Archives for category: SLEEP

You are in an excellent position to screen for sleep apnea and to help identify your undiagnosed (and therefore, untreated) OSA patients.

How can you miss these clinical signs?

You…..

• have direct observational access to the physiological structures of your patients’ upper airways

• are already screening chair side for other health conditions that can be easily spotted during a dental visit

• may see these patients more frequently than primary care physicians will, with nearly one quarter more likely to see a dentist than a physician over any given time period. 

Your field of operations is right next to the opening of the airway.

Clinical signs of Obstructive Sleep Apnea:
~constricted airway – measured by a Mallampati score *
~ large neck circumference

          Over 15 inches in women
          Over 16 inches in men
  
~ oversized and/or inflamed uvula
~ extra large tongue
~ scalloped tongue edges-caused by tongue forced against the teeth, gasping for breath.
~ enlarged tonsils     
~ a droopy soft palate
 ~ retrognathic mandibular jaw.
~ obesity
~ heavy or struggled breathing
~ bruxism
~ obvious lack of energy
~ lack of focus in children causing ADHD -in 20% of ADHD victims.
~ sleepiness during dental appointment.
                                                                                                   *MALLAMPATI CLASSIFICATION

   Want more information, email me cskdoc@aol.com.

Dr. Sidney Shaw was an old-fashioned type dentist. He had a conservative treatment approach to the practice of dentistry, he exuded an obvious passion for helping his patients, and everyone loved him. He had an admired and successful general dental practice.  At the ripe young age of 66 he was diagnosed with atrial fibrillation and his doctor told him he had to slow down. That’s when he made the painful decision to hang up his loupes, put his practice up for sale and reap the rewards from the 38 years of hard work invested into building his practice. He felt he could retire comfortably on his proceeds from the sale.

He contacted a dental transition realtor who conducted a very comprehensive practice valuation. To Sidney’s dismay the valuation reported a market value of 310,000. This was more than disappointing to Sidney; it was devastating. It was not enough to support him and his wife and their medical bills.


“Disappointment is a temporary obstacle on the road to success.”

Sidney’s astute transition Broker came up with an idea. If he could implement a dental sleep medicine program he could add another two to three hundred thousand dollars in value to his sale price.
With his health scare Sidney made some major business decisions. He hired an associate, he cut back to three half days a week, he took a training course, got some private coaching and concentrated on screening and treating his patients for sleep apnea.
Within two months of making his decision he was treating two patients, on average, each day for sleep apnea. His average income for each case was $3500. This amounted $21,000 a week for three easy, relaxed, rewarding half days a week. This projected to revenues of an incr
 edible $1,050,000. for a 50 week year. This may sound like “pie in the sky” but when you check around you will find examples like this being quietly conducted all throughout the nation.
The happy ending:
Sidney sold his practice for 2.5 times more than that original market value and he stayed on 3 half days a week as a ” sleep specialist” for the new owner. How is that for a ROI of two months’ training?
If you are interested in getting into this exciting, rewarding, life-saving Dental Sleep Medicine field you may contact me at cskdoc (aol) for more information.

 

“If you told an athlete you had a treatment that would reduce the chemicals associated with stress, that would naturally increase human growth hormone, that enhances recovery rate, that improves performance, they would all do it. Sleep does all of those things.”  ~ Casey Smith, Head Athletic Trainer, Dallas Mavericks

The Boston Red Sox built a “Sleep Room” in Fenway Park because they knew the Value of Sleep.

The Red Sox are flush with advantages on the field and deep inside Fenway Park. According to the Boston Globe,, the team has what they’ve dubbed a “sleep room,” a 145-square-foot space with two sets of bunk beds where players and coaches can get in a power nap ahead of home games. Many sports teams have learned that sleep improves performance.

Dentists are learning how to treat the victims of Obstructive Sleep Apnea. There are 18 million people undiagnosed. Are you ready to help them?   http://www.SleepGS.com

Hello! Dr. Smith’s office?
– No sir it’s Dr. Google.
So it’s a wrong number?
– No sir, Google bought it.
OK. Can I make an appointment, please ..
– Well sir, you’re calling because you snore, wake up often and feel tired all day?
How do you know that? Do you know me?
– According to our caller ID, we see you recently searched the internet for “snoring”, “daytime sleepiness” and “nocturnal bruxism”
OK,I did that.
– May I suggest to you that we give you a Home Sleep Test?
– No, I don’t need that
– But your blood oxygen saturation is not good
How do you know?
– Through the subscribers’ guide. We have the result of your blood tests for the last 7 years
– Okay, but I do not want this test,  I already have a CPAP
– You do not use it regularly, 7 months ago, you only purchased cleaning kits at Drugsale Network
– I bought more from another source
– It’s not showing on your credit card
– I paid in cash
– But you did not withdraw that much cash according to your bank statement
– I have other source of cash
– This is not showing in your last Tax form unless you got it from undeclared income source
-WHAT THE HELL? Enough! I’m sick of Google, Facebook, twitter, WhatsApp. I’m going to an Island without internet,where there is no cell phone line and no one to spy on me
– I understand sir, but you need to renew your passport as it has expired 5 weeks ago..
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 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 into other organs. Strokes. Heart attacks. Diabetes. Dementia. 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.”
Where to begin?
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. A professional coach guiding the development of the process will make the
process advance quicker, smoothly and more effectively.
Keys to success
Success in treatment acceptance and end point attainment varies with, and depends upon, each individual dentist’s knowledge and determination and his or her patient’s cooperation. The training program will present the tools, screening protocols, diagnostic equipment, techniques and some verbal skills for success. As in other healthcare therapies, a partnership between the professional provider and the patient is the key to success. The patient’s cooperation is essential. Compliance will keep them under control. So that explains the patient’s role in the “Partnership for Success”.
The Dentist’s Responsibilities
Beginning with the seminar training program, the dentist must be 100% committed to success. (Anything we endeavor will be more likely to be achieved when we are positive that we will succeed.) The seminar training is only the beginning of the learning process. We must retain what we have learned, continue to study, to research all new ideas and to practice our treatment plan presentations with our teams. 

You are in the right place at the right time. As a Care Giver, think of how you can serve a critical need of your patients. They are looking for your help.
You may contact me with questions or for assistance in becoming “The Dental Sleep Professional”.
Yours for better health,
Charles Kravitz DDS
Are you ready to join the battle?  
       
https://advdentaldotcom.files.wordpress.com/2017/05/5-31-12-brandin-iron.jpg
Strike while the iron is hot

 

Learn Dental Sleep Medicine in Baltimore, MD on May 5,6, 2017

Renaissance Baltimore Harborplace Hotel
202 East Pratt St.
Baltimore, , MD , 21202

Dr. John Carollo 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 CONSEQUENCES of Obstructive Sleep Apnea and HOW they happen:

Earn 16 CE credits and become The Sleep Dentist.
Brand yourself as a Doctor who understands, discovers and treats sleep  disorders.
Read more about this.  www.TheSleepMagazine.com
See the Two day course outline and register here:

 

PATIENTS ARE LOOKING FOR ‘UNIQUENESS” TODAY.
 I am sure you understand that now, more than ever, you need to stand out and be able to offer not only EXCELLENCE, but also DIFFERENCE. In this sluggish economy, where there is a perception of “financial doom”, (I personally don’t believe in that.), dental consumers have a tight hold on their wallets and there are reports of a concerning drop in dental treatment acceptance.
What are YOU doing now to offer a unique service? 
Your First Class Service and Patient Engagement are expected as basic “givens”. But what is your clinical niche? Are YOU the dental practice they must go to? Are you the only practice around that offers dental sleep medicine? And if so, are you promoting your unique brand to its full capacity?
EVOLUTION OF DENTAL DEMAND
Remember how it was about 25 years ago when teeth whitening (aka “bleaching”) was the “new kid on the block”? If you had an “in-office”Bright Smile or Zoom machine, you could schedule an operatory all day long with patients from near and far. And then we had the “porcelain age of dentistry”, when the media made patients very image-conscious for “smile enhancements” at any cost, and the public was more confident in the future of the economy . Teeth whitening is now offered in nearly every practice, and in most as a discounted loss leader. Cosmetic crowns and veneers are now a lower patient priority. Implants are no longer the privileged purview of dental specialists. Today Dental Sleep Medicine (DSM) is where those other exciting innovating services were years ago. You can get on board now and be a pioneer.
SO, WHERE ARE WE NOW?
The public is becoming increasingly aware that dentists are the ones who can offer the most convenient and cost effective solutions to their sleep breathing issues. Intra-oral appliances can only be provided by trained and licensed dentists. If you have a unique brand, promote it, let it make you famous! If you need one, the hottest niche in dentistry today is Dental Sleep Medicine. One out of every three patients you see has symptoms of a sleep breathing disorder (SBD). You can get your initial training and begin to screen and treat patients for Obstructive Sleep Apnea (OSA) at www.SleepGS.com