The Sleep Magazine- 1st {Premier} Issue by The Sleep Magazine

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

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â&#x20AC;&#x153;Why should I attend your seminars? What makes them better than others out there?â&#x20AC;? ........................................................... 4 FEATURED SPEAKERS Dr. Brian Allman ................................................................................................................ 5 Dr. Rondeau ....................................................................................................................... 7 Dr. Dan TachĂŠ .................................................................................................................. 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 â&#x20AC;&#x153;Raising Awareness - Finding Sleep patients in your practiceâ&#x20AC;? ................................. 32 The Pharyngometer An Excellent Treatment Tool - The Greatest Sales Tool .............. 34 Introducing: SGS 3D Airway Software .......................................................................... 36 The O2 OASYS Oral/Nasal Airway SystemÂŽ - 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 Magazineâ&#x20AC;&#x2122;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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Dr. Brian Allman

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Dentists Can Save Lives! Serious cardiovascular complications, high blood pressure, heart attacks and strokes are linked to OSA E\ %URFN 5RQGHDX ' ' 6 , % 2 ' $ % & 3

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NOW is the time to integrate Sleep Disorders Dentistry into your practice Offering improved patient help and additional income stream. E\ 7DPP\ %DODWJHN ''6 '$%'60

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Snoring and Bruxism in Children: It is not All Just Noise! Nighttime arousals, disrupted sleep, daytime sleepiness, bed wetting and behavioral problems E\ 'U &KULV +DQVHQ

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Does your child/patient have any of the following symptoms? s s s s s s

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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appliancereview 14

DENTAL SLEEP MEDICINE

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Ortho and OSA Achieving a healthier start for our young patients %\ 'U %ULDQ 5 %LOODUG

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Educating Dentists in the Recognition & Treatment of Sleep Disorders E\ 'U 7HUU\ %HQQHWW

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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 Â 15-Ââ&#x20AC;?16, Â 2009 Ć&#x152;Ä&#x17E;Ĺ?Ĺ?Ć?Ć&#x161;Ć&#x152;Ä&#x201A;Ć&#x;Ĺ˝Ĺś Ä&#x161;Ä&#x17E;Ä&#x201A;Ä&#x161;ĹŻĹ?ĹśÄ&#x17E;Í&#x2014; Ć&#x2030;Ć&#x152;Ĺ?ĹŻ ĎĎąÍ&#x2022; ĎŽĎŹĎŹĎľ

:ĆľĹśÄ&#x17E; ĎĎľÍ˛ĎŽĎŹÍ&#x2022; ĎŽĎŹĎŹĎľ Ć&#x152;Ä&#x17E;Ĺ?Ĺ?Ć?Ć&#x161;Ć&#x152;Ä&#x201A;Ć&#x;Ĺ˝Ĺś Ä&#x161;Ä&#x17E;Ä&#x201A;Ä&#x161;ĹŻĹ?ĹśÄ&#x17E;Í&#x2014; May Â 19, Â 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; Ĺ˝ĹśÄ¨Ä&#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;Ĺ˝ĹśÄ&#x17E;Í&#x2014; Ď´ĎŹĎŹÍ&#x2DC;ĎŻĎŽĎŽÍ&#x2DC;Ď´Ď˛ĎąĎ Ď´Ď°ĎłÍ&#x2DC;Ď´Ď´ĎąÍ&#x2DC;ĎĎŽĎłĎŽ &Ä&#x201A;Ç&#x2020;Í&#x2014; Ď´Ď°ĎłÍ&#x2DC;Ď´Ď´ĎąÍ&#x2DC;Ď´ĎŻĎľĎŻ DÄ&#x201A;Ĺ?ĹŻÍ&#x2014; ĎĎľĎŹĎ EÍ&#x2DC; ZĹ˝Ć?Ä&#x17E;ĹŻĹŻÄ&#x17E; ZĹ˝Ä&#x201A;Ä&#x161; Â Suite Â 920 ^Ä?Ĺ&#x161;Ä&#x201A;ĆľĹľÄ?ĆľĆ&#x152;Ĺ?Í&#x2022; /> Ď˛ĎŹĎĎľĎą

Tuition: Î¨ĎŻÍ&#x2022;ĎąĎŹĎŹ Íž W ĹľÄ&#x17E;ĹľÄ?Ä&#x17E;Ć&#x152;Íż Î¨Ď°Í&#x2022;ĎŽĎŹĎŹ ÍžĹśĹ˝ĹśÍ˛ĹľÄ&#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, Â American Â Board Â of Â Dental Â Sleep Â Medicine Diplomate, Â American Â Board Â of Â Craniofacial Â Pain Fellow, Â American Â Academy Â of Â Craniofacial Â Pain

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

fax: 847.885.8393 | www.aacfp.org

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

FAGD/MAGD Â Credit Â Approval Â does Â not Â imply Â acceptance Â by Â a Â state Â or Â provincial Â board Â of Â dentistry Â or Â AGD Â endorsement. Â June Â 1, Â 2007 Â to Â May Â 31, Â 2011

WWW.DENTALSLEEPMAGAZINE.COM

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Â â&#x20AC;&#x153;At Â Dental Â Sleep Â Solutions Â we Â have Â been Â involved Â with Â the Â treatment Â of Â sleep Â apnea Â with Â oral Â appliances Â for Â over Â 7 Â years. Â Â During Â this Â time Â we Â have Â utilized Â many Â different Â methods Â to Â build Â our Â practice Â but Â none Â have Â been Â as Â rewarding Â as Â our Â efforts Â with Â building Â relationships Â with Â our Â local Â sleep Â labs. Â Â The Â majority Â of Â our Â patients Â come Â from Â sleep Â lab Â and Â physician Â referrals. Â Working Â with Â your Â local Â physicians Â can Â be Â very Â educational Â and Â rewarding. Â Â I Â have Â learned Â a Â great Â deal Â from Â these Â practitioners Â and Â I Â have Â developed Â close Â IULHQGVKLSV WKDW FRQWLQXH WR Ă&#x20AC;RXULVK ,I \RX are Â just Â getting Â started Â in Â the Â dental Â sleep Â PHGLFLQH ÂżHOG WKHQ , ZRXOG UHFRPPHQG your Â initial Â efforts Â are Â directed Â toward Â establishing Â these Â relationships. Â Â Time Â spent Â in Â this Â area Â will Â quickly Â increase Â your Â practice Â as Â well Â as Â your Â knowledge Â of Â sleep Â medicine.â&#x20AC;? 'Y 9ATROS $ - $ )SLAND $ENTAL 3PA !NNA -ARIA )SLAND &LORIDA $IPLOMATE !MERICAN "OARD /F 3LEEP -EDICINE -EMBER OF !'$ -EMBER OF !$! %MAIL DRYATROS ISLANDDENTALSPA COM 7EBSITE WWW ISLANDDENTALSPA COM /FlCE s #ELL

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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

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“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.” -RKQ 7UXLWW &KLHI ([HFXWLYH 2I¿FHU 6RPQR0HG ,QF

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appliancereview

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

4WO $ AIRWAYS OVERLAID ON TOP OF EACH OTHER FOR SIMPLE PRE POST COMPARISON

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

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

! $ AIRWAY OVERLAID ON A $ CEPHALOMETRIC X RAY SHOWING MEASUREMENTS AT VARIOUS POINTS IN THE AIRWAY

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D A R O N THE APPLIANCE E T I B D N A L I BO 5MM 7MM

PPLIAN A Y R A R O P M E T A R USE AS

tients ! % appliance to use when paof the " ry l tempora fabrication tion. This makes it an ideaing appliance. The strong rary appliance on po ica ist ! 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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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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appliancereview 40

The ABCs of CPAP Therapy & Compliance By Greg Anderson, owner, Suncare Medical Inc. ! FULL SERVICE (OMECARE COMPANY SERVING &LORIDA S 0INELLAS 0ASCO #ITRUS #OUNTIES A: Â Apnea Â± Â³<RXÂ¶YH JRW LWÂ´ $+, RI RU KLJKHU B: Â Breathing PDFKLQH DQG PDVN &3$3 VWDQGV IRU FRQWLQXRXV SRVLWLYH DLUZD\ SUHVVXUH ,W DFWV DV D SQHXPDWLF VSOLQW ZKLOH \RX VOHHS NHHSLQJ \RXU DLUZD\ RSHQ

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