The Sleep Magazine- 1st {Premier} Issue

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Dental Sleep Medicine Inaugural Issue Let’s answer the call to action and start Saving Lives!

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1) positive airway pressure 2) surgery 3) oral appliance therapy 4) topical nasal treatment.

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“Why should I attend your seminars?

What makes them better than others out there?� ........................................................... 4 FEATURED SPEAKERS Dr. Brian Allman ................................................................................................................ 5 Dr. Rondeau ....................................................................................................................... 7 Dr. Dan TachÊ .................................................................................................................. 31 Dentists Can Save Lives .................................................................................................... 6 Starting a Dental Sleep Medicine Practice Within Your Practice, TODAY! ...................... 8 NOW is the time to integrate Sleep Disorders Dentistry into your practice ................. 10

tableofcontents

Airway Pathology and Sleep Disorders ............................................................................. 2

Snoring and Bruxism in Children: It is not All Just Noise! ............................................. 12 Ortho and Osa ................................................................................................................. 16 Women Dentists Treating Sleep Apnea .......................................................................... 17 Why You Should Be Involved .......................................................................................... 18 The Million-Dollar Question ........................................................................................... 19 Medical Insurance Billing for Oral Appliance Therapy ................................................ 20 SGS Sleep Seminar Schedule ......................................................................................... 21 Educating Dentists in the Recognition & Treatment of Sleep Disorders ..................... 22 The Future of Sleep Disorder Breathing Testing .......................................................... 26 Collaboration of Dental and Medical Sleep Specialists ............................................... 28 Your Friendly Neighborhood Sleep Lab ........................................................................ 29 “Raising Awareness - Finding Sleep patients in your practice� ................................. 32 The Pharyngometer An Excellent Treatment Tool - The Greatest Sales Tool .............. 34 Introducing: SGS 3D Airway Software .......................................................................... 36 The O2 OASYS Oral/Nasal Airway SystemŽ - a Must With Nasal Resistance - a Should Without Nasal Resistance ...................... 39 The ABCs of CPAP Therapy & Compliance ................................................................... 40 Dental Sleep Medicine in Review ................................................................................. 42 Sleep Disorder Patient: Jim .......................................................................................... 44 Mandibular Advancement Device (MAD): A Practical Technique for the Youthful, Impaired, and/or Cost-Conscious Patient .... 46 DSM Magazine’s Clinical Pearls ................................................................................... 44

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Airway Pathology and Sleep Disorders It is estimated that up to 90 million people in North America suffer from a sleep disorder E\ -RKQ 1DGHDX 9LFH 3UHVLGHQW 6OHHS *URXS 6ROXWLRQV

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Dentists Can Save Lives!

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Starting a Dental Sleep Medicine Practice Within Your Practice, TODAY! Few people unaffected by snoring or obstructive sleep apnea - %ULDQ $OOPDQ ''6 '$%'60 '$$30 )$$&3 )$*' ),&&02 )$)2 )$6*'

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DENTAL Â SLEEP Â MEDICINE

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NOW is the time to integrate Sleep Disorders Dentistry into your practice Offering improved patient help and additional income stream.

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WHY PROVIDE SLEEP DISORDERS DENTISTRY? 6RPH SRWHQWLDO UHDVRQV ZK\ LW PD\ EH DSSHDOLQJ LQFOXGH A dentist can help save lives!

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DENTAL SLEEP MEDICINE

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RI WKH WUHDWPHQW PRGDOLWLHV IRU REVWUXFWLYH VOHHS DSQHD There is an abundance of patients!

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¿QDOO\ PDUNHW WKH QHZ VHUYLFH WR H[LVWLQJ SDWLHQWV 7UHDWPHQW RI VHOI IDPLO\ PHPEHUV DQG VWDII PHPEHUV ZLOO JLYH YDOXDEOH IHHGEDFN DQG LQVLJKW WR WKH SURFHGXUHV 7KH FRQWULEXWRUV WR WKLV SXEOLFDWLRQ HQFRXUDJH \RX WR WKLQN DERXW DGGLQJ VOHHS GLVRUGHUV GHQWLVWU\ WR \RXU SUDFWLFH :H DSSUHFLDWH WKH WLPH \RX WRRN WR UHDG WKLV DUWLFOH 4AMMY "ALATGEK $$3 IS A $IPLOMATE OF THE !MERICAN !CADEMY OF $ENTAL 3LEEP -EDICINE (ER PRIVATE PRACTICE IS LIMITED TO THE TREATMENT OF SLEEP DISORDERED BREATHING AND 4-* $ISORDERS 3HE IS A LECTURER FOR THE #ENTRE FOR 4-* 4HERAPY AND ALSO PROVIDES IN OFlCE CONSULTING $R "ALATGEK MAY BE CONTACTED VIA E MAIL AT TBALATGEK COMCAST NET OR OFlCE PHONE

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Snoring and Bruxism in Children: It is not All Just Noise!

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Continuous loud snoring Episodes of not breathing at night (apnea) Failure to thrive (weight loss or poor weight gain) Chronic Mouth breathing Enlarged tonsils and adenoids (with frequent sore throat infections) Problems sleeping, bed wetting and restless sleep (including sleep walking) s Excessive daytime sleepiness s Frequent headaches s Daytime cognitive and behavior problems, including problems paying attention, aggressive behavior and hyperactivity, which can lead to problems at school.

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Why you should be involved!

There is a surplus of patients who badly need the help of dentists treating sleep disorders E\ 'U %U\DQ .HURSLDQ ''6

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appliancereview

The Million-Dollar Question.

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19

Medical Insurance Billing for Oral Appliance Therapy Once you have the right tools, getting paid is easier than you think! %\ 5RVH 1LHUPDQ 5'+ 3UHVLGHQW 1LHUPDQ 3UDFWLFH 0DQDJHPHQW

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What if the patient wants to get a preauthorization in writing?   ³3UHDXWKRUL]DWLRQ´ LV D GLIIHUHQW SURFHVV WKDQ ÂłYHULÂżFDWLRQ´ <RX ZRXOG VHQG LQ WKH FODLP IRUP ,Q WKH SODFH RI WKH GDWHV RI VHUYLFH ÂłSUHDXWKRUL]DWLRQ´ LV SULQWHG RQ WKH FODLP $OVR LQFOXGH \RXU 62$3 QDUUDWLYH UHSRUW DQG DQ\ RWKHU GRFXPHQWDWLRQ \RX PLJKW KDYH VXFK DV WKH VOHHS VWXG\ MXVW DV (These  tools  are  for  priviate  carriers.   LI \RX ZHUH ÂżOLQJ In  billing  Medicare,  there  are  other  D FODLP 7KHVH requirements  youâ&#x20AC;&#x2122;ll  want  to  know  about  WRR FDQ EH GRQH unless  you  choose  to  opt  out  of  Medicare) HOHFWURQLFDOO\ WKURXJK D +,3$$ Do I send the claim to dental VHFXUH VLWH 6RPH insurance first? 6LQFH ELOOLQJ PHGLFDO FDUULHUV ZLOO DOORZ LQVXUDQFH LV GLDJQRVLV EDVHG DQG WKH WKH \RX RU WKH SDWLHQW GLDJQRVLV RI REVWUXFWLYH VOHHS DSQHD LV WR ID[ LQ WKH FRQVLGHUHG D PHGLFDO QHFHVVLW\ PRVW SUHDXWKRUL]DWLRQ FDUULHUV ZLOO DFFHSW WKH FODLP ZLWKRXW ELOOLQJ GHQWDO LQVXUDQFH ÂżUVW Can I handwrite my Can our practice verify medical claims? :KHQ benefits in advance? $EVROXWHO\

20

DENTAL Â SLEEP Â MEDICINE

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SEMINAR SCHEDULE Philadelphia, PA 6DWXUGD\ $SULO 6XQGD\ $SULO Dentists Role in Snoring and Sleep Apnea  San Diego, CA )ULGD\ $SULO 6DWXUGD\ $SULO SGS - Dental Sleep Medicine Seminar Anaheim, CA  6DWXUGD\ $SULO 6XQGD\ $SULO Dentists Role in Snoring and Sleep Apnea Las Vegas, NV  )ULGD\ 0D\ 6DWXUGD\ 0D\ SGS - Dental Sleep Medicine Seminar Chicago, IL )ULGD\ 0D\ 6DWXUGD\ 0D\ SGS - Dental Sleep Medicine Seminar Phoenix, AZ )ULGD\ -XQH 6DWXUGD\ -XQH SGS - Dental Sleep Medicine Seminar   Chicago, IL )ULGD\ -XQH 6DWXUGD\ -XQH SGS - Dental Sleep Medicine Seminar  San Diego, CA )ULGD\ -XO\ 6DWXUGD\ -XO\ SGS - Dental Sleep Medicine Seminar

Miami, FL )ULGD\ $XJXVW 6DWXUGD\ $XJXVW SGS - Dental Sleep Medicine Seminar  Las Vegas, NV )ULGD\ $XJXVW 6DWXUGD\ $XJXVW SGS - Dental Sleep Medicine Seminar Â

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&ELLOW IN )##-/ $IPLOMATE IN !MERICAN !CADEMY OF 0AIN -ANAGEMENT MEMBER OF THE !CADEMY OF $ENTAL 3LEEP -EDICINE ALONG WITH ASSOCIATIONS WITH ALL THE LOCAL AND STATE ASSOCIATIONS ) HAVE BEEN A MEMBER OF THE !!#0 SINCE HAVE SERVED AS A DIRECTOR FOR YEARS AND AS PROGRAM CHAIRMAN FOR THE PAST YEARS (AVE LECTURED TO LOCAL STATE AND NATIONAL ASSOCIATIONS !M ALSO GOING TO BE HELPING WITH THE !!#0 HANDS ON SLEEP MEETING THAT IS OFFERED IN -AY AND *UNE OF THIS YEAR

15-30% of the population is suffering from

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A MERICAN A CADEMY OF C RANIOFACIAL P AIN Learn from the Experts at AACP! Course Dates: May  15-­â&#x20AC;?16,  2009 Ć&#x152;Ä&#x17E;Ĺ?Ĺ?Ć?Ć&#x161;Ć&#x152;Ä&#x201A;Ć&#x;ŽŜ Ä&#x161;Ä&#x17E;Ä&#x201A;Ä&#x161;ĹŻĹ?ĹśÄ&#x17E;Í&#x2014; Ć&#x2030;Ć&#x152;Ĺ?ĹŻ Ď­ĎąÍ&#x2022; ĎŽĎŹĎŹĎľ

:ƾŜÄ&#x17E; ϭϾͲώϏÍ&#x2022; ĎŽĎŹĎŹĎľ Ć&#x152;Ä&#x17E;Ĺ?Ĺ?Ć?Ć&#x161;Ć&#x152;Ä&#x201A;Ć&#x;ŽŜ Ä&#x161;Ä&#x17E;Ä&#x201A;Ä&#x161;ĹŻĹ?ĹśÄ&#x17E;Í&#x2014; May  19,  2009

ORAL APPLIANCES FOR SLEEP-DISORDERED BREATHING: A HANDS-ON COURSE In this 2-day, participation-based course, you will fit a total of 6 sleep appliances for yourself including the Silent Sleep temporary appliance, the NORAD â&#x20AC;&#x153;boil and biteâ&#x20AC;? appliance, plus 4 custom appliances you will select from the following list:

TAP3ÂŽ Triple Laminate TAP3ÂŽ Thermacryl EMAÂŽ Moses

Location: ĹľÄ&#x17E;Ć&#x152;Ĺ?Ä?Ä&#x201A;Ĺś Ĺ?Ć&#x152;ĹŻĹ?ĹśÄ&#x17E;Ć? dĆ&#x152;Ä&#x201A;Ĺ?ĹśĹ?ĹśĹ? Î&#x2DC; ŽŜĨÄ&#x17E;Ć&#x152;Ä&#x17E;ĹśÄ?Ä&#x17E; Ä&#x17E;ĹśĆ&#x161;Ä&#x17E;Ć&#x152; &Ĺ˝Ć&#x152;Ć&#x161; tĹ˝Ć&#x152;Ć&#x161;Ĺ&#x161;Í&#x2022; dy

To register, contact: W /ĹśĆ?Ć&#x;Ć&#x161;ĆľĆ&#x161;Ä&#x17E;

WĹ&#x161;ŽŜÄ&#x17E;Í&#x2014; Ď´ĎŹĎŹÍ&#x2DC;ĎŻĎŽĎŽÍ&#x2DC;ϴϲϹϭ

Ď´Ď°ĎłÍ&#x2DC;Ď´Ď´ĎąÍ&#x2DC;ϭώϳώ &Ä&#x201A;Ç&#x2020;Í&#x2014; Ď´Ď°ĎłÍ&#x2DC;Ď´Ď´ĎąÍ&#x2DC;ϴϯϾϯ DÄ&#x201A;Ĺ?ĹŻÍ&#x2014; ϭϾϏϭ EÍ&#x2DC; ZĹ˝Ć?Ä&#x17E;ĹŻĹŻÄ&#x17E; ZĹ˝Ä&#x201A;Ä&#x161;  Suite  920

^Ä?Ĺ&#x161;Ä&#x201A;ƾžÄ?ĆľĆ&#x152;Ĺ?Í&#x2022; /> ϲϏϭϾϹ

Tuition: ΨϯÍ&#x2022;ϹϏϏ Íž W ĹľÄ&#x17E;ĹľÄ?Ä&#x17E;Ć&#x152;Íż ΨϰÍ&#x2022;ĎŽĎŹĎŹ ͞ŜŽŜͲžÄ&#x17E;ĹľÄ?Ä&#x17E;Ć&#x152;ÍżÎ&#x17D;

SilencerÂŽ SomnoDent MASâ&#x201E;˘ Full Breath OASYS Oral/Nasal Airway Systemâ&#x201E;˘

Thatâ&#x20AC;&#x2122;s a $1,500 value in appliances alone! Additionally, Drs. Jamison R. Spencer and Robert L. Talley will share straightforward methods of screening, diagnosis and treatment planning plus bite registration techniques and principles of appliance titration used in the treatment of patients who suffer from sleep-disordered breathing. Strategies for working within your medical and dental communities to help the many, many patients who are CPAP intolerant, as well as those who are struggling with snoring, will also be presented.

Upon conclusion, you should know how to: treat sleep patients using different types of oral appliances; develop a treatment plan for follow-up with a sleep-disordered breathing patient; work within your medical, dental and sleep communities; market your practice in a professional manner and work with insurance companies.

MEET THE INSTRUCTORS:

*Join AACP and save! To request your membership application, call the AACP Central 2IĂ&#x20AC;FH DW RU VHQG ID[ WR

ACT NOW: LIMITED ENROLLMENT!

Information for making reservations at the American Airlines Training & Conference Center will be sent to you as soon as your UHJLVWUDWLRQ LV FRQĂ&#x20AC;UPHG

Jamison R. Spencer, DMD, MS Diplomate,  American  Board  of  Dental  Sleep  Medicine Diplomate,  American  Board  of  Craniofacial  Pain Fellow,  American  Academy  of  Craniofacial  Pain

Robert L. Talley, DDS Diplomate,  American  Board  of  Dental  Sleep  Medicine Diplomate,  American  Board  of  Craniofacial  Pain Fellow,  American  Academy  of  Craniofacial  Pain

Visit www.aacfp.org for complete program details!

AACP INSTITUTE

of the American Academy of Craniofacial Pain

Phone: 800.322.8651 OR 847.885.1272

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fax: 847.885.8393 | www.aacfp.org

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AACP  is  an  ADA  CERP  recognized  provider.  January  1993  to  December  2009

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 â&#x20AC;&#x153;At  Dental  Sleep  Solutions  we  have  been  involved  with  the  treatment  of  sleep  apnea  with  oral  appliances  for  over  7  years.   During  this  time  we  have  utilized  many  different  methods  to  build  our  practice  but  none  have  been  as  rewarding  as  our  efforts  with  building  relationships  with  our  local  sleep  labs.   The  majority  of  our  patients  come  from  sleep  lab  and  physician  referrals.  Working  with  your  local  physicians  can  be  very  educational  and  rewarding.   I  have  learned  a  great  deal  from  these  practitioners  and  I  have  developed  close  IULHQGVKLSV WKDW FRQWLQXH WR Ă&#x20AC;RXULVK ,I \RX are  just  getting  started  in  the  dental  sleep  PHGLFLQH ÂżHOG WKHQ , ZRXOG UHFRPPHQG your  initial  efforts  are  directed  toward  establishing  these  relationships.   Time  spent  in  this  area  will  quickly  increase  your  practice  as  well  as  your  knowledge  of  sleep  medicine.â&#x20AC;?

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featuredspeaker

Dr. Dan Taché

We will be offering our Advanced Dental Sleep Medicine In-Office Continuum on the following dates: June: 19;; 20 (with Thursday evening, Meet and Greet and dispensing of Portable Monitors) September: 25;; 26 (with Thursday evening, Meet and Greet and dispensing of Portable Monitors) -AXIMUM !DVANCEMENT

3TUDIES ON )NCREASED 6ERTICAL !RE 3OMEWHAT &AVORABLE

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!IRWAY #ALIPER 3TABILITY W T INCREASE IN 6$/

!IRWAY #ALIPER 3TABILITY WITH MM SHIM INCREASE IN 6$/

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The Pharyngometer An Excellent Treatment Tool - The Greatest Sales Tool. %\ %U\DQ .HURSLDQ ''6

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PATENTS PENDING AND &$! CERTIlCATIONS FOR THE &"3 (E CAN BE REACHED AT THE &ULL "REATH #ORPORATION AT 9OU CAN ALSO EMAIL HIM AT WWW BK CPAPALTERNATIVE COM

“In a lifetime spent in the dental industry I’ve worked closely with many dental clinics and vendors. My experience with Sleep Group Solutions has been very positive. The SGS team is an asset to the dental sleep medicine ¿HOG DQG , HQMR\ ZRUNLQJ ZLWK WKHP WR help further this industry. Frequently dentists will ask my opinion of certain products and services available from other companies -­ I FIG 8 have no reservations about referring my clients to SGS.”

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appliancereview

Introducing: SGS 3D Airway Software ! .EW 7AY TO 3EE AND #OMPARE THE !IRWAY

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! SINGLE $ AIRWAY CURVED WITH MEASUREMENTS 4HIS GRAPHIC CAN BE FULLY MANIPULATED TO SHOW THE AIRWAY FROM DIFFERENT ANGLES AND VIEWS

36

DENTAL Â SLEEP Â MEDICINE

3IDE BY SIDE COMPARISON OF $ AIRWAYS USING PSEUDO COLOR ANALYSIS THE RED PINK COLORS REPRESENT THE AREA OF GREATEST IMPROVEMENT

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thout waiting for lab fabr lost or damaged their ex nce the most versatile tem es this applia immediately wio dental work or if they've s, which mak need to undergst your patients for month NORAD will la the market.

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37

NORAD

IDEAL FOR USE AS A TEMPORARY APPLIANCE

BOIL AND BITE APPLIANCE

“Every office should keep at least one of these on hand at all times.” -Dr. Brian Allman The NORAD is an FDA approved oral appliance for the treatment of snoring and sleep apnea. It is a "boil & bite" appliance which means %. ) ! 4. ) !'%0!,! .* a patient immediately without waiting for lab fabrication.

This makes it an ideal temporary appliance to use

5mm and 7mm when patients need to undergo dental work or if they've lost or damaged their existing appliance. The strong construction of the NORAD will hold up to many months and even years of use making this boil & bite appliance even more versatile.

Many of the features found on the NORAD have never been available in a

boil & bite appliance before and some are not even available on much more expensive lab fabricated appliances.

Visit our website at www.sleepgroupsolutions.com 38

DENTAL SLEEP MEDICINE

The O2 OASYS Oral/Nasal Airway System® - a Must With Nasal Resistance - a Should Without Nasal Resistance

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The ABCs of CPAP Therapy & Compliance

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Sleep Group Solutions supports the American Sleep Apnea Association and is working in collaboration with there AWAKE program.

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