Archives for posts with tag: RDH Sleep Solutions
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.
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..


Most people think the ideal amount of sleep is eight hours per night. As it turns out, that number is just a myth. Some people need more sleep to function optimally during the day, while others require less. Thankfully, it’s possible to work out your own magic number with a little experimentation. Here’s how it’s done.

Dr. Michael Breus, sleep specialist and author of The Power of When, says that the average person only needs 7.5 hours of sleep a night.

“I’ve been a 6.5 hour sleeper almost my entire life,” Breus says. “But my wife needs 8.5. Everybody is different.”

What’s a sleep drive?

The reason for that is that sleep — specifically your sleep drive — is genetically predetermined, according to Breus.

Your sleep drive is a lot like your hunger drive. Just like your hunger drive makes you want to eat when you’re feeling hungry, your sleep drive makes you want to sleep when you’re feeling tired.

Your sleep drive also determines the speed at which you have a sleep cycle.

As a general reference, most people go through five 90-minute sleep cycles per night, Breus says. That’s why the average person needs 7.5 hours of sleep. Five cycles of 90 minutes each works out to be 450 minutes in total, which is the equivalent of 7.5 hours. However, some people’s cycles are longer or shorter.

When figuring out the ideal amount of sleep you need per night, Breus suggests starting with 7.5 hours as an approximation.

How to figure out your sleep drive:

Take the time that you usually wake up and count back 7.5 hours. So if you normally wake up at 7 a.m., you would need to go to bed at 11:30 p.m. to get 7.5 hours of sleep. Make it a point to go to bed at 11:30 p.m. for seven to 10 days.

Breus says that if by the end of those seven to 10 days, you’re waking up around five minutes before your alarm goes off, 7.5 hours is your ideal amount of sleep.

If, however, your alarm is still waking you after those seven to 10 days, try going to bed half an hour earlier. Keep moving your bedtime up by 30 minutes until you wake up just before your alarm. The number of hours you end up with is how much your body needs.

Unfortunately this method won’t work for everyone. According to Breus, about 50% of the population has what’s called a chronotype. A chronotype refers to everyone’s own biological clock — so when people are early birds or night owls, or just have trouble sleeping in general.

Night owls and early birds need to fit their lives to their chronotype:

Breus says that while people with a chronotype still need around 7.5 hours of sleep, they need to adjust the window of time in which they get that sleep. These people need to fit their lives to their chronotype, and not the other way around.

Breus uses himself as an example. He’s a night owl and never goes to bed before midnight. Because of this, his whole day shifts later. He’s found that he’s way more productive when he does things later in the day, so he’s adjusted accordingly.

Sleep is a critically important part of life, so be aware of your needs and respect them.

To learn more about the science of sleep and sleep breathing disorders (SBD) such as Obstructive Sleep Apnea (OSA), read here:


Can you tolerate any more cancellations and no-shows?

Seen enough snow plows for a while?
Round up your spouse and kids, dig out your car from the mountains of snow, drive to the airport and leave Snowzilla behind. Come down to sunny Ft. Lauderdale for a few days. Enjoy our weather (73 degrees today) and take our 2-day Dental Sleep Medicine training on Feb. 3,4.
While your family is running around spending your money in Miami and Ft. Lauderdale you will be learning a valuable new dental service. But don’t worry about that because when you get back home you’ll quickly recover your total weekend costs as a Sleep Medicine Dentist.
Register here for the 16 CE credit Dental Sleep Medicine course:


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


drowsy driving can happen to anyone

     Do you remember the two recent deadly train wrecks attributed to engineers suffering from sleep apnea?  The first was in NYC on Metro North RR and the other on NJ Transit commuting from NYC.
     It’s known that 1 out of 3 people suffer from a sleep disorder.  Obstructive Sleep Apnea (OSA) can effect anyone in public transportation and in private driving.
     The National Highway Safety Administration estimates that “100,000 vehicle accidents, 1500 deaths and 71,000 injuries result from drowsy driving annually.”
Most sleep deprivation results from:
  •   Sleep apnea
  •   Shift work
  •   Certain medications
  •   Long-haul driving
  •   Inadequate time for sleep
  •   Insomnia
  •   Release from a stay in hospital
     The state of New Jersey passed a law in 2003 that criminalizes drowsy driving due to its similarity to alcohol or drug impaired driving.
     Consuming caffeine is only a short term fix for drowsiness.  After 3 nights of deprived sleep, caffeine was shown to be non-effective in combating sleepiness.
     Adults need 7-9 hours of uninterrupted sleep per night to maintain adequate alertness. With OSA, a person can wake 6-30 plus times per hour to gasp for breath.  The brain and other organs are oxygen deprived these many times.
     Another consequence of inadequate sleep is that a person, while driving can suffer from “microsleeps”  lasting less than a second.  In this state, the brain switches from Wake to Sleep mode,
enough time to cause a crash.
   Hygienists, as health care providers, are in the perfect position to screen for drowsiness and sleep apnea.  We can and will save lives both on the road and in someone’s personal life.
Hygienists Preserving Good Health
More and more dental practices are getting on board for the OSA fight.  Shouldn’t your office be one of them?   I can help you join the battle and stand out as a life saver when you message me.


You have given so much to your patients and to your community over the years and now you feel it is time to hang up your loupes and enjoy the fruits of your labors. You have decided to sell one of your proudest achievements – your dental practice.  You have a good idea of how much you want for it but you can only guess what it may be worth to a buyer.
Assume your practice overhead is 60% and your gross profit is 40%.  If you can increase you revenues in a short time, say 3 months, your percentage overhead will decrease and the gross profit will increase. This is because your fixed expenses, such as rent, utilities, payroll, etc. will increase only marginally. Your practice sale value will increase greatly.
What can you do to sell your practice quickly and for the best price?
It comes down to several things:
1. Cash flow – net to buyer after expenses
        Score some 9th inning runs to increase the revenues with minimal expenditures by adding some high ROI services:
  •    A Soft Tissue Management (STM/CPT) program for your Perio/Hygiene department.
      A strong, profitable  Perio/Hygiene department should produce one third (1//3) of the total practice revenues and easily cover the office overhead. You already have the personnel; they need only training.
  •    Establish a Dental Sleep Medicine component.
             Dental Sleep Medicine is the hottest button in Dentistry today. A DSM protocol can be established within six weeks and has the potential of adding huge revenues to the value of your practice. Every patient today is aware of Sleep Apnea and is searching for dentists to help them. Only 4% of the nation’s 100,000 ++ dentists are qualified to treat these patients. 34% of the American population has symptoms of a sleep dysfunction. One in three.
No new personnel are needed.
  •    A Botox/ Restylane/ Juvederm service has been a huge patient magnet for many dentists.
Services like these can easily add revenues of $20,000 per month, are economically implemented, and can be established quickly.
 2. Effective Marketing
        Most dentists spend a lot of money on traditional marketing techniques. What they are really doing is dumbing down and competing for the bottom-feeding patients. Let the other advertisers use that technique and be different- promote your uniqueness. Show how you offer patients something that the masses of advertisers cannot offer. Something they really need. Be creative. ” Build a field and they will come.” DSM is one of those features. You can think of others.
A successful DSM or STM program can be established within one month.
3. Curb appeal- modern newer equipment
Picture yourself looking at a dental office that you would consider buying.  Your impressions of the equipment will color your value of the whole practice. Buyers do judge the book by its cover.
Wherever you can you should upgrade or at least spruce up the physical appearance of your office. Small investments can produce larger returns. Ask your realtor for suggestions.
4. Make sure the buyer understands the intangibles.
Discussions with your Dental Transitions Realtor will help you bring to the light the things you know about your practice that would show it more valuable. Consider your referring relationships from colleagues, physicians, and businesses. Consider your effective business systems. Think of what makes your practice unique and desirable.
5. Competitive Real Estate Pricing 
This one is more tricky. You will need to learn from your  Dental Transitions Realtor  what are the recent comparative sales and balance those factors with what price you want and need.
6. Who needs to be on track to make the sale happen?
Kenny Jones, Florida’s largest dental practice transition realtor offers this “2-2-2-2-2-2 Principle”:
“To sell any practice you need:
2- people (buyer & seller) to say yes
2- accountants who say yes
2- attorney’s who say yes
1 or 2 lender banks who say yes
2 dozen friends, family, etc. who say yes
That’s a lot of twos but all are needed to make the deal.”
Doctors’ Choice Companies is Florida’s largest statewide professional dental practice broker and consistently maintains over 100 practice opportunities.
Food for thought- Have you ever met a dentist who retired and regretted it?