Archives for posts with tag: Dental Hygienist
Here’s one example of what will be learned in this Omaha Dental Sleep Medicine course.
The Mallampati exam is a very useful test that anyone can do to determine the likelihood of Obstructive Sleep Apnea.
The  Mallampati Score is an effective indicator of a compromised airway.   The subject can be sitting or standing with a vertical axis of their body and head.  As long as the tongue is protruding we are able to see the airway. The variables are, above, the soft palate and uvula, laterally the walls of the fauces (or the tonsils and adenoids), and below, the base of the tongue.
The tongue is the most common offender for obstructive sleep apnea. Macroglossia can be effectively dealt with by oral appliance therapy- a mandibular advancement device (MAD).
Your Sleep Coordinator or Hygienist can do this exam. Class III and IV must be treated.

This is all taught in the Omaha Dental Sleep Medicine course.

Register for it here:



This is a MUST attend for any dental office that is looking to implement a Sleep Protocol, or learn how to increase existing Sleep revenues.

Day 1

● Sleep 101 – sleep stages, disorders and the need for sleep apnea treatment

● Sleep apnea symptoms/clinical issues

● Improving Case Acceptance – Treating snoring and sleep apnea in a dental office.

● Prepare overnight home sleep study for select course attendees

● Hands on with Pharyngometer / Rhinometer for airway testing

● Working with Sleep Physicians and Building relationships with local MD’s

Day 2

● Download previous night’s Home Sleep Tests study and review study data and sleep report with class

● Dental Sleep Medicine step-by-step protocol flow chart

● Oral Appliance Pro’s & Con’s: Dorsal, Herbst, EMA, TAP, Panthera, and SomnoMed

● Case presentations and How to Market a Sleep Practice

● Review of the latest codes, fees, procedures with medical billing and Medicare.


We know we have received great benefits from our dental and hygiene careers. We built social, emotional and economic strength for ourselves through our hard and smart work. Now we can “pay it forward” Share your tips, ideas, advice with the dental community on the LinkedIn DENTAL MENTORS network.  
Every one of us is an expert in some area(s) that can help others. Join this non-promotional group and have that good feeling about mentoring others.


Have you ever woken in the middle of the night choking on acid because you’ve inhaled it and can’t breathe?
     Try taking in a breath and all you get is a burning in your throat and lungs.  You try to expel it but it takes many tries and coughing, burning, burning.  You panic,  thinking,  “Am I going to die?”  You possibly could if you hadn’t woken up! 
 This is what people with GERD (Gastro-Esophageal Reflux Disease) experience many times if they have eaten a spicy meal,  eaten too close to bedtime,  did not raise their head higher than their body while sleeping, or have SLEEP APNEA. 
 As a victim of OSA (Obstructive Sleep Apnea) myself,  I have experienced this nightmarish incident many times.  Fortunately, as I received treatment for OSA,  my Acid Reflux, and other systemic disorders, has subsided.
  Sleep apnea, of course, is the cessation of breathing for over 10 seconds and up to 90 seconds, repeated many times while sleeping.  Snoring is the warning alert.
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.
Secondary effects of OSA, resulting from the GERD, are esophagus and larynx damage, aspiration pneumonia, permanent lung damage, tooth erosion, and tooth sensitivity.
Solutions:   People may take medications to control symptoms of GERD,  and this helps,  but OSA (obstructive sleep apnea) can override the effects of the proton-pump inhibitor (Omeprazole), or other OTC drugs.
Patients in the dental office can be easily screened for OSA at the initial oral exam.  Tooth erosion is one consequence,  bruxism is another.  A sleep questionnaire and other signs of sleep apnea will prompt the need for a HSS (home sleep study).  This will determine the diagnosis of OSA and  the severity. By treating the sleep apnea we can save teeth and possibly the patient’s life.
It’s so important to treat the sleep apnea for many reasons.  GERD is just one of them.  One out of 3 people have a sleep disorder.  Everyone knows someone with sleep apnea and a story to tell about it.  Shouldn’t we as dental professionals help our patients have healthier teeth and live longer?
Get involved for profit, prestige, and the great feeling of saving lives:   Hygienists around the country are screening for OSA and dentists are treating it with oral appliances.  They gain the satisfaction of truly helping patients, their family members and possibly themselves.
At RDH Sleep Solutions on LinkedIn,  we are dedicated to training hygienists in screening for sleep apnea and directing their dentists to include this vital service into their practices. We are connected to the largest OSA training organization and offer deep discounts for hygienist-directed/dentist enrollment. 
Message or email me at, or Dr. Charles Kravitz for further information


Hygienists from coast to coast are finding out that nothing in dentistry is more rewarding, both financially and emotionally, than Dental Sleep Medicine (DSM).
Hygienists (and dentists) are at the front line in the battle against obstructive sleep apnea (OSA). We’re in the most favorable position to discover and treat our sleep apnea affected patients.  One out of every three patients we see has the symptoms of sleep disorder
The timing is opportune for you. Less than 5% of dental offices are qualified to provide service to the 40 million victims of OSA.

We Hygienists are in the key position to recognize the signs and symptoms of OSA in our patients and to introduce the service to our practices.   The benefits-  financially and emotionally, are tremendous- to us Hygienists, to our doctors, and to our patients. .

OSA can kill, or at minimum, will severely diminish quality of life.  The repeated episodes of no oxygen passing to the brain for prolonged periods of time while asleep affects all the organs,  and is connected to strokes, HBP, diabetes, dementia, weight gain and demeanor of people who have this disease.  Sleep Apnea is so much more than snoring.    



Everyone wants to step into DSM but very few know how to begin. We will guide you through the steps and the verbal skills to bring it into your practice. Your dentist/practice owner would love to know that you are qualified and capable to establish this service and to spearhead its success.

With RDH Sleep Solutions you will be trained in one day in the basics of DSM and learn how to explain the benefits to the owner/dentist.

The benefits to you
-Helping your patients in a critical medical area
-The admiration of your colleagues and friends
-Increased value to your practice
-Potential of greater income for you
-A more relaxed patient service
-18 CE credits

As the team leader in DSM your value is greatly increased,  You will be recognized for your prestige as a medical care-giver, you will receive 16 + 2 (18) CE units, and you will have that rewarding feeling of truly saving people’s lives.

You will be able to show the owner of your dental practice your true value to the practice.
Your total fee for these benefits is less than one patient pays for your services and in most cases the dentist reimburses the Hygienist. Your total cost becomes zero.

The course outline
The Science of Sleep
The Effects of OSA
The Causes of OSA
The Apnea Hypopnea Index (AHI)

Clinical Signs
Screening and Testing Patients
Keys to get Treatment Acceptance
The Role of the Hygienist as a DSM Team leader
The Benefits to the RDH
The Benefits to the Dentist
How to Establish the DSM program in a Practice

How to Build an enviable and very Profitable DSM service.

Learn how to join the fight against OSA.  Message me and I will show you how to be the DSM team leader.. You will receive the Dental Sleep Medicine training program and CE units within 24 hours.

Yours for better health,
Gloria Hadley, RDH