medical insurance processing?
-What do I need to know about Medicare?

-The number one medical billing error you should not make

 4.  “How do I get Started?”

If you are interested enough to have read this far, you have already started. To succeed in DSM you must have passion for helping people and excitement for being at the forefront of a new medical/dental science. With only 4% of dental practices qualified to offer these services, you can be proud to be a medical/dental pioneer.

The first step in your education is to attend a DSM training seminar. There you will learn all the basics. Sleep Group Solutions presents two-day seminars every weekend in two different cities. The “Introduction to Dental Sleep Medicine” covers all aspects “from A to Pay”. You will learn the mysteries of the science of sleep, a functional protocol for screening and treating patients, how to find patients who need your services, the various intra-oral appliances and how to monitor their efficacy. and billing benefits with medical codes.

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 rides in on a white horse to the rescue. We dentists like to say we 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..
In the words of the Great Master Yoda, in the classic Star Wars movies, “There is no ‘try’; there is only ‘do’ or ‘do not’.”

                                                                                                                                                                                     “It’s the Start that Stops Most People”

Every member on the team is a potential marketing agent for the Dental Sleep Medicine practice.

Wherever you go and whomever you meet you can promote your passion because people will respect you as authorities.  You have opportunities to help people by educating them about the dangers of Sleep Apnea.
You can “talk up” your DSM service, your teammates and your doctor.
The cashier at the grocery store, the technician at the beauty parlor and the nail salon, the bus or Uber driver are among your friends who will be happy to chat with you for a few moments about their sleep breathing issues. They will always tell you about someone they know who snores loudly or gasps for breath while sleeping. It may often be their own situation.  Your personal friends and family members deserve to be educated on how to live a healthier life and how to live longer.
You don’t need to think of this as “selling”–  you are educating and helping people because you care about them.
This is what teammates are expected to do; It is part of their role. They do this for loyalty to the doctor and to their teammates, for their job security, and above all for love.
These American war veterans are standing at the WWII Memorial in Normandy, France.

Sleep Apnea is not a joke but while we are teaching people how to have  a better Quality of Life we can have some fun.


There once was a seaman who snored
As loud as the ocean roared. 
One night while he slept
His wife tossed and wept,
Then threw the poor guy overboard.

Write a limerick. Five lines with an end rhyme pattern aabba.
They are  easy to compose- and fun.
Stay with the Dental Sleep Medicine theme.


Are you concerned about Obstructive Sleep Apnea?  You should be because 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.

Here is a simple yet accurate diagnostic test you can use to see the opening of your airway.

Stand in front of a mirror and protrude your tongue. Aim a light toward the back of your mouth.
Is your airway open like the diagram on the left? You are safe.
If your airway is obstructed by the base of your tongue, or a droopy soft palate, or from side to side by the pillars or tonsils, then this should concern you.
Obstructive Sleep Apnea (apnea=without breath) occurs while you are at sleep and not even aware of it. (Your bed partner may be well aware of your symptoms.)  During an apnea event you will not be able to inhale for 10 seconds and even up to a full minute until your body forces an autonomic response: your tongue will push forward in an attempt to open the airway, your teeth will gnash and grind.  When you are awake you may be able to see these signs in your mouth but you are unaware while asleep.
This dangerous cycle may repeat throughout your night and it may average 30 such episodes per hour. A severe case of obstructive sleep apnea (OSA) could produce 240 episodes during an eight hour sleep. This is not uncommon.
Imagine how much life-supporting oxygen is being transported to your heart, your brain, and other organs. Well-known mental effects of OSA are chronic daytime fatigue, irritability, confusion, inability to concentrate, dementia, and Alzheimer’s disease.
High blood pressure, strokes, heart attacks are also connected to OSA.
If you want to learn about the treatment protocol, case planning, insurance coverage, and the rewards, I strongly recommend this 2 day, 16 CEU course for dentists and hygienists. Dates and cities here:        http://join.sleepgroupsolutions.com/seminars/
By registering with this promo code CK200 you will save $200 off the cost of the tuition and bring a hygienist tuition-free,  In this website you’ll see the cities and dates for this training course.
Add a valuable service to your resume’ free of charge.
You will receive the same benefits as your dentist including 16 CE units.
Help your doctor treat patients that have Obstructive Sleep Apnea.


Why You will want to do this:

-Free attendance at this important training seminar.
Learn how to screen and treat Obstructive Sleep Apnea (OSA)
-16 CEUs -FREE
-Have a key role in your practice as a sleep coordinator. 
-Increased value to your practice
-Potential of greater income for you
-A more relaxed patient service
-Admiration by your peers for your leadership.
-Respect from your patients for helping them with a needed medical service.
-The great feeling of knowing that you are truly saving lives.


This offer is valid only through August 31, 2019.

Eligible Dental Assistants may also qualify.

Email or IM me for a list of locations and dates of this tuition-free course.  Cskdoc@aol.com
Charles Kravitz, DDS
Professional Relations Director
Sleep Group Solutions


A truly professional comprehensive dental exam examination (D0150 or D0180) should include much more than what the CDT codes delineate.
What is essential?
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 authority and responsibility.
The Comprehensive Exam should also include measurement of vitals such as blood pressure, etc. and a sleep dysfunction screening with a sleep questionnaire and a careful discussion of any notable items (alerts) in the patient’s med and sleep 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.


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.

Would we be “spending too much time” in a dental exam visit?

Not if we care about our patient’s total well being, our conscience, and our dental license.

And is this “nearly always accepted by patients with huge value and appreciation”? YES, it is when 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.

5-20-12 HUMAN PYR

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. Your rewards will be enormous!
It is reported that 34% of the population has sleep breathing symptoms. One of the next three patients that walk thru your doors is your candidate.

Are you able to help them?

Does your New Patient Exam include a screening for Sleep Apnea?1-21-13 LOGO DENTAL PROS SHARING


Interested? Then check this out: http://sleepgroupsolutions.com

or ask me:  cskdoc@aol.com