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- "Oral appliance therapy for obstructive sleep apne...
- Acne, ulcers, sores and other skin irritation from...
- PERMENANT BRAIN DAMAGE FROM SLEEP APNEA : FROM CH...
- Sleep Disorderd Breathing and All-Cause Mortality ...
- Dr Shapira's Dental Sleep Medicine Course
- New Medicare Guidelines for CPAP
- Experimental reduction in slow wave sleep vs reduc...
- SHORT SLEEP DURATION AND WEIGHT GAIN REPORTED IN T...
- I HATE CPAP is an important public service for pat...
- # year old with (OSA) Sleep Apnea. Are there alte...
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Our Sleep Apnea Blog | I Hate CPAP
Obstructive sleep apnea affects around 20 million Americans and can lead to hypertension, heart attack, stroke, depression, muscle pain, fibromyalgia, morning headaches, and excessive daytime sleepiness.
Sunday, February 7, 2010
"Oral appliance therapy for obstructive sleep apnea is an effective treatment and ideal for use in military recruits" ACCORDING TO NEW STUDY
Frequently low (normal) ferritin levels can cause periodic leg movements and this should be evaluated prior to drug therapy for restless leggs.
I have also had patients see relief of leg movements by taking calcium/magnesium supplements.
(PubMed abstract)
Sleep Breath. 2010 Jan 23. [Epub ahead of print]
Oral appliance titration in patients with obstructive sleep apnea induces the appearance of periodic limb movements.
Guerrero ML, Kim D, Rupp TL, Balkin TJ.
Department of Behavioral Biology, Walter Reed Army Institute of Research, 503 Robert Grant Avenue, Silver Spring, MD, 20910, USA, Melanie.guerrero@us.army.mil.
STUDY OBJECTIVES: Oral appliance (OA) therapy is considered a first line choice of therapy for some patients with mild or moderate obstructive sleep apnea (OSA) and an alternative form of treatment in those intolerant of continuous positive airway pressure (CPAP) use. According to several studies, periodic limb movements (PLM) appear during effective treatment of OSA with CPAP, but a similar phenomenon has not been described with the use of oral appliance. Herein, we describe the incidence of PLM in patients with OSA who underwent oral appliance therapy titration. DESIGN: This is a prospective, observational study set in a six-bed sleep center in an academic, military referral hospital. PATIENTS AND METHODS: Patients with OSA (n = 21; 15 men and six women; mean age, 43 years; and age range, 25 to 53 years) treated with OA during a 1-year period were enrolled. Patients were categorized according to the severity of sleep apnea and incidence of PLM on diagnostic polysomnography. Effective treatment of OSA and appearance or disappearance of PLM with arousal on subsequent oral appliance titration polysomnography were recorded and compared. RESULTS: Twenty-one patients were enrolled. During baseline polysomnography, three of 21 (14%) patients had five or more PLM with arousal per hour while 11 of 21 (52%) patients had PLM with arousal during the oral appliance titration trial. CONCLUSION: Oral appliance therapy for obstructive sleep apnea is an effective treatment and ideal for use in military recruits. The appearance of periodic limb movements with arousal during oral appliance use should be considered as a cause of persistent daytime sleepiness despite effective treatment of obstructive sleep apnea in this subset of patients.
Labels: allergy oral appliance, leg movements, military, titration
posted by Dr Shapira at 11:21 PM 0 comments
Acne, ulcers, sores and other skin irritation from CPAP masks leads to dermatologists referrals
The interesting part of the story is this dermatologist became one of my best referring physicians. I have a few pulmonologists and neurologists who frequently refer patients and many internists. What is interesting is that I only have one cardiologist who ever refers patients for oral appliances, and he owns a sleep lab. With over half of patients not using their CPAP you would think that cardiologists would be on top of this critical patient care concern. Cardiologists are very good at referring patients to sleep centers but do not seem to follow-up to evaluate continued CPAP use.
A frequent time for diagnosis of apnea is after a first heart attack and apnea is witnessed by nurses in intensive care. I have seen more than a few patients who were diagnosed with sleep apne, rejected CPAP and went untreated until a cardiac event put the issue back on the table.
It is crucial that sleep apnea be treated, especially in cardiac patients. It does not matter if the treatment is CPAP, Oral Appliances or surgical intervention but treatment is essential.
Labels: Acne, dermatologist, facial sores, OBSTRUCTIVE SLEEP APNEA, TAP appliance
posted by Dr Shapira at 8:44 AM 0 comments
Thursday, February 4, 2010
PERMENANT BRAIN DAMAGE FROM SLEEP APNEA : FROM CHILDHOOD TO ADULT.
J Am Dent Assoc. 2009 May;140(5):536-42.
The potentially harmful medical consequences of untreated sleep-disordered breathing: the evidence supporting brain damage.
Simmons MS, Clark GT.
Division of Diagnostic Sciences, University of Southern California School of Dentistry, Los Angeles, Calif., USA. drmichaelsimmons@aol.com
BACKGROUND: The authors conducted a literature review to evaluate whether current scientific evidence supports the fact that brain damage results from episodic hypoxia (EH) as seen during sleep-disordered breathing (SDB). TYPES OF STUDIES REVIEWED: In their review, the authors included models that re-created circumstances seen in EH during SDB. They reviewed animal and human studies, including those with children and animal pups as subjects. These studies addressed neurocognitive and neurobehavioral effects, physical changes found on a cellular level as seen in brain imaging and the effects of treatment. RESULTS: The evidence suggests that EH as seen during SDB causes damage to the brain with specific areas of gray- and white-matter loss, alteration in autonomic and motor regulation, and damage to higher cognitive functions. While there is evidence of spontaneous reactive mechanisms, it is not clear if they limit ongoing brain damage or contribute to additional damage. Retention of deficits in the brain even after treatment suggests long-term injury. CLINICAL IMPLICATIONS: Evidence shows that EH during SDB may cause permanent brain changes and can start early in the progression of sleep disorders even in childhood. SDB should be identified and treated early to reduce and possibly prevent brain damage and permanently decreased cognitive function. Dentists are in the unique position of being able to screen patients for SDB during periodic examinations while providing routine dental health care. When dentists catch SDB early in the progression and refer patients to and coordinate care with patients' physicians, they can provide better service to their patients and may prolong and improve their patients' quality of life.
PMID: 19411520 [PubMed - indexed for MEDLINE]
Labels: BRAIN DAMAGE, GRAY MATTER, OBSTRUCTIVE SLEEP APNEA, UNTREATED
posted by Dr Shapira at 5:52 PM 0 comments
Sleep Disorderd Breathing and All-Cause Mortality in 40 to 70 Year Old Men in Sleep Heart Health Study
The study concluded that "Sleep-disordered breathing is associated with all-cause mortality and specifically that due to coronary artery disease, particularly in men aged 40-70 years.
Labels: all cause mortality, intermittent hypoxia, men, sleep apnea
posted by Dr Shapira at 9:30 AM 0 comments
Dr Shapira's Dental Sleep Medicine Course
The course includes two sleep appliances for the dentist taking the course and chairside experience in fitting appliances and taking bites. In addition numerous tricks and pearls as for treating pain and TMj disorders are taught including use of trigger point injections and sphenopalatine ganglion blocks.
If your dentist is not currently treating sleep apnea this is an excellent course for doctors serious about wanting to practice dental sleep medicine. It is not a large lecture format where the doctor is not ready to treat patients after the course.
Labels: coursecpap alternative, Dental sleep medicine, training
posted by Dr Shapira at 8:53 AM 0 comments
New Medicare Guidelines for CPAP
These guidelines reflect how little CPAP is uded. Even with these looose standards medicare expects to save substantial dollars. $-5 hours is the average amount of time patients wear CPAP. 7-71/2 hours of nightly use is recommended. Ideally CPAP should be worn nightly.
If medicare required 90% usage or 6 hours of wear almost no one would qualify for coverage. I think the new standard for coverage is appropriate because it will save medicare the cost of buyiny CPAP machines that are not used (wasted taxpayer money)and patients who wear CPAP 4 hours nightly (average use for all patients) will have coverage. Medicare will cover CPAP based on low expectations of use that history and published studies have shown to be the case.
Labels: 4 hours, acne CPAP, compliance, low use, medicare
posted by Dr Shapira at 8:43 AM 0 comments
Experimental reduction in slow wave sleep vs reduction in slow wave sleep in aging.
The article concludes that "age-related declines inSWS and reduction in daytime sleep propensity may reflect a lessening in homeostatic sleep requirement." "Healthy adults without sleep disorders can expect to be less sleepy during the daytime than young adults."
Older adults frequently complain of sllep disruptions, early morning wakening, wakening not refreshed, daytime sleepiness, and daytime napping. According to this study older adults with healthy sleep should not be subject to daytime tiredness so the question is are they tired due to poor sleep, sleep apnea or other health related disturbances. Daytime tiredness can be considered not a normal consequence of aging but a sign of loss of good sleep. The percentage of Slow Wave Sleep declines with age but should not cause problems of tiredness in otherwise healthy older adults.
Older adults with excessive daytime sleepiness, napping or other signs of excessive daytime sleepiness should be evaluated for sleep disorders and/or disturbed sleep. These symptoms should not be written off as normal consequences of aging. Better sleep will result in a better quality of life for older adults.
Labels: aging, alertness, healthy, insomnia, sleepiness, slow wave sleep
posted by Dr Shapira at 7:15 AM 0 comments
SHORT SLEEP DURATION AND WEIGHT GAIN REPORTED IN THE JOURNAL OF SLEEP DISORDER RESEARCH
Previous studies have shown weight gain associated with obstructive sleep apnea. Other studies consistently show that weight gain also increases obstructive sleep apnea. The world health organization describes obesity as on of the most visible and neglected public health problems. The effects of sleep duration and quality are an important factor in obesity. Obesity to some extent must be considered a disease of inadequate or poor quality sleep and quality of sleep is adversely affected by obesity.
Labels: BMI, body mass index, OBSTRUCTIVE SLEEP APNEA, short sleep duration, sleep durtation
posted by Dr Shapira at 7:00 AM 0 comments
Wednesday, February 3, 2010
I HATE CPAP is an important public service for patients diagnosed with obstructive sleep apnea
comments : Your site is an important public service for those of us diagnosed with obstructive sleep apnea. Like most doctors, mine told me the only treatment worth considering for my mild OSA was CPAP. She scoffed at the mention of oral appliances, dismissing them as suited only to a special category of patients with TMJ symptoms. I mistrusted her absolutist statement,. Although I've been using the CPAP since she prescribed it, I have also been researching other professionally accepted treatments for OSA. Thanks to your website and many peer-reviewed journal articles, I've come to the conclusion that s I've I've learned there are a number of alternative treatments worth considering. Having been forced to uncover this information on my own has made me disillusioned with my pulmonologist-sleep specialist. I am in the process of finding a sleep center with a broader, more cutting-edge, and more personal approach to treating OSA. One factor I would like them to consider -- a
nd would appreciate your addressing -- is that I have esophageal problems secondary to systemic sclerosis. Also secondary to the SSc is mild pulmonary hypertension. Does the pre-existing condition of systemic sclerosis that includes these symptoms suggest any particular approach to the treatment of OSA? Thank you for all of your good work.
ESA
It is not uncommon for patients to wall into walls of ignorance or self interest. No sleep specialist should be unaware of the enormous successes with oral appliances. It is because oral appliances are so successful that they are considerd a first line treatment for mild to moderate sleep apnea by the American Academy of Sleep Medicine. Many sleep physicians and sleep centers have economic interests in DME companies that supply CPAP machines to patients. Sometimes these companies are owne by family members to evade federal Stark laws on self referral. Othertimes it is merely ignorance that causes doctors to make statements like this writer reports. When CPAP fails the majority of patients there must be alternatives presented to patients. CPAP is still an excellent and successful treatment but not for most patients. Oral appliances are also not for all patients. There must be honesty in the field of sleep medicine.
Dear Dr. Shapira,
Thank you for your thoughtful and encouraging reply to my questions.
I did a little bit of research about sleep centers in Houston, and you are right. Even though the lab I started with was little more than an extension of the hospital's pulmanology department, there are others out there that take a more modern approach to sleep medicine. Baylor, for one, seems to have a decent lab that emphasizes interdisciplinary treatment. I'll keep looking, but they're on the short list.
Thanks again for your excellent public education work on the internet. BTW, when I tell my various doctors about the eye-opening information you've posted on oral appliances, they inevitably ask the name of the site. It gets a laugh every time.
Regards,
Elizabeth S.
Labels: cpap failures alternative to cpap, Dental sleep medicine, information
posted by Dr Shapira at 6:45 PM 0 comments
Tuesday, February 2, 2010
# year old with (OSA) Sleep Apnea. Are there alternatives to tonsil and adenoid removal
This is an interesting question for several reasons. The first is that they have discussed oxygen therapy, unfortunately oxygen therapy is not helpful for obstructive sleep apnea because the airway is obstructed and therefore the oxygen does not get to the lungs.
The second part of the question is there an alterrnative to tonsil and adenoid removal. Rapid maxillary expansion can open the airway in children and is often indicated IN ADDITION to removal of tonsils and/or adenoids. A Swedish researcher suggested at the Dental Sleep Meeting that doing maxillary expansion prior to surgery make reduce complications and create easier and/or faster healing. Another recent report has shown that even if tonsils and adenoids are removed there will remain orthopedic jaw problems that will still usually require widening of the palate.
The question which should be done first surgery or widening of the maxilla is still open.
What is not open is that pediatric patients with sleep apnea should be treated ASAP. ADD, ADHD and other learning and behavioral disorders have been linked to pediatric sleep apnea and time is of the essence.
Various studies have shown delayed brain development and/or permanent changes in brain development as a consequence to sleep apnea in children. Read the story in my profile about my sons sleep apnea and how treating it changed his life.
Labels: adenoids, maxillary expansion, OSA, pediatric sleep apnea, RME, Tonsils
posted by Dr Shapira at 9:04 PM 0 comments
Monday, February 1, 2010
CPAP: Still the Gold Standard?
Oral appliances to treat sleep apnea are custom-fitted to help you sleep soundly and minimize the effects of sleep apnea. These devices are FDA approved and allow you to breath easily and continuously throughout the night. They are worn in the mouth and keep the soft tissue from collapsing and interrupting your normal breathing pattern.
If you suffer from sleep apnea and would like to explore more comfortable treatments than CPAP, please contact Dr. Ira Shapira today.
posted by Lynn at 8:53 AM 0 comments
Friday, January 29, 2010
ARE YOU SICK AND TIRED OF BEING SICK AND TIRED?
THE MAJORITY OF PATIETS GIVEN CPAP ARE UNABLE TO TOLERATE IT OR ONLY WEAR IT FOR A FEW HOURS A DAY. CPAP IS THE GOLD STANDARD OF TREATMENT AND IS VERY EFFECTIVE WHEN USED ALL NIGHT/ EVERY NIGHT.
STROKES AND HEART ATTACKS USUALLY OCCUR IN THE EARLY MORNING HOURS 3-5 AM. PATIENTS WHO WEAR CPAP FOR ONLY A FEW HOURS HAVE USUALLY STOPPED USING THEIR CPAP BEFORE THEY REACH THIS HOUR WITH PEAK RISK FOR CARDIOVASCULAR EVENTS. IT IS CRITICAL FOR CPAP USERS TO WEAR THEIR CPAP FOR 7-7 1/2 HOURS A NIGHT.
PATIENTS WHO ARE INADEQUATELY TREATED OFTEN ARE TIRED AND MORE PRONE TO ILLNESS. IF YOU CANNOT TOLERATE CPAP TREATMENT OF YOUR SLEEP APNEA THAN AN ORAL APPLIANCE IS THE MOST SUCCESSFUL ALTERNATIVE TO CPAP. THERE ARE ALSO SURGICAL AND BEHAVIORAL METHODS OF TREATING OBSTRUCTIVE SLEEP APNEA INCLUDING POSITIONAL THERAPY AND WEIGHT LOSS.
IF YOU ARE SICK AND TIRED OF BEING SICK AND TIRED YOUR ANSWER IS TO TREAT YOUR SLEEP APNEA THOROUGHLY. IF YOU HATE CPAP COMFORTABLE ORAL APPLIANCES MAY BE A SOLUTION THAT WILL DRAMATICALLY IMPROVE YOUR QUALITY OF LIFE AS WELL AS PROTECT YOUR HEALTH.
Labels: acne CPAP, INTOLERANT, OBSTRUCTIVE SLEEP APNEA, SICK AND TIRED
posted by Dr Shapira at 8:54 PM 0 comments
Thursday, January 28, 2010
Morning Headacahes and Sleep Apnea
Oral appliances can treat sleep apnea at night but a different type of appliance can treat headaches, facial pain, migraines and jaw problems. Patients suffering from chronic headaches will find the I HATE HEADACHES site a valuable resource. The site focuses on how neuromuscular dentistry can relieve migraines andtension-type headaches, chronic daily headaches and sinus pain.
http://www.ihateheadaches.org
Labels: morning headaches, NEUROMUSCULAR DENTISTRY, severe apnea
posted by Dr Shapira at 6:45 PM 0 comments
Wednesday, January 27, 2010
Dentures and oral appliances for treating sleep apnea
Yes there are appliances that treat apnea. The first class is TRD or tongue retaining devices. They are not my favorite but are an easy option for denture patients.
I prefer to stabilize dentures with implants which allows the use of any oral apppliance.
I make a custom appliance that is spring loaded to push the upper and lower denture in place while advancing the mandible. It is a custom appliance and has not been approved by the FDA so it cannot be marketed.
An interesting fact is some patients with sleep apnea sleep with their dentures out. In some patients, I just had one recently, just wearing your dentures while sleeping can cure apnea.
Labels: cure, dentures, oral appliances, severe sleep apnea, TRD
posted by Dr Shapira at 6:42 PM 0 comments
Monday, January 25, 2010
Bite Change with TAP 3 Oral Appliance Cures Sleep Apnea But Changes Your Bite. What comes next?
I have a TAP3 appliance for OSA and I found that using it every night for 2 years changed my bite to where I could not get it back into alignment even using the little blue tabs every day. I am back on CPAP, but if you have any suggestions, I would love to hear them.
Dr Shapira Response: Bite changes often happen after long term year especially if patients do not do 2 minutes of exercise daily. I have a few thousand patients with oral appliances and rarely do they quit because of bite changes. Not wearing the appliance will often let bite settle back to its original position or possibly settle back incompletely.
I explain to my patients up-front about the changes because I hate surprises. The reasons that your bite changes is that it was pathological to begin with. The reason you had sleep apnea was due to a jaw relation that predisposed you to the problem. When you wore the appliance at night you corrected the 24/7 pathology eight hours a day. Your bite change is actually healing of the underlying pathology of your jaw position. Your apnea actually becomes less severe even when you are not wearing your CPAP. Therefore when they titrate you on CPAP it may be wrong in a few months. As your jaw returns to old position the apnea will worsen again. An advantage to a bite change is lower CPAP pressure initially.
Patients sometimes switch between oral appliances and CPAP to prevent bite changes (very effective) but in general dentists seem more upset by the bite changes than patients.
I have had many patients who report relief of neck pain, headaches, back pain, sinus pain and other problems and that pushing the bite back causes recurrence of symptom so they chose to ignore the exercises and let the bite changes happen.
When we treat patients with TMJ disorders or headaches we have them wear an appliance 24/7 and want the bite change an then if tx is successful make the new jaw position permanent with crowns, ortho or occlusal adjustment.
You did not say wether you are now wearing your CPAP all night - every night. Dying in your sleep or having a stroke is a big deal, a bite change is manageable.
The key to preventing bite changes is to do the exercises regularly from the beginning and continue. If bite changes begin discuss it with your dentist promptly.
Labels: allergy oral appliance, bite changes, sleep apnea treatment
posted by Dr Shapira at 6:42 PM 0 comments
Circadian Rhythm and How we Fall Asleep
So, let's get back to sleep (or the topic of sleep that is). All humans have what is called a circadian rhythm, which is like an internal clock that tells us when we should be awake and when we should be asleep. The term "circadian" comes from the Latin "circa" which means "around" and "diem" or "dies" which means "day," so it literally means "approximately one day." Our Circadian rhythm is linked to the cycle of light and dark.
There are many health problems associated with disturbances in our circadian rhythm including seasonal affective disorder (SAD, ironically, is the acronym for this disorder) and delayed sleep phase syndrome (DSPS). Disruption to our circadian rhythm will most likely have a negative impact on us both mentally and physically.
During the day, a chemical messenger known as "adenosine" builds up as our bodies use energy, and the more adenosine that builds up, the sleepier we will feel around bedtime. Adenosine, working in combination with your natural circadian rhythm sends the message to your brain and body that it's time to sleep.
If you have difficulty sleeping, feel fatigued during the day, have anxiety and other health problems, or your partner states you gasp for air while you sleep, you may suffer from sleep apnea. Please contact Dr. Shapira today to schedule a thorough evaluation.
posted by Lynn at 11:48 AM 0 comments
Sunday, January 24, 2010
ACNE from CPAP MASK
Response: William, Acne from a CPAP mask is not uncommon. While most of my patients eventually switch to oral appliance I can offer a few suggestions.
1. Keep the mask and hoses scrupulously clean
2. A thin layer of Lanolin can be place on the ares where the mask contacts the face 1/2 hour before putting the mask on. The skin should be thoroughly washed and dried first.
Dr Shapira
Labels: Acne, acne CPAP, Acne CPAP Mask, BEST PRICE CPAP, lanolin
posted by Dr Shapira at 11:52 AM 0 comments
I Can't Lose Weight? That common complaint may may mean you have a sleep disorder.
There are many mechanisms for these metabolic changes. Growth Hormone is produced primarily during our first period of Delta Sleep. If our sleep is disturbed from snoring, apnea or other causes at this crucial time production of Growth Hormone (GH) can be decreased of eliminated. In adults GH is responsible for converting fat to muscle.
Other hormones affected by sleep include insulin, cortisol, leptin and grehlin.
Insulin determines sugsr metabolism and poor control can cause weight gain and excessive hunger. Cortisol is a stress hormone and eating is freuently used to control stress when cortisol is not maintained at proper levels. Leptin and Grehli control hunger and satiet, both the desire to eat and the relief of hunger.
Patients with sleep apnea have less oxygen and metabolism is disturbed by oxygen desaturation.
Sleep apnea, Insomnia and insufficient sleep can all contribute to weight gain and make weight loss difficult or impossible.
Sleep apnea is dangerous not just because of cardiovascular consequences but also due to hormonal disturbances that frequently are caused by sleep disordered breathing.
Patient Response: The word Insomnia originated from the Latin word Insomis meaning sleepless. To put it in a better way it is a condition where one is unable to obtain sufficient sleep. For me Insomnia meant feeling stressed, lost, sad and feeling worthless.
Labels: Gurnee, hormone, insomnia, severe sleep apnea, weight loss
posted by Dr Shapira at 11:20 AM 0 comments
Why Don't Sleep Doctors, Sleep Centers, Sleep Techs and DME's tell patients that CPAP fails most patients?
This is not new information but just another study showing the severe risks associated with untreated sleep apnea. Other facts are that patients with untreated sleep apnea have a six fold increase in motor vehicle accidents and they are more likely to die in their sleep that while exercising.
I see so many patients who are not being treated for sleep apnea because they hate CPAP or could not deal with problems associated with CPAP use. The Sleep Centers, Doctors , Sleep Techs and DME companies that fail to refer patients for alternative therapies must bear the brunt of responsibility. 60 % of patients abandon CPAP use but there is no concerted effort to refer them for oral appliances.
The real question is why aren't more patients referred for appliance therapy.
I think ignorance is the primary cause, many sleep professionals are unaware of the high success rates of oral appliances, and some just do not know much at all. There is a subgroup that has vested interests in CPAP prescriptions. The sleep centers are often own DME companies, Sometimes the doctor's wife or children own the DME company. I do not find this to be a problem as long as patients who do not tolerate CPAP are then referred for oral appliances or surgical intervention.
I have patients tell me that they are made to feel like it is their failure when they can't tolerate CPAP. They are not told the the majority of patients are CPAP intolerant and/or fail CPAP. CPAP is a excellent treatment for a significant number of patients with very high eficacy, unfortunately more patients fail with CPAP then succeed.
It is the makers or CPAP, Distributors and DME companies and all sleep professionals to honestly explain to patients that the majority of patients never learn to tolerate CPAP and to help them find alternative treatments.
Insurance companies are probably most at fault because they share a common interest with patients. Finding alternative treatments for patients who fail CPAP will save insurance companies enormous amounts of future medical expenses. Insurance companies are aware that oral appliances are more expensive than CPAP in the short run but pale compared to costs for treating heart attacks or strokes. Insurance companies should review their files and identify patients prescribed CPAP who do not order additional supplies. In all likely-hood these patients are not using CPAP and therefore are at a greatly increased risk not just of cardiovascular events but also faced increased risks related to diabetes, motor vehicle accidents, and other serious medical problems.
Labels: 60031, allergy oral appliance, CPAP Failure Consequences, il
posted by Dr Shapira at 8:48 AM 0 comments
Friday, January 22, 2010
DEVELOPMENTAL CHANGES IN CHILDREN WITH SLEEP APNEA MUST BE ADDRESSED AFTER REMOVAL OF TONSILS AND ADENOIDS
It is essential that the pediatric and dental communities recognize that children do not grow and eliminate the problems of enlarged tonsils and adenoids but rather they experience distorted growth that must be corrected. Early diagnosis and treatment of airway is essential for proper dento-facial growth. The NHLBI considers sleep apnea to be a TMJ Disorder. Sleep Apnea, Snoring, Migraines, Tension Headaches, Chronic Daily Headaches and TMJ disorders all begin in a common developmental pathway.
Dental Sleep Meicine and Neuromuscular Dentistry are key in improving the quality of live of these patients as adults. Early intervention may greatly reduce the number of patients who develop these problems.
nt J Pediatr Otorhinolaryngol. 2009 Nov 23. [Epub ahead of print]
Development of craniofacial and dental arch morphology in relation to sleep disordered breathing from 4 to 12 years. Effects of adenotonsillar surgery.
Löfstrand-Tideström B, Hultcrantz E.
Department of Surgical Sciences, Division of Otorhinolaryngology, University of Uppsala, SE - 751 85 Uppsala, Sweden.
OBJECTIVES: To study the development of craniofacial and dental arch morphology in children with sleep disordered breathing in relation to adenotonsillar surgery. SUBJECTS AND METHODS: From a community-based cohort of 644 children, 393 answered questionnaires at age 4, 6 and 12 years. Out of this group, 25 children who were snoring regularly at age 4 could be followed up to age 12 together with 24 controls not snoring at age 4, 6 and 12 years. Study casts were obtained from cases and controls and lateral cephalograms from the cases. Analysis regarding facial features and dento-alveolar development was performed. RESULTS: Children snoring regularly at age 4 showed reduced transversal width of the maxilla and more frequently had anterior open bite and lateral cross-bite than the controls. These conditions persisted for most cases at age 6, by which time 18/25 had been operated for snoring. In most of the cases, surgery cured the snoring temporarily, but their width of the maxilla was still smaller by age 12-even when nasal breathing was attained. At age 12, the frequency of lateral cross-bite was much reduced and anterior open bite was resolved, both in cases and controls. The children who snored regularly at age 12 operated or not operated, showed a long face anatomy and were oral breathers (this applied even to those who were operated). The seven cases who were not operated and the five who were still snoring in spite of surgery at age 12, did not have reduced maxillary width as compared to the controls. CONCLUSION: Dento-facial development in snoring children is not changed by adenotonsillar surgery regardless of symptom relief. If snoring persists or relapses orthodontic maxillar widening and/or functional training should be considered. Collaboration between otorhinolaryngologist, orthodontists and speech and language pathologists is strongly recommended.
PMID: 19939470 [PubMed - as supplied by publisher]
Labels: adenoid, children, residual problems, snoring, TMJ, Tonsils
posted by Dr Shapira at 4:05 AM 0 comments
SUDDEN ONSET HEADACHE WITH VOMITING AND DIZZINESS
comments : i need a doctor who can help me what is wrong with my head for the last 3 weeks now. half of my head hurting and the pain in my head moves around. like my back head, everywhere part of my head. everyday day my heads hurt. and i vomet, feel dizzy. but right now i dont have a health insurance.
THIS IS IMPORTANT, IF A NEW HEADACHE UNLIKE ANY IN THE PAST SUDDENLY PRESENTS WITH SYMPTOMS SUCH AS DIZZINESS AND/OR VOMITING OR OTHER NEUROLOGICAL SYMPTOMS MEDICAL EVALUATION SHOULD BE DONE IMMEDIATELY.
MY RESPONSE
If this is a new type of headache that you have never had before you should have an immediate medical evaluation. It is important to establish that there are no serious organic problems. I would suggest having a neurologist evaluate you first.
IF THE HEADACHE IS NOT ORGANIC IN NATURE AND YOU RULE OUT SERIOUS CONDITIONS THE NEUROMUSCULAR DENTISTRY IS AN EXCELLENT MEANS TO PREVENT, ELIMINATE AND/OR ALLEVIATE MIGRAINES, TENSION HEADACHES, ETTH, CDH AND OTHER CHRONIC PROBLEMS. THE NEUROMUSCULAR DENTIST IS THE IDEAL PRIMARY CARETAKER FOR MOST CHRONIC HEADACHE PATIENTS. THE NEUROLOGIST IS ESSENTIAL IN EVALUATING UNDERLYING CAUSES. DRUG TREATMENT, PHYSICAL THERAPY, CHIROPRACTIC TREATMENT AND NEUROMUSCULAR DENTISTRY CAN ALL BE EFFECTIVE IN TREATING AND ARE DONE BY DIFFERENT PRACTITIONERS. NEUROMUSCULAR DENTISTRY (NMD)CORRECTS THE UNDERLYING PRIMARY CAUSE IN PATIENTS WHOSE HEADACHES ARE POSTURE RELATED TO THE HEAD, NECK AND JAW. THE NMD FREQUENTLY WILL WORK WITH THE OTHER MEDICAL SPECIALISTS FOR OPTIMUM RESULTS.
Labels: NEUROMUSCULAR DENTISTRY, SUDEN HEADACHE, VOMITING
posted by Dr Shapira at 3:50 AM 0 comments
Wednesday, January 20, 2010
YOU CAN'T CATCH UP ON LOST SLEEP
THE NSF'S STORY ALSO STATES "According to the study, even when you sleep an extra 10 hours to compensate for sleeping only 6 hours a night for up to two weeks, your reaction times and ability to focus is worse than if you had pulled an all-nighter. This is not good news for shift-workers such as doctors, truckers, and law enforcement officers.
The bottom line is that there is no real way to recoup lost sleep.There are things shift workers can do to get quality sleep during their off hours, for example, wearing dark glasses to block out the sunlight on your way home, keeping the same bedtime and wake time schedule, even on weekends, eliminate noise and light from your sleep environment (use eye masks and ear plugs)."
I HIGHLY RECOMMEND THAT YOU VISIT THE NATIONAL SLEEP FOUNDATION WEBSITE, SIGN UP FOR THEIR E-MAIL ALERTS AND HELP THEM FINANCIALLY. THEY ARE FRIENDS OF ANYONE SUFFERING FROM SLEEP DISORDERS.
Web site: http://www.sleepfoundation.org
Labels: CHRONIC SLEEP LOSS, NSF, SHIFT WORKERS, SLEEP LOSS
posted by Dr Shapira at 7:49 PM 0 comments
DEFENDING THE CHARGE: I HATE CPAP! ACCUSED OF MISLEADING PATIENTS
Madeleine H RPSGT
comments : How do you address criticisms that your website and information misleads patients with moderate to severe apnea? It is well documented that oral appliances are not effective for most patients with sleep apnea. It seems you efforts would serve patients better if you helped them adjust to CPAP versus feeding anxieties around the gold standard treatment for sleep apnea.
Dear Madeleine,
I take very seriously criticisms that I mislead patients because it is not true. All of the information that is found on the I HATE CPAP site is backed by scientific evidence. The American Academy of Sleep Medicine now considers oral appliances to be FIRST LINE TREATMENT for mild to MODERATE sleep apnea along with CPAP. Further, the AASM considers oral appliances as an alternative to CPAP for patients with severe apnea who do not tolerate CPAP. It is documented that oral appliances do work for severe sleep apnea but they may not be as effective as CPAP especially in the morbidly obese., That is why it is essential that all patients receiving an oral appliance have a follow-up sleep study to insure efficacy. I have had patients with severe apnea (indexes over 100 AHI with de-sats into 50-60's) with complete response to oral appliances. I also have patients that use combinations of CPAP and appliances to lower CPAP pressure from 24 cm or more of pressure (which can damage lung alveoli) to 6-8 cm pressure by combination treatment.
I believe it is cavalier attitudes that patients need to be taught to adjust to their CPAP are more dangerous. While it is true that CPAP is considered the Gold Standard it is only because compliance is not factored into success. Published studies show that the majority of patients abandon CPAP use and even patients who use CPAP average only 4-5 hours of nightly use not the 7 1/2 hours recommended. Strokes are most common in the early morning hours with Sleep Apnea, most patients have already quit using their machines by then. There is a subgroup of patients who love their CPAP from first use and are very successful with CPAP use. That group only makes up 25% of the total population. I do not want patients who are successful and happy with CPAP to abandon it, I am more concerned with the 75% of patients who are untreated or under-treated.
I have seen thousands of patients in the last 28 years of treating sleep apnea who were only offered CPAP so chose no treatment. These untreated patients are left to suffer severe medical consequences because they are not offered alternatives they can accept.
You should seriously consider that a full night of oral appliance use is probably far superior to CPAP that is not used or only used for a couple of hours. I do not feed anxieties of patients but I do recognize them. This website took its name from what patients who came to my office told me, "I HATE CPAP!"
I do not Hate CPAP, but I offer a comfortable alternative for patients who do hate it. My goal is for every patient to know all of the options available to treat their sleep apnea including changes in health habits, cpap, oral appliances, surgery position etc.
As you are probably aware the NHLBI considers sleep apnea to be a TMJ disorder. Please read their report "CARDIOVASCULAR AND SLEEP-RELATED
CONSEQUENCES OF TEMPOROMANDIBULAR
DISORDERS" http://www.nhlbi.nih.gov/meetings/workshops/tmj_wksp.pdf
If you talk to anyone who knows CPR you will be aware that the first step is to check airway and if the patient isn't breathing the airway is opened with a jaw thrust.
Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
I am posting you question and my response on the I HATE CPAP blog. I will not post your full name or e-mail unless you give me permission.
Madelaine H RPGST Response: Please note that "success" in most apnea studies is defined as 50% or greater reduction in AHI. This is not the clinical definition of "success", though, even as defined by the AASM and Stanford University's suggested protocols.
While oral appliances may be helpful for some patients, I hope your organization is responsible enough to inform patients when they could benefit from cpap or bipap treatment.
Thank you for your prompt response.
I define success as an AHI under 5 and ideally "0" and no snoring. For the majority of my patients we achieve that success though we sometimes have to cheat and combine positional therapy with oral appliance therapy.
The most difficult patient for oral appliances are the morbidly obese, Cheyne Stoke Breathing and Central apnea, and patients who have had severe pharyngeal scarring after UP3 surgery.
It is important to note that to get these high success rate we usually work with sleep techs who have been taught how to titrate an appliance. Rem supine sleep with high AHI on patients who must sleep on their back can be a difficult situation. I have many patients who we try to place on CPAP who again fail. In those patients oral appliances are used to make their disease less severe. Some treatment is better than no treatment. Many appliance patients that are "merely partially improved" polysomnographically have total relief of EDS and cognitive consequences during the day.
I also hope that all those involved with patient care recognize that less than 50% of CPAP patients continue use and are responsible enough to refer those who do not use CPAP for oral appliance therapy. CPAP success is defined as 4 hour use 4 nights a week in most studies and as you say this is not clinical success. 7- 7 1/2 hours nightly is needed for full benefit.
Dr Shapira
WHILE IT IS TRUE IT IS NOT ALWAYS POSSIBLE TO ACHIEVE 100% SUCCESS IN ALL PATIENTS THE MAJORITY OF PATIENTS WITH MILD TO MODERATE APNE ASHOW EXCELLENT RESULTS WITH ORAL APPLIANCE TREATMENT. PATIENTS OFFERED A CHOICE BETWEEN ORAL APPLIANCES CHOSE AN APPLIANCE 90-95% OF THE TIME. IN SOME CASESIT IS NECESSARY TO USE CPAP OR COMBINATION THERAPY SUCH AS TAP-PAP TO ACHIEVE COMPLETE CONTROL OF SLEEP APNEA.
APPLIANCE DESIGN IS ALSO VERY IMPORTANT AS WELL AS HAVING A DOCTOR WHO CAN "TROUBLESHOOT" A PATIENT WHO HAS LESS THAN COMPLETE CONTROL OF SLEEP APNEA. IT IS VITAL TO HAVE A FOLLOW-UP SLEEP STUDY TO INSURE THAT THE MEDICAL PROBLEM IS RESOLVED. SOME PATIENTS ARE RESISTANT TO DOING A FOLLOW-UP STUDY IF THEIR SNORING IS RESOLVED AND THEIR DAYTIME SYMPTOMS RELIEVED. POLYSOMNOGRAPHY AND APPLIANCE TITRATION COMBINED WILL LEAD TO SUPERIOR RESULTS. MADELAINE IS CORRECT THAT SOME DOCTORS AND PATIENTS DO NOT TAKE THE RESPONSIBLE ROUTE OF DOING FOLLOW-UP POLYSOMNOGRAPHY WHEN TREATING SLEEP APNEA.
Tom Farrell has left a new comment on your post "DEFENDING THE CHARGE: I HATE CPAP! ACCUSED OF MIS...":
Agree with the use of oral appliances as a potential treatment for SDB. Especially think the concept of combination treatment- cpap and an oral appliance- needs further study. Great idea.
As far as I know, most sleep labs- and most of the physicians who medically direct them- are strictly cpap-oriented. But I agree that all methods of relieving SDB should be evaluated when looking at treatment options.
Second: most people may not know this, but all registered sleep techs and any and all techs working in a hospital and/or accredited sleep facility are CPR credentialed, and in some cases ACLS certified.
My best to you,
Tom Farrell, BS, RPsgT, RPFT, CRT
Labels: allergy oral appliance, failures, RPSGT, severe sleep apnea
posted by Dr Shapira at 7:04 PM 0 comments
Tuesday, January 19, 2010
Sleep apnea, including obstructive, central or mixed apnea, was present in 50%-70% of stroke patients
It is obvious that the authors of this article are not aware of the fact that the majority of patients are CPAP intolerant.
The NHLBI considers sleep apnea to be a TMJ disorder "CARDIOVASCULAR AND SLEEP-RELATED CONSEQUENCES OF TEMPOROMANDIBULAR DISORDERS " (http://www.nhlbi.nih.gov/meetings/workshops/tmj_wksp.pdf) and considers treatment essential.
Early diagnosis of sleep apnea may prevent a large number of strokes according to scientists. Heart Attacks and Stokes are two of the top three causes of death (cancer is third) and sleep apnea is highly associated with both conditions.
Neurology. 2009 Oct 20;73(16):1313-22.
Sleep-related breathing and sleep-wake disturbances in ischemic stroke.
Hermann DM, Bassetti CL.
Department of Neurology, University Hospital Essen, Essen, Germany. dirk.hermann@uk-essen.de
BACKGROUND: Sleep-related breathing disturbances (SDB) and sleep-wake disturbances (SWD) are often neglected in stroke patients. Recent studies suggest that they are frequent and have an impact on stroke outcome. METHODS: We review current knowledge about frequency, clinical presentation, and consequences of poststroke SDB and SWD, and discuss treatment options. RESULTS: SDB, presenting with obstructive, central, or mixed apneas, is present in 50%-70% of stroke patients. We recommend screening for SDB in all stroke patients by respirography. Continuous positive airway pressure (CPAP) is the treatment of choice for obstructive SDB, which reverses the vascular risk of the patients. In the absence of controlled trials, CPAP treatment should be reserved for patients with severe obstructive SDB, daytime symptoms (e.g., sleepiness), or high cardiovascular risk profile. Oxygen and adaptive servoventilation may be used for central SDB. SWD including insomnia, disturbances of wakefulness (hypersomnia, excessive daytime sleepiness, fatigue), sleep-related movement disorders (restless legs syndrome, periodic limb movements during sleep), and parasomnias (REM sleep behavior disorder) are found in 10%-50% of patients. SWD are associated with cognitive disturbances and may compromise neurologic recovery. Hypnotics and sedative antidepressants may aggravate SDB and neurologic recovery and should be used with caution. For disturbances of wakefulness, dopaminergic drugs, modafinil, or activating antidepressants may be considered. Poststroke sleep-related movement disorders can be treated with dopaminergic drugs; REM sleep behavior disorder with clonazepam. CONCLUSIONS: Sleep-related breathing disturbances and sleep-wake disturbances are frequent conditions that affect stroke outcome. In view of existing treatment options, these conditions deserve the neurologist's awareness.
PMID: 19841384 [PubMed - indexed for MEDLINE]
T
posted by Dr Shapira at 8:47 PM 0 comments
Are Arrhythmias and Atrial Fibrillation caused by Sleep Disordered Breathing and Sleep Apnea
This actually is an example of how a Dental Sleep Appliance can be used to treat Arrythmias and Atrial Fibrilation by protecting a patients airway. Because the majority of patients with sleep apnea do not tolerate CPAP or BiPAP treatment it is absolutely essential that all sleep physicians and Cardiac physicians stress the dangers of sleep apnea and refer patients who do not tolerate CPAP for a comfortable alternative with oral appliances.
Patient with mild to moderate apnea should be offered a choice of CPAP or Oral Appliances at their initial evaluation. Unfortunately many sleep physicians automatically prescribe CPAP due to habit, ignorance or personal financial interests. Due the the increased success of oral appliances over CPAP when compliance is considered along with effectiveness it may be time to offer patients with mild to moderate apnea oral appliances as a first line treatment and CPAP as a back-up treatment. It has been established in numerous studies that the majority of patients (fail CPAP) or are CPAP intolerant. Other studies have also shown that patients offered a choice of Oral Appliances vs CPAP overwhelmingly prefer the comfortable oral appliances.
J Am Coll Cardiol. 2009 Nov 3;54(19):1797-804.
Triggering of nocturnal arrhythmias by sleep-disordered breathing events.
Monahan K, Storfer-Isser A, Mehra R, Shahar E, Mittleman M, Rottman J, Punjabi N, Sanders M, Quan SF, Resnick H, Redline S.
Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Comment on:
J Am Coll Cardiol. 2009 Nov 3;54(19):1810-2.
OBJECTIVES: This study sought to evaluate respiratory disturbances as potential triggers for arrhythmia in patients with sleep-disordered breathing (SDB). BACKGROUND: SDB is associated with an increased risk of atrial fibrillation and nonsustained ventricular tachycardia (NSVT) as well as a predilection for sudden cardiac death during nocturnal sleeping hours. However, prior research has not established whether respiratory disturbances operate as triggers for nocturnal arrhythmias. METHODS: Overnight polysomnograms from the Sleep Heart Health Study (n = 2,816) were screened for paroxysmal atrial fibrillation and NSVT. We used the case-crossover design to determine whether apneas and/or hypopneas are temporally associated with episodes of paroxysmal atrial fibrillation or NSVT. For each arrhythmia, 3 periods of sinus rhythm were identified as control intervals. Polysomnograms were examined for the presence of respiratory disturbances, oxygen desaturations, and cortical arousals within a 90-s hazard period preceding each arrhythmia or control period. RESULTS: Fifty-seven participants with a wide range of SDB contributed 62 arrhythmias (76% NSVT). The odds of an arrhythmia after a respiratory disturbance were nearly 18 times (odds ratio: 17.5; 95% confidence interval: 5.3 to 58.4) the odds of an arrhythmia occurring after normal breathing. The absolute rate of arrhythmia associated with respiratory disturbances was low (1 excess arrhythmia per 40,000 respiratory disturbances). Neither hypoxia nor electroencephalogram-defined arousals alone increased arrhythmia risk. CONCLUSIONS: Although the absolute arrhythmia rate is low, the relative risk of paroxysmal atrial fibrillation and NSVT during sleep is markedly increased shortly after a respiratory disturbance. These results support a direct temporal link between SDB events and the development of these arrhythmias.
PMID: 19874994 [PubMed - indexed for MEDLINE]
posted by Dr Shapira at 8:31 PM 0 comments
Treating Diabetes with better sleep and treatment of sleep apnea
"Relative to patients without the sleep disorder, the presence of mild, moderate or severe obstructive sleep disorder significantly increased mean adjusted HbA1c values -- a measure of glucose control not affected by short-term fluctuations due to meals -- by 1.49 percent, 1.93 percent and 3.69 percent, respectively."
The study was published in the American Journal of Respiratory and Critical Care Medicine. The study showed that 77% of the sleep apnea patients had obstructive sleep apnea. Only 5 patients had previously been evaluated for diabetes and none had previous treatment. According to Dr Aronsohn's statment "Our findings have important clinical implications as they support the hypothesis that reducing the severity of obstructive sleep apnea may improve glycemic control," ;and "Thus effective treatment of obstructive sleep apnea may represent a novel and non-pharmacologic intervention in the management of type 2 diabetes."
This is an exciting study and once again shows how important oral appliances are for patients with sleep apnea. Because the majority of patients do not tolerate CPAP treatment it is essential that all patients are offered oral appliances as an alternative to CPAP.
Labels: CHICAGO, Dental sleep medicine, Diabetes, oral appliances, sleep apnea, type 2
posted by Dr Shapira at 8:19 PM 0 comments
TONSILS AND ADENOIDS CAUSING SLEEP APNEA.
DR SHAPIRA RESPONSE: I would encourage you to go ahead with the T&A ASAP because rersearch has shown permenant changes in brain development associated with Apnea in children.
There is always risk associated with any surgery. The biggest risk is the general anaesthesia, I recommend having a pediatric anaesthesiologist for the surgery if one is available in your area. The surgery can have risks of post op bleeding but this is usually not a big concern.
I believe the T & A was the best thing we ever did for my sons health and welfare.
ADD ADHD, DYSLEXIA AND OTHER LEARNING AND BEHAVIORAL DISORDERS HAVE BEEN SHOWN TO HAVE HIGH CORRELATION TO SLEEP APNEA. IN FACT 80% OF ADD AND ADHD PATIENTS HAVE SLEEP APNEA. PROBLEMS LIKE DIABETES, OBESITY AND DEPRESSION ARE ALSO LINKED TO SLEEP APNEA.
IT IS IN THE BEST INTEREST OF CHILDREN TO HAVE EARLY TREATMENT OF AIRWAY OBSTRUCTION AND MAY HAVE MAJOR LIFETIME EFFECTS.
A NEW STUDY HAS SHOWN THAT URINE OR BLOOD TESTS MAY BE EXCELLENT SCREENIG TOOLS FOR PEDIATRIC SLEEP APNEA.
hello, and thank you for your quick response, we appreciate the advice, it's very reassuring and even relieving:). i'm not a big fan of surgery(i prefer to try the most natural routes first and leave it for last resort, plus I had a bad experience with the anesthesia myself a few years ago and have dreaded the idea of it ever since. I do realize that was just me and he will probably be fine. for the last couple of days we have been doing more sinus rinses and that has seemed to help him quite a bit with his sleeping but we'll still go ahead with the surgery... thanks again for the info, really appreciate it, sincerely The C....... family
I HOPE ALL GOES WELL WITH YOUR SON'S SURGERY AND I UNDERSTAND COMPLETELY. IT TOOK ME TWO YEARS BEFORE MY WIFE ELISE AND I FELT READY TO DO SURGERY. IN HINDSIGHT I AM SORRY I DID NOT HAVE IT DONE SOONER. SINUS IRRIGATION PRIOR TO SURGERY WILL MKE FOR AN EASIER RECOVERY. DR SHAPIRA
Response: very interesting! thanks! this is helpful, can't wait to share it with my husband. is there any research that shows he should just skip right to this mouth widening surgery instead of the T&A? I did read about that on your site, that it is a most effective solution to apnea. what is your recommendation?
Dr S response: Excellent Thought but you still need to do T&A. There was a presentation at the Baltimore meeting discussing doing widening first in ages as young as 2. The thought was less post op problems but this should probably be reserved for the most severe cases with high probability of post op problems.
response: once again, thanks sooo much:) feel so much more confident that we are doing the right thing for him, funny how someone else sharing their experience with you can do that, i guess that is one of the reasons the Lord puts "strangers" and there situations together GOD BLESS you and yours... keep up the helpful work, it's worth it to families like us:)
Labels: adenoids, children, severe sleep apnea, surger, Tonsils
posted by Dr Shapira at 7:37 PM 0 comments
Sleep apnea,snoring,TAP 1,Somnomed, and Neuromuscular Dentistry
I nest saw "M" at my Gurnee office and did a diagnostic appointment and a diagnostic orthotic. Her next visit she reported being totally headache free. LIFE CHANGING! Over the last few months we have reconstructed her mouth to the position determined by the diagnostic orthotic and she remains headache free despite extremely high family stress due to medical issues.
Her grandchildren would ask her everyday "Do you still not have a headache."
We recently switched her husband from a Tap 1 appliance used for titration to a Somnomed Appliance.
Both of these patients had a TMJ problem with very different results.
He had apnea and she had headaches and both conditions resolved by changing the position of the jaw.
An interesting fact is that the treatment of sleep apnea by changing the jaw position is covered by medical insurance while treatment of headaches is not covered by by medical insurance.
There has been a concentrated effort by the insurance companies to limit treatment of a "female" problem TMJ and Headaches while no such limitation exists for "Male " Sleep Apnea.
Both of these conditions are found in men and women but apnea is more commonly found in males and headaches and TMJ disorders (TMD) in women. The NHLBI (National Heart Lung and Blood Institute) considers sleep apnea to be a TMJ disorder. Neuromuscular orthotics are more successful than drugs for treating headaches and have NO ADVERSE DRUG EFFECTS. IT IS TIME FOR INSURANCE COMPANIES TO TREAT FEMALE PATIENTS MORE FAIRLY.
Labels: CHICAGO, headaches, NEUROMUSCULAR DENTISTRY, TMD, TMJ
posted by Dr Shapira at 7:25 PM 0 comments
Monday, January 18, 2010
Oral Appliances for Severe sleep Apnea
The answer is yes, Oral Appliances are appropriate for treating severe apnea when patients do not tolerate CPAP. I have treated many patients with severe apnea successfully. The AASM and the AADSM consider oral appliances as a first line treatment for mild to moderate sleep apnea and an alternative treatment for severe sleep apnea. The TAP appliance is the most effective appliance , in my opinion, for severe sleep apnea.
It is vital to have a follow-up study to insure efficacy.
Labels: allergy oral appliance, severe apnea, sleep apnea treatment, TMJ
posted by Dr Shapira at 7:01 PM 0 comments
Weight Loss May Ease Sleep Apnea Symptoms
A new study confirms that losing weight can significantly reduce sleep apnea symptoms in obese people. Some of the most common symptoms of sleep apnea include:
Fatigue
Memory problems
Concentration problems
High blood pressure
Diabetes
Stroke
Slowed metabolism
Anxiety
Depression
Mood swings
Decreased libido and impotence
Obese people who lost the amount of weight recommended by their treatment provider were three times more likely to experience a complete remission of their symptoms compared to those who lost no weight.
If you or your partner suffers from obesity and sleep apnea, there is help available to you. If you live in the Gurnee, Illinois area, Ira Shapira, D.D.S. can help you as he has helped countless other patients suffering with this potentially life-threatening disorder. Please contact our office today to schedule a thorough evaluation.
posted by Lynn at 11:58 AM 0 comments
Tuesday, January 12, 2010
How is Sleep Apnea Treated?
Depression
Anxiety
High blood pressure
Fatigue
Mood swings
Short-term memory problems
Memory problems Attention problems
Dry mouth
Diabetes
Sore throat
We have become very well-known for our saying, "I hate CPAP," but, in actuality, we don't really hate CPAP; we just realize that it's terribly uncomfortable and inconvenient for the patient. For this reason, we provide our patients with a variety of treatment options for sleep apnea that are much more pleasant than CPAP. It is estimated that a very low percentage of people using CPAP actually tolerate it as directed. Some of the other sleep apnea treatments Dr. Ira Shapira, Gurnee, Illinois dentist and his patients have had great success with include:
Use of dental appliances
Behavior modification
Medication
Surgery
After a thorough evaluation, Dr. Shapira will discuss with you which treatment plan would be best for your needs and the severity of your case.
To learn more about treatments for sleep apnea, please visit the website of I Hate CPAP! today. Cosmetic dentist, Dr. Ira Shapira, and his dental team in Gurnee, Illinois will work hard to find the right treatment for you.
posted by Lynn at 9:31 AM 0 comments
Positve feedback on Sleep Apnea Blog
Thank You for your support. I am on a mission to make this vital information easily available and understood.
Labels: BiPAP, CPAP, help, sleep apnea, sleep apnea treatment
posted by Dr Shapira at 4:46 AM 0 comments
Monday, January 11, 2010
E-mail about sleep apnea from a reader
The following is from the ASAA site
"The impact of obstructive sleep apnea (OSA) on the health and safety of commercial truck drivers, as well as all transportation operators, has been a hot topic of discussion for years. While some progress is being made, much misinformation, policy confusion, and a lack of industry-specific research have prevented further progress on this important health and safety issue.
The Sleep Apnea & Trucking Conference 2010 is organized by the American Sleep Apnea Association and brings together trucking, regulatory, medical, insurance, legal and policy experts to provide accurate and reliable information about OSA diagnosis, treatment and compliance. This landmark event offers a forum for addressing key issues and guidance to improve driver health and safety, which can have a positive impact for the company.
Gain up-to-date, accurate and reliable information about sleep apnea and its bearing on trucking industry health and safety
Learn new cost-effective approaches to sleep apnea diagnosis, treatment and compliance
Receive a take-home resource toolkit with presentations, DVDs, reports, articles and materials to help company management address sleep apnea in their workplace
Interact with experts, colleagues and government officials to get your questions answered
Body mass index (BMI) guidelines
Interstate medical exams and enforcement
Affordability of diagnosis and treatment
Future research needs on prevalence and impact"
The following is the e-mail I received.
Although vastly underdiagnosed and virtually untreated, sleep apnea
can contribute to high blood pressure, cardiovascular problems and
strokes. It also can be deadly.
In one study, Stanford University researchers looked at 159 truck
drivers. They found that 79 percent had sleep apnea, and many were
unable to control when they fell asleep driving. In another study
looking at accidents in which drivers fell asleep at the wheel, 87
percent of the drivers died, taking with them one or two other
people.
Men suffer from the condition almost three times more often than
women, , in part because of anatomical differences in the upper
airways. But because many women who suffer from it are
post-menopausal, there is some speculation it also may be
hormone-related, he said.
The most common and severe form of sleep apnea is obstructive sleep
apnea. In many cases, it's caused by sagging muscles at the base of
the throat, enlarged tonsils, a small airway opening or a large
tongue, according to the American Medical Association Encyclopedia
of Medicine. In about 20 percent of cases, being overweight is a
major cause of the problem.
Obstructing the airway makes breathing labored and causes loud
snoring. If there is complete blockage, the breathing stops
altogether and the sleeper is briefly silent. This makes the
diaphragm and chest muscles work harder; the sleeper gasps and
briefly awakes as breathing is started again.
In central sleep apnea, the airway is opened but the diaphragm and
chest muscles don't work, perhaps because of a disturbance in the
brain's regulation of breathing during sleep, according to the AMA
encyclopedia.
If you suspect you're suffering from sleep apnea, talk to your
doctor, who may refer you to a lab where your sleep can be
monitored. Losing weight and avoiding alcohol before bedtime may
help. Wearing a mask attached to an air compressor that forces
oxygen into the airway is an effective treatment for severe cases.
And surgery that removes excess tissue from the throat is another
possibility.
Obviously the writer of this e-mail has not read the I HATE CPAP website. There are excellent alternatives to CPAP besides surgery
Dr Ira L Shapira
Labels: ASAA, AWAKE, DROWSY DRIVING, sleep apnea, TRUCKERS
posted by Dr Shapira at 9:57 PM 1 comments
Friday, January 8, 2010
Kite Surfing in Aruba
If I survive the experience so will my blog
posted by Dr Shapira at 7:06 PM 0 comments
Cold Hands and Cold Feet During Sleep
I have had diabetics who had ulcers and sores on their feet that would not heal tell me they finally healed after this little trick.
I have had patients with chronic leg pain and restless legs tell me that thos gradually eliminated the pain. I have heard similar stories from patients with carpal tunnel syndrome whose syptoms just disappear.
Why can such a simple treatment have such remarkable effects? When hands and feet are cold due to reduced blood flow every cell is partially deprived of oxygen and nutrition that the reduced blood flow no longer delivers. In addition there a decrease in the removal of toxic metabolic wastes in the tissues. The answer is that the body is designed to heal.
The above healing effect is similar into how headaches and muscle pain are relieved with Neuromuscular Dentistry (http://www.sleepandhealth.com/neuromuscular-dentistry) due in part to increased vascular flow to the muscles.
Labels: cold feet, cold hands, cure, free redicals, sleep apnea Thalamus
posted by Dr Shapira at 3:26 AM 0 comments
Wednesday, January 6, 2010
Treatment of OSA Can Benefit Heart Health
Fatigue
Anxiety
Depression
High blood pressure
Gastric reflux
Memory problems
Concentration problems
Diabetes
Dry throat
Impotence
Cognitive deterioration
In a study published in the Journal of the American College of Cardiology, it was found that, "Not only are the shape and size of the heart affected, the right side of the heart was dilated and the heart muscle on the left side was thicker in patients with obstructive sleep apnea. Treating the problem brought significant improvements in the affected parameters, as well as in symptoms, in a relatively short period of time of six months," according to Dr. Bharati Shivalkar.
There are treatments for OSA besides CPAP. Dr. Ira Shapira, a Gurnee, Illinois dentist, has treated countless patients with OSA with great success using oral appliances, behavioral changes, and medication. CPAP is not for everyone as it can be very uncomfortable and inconvenient.
If you or your partner suffers from OSA, please contact Dr. Ira Shapira in Gurnee, Illinois today to schedule a thorough evaluation.
posted by Lynn at 6:57 AM 0 comments
Tuesday, January 5, 2010
Sleep as Life's 'Greatest Little Pleasure'
There's no denying the benefits of a good night's sleep. We love waking up refreshed and ready for the day. According to a recent poll of 3,000 Brits, our friends across the pond agree. The poll, conducted by the British company Bachelors, found that a good night's sleep was voted the number one "greatest little pleasure in life," according to an article in the London Telegraph. Other items that topped the list include "finding a forgotten tenner (a $10 bill) in your pocket" and "cuddling up with a partner in bed." Bachelors spokesperson Rob Stacey told the Telegraph, "You can't beat the feeling of getting into bed after a long, hard day," adding, "And that feeling gets even better when you wake up feeling great and back to your normal self the following morning."
Helping people with sleep apnea is truly rewarding and this article from the National Sleep Foundation spells it out. There is nothing like waking up feeling great in the morning. Patients who suffer with CPAP never have this feeling. The 25 per centers, those who love their CPAP from the first day understand how treatment of Sleep Apnea improves their life. Those of you who visit the I HATE CPAP! website understand that CPAP is not "YOUR ANSWER". You do not wake up feeling great. I wish that oral appliances were the perfect answer for all of you, it isn't but studies repeatedly show that 95% of patients prefer comfortable oral appliances to CPAP when offered a choice. Please contact me and let me know what peeves you about CPAP. Those of you who love your CPAP understand that while it is a miracle for your life that CPAP may be torture for your loved ones.
Labels: BEST PRICE CPAP, greatest little pleasure, sleep, torture
posted by Dr Shapira at 1:03 PM 0 comments
Multi-prong approach to stop snoring.
"What a great blog.To stop snoring it is best to adopt a multi-pronged approach by addressing each factor in your quest for snore relief. Excess body weight, too much alcohol drinking, deviated septum, chronic nasal congestion are some of the common reasons why people snore. "
Thank you for your comment. I agree with you there are answers available and one you didn't list is sleep posture. Staying off you back can help both apnea and snoring. The hope is to find the best possible treatment for the each and every individual patient who snores or has sleep apnea.
posted by Dr Shapira at 6:21 AM 0 comments
Thursday, December 31, 2009
Sleep and Headache Related
It turns out that the two primary causes of morning headaches are TMJ disorders and Sleep Apnea. The NHLBI actually considers sleep apnea to be a TMJ disorder. The report "Cardiovascular and Sleep Related Cosequences of Temporomandibular Disorders" explains the connections in detail at http://www.nhlbi.nih.gov/meetings/workshops/tmj_wksp.pdf.
The authors hope to " In the present work the anatomy, physiology and pathology of sleep and head-pain perception will be reviewed with the aim of highlighting the points of contact and possible unifying treatment strategies." This is exactly what is done both by the NHLBI and on this website. Sleep and Headache are connected by the neuromuscular function of the masticatory system and the trigeminal nervous system.
Labels: headaches, morning headaches, related, sleep apnea Thalamus
posted by Dr Shapira at 7:59 PM 0 comments
Headaches and Chiari Malformation
ntly on Keppra (500 mg a day). I have only been on it two weeks, and the severity of my headaches has increased. I have ocular symptoms as well, shadows and spots in my field of vision, which an opthamalogist believes are a result of the headache. Since I was 11 years old, I have had difficulties with my left temporomandibular joint. I have pain if I open my mouth to far, as well as the common popping and scraping soulnds. My jaw has become increasingly stiff over the past several months. The constant pain is wearing me down and making it difficult to concentrate in school as well as perform my job at a daycare due to my sensitivity to sound. I do not know if there is any type of advice or information you can offer me, but I would appreciate your consideration. HEATHER
Dear Heather
While they found the Chiari malformation because they investigated your headache symptoms that does not mean that it was the cause of your pain initially. It is relatively common to have an assymptomatic Chiari malformation. Because that did not help your headache pain it probably was not the cause of the pain but rather a accidental finding. The malformation was not new, only the severity of the pain was new.
The majority of headaches are related to problems or disturbances of the trigeminal nervous system. With your history of jaw problems and I would tell you to consider trying a DIAGNOSTIC Neuromuscular Orthotic. It is rare for patients not to have significant relief from an orthotic. That does not mean 100% relief. I tell my patients that we initially seek 50-80% relief and then seek 50-80% reduction in residual pain. I frequently get out of town patients who come to Chicago but I will be glad to work with your Neuromuscular Dentist to help you through this difficult time. Frequently trigger point injections and or SPG nerve blocks can be helpful in treating pain problems similar to yours.
I am leaving the country for the next couple of weeks but please feel free to contact me again.
posted by Dr Shapira at 5:36 PM 0 comments
Tuesday, December 29, 2009
Valuable information
posted by Dr Shapira at 6:17 PM 0 comments
Monday, December 28, 2009
Celebrities with Sleep Apnea
Some of you may find it reassuring to know that some of the most famous and gifted people in the world suffer (or suffered) with the same condition as you: sleep apnea.
For instance, Johannes Brahms, a great classical German composer of the nineteenth century suffered with obstructive sleep apnea most of his life, according to a study done a few years ago.
Jerry Garcia, an American musician best known for his work with the band The Grateful Dead, suffered with sleep apnea, which, it is alleged, contributed to his death of a heart attack in 1995, while he was in a drug rehab facility in California. Garcia had struggled for a long time with his weight, diabetes, and drug addiction, but it's a little known fact that he also had sleep apnea.
For you vampire lovers out there, author Anne Rice also suffered with sleep apnea. Rice gained a lot of weight after the death of her husband, and sleep apnea was a condition that accompanied her weight gain. She is best known for her work, Interview with the Vampire, later adapted for the big screen starring Tom Cruise and Brad Pitt.
Cool Hand Luke fans surely know George Kennedy, the actor who played Dragline; Kennedy won an Oscar for this role. Later in his career, Kennedy starred in the Airport series of plane disaster films and the in the Naked Gun series of movies as Captain Ed Hocken. Kennedy had sleep apnea much of his adult life.
NFL hall of famer, Reggie White, who held the record for quarterback sacks for a while died in 2004 of massive heart attack brought on by sleep apnea. He was only 43.
With so many treatments available now for sleep apnea, you need not suffer with this potentially life-threatening condition any longer. If you live in or around the Chicago, Gurnee, Illinois area, please contact sleep apnea specialist, Dr. Ira Shapira today to schedule a consultation.
posted by Lynn at 2:16 PM 0 comments
Sunday, December 27, 2009
Migraine triggers Such As Smells Are A Trigeminal Nerve Effect.
The study by Wu J, Zhang X, Nauta HJ, Lin Q, Li J, Fang L appeared in Biochem Biophys Res Commun. 2008 Nov 28;376(4):781-6. The authors state that "the role of JNK kinase cascade and its epigenetic modulation of histone remodeling in trigeminal ganglion (TG) neurons activated by environmental neurotoxins remains unknown." While they do not understand all of the chemical pathways the fact that they exist and are stimulated in the sinus and innervated by the trigeminal nerve support neuromuscular dental treatment to prevent migraine.
Another study from the Department of Ophthalmology, University of Washington, Seattle, Washington, USA concluded that "Sympathetic nerves enter the orbit via the first and second divisions of the trigeminal nerve and a plexus of nerves surrounding the ophthalmic artery." This would support neuromuscular control thru the trigeminal nerve of opthalmic signs and symptoms being trigeminally innervated and therefore like to respond to removal of noxioux input from the masticatory system. There is now a rational for using neuromuscular dentistry to relieve and prevent opthalmic migranes.
The authors state " Sympathetics innervate ocular structures via the posterior ciliary nerves. Sympathetic axons travel anteriorly in the orbit via the nasociliary and lacrimal nerves to innervate the sympathetic eyelid muscles. Sympathetic nerves also travel with the frontal branch of the ophthalmic nerve to innervate the forehead skin. The ophthalmic artery and all of its branches contain a perivascular sympathetic nerve supply that may be involved in regulation of blood flow to ocular and orbital structures." This again supports migraine and opthalmic symptoms being mediated by the trigeminal nerve. Neuromuscular dentistry attempts to reduce the noxious input to prevent neural input from reaching a threshold that causes pain and other symptoms.
The above study, "Human orbital sympathetic nerve pathways" was published in Ophthal Plast Reconstr Surg. 2008 Sep-Oct;24(5):360-6 by Thakker MM, Huang J, Possin DE, Ahmadi AJ, Mudumbai R, Orcutt JC, Tarbet KJ, Sires BS
Labels: migraine trigger, opthalmic migraine, smells, Trigeminal nerver
posted by Dr Shapira at 2:05 PM 0 comments
Saturday, December 26, 2009
Special Exercise with Didgeridoo helps Sleep Apnea and Snoring
It is fun though while I could do the breathing I don't think I had enough musical ability to call the sounds I produce music. When played while it does have a rather cool sound
posted by Dr Shapira at 10:08 PM 0 comments
Dry Mouth Problems helped by off label use of Gelclaire
This is an off label use of the product but has been fantastic for many patients suffering from dry mouth problems. The only complaints I have had is that it is relatively expensive but worth the cost. The second complaint is that it has a mild black licorice or anise flavor.
posted by Dr Shapira at 9:36 PM 0 comments
Pure Sleep: A Treatment For Snoring Not For Sleep Apnea
Snoring is often portrayed as a comic problem and is great material for the writers of sitcoms. It is also a warning sign of obstructive sleep apnea a life threatening disorder that increases the risks for heart attacks and strokes 600%. An eight year study showed a 36% decrease in eight year survival in patients with untreated sleep apnea. New studies have shown that heavy snoring alone drastically increases the risks for carotid atherosclerosis. The carotid proves blood to the brain and can lead to strokes. Sleep apnea is diagnosed with polysomnography and the gold standard of treatment is CPAP or continuous positive air pressure. CPAP is basically a small compressor that blows air thru a hose and a mask that presents airway collapse while the patient sleeps. The good news is that CPAP is extremely successful in treating sleep apnea and is considered the gold standard when treating sleep apnea. The bad news is that one half to two thirds of all patients prescribed CPAP do not actually use it on a regular basis. The American Academy of Sleep Medicine in 2006 declared that oral appliances were a first line of treatment for mild to moderate sleep apnea equal to CPAP and an alternative treatment for severe sleep apnea when patients do not tolerate CPAP. Studies have shown that most patients who are given a choice prefer oral appliances to CPAP. Patients wishing to learn more about dental sleep medicine and oral appliances should go to http://www.ihatecpap.com for information about the dangers of sleep apnea and treatment with oral appliances.
Pure Sleep is advertising on television commercials that it is FDA approved for treating simple snoring and that it works the same as oral sleep apnea treatment appliances. Research in dental sleep medicine has shown that oral appliances are very effective in treating snoring and sleep apnea. Pure sleep is not designed for treating sleep apnea but for simple snoring. A quick search on the internet will find stories of patients discontinuing use of CPAP in favor of the pure sleep appliance without medical consultation with their sleep physicians. This may effect both the patients health as well as public welfare. Some patients who quit snoring become silent apneics who are at greatly increased risk of heart attacks and stroke. These patients also have a 600% increase in motor vehicle accidents an have slower reaction times than people who are legally drunk and are definitely a dangerous when behind the wheel. Drowsy driving is considered to be a bigger problem than drunk driving. A study presented at the Thoracic Society meeting showed a 300% increase in motor vehicle accidents in patients with mild apnea and no symptoms of sleepiness.
Does the Pure Sleep appliance work? It probably will be very effective for many patients with simple snoring but should never be used to replace CPAP treatment without follow-up sleep tests. It will probably produce TMJ problems for many patients. The American Academy of Sleep Medicine recommends that dentists treating sleep apnea with oral appliances have special training in treating TMJ disorders. Patient with additional risk factors should absolutely have medical consultation prior to using a pure sleep appliance. A partial listing of medical conditions that my suggest sleep apnea include: Hypertension (high blood pressure), diabetes, fibromyalgia, gastric reflex, coronary artery disease, heart disease, lung disease, Memory problems, thyroid problems, daytime sleepiness, morning headache, and TMJ disorders including headache, earache, joint clicking or popping, eye pain, sinus pain and neck pain.
The public is already familiar with the warnings and caveats when prescription drugs are advertised in the media whether it is print, radio or television. Perhaps the FDA should require similar warnings to be placed in the marketing of the Pure Sleep Appliance. The FDA should examine whether strict disclaimers should be part of the advertising when the sleep physician is not involved in patient treatment.
The warning could state that snoring is often a sign of sleep apnea that is a severe life threatening disorder. Similar warnings to commonly associated disease and conditions could be listed as well as dangers of not being properly treated. Untreated sleep apnea is a greater to risk to public health and safety health than cigarette smoking. Unlike smoking the Pure Sleep Appliance is a positive development if used properly, the danger is if it used improperly in which case it is not only a danger to the user but also to the public. We have learned from our current economic crisis how lack of regulation can cause significant problems.
The real question is, if a patient with sleep apnea uses a pure sleep appliance that quiets the snoring but does not treat their sleep apnea and an innocent child is then killed in a motor vehicle accident who is responsible. The FDA for approving the appliance without insisting on appropriate warnings, the patient who used the appliance without realizing the risks or the company who supplies the appliance to the public. The paperwork explains to the patient that the appliance is for treating snoring and not for treating sleep apnea. How does the patient know if they have sleep apnea or just snoring. There are several pages of instructions that are designed to let the company claim that patients were informed that the appliance is only meant for simple snoring but research has shown that these type of warnings are rarely read or heeded by the public. Patients can assume if they are not having symptoms of tiredness that they do not have apnea. This is a dangerous assumption. A recent study presented to the American Thoracic Society showed a 300% increase in motor vehicle accidents involving serious physical injury in patients with mild sleep apnea and no symptoms of excessive daytime sleepiness.
Heavy snoring is also no longer considered just a cosmetic problem. A study in Sleep (Sept 2008) showed a large increase in carotid atherosclerosis in heavy snorers that could increase the risk of strokes up to ten fold. This snoring is a medical disorder that the FDA has decided can be treated by use of an over the counter appliance without follow-up. I wonder if the FDA considers this an acceptable increase in risk. Hopefully the Pure Sleep appliance helps patient with simple snoring but I am worried by how many lives could be lost when it is used inappropriately. For many years the FDA did not allow the sale of this type of device on the internet. Research must have convinced the FDA that this was an acceptable method of treatment.
I am not going to answer these questions, but they are questions that need to be addressed on a medical basis by the patient and their health care providers as well as by those who insure the safety of the roads. Oral appliances are definitely a comfortable alternative to CPAP in patients with mild to moderate apnea and an alternative for patients with severe apnea who do not tolerate CPAP. Learn more about dental sleep medicine at http://www.ihatecpap.com
To learn more about the dangers of Sleep Apnea and the treatment alternatives you can use the following resources:
http://www.sleepapnea.org/awake/index.html
http://www.sleepfoundation.org/site/c.huIXKjM0IxF/b.2417141/k.27D9/Ho ... a_Poll.htm
http://www.sleepandhealth.com
http://www.ihatecpap.com/sleep_apnea_dangers.htm
posted by Dr Shapira at 7:37 PM 0 comments
BIMAXILLARY ADVANCEMENT SURGERY FOR SLEEP APNEA
A newer soft palate surgical procedure involves using a sliding flap to advance the soft palate. The advantage to this surgery is that it is reversible. The biggest problem with soft palate surgeries is they increase the risk of velo-insufficiency following maxillary advancement. Because maxillary and mandibular advancement is the most effective surgical proceedure having a reversible soft palate surgery is vital. Tracheotomy is actually the single most effective surgery but is not accepted by most patients except in an emergency context. A tracheotomy lets the patient bypass the base of the tongue and breathe thru the throat. The base of the tongue and the epiglottis secondary to base of tongue pressure is the location of the majority of obstructive events. Surgery to reduce the tongue size or position include removing an anterior wedge from the tongue and letting the tongue posture forward, a median rhomboid glossectomy which removes a rhomboid shaped area from the center of the tongue. It is a challenging surgery and the physicians I have talked to have never done it more than once. I have never talked to who has had that proceedure. There are two prcoeedrures for reducing the Base of the tongue the radiofrequency or somnoplasty procedure has been shown to be as effective as the base of tongue surgery and is much easier on the patient. A paper comparing the procedures recommended that radiofrequency was preferred in spite of multiple procedures. Base of tongue reduction by either method may not cure apnea alone but will allow lower CPAP pressure and/or less advancement of the mandible for appliances therapy. It will have a positive effect relative to maxillomandibular surgery as well.
A less aggressive surgery than full maxillomandibular advancement is a genioglossus advancement. This involves cutting the chin loose from the lower jaw and bringing it forward and bolting it in place. I like to call this the "Jay Leno" surgery because everyone has the Jay Leno look after surgery. This is a good surgery for a patient with a weak or recessive chin but normal bite who would like to avoid more radical surgery. In these patients it can also be done in conjuction with maxillomandibular surgery.
Maxillomandibular advancement consists of cutting the upper jaw or maxilla loose from the skull and usually moving it downward and forward. In narrow maillas the surgeon may also cut the upper jaw into sections and then rearange the parts and either wire or bolt the bones together with titanium plates. The lower jaw is then cut into three pieces and the middle part is advanced and the parts are again either wired together or bolted with titanium screws and plates. The patient usually has the mouth wired shut for up to six weeks.
This is an extremely effective procedure and in some patients can be a cosmetic enhancement while in others it results in protrusive profile that is not acceptable. At this time I would say "let the buyer beware" This is a serious surgery and needs to be approached with caution and deliberation. I love the quote "THERE IS NO DISEASE OR DISORDER THAT CANNOT BE MADE WORSE BY STICKING A KNIFE IN IT." and I wish I knew who first said it. It does not mean you should not do surgery but rather take a cautious and informed approach to any surgery and ask about possible problems associated with the surgery.
In the case of Maxillomandibular surgery for treating sleep apnea I strongly recommend that maximum advancement with oral appliances be done before any surgery. The TAP 1 is probably the most effective appliance at achieving this position. Utilize a daytime appliance to eliminate pain or discomfort from trying to return to the original bite. If apnea is eliminated with the appliance the surgeon now has a surgical guide to determine where to reassemble the patient after cutting the jaws into multiple pieces to get the best results. This is major surgery an patients do not want to need to Need CPAP, Appliances or additional surgey to treat their apnea after going though this extensive surgery.
An article in the Journal of Otolaryngologic Head and Neck Surgery in November of 2009 reported on "Complications/adverse effects of maxillomandibular advancement for the treatment of OSA in regard to outcome" (abstract below) They reported adverse advents as well as cosmetic changes but state the patients considered these secondary to the surgical outcome. The most common side effect was mental nerve damage. This would feel like a numb (paraesthesia) lower lip to the patient similar to the feeling of having anasthetic for a filling on the lower jaw. It is also possible to have tongue paraesthesia.
The results were very good with the "mean apnea-hypopnea index decreased from 65.5 +/- 26.7 per hour to 14.4 +/- 14.5 per hour. In simple English this means that patients began with apnea-hypopnea indexes of as high as 92 to as low as 38 and after surgery the AHI was reduced to 28 to Zero. The patients with apnea indexes in the upper ranges would still need CPAP but some of the 50 patients had a complete cure. This is an excellent and effective surgical option that carries risks of adverse events and cosmetic changes. It is possible to effectiveness by oral appliance advancement as a trial to evaluate the best position to reassemble the patient.
PubMed abstract:
Otolaryngol Head Neck Surg. 2009 Nov;141(5):591-7.
Complications/adverse effects of maxillomandibular advancement for the treatment of OSA in regard to outcome.
Blumen MB, Buchet I, Meulien P, Hausser Hauw C, Neveu H, Chabolle F.
ENT Head and Neck Surgery, Foch Hospital, Suresnes, France. mbjblu@club-internet.fr
OBJECTIVE: To evaluate adverse effects/postoperative complications and surgical response rate of maxillomandibular advancement for the treatment of severe obstructive sleep apnea syndrome. STUDY DESIGN: Case series with chart review. SETTING: Otolaryngology Head and Neck Surgery Department in a teaching hospital. SUBJECTS AND METHODS: A total of 59 consecutive severe sleep apnea patients underwent maxillomandibular advancement. Systemic complications were evaluated from medical charts. Functional adverse effects and cosmetic consequences were evaluated by questionnaires. The treatment outcome was assessed by polysomnography. RESULTS: Fifty patients were evaluated. They had a mean age of 46.4 +/- 9.0 years. No serious postoperative complication was observed. The most frequent local complication was mental nerve sensory loss. Most patients reported cosmetic changes. The mean apnea-hypopnea index decreased from 65.5 +/- 26.7 per hour to 14.4 +/- 14.5 per hour (P < 0.0001). Light-sleep stages were also decreased (P < 0.0001), whereas deep-sleep stages were increased (P < 0.001). CONCLUSION: Maxillomandibular advancement can induce local adverse effects and cosmetic changes, but they seem to be considered as secondary to the patients according to the surgical outcome.
PMID: 19861196 [PubMed - indexed for MEDLINE]
posted by Dr Shapira at 6:50 AM 0 comments
Wednesday, December 23, 2009
Do You or Your Partner Have Sleep Apnea?
There are three types of sleep apnea: obstructive sleep apnea (OSA), central sleep apnea, and a combination of the two. OSA is caused by a blockage of your airway; excess tissue may be the cause of this blockage. The blockage could be in the nasal passages, or something related to the structure of the jaw and airway may also cause the sleep apnea.
Central sleep apnea is not as common as obstructive sleep apnea. In CSA, the brain does not send the appropriate signals to the breathing muscles to produce respiration.
The causes of sleep apnea are numerous and may include:
Structural problems in the airway that cause interrupted breathing during sleep
Throat muscles and tongue relax during sleep blocking the airway
Narrowing of the airway often occurs in obese individuals due to the excess tissue in the throat and neck areas
Some people are more prone to suffer from sleep apnea than others. A staggering 15 million people are estimated to suffer from this condition with more men than women having the condition. People who are overweight, have hypertension (high blood pressure) or snore loudly are at a greater risk of developing sleep apnea. Some studies indicate that the disorder may be hereditary.
There are a variety of treatments for sleep apnea, and treatment for sleep apneaics varies from case to case. In the past, CPAP (Continuous Positive Airway Pressure) has been used but because you must actually wear a mask while you sleep. The CPAP machine uses pressure to send air flowing through the nasal passages. Other treatments for sleep apnea include:
Oral appliances
Behavioral changes
Medication
Surgery
If you think you may suffer from sleep apnea, there is help out there for you. In Gurnee, Illinois, Dr. Ira Shapira has successfully treated thousands of sleep apneaics, and he can help you, too. Please contact sleep apnea specialist, Dr. Ira Shapira at his Gurnee, Illinois dental office today.
posted by Lynn at 1:07 PM 0 comments
Saturday, December 19, 2009
I WOULD DEFINITELY TELL YOU TO HAVE THE SLEEP STUDY. MANY PATIENTS HAVE SEVERE PROBLEMS BUT ARE SYMPTOM FREE. TRUST YOUR PULMONOLOGIST ON THIS ONE.
DR SHAPIRA
posted by Dr Shapira at 11:01 AM 0 comments
Friday, December 18, 2009
Improving CPAP and Appliance Comfort With PAP Pillow
Dr Ira L Shapira
The folowing information is from Tracy's website:
Feel the PAPillow™ Difference!
The patented design of the PAPillow™ has solved CPAP compliance issues for thousands of CPAP users.
Helps prevent mask leaks and sore spots
Improves comfort and CPAP compliance
Helps you to achieve a good night's sleep
Designed by CPAP users, for CPAP users
All PAPillows Feature:
Sturdy construction, high quality interlock-knit
Proper support for neck and head
Accommodates both left or right side sleeping
Comfortable, hypoallergenic synthetic down fill
Quilted side panel prevents edge collapse
Machine washable, cool dryer safe
Fitted pillow case included
See how the PAPillow works
© 2000-2008 PAPillow.com. U.S. Patent No. 6,913,019. All Rights Reserved.
posted by Dr Shapira at 10:18 AM 0 comments
The BEST PRICES ON CPAP SUPPLIES AND EQUIPMENT
"comments : My name’s Nathan Frasher and I’m a marketer for BestCPAPprice.com We sell the same products that all the other CPAP websites sell except we have a Best Price Guarantee. If you find a competitor with a lower advertised price for a product that we stock, we will give you 110% of the difference! For example, if we advertise a product for $250, and a competitor has the same product advertised for $200, we will sell it to you for $195. There are also additional discounts that we can’t publish on the site due to trade guidelines. These discounts are available to customers who contact us If you would be willing to check out the site, http://www.bestcpapprice.com and possibly mention this deal to your readers, we would be very grateful."
For the best prices on CPAP contact BestCPAPprice.com If they dissapoint you I will make sure to pass on that information. If you are happy with their services I will pass that on as well.
Wishing you a happy holiday season.
Dr Ira L Shapira
Labels: BEST PRICE CPAP, BiPAP, BUYING CPAP, CPAP BiPAP, cpap supplies, cpap.com
posted by Dr Shapira at 8:32 AM 0 comments
Thursday, December 17, 2009
What is CPAP?
If sleep apnea is left untreated, it can lead to many serious problems including:
Fatigue
Depression
High blood pressure
Diabetes
Sore throat
Dry mouth
Excessive daytime drowsiness
Poor concentration
Short-term memory problems
Anxiety
Mood swings
Impotence
Cognitive deterioration
Most of us are aware that a good night's sleep is essential. REM sSleep, the time during sleep when we dream, contributes to overall health and proper body function. But during a sleep apnea event, the individual leaves REM sleep many times throughout the night to restart his or her breathing. The result is a lack of deeply restful sleep that seriously affects the body's ability to function.
There are three different types of CPAP machines:
CPAP: delivers one continuous air pressure
APAP: adjusts to your need for oxygen by starting out at low pressure, senses raising the pressure during a sleep apnea event
BiPAP: uses a higher pressure when you inhale and lower pressure when you exhale
To learn more about snoring and sleep apnea, please contact sleep apnea specialist, Dr. Ira L. Shapira, in Gurnee, Illinois today to schedule your initial consultation.
posted by Lynn at 6:56 AM 0 comments
Monday, December 14, 2009
Allergic reaction to somnodent by somnomed cofirmed by clifford test.
The appliance comes with a soft liner and with hard acrlic and stainless clasps and screws, They do make a version with a titanium screw. If this is not acceptable I would check with somnomed to see if they could make the appliance out of a material you are not sensitive to. There are other options available otherwise that you can discuss with Dr -------
Dr Ira Shapira
Labels: allergy oral appliance, clifford test, somnodent, somnomed
posted by Dr Shapira at 5:09 PM 0 comments
Sunday, December 13, 2009
There are many methods to utilize dental implants to improves the lives of patients. In intolerant CPAP patients would be a life saving alternative. Should medical insurance companies be required to cover the costs of dental implants if they are needed to retain a sleep appliance?
It would be possible to create a simple appliance that utilizes two dental implants in the posterior mandible (back part of lower jaw, and use a tongue bumper held by the implants to prevent airway collapse during sleep. It could attatch to the implants and go behind the tongue to prevent collapse. This would create an appliance that works in a similar matter to TRD's or Full Breath appliance. It would have minimal effect on the teeth or jaw position.
As of now I think the best treatment is to use standard implants to hold fixed bridgework ot dentures and then standard appliances for most patients. It is always possible to do custom modifications of FDA approved appliances or one of a kind unique appliances to address unique problems.
PubMed absrtact
Sleep Breath. 2009 Sep 18. [Epub ahead of print]
Orthoimplants: an alternative treatment for SAHS?
de Carlos F, Cobo J, Fernandez Mondragon MP, Alvarez Suarez A, Calvo Blanco J.
Department of Surgery and Medical-Surgical Specialities, Area of Orthodontics, Faculty of Medicine, Universidad de Oviedo, Clinica Universitaria de Odontologia, C/Catedrático José Serrano, s/n 33006, Oviedo, Spain, fcarlos@uniovi.es.
Numerous sleep studies have been published recently regarding the use of intraoral devices (ODs) for the treatment of sleep apnea-hypopnea syndrome (SAHS). The effectiveness of these devices varies, however, according to the series studied (patient characteristics, parameters assessed, type of device, etc.). Two factors should always be assessed: the presence of an appropriate dental support and a possible temporomandibular joint pathology which can, on occasions, contraindicate the use of these devices. OBJECTIVES: To use orthoimplants as orthodontic anchorages for intermaxillary elastic bands which allow a mandibular advancement to be performed as an alternative treatment to ODs in SAHS patients without appropriate dental support. MATERIALS AND METHODS: Four orthoimplants were placed in an edentulous SAHS patient who did not tolerate continuous positive airway pressure (CPAP). The mandible is pushed forward using orthodontic elastic bands anchored to the orthoimplants. RESULTS AND CONCLUSIONS: Although more studies are still required, orthoimplants could be an alternative treatment for reducing snoring and the apnea-hypopnea index and increasing SaO2, which should be considered for patients who do not tolerate CPAP and lack appropriate dental support for attaching intraoral devices.
PMID: 19763651 [PubMed - as supplied by publisher]
posted by Dr Shapira at 6:17 AM 0 comments
Thursday, December 10, 2009
Study supports MAD effectiveness and health of TM Joints
PubMed abstract is included for reference
Sleep Breath. 2009 Nov;13(4):375-81. Epub 2009 May 1.
Systematic assessment of the impact of oral appliance therapy on the temporomandibular joint during treatment of obstructive sleep apnea: long-term evaluation.
Giannasi LC, Almeida FR, Magini M, Costa MS, de Oliveira CS, de Oliveira JC, Kalil Bussadori S, de Oliveira LV.
Institute of Research and Development IP&D, University of Vale do Paraíba, São Paulo, Brazil. odontogiannasi@uol.com.br
OBJECTIVE: The aim of the present study was to evaluate the symptoms of temporomandibular dysfunction (TMD) in patients with obstructive sleep apnea treated with long-term use of an oral appliance (OA) using a questionnaire based on the Helkimo Anamnestic Dysfunction Index. A further aim of the study was to evaluate the presence of daytime sleepiness using the Epworth Sleep Scale (ESS) and otologic symptoms. MATERIALS AND METHODS: Polysomnograms of 34 patients were performed at baseline and after 6 months of OA use. As follow-up, the patients were contacted by telephone interview to answer the same questionnaires after 36.0 +/- 17.0 months. RESULTS AND DISCUSSION: The intensity of TMD symptoms decreased significantly throughout treatment (p < 0.01). ESS values improved from 12.2 +/- 5.0 to 6.9 +/- 2.6 (p < or = 0.05). Tinnitus was present in nine patients at baseline and decreased in intensity in seven patients by the final assessment while remaining at the same level in two patients. CONCLUSIONS: We conclude that long-term usage of an OA does not cause impairment to the temporomandibular joint. The Helkimo and otologic indexes are simple and useful in long-term patient follow-up. There was a long-term improvement in the ESS values over the years analyzed. A follow-up program could increase compliance by motivating patients to use the device regularly.
Labels: effectiviness, ESS, long term oral appliance use, MAD, TMD, TMJ
posted by Dr Shapira at 1:03 AM 0 comments
Wednesday, December 9, 2009
Improving Cpap Comfort Mask Appliance Combo
You can take steps to make using a CPAP mask a more pleasant experience. Here's what I do: I’ve been a snorer for a long time. As I got older, my snoring has gotten more frequent and louder. I also noticed I was tired a lot and liked to take naps during the day. I was overweight. People complained about my snoring and I did not want to sleep in the same room with other people for fear of keeping them awake.Finally, I asked my doctor about the problem. He sent me home with a machine to check my breathing and pulse while I slept. The results really shocked me! The doc said my airway was closing off up to 70 times each hour, and that I stopped breathing for as long as one full minute at a time! I had severe apnea. He strongly recommended I start using the CPAP machine, since I was risking damage to my heart due to lack of oxygen.I had read about CPAP machines before and always thought I would never be able to sleep with one, since I am a little claustrophobic. Surprisingly, it only took me a few minutes to get used to, and I was able to start sleeping comfortably right away.The mask part is just a small nose manifold that covers the nostrils to blow in air. That keeps the throat inflated like a balloon, preventing throat closures and snoring. One problem is the straps over the head that keep the nose piece in place. They can be a little annoying at first, and if you change sleeping positions at night, it is possible for these straps to move, causing the nose piece to slip off. I have been using a Dreamhelmet (a combination sleep mask sound-muffling pillow) for years now, to sleep at night and for napping during the day. I always find it hard to sleep without the Dreamhelmet, and was afraid I would not be able to use it with the CPAP mask, but I was wrong about that too. After using the CPAP machine and mask for a short while, I tried wearing the Dreamhelmet over the CPAP mask, covering up the straps – voila, it worked like a charm! I found that the Dreamhelmet actually helps keep the straps in place when I change positions, so now I can sleep all night in comfort, not being bothered by sound, light, or changing positions. The CPAP combined with the Dreamhelmet are the perfect sleeping combo for me. You can see and buy the Dreamhelmet for under 30 bucks at DREAMHELMET.com. Now I don’t snore, I wake up rested, and I have energy that lasts all day long. I’m still overweight, but I don’t feel so run down all the time or feel like I need an afternoon nap, but I still carry an extra Dreamhelmet in the car with me just in case I do need a nap.
I was not familiar with the Dream Helmet and had to Google it. It appears this response may be commercial in nature but I thought it was worth passing it on as it might be helpful for some patients. I recently spent time in Dallas, Texas with Dr Keith Thornton the inventor of the TAP oral appliance for treating sleep apnea and I am please to report the excellent TAP-PAP combinations which include an integrated TAP 3 appliance and a nasal CPAP mask. This will eliminate leaking masks. Airway technologies is also manufacturing custom CPAP masks for appliance connection that use denture technology for a custom mask.
posted by Dr Shapira at 11:34 AM 0 comments
Tuesday, December 8, 2009
TMJ and Sleep Apnea?
Dear Dr. Shapira,
I suffer from both TMJ Disorder and Sleep Apnea. Is this common?
Response to Patient:
Dear____,
It is ver common to suffer from headaches and sleep apnea. The National Heart Lung and Blood Institute say that sleep apnea IS a TMJ disorder. Morning headaches, in particular are almost always related to TMJ, Bruxing, Grinding or Sleep Apnea
Sincerly,
Dr. Ira L. Shapira
posted by Dr Shapira at 2:39 PM 0 comments
Patient Inquiry: CPAP Diagnosis
Already diagnosed and been on CPAP since march. Dr. told me to stop using it about a month ago since I have mild-moderate apnea and the mask disrupts my sleep.
Response to Patient:
DEAR ____,
STOPPING CPAP WITHOUT OTHER TREATMENT IS VERY DANGEROUS AND COULD LEAD TO DIRE OR EVEN LIFE THREATENING CONSEQUENCES. PATIENTS WITH UNTREATED APNEA ARE MORE LIKELY TO DIE IN THEIR SLEEP THAN WHEN EXERCISING. THERE IS UP TO A SIX-FOLD INCREASE IN HEART ATTACKS, STROKES AND MOTOR VEHICLE ACCIDENTS.
WITH MILD TO MODERATE APNEA YOU NEED TREATMENT. IF CPAP IS NOT ACCEPTABLE SEEK OUT AN ALTERNATIVE: ORAL APPLIANCES OR SURGERY.
posted by Dr Shapira at 2:37 PM 0 comments
Monday, December 7, 2009
Sleep Apnea Increases Chance of Stroke
Daytime sleepiness
Fatigue
Gastric reflux
Memory problems
Concentration problems
Sore throat
Dry mouth
Depression
Anxiety
One of the most serious problems sleep apnea can lead to is stroke. A study conducted by the American Thoracic Society International Conference showed that people with moderate to severe sleep apnea were 3 to 4 times more likely to have a stroke than people without sleep apnea. The study did not follow those with mild sleep apnea. Moderate to severe sleep apnea, for purposes of this study, was defined as breathing stopping or slowing at least twenty times per hour of sleep.
One reason why sleep apnea may increase your chance of a stroke is that this condition increases your blood pressure; hypertension is the most common risk factor for stroke. For this reason, it is very important to have your sleep apnea treated.
If you live in the Chicago, Illinois area and suffer from sleep apnea (or your partner does), please contact Dr. Ira Shapira today to schedule a thorough evaluation.
posted by Lynn at 6:58 AM 0 comments
Monday, November 30, 2009
Sleep Apnea's Link to Higher Death Risk
In this study, 1,522 healthy men and women were tracked for over 13 years.
Approximately 12-18 million American men and women suffer from sleep disorders, and with the number of obese people rising each year, the number of people with sleep disorders will increase, also.
Sleep apnea is treatable. If you live in the Gurnee, Illinois area, sleep apnea dentist, Dr. Ira Shapira has helped countless people from all over the world with a variety of treatments.
Please contact "I Hate CPAP!" today to schedule a thorough consultation.
posted by Lynn at 9:11 AM 0 comments
Wednesday, November 25, 2009
How Does Snoring Occur?
Snorers may also suffer from:
Poor oral muscle tone. Relaxed tongue and throat muscles can cut off airflow. Deep sleep, alcohol and sleep medications can contribute to poor muscle tone.
Large tonsils and adenoids. Excess throat tissue can cause snoring. Being overweight can cause excess neck tissue, which is why snoring is more common in overweight individuals.
Long uvula and/or soft palate. Individuals with a long palate have a narrower opening between the nose and throat that can create noise during the relaxed breathing of deep sleep. A longer than normal uvula worsens the situation.
Nasal airway obstruction. Stuffy noses do not have a free flow of air. The extra effort it takes to breathe through a stuffed up nose creates a strong pull on floppy throat tissues, causing a snoring sound. That is why some people experience snoring only during hay fever attacks, a cold or a sinus infection.
Nose or nasal septum deformities, such as a deviated septum, can cause obstruction.
To learn more about snoring and sleep apnea, please contact Gurnee, Illinois dentist and sleep apnea specialist, Dr. Ira L. Shapira today to schedule your initial consultation.
posted by Lynn at 5:14 AM 0 comments
Monday, November 16, 2009
Apnea Treatment
Most dental appliances are made from acrylic and fit inside your mouth like an athletic mouth guard or braces. Some appliances fit around your head and chin to help reposition your lower jaw. All dental appliances are designed to open your airway, bringing your jaw or tongue forward during sleep to reduce obstruction. Unfortunately, individuals suffering from more severe forms of sleep apnea cannot find relief with these devices.
Side effects from dental appliances include:
Mouth soreness
Permanent changes or damage to the jaw, teeth, or mouth
Build up of saliva
Nausea
Specialized medication may help curb the effects of sleep apnea or complement more aggressive treatment options when taken before bedtime. Natural plant enzymes and herbs reduce congestion and swelling in the nose and throat and minimize snoring. Special nose drops or nasal sprays, and aromatherapy, have proven beneficial.
Surgery can increase airway size by surgically removing excess tissue inside the nose or back of the throat, and may include the removal of tonsils and adenoids. The jaw may be reconstructed to enlarge the upper airway. Surgery certainly carries risks, but for some, this is the best option.
To learn more about snoring and sleep apnea, please contact sleep apnea/snoring dentist Dr. Ira L. Shapira in Gurnee, Illinois today to schedule your initial consultation.
posted by Lynn at 7:37 AM 0 comments
Monday, November 9, 2009
Sleep Apnea and Bruxism (teeth grinding)
Factors that may help explain the correlation between sleep apnea and bruxism include anxiety and caffeine intake. Untreated bruxism can lead to tooth wear and tear, tooth decay, gum disease, jaw pain, temporomandibular joint disorder (TMD/TMJ), headaches and sleep disturbances for the sleep apneic and his/her partner.
Untreated sleep apnea can cause a whole host of health problems including:
Hypertension
Diabetes
Mood swings
Anxiety
Depression
Heart disease
Stroke
Memory problems
Concentration problems
Daytime fatigue
Insomnia
If you suffer from snoring, sleep apnea, teeth grinding at night, or anything else associated with disruption in your breathing cycle during the night, an experienced sleep apnea dentist can explain the many treatment options to you and evaluate your case.
If you live in the Illinois area, please contact Dr. Ira Shapira today to schedule a thorough evaluation.
posted by Lynn at 10:00 AM 0 comments
Monday, November 2, 2009
What is CPAP?
CPAP is a system for preventing airway collapse. It involves the use of a pump and an airmask that covers the nose and mouth of the person being treated, and it works by constantly pumping air into the airway with sufficient pressure to prevent airway collapse. This prevents the apneic events.
CPAP's main advantage is that it treats all levels of obstructive sleep apnea with a very high success rate when used properly. Thus, it prevents people from suffering the life-threatening consequences of sleep apnea. Optional equipment like humidifiers and in-line filters can also help people who suffer during dry periods or from allergies.
The biggest single disadvantage of CPAP is that it can be difficult to use properly. The instructions are complex, many people find it a nuisance to use, so they just don't. Even when people do use it, the mask often doesn't stay on all night, meaning that people are not receiving the full treatment necessary to combat sleep apnea. All put together, only about a third of people prescribed CPAP actually have good success with it.
In addition, those who wear CPAP often find it uncomfortable. Some find it hard to sleep, while others get breakouts from the straps or oral or nasal irritation from the air. Some CPAP machines can be noisy, making them as detrimental to partners as snoring.
Fortunately, for most people suffering from mild or moderate sleep apnea, and all snorers, there is an alternative to CPAP: oral appliance therapy. Oral appliances hold your jaw in a proper position during sleep, which in turn keeps your airways open. Oral appliances are comfortable, portable, and silent.
If you would like to learn more about CPAP and its alternatives, please contact Dr. Ira Shapira at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, today.
posted by Lynn at 8:20 AM 0 comments
Friday, October 30, 2009
Sleep Apnea and Heart Disease
Snoring is caused by vibrations of the relaxed throat tissues and is often the precursor or companion of sleep apnea. Although effective medical treatment for sleep apnea exists, this information has not entered routine medical practice nor does the public recognize the dangers. Unfortunately, even when apnea is suspected, it may be difficult to obtain qualified care. As a result, 95% of the millions of people who suffer from sleep apnea have not and may never be diagnosed, let alone treated. Nevertheless, the informed person with sleep apnea can take the initiative to get appropriate diagnosis and treatment and take the steps necessary to assure recovery.
There are many treatments available for sleep apnea and snoring. If you live in the Gurnee, Illinois area, dentist Dr. Ira Shapira has helped countless people suffering from these conditions, and we can help you, too. Please contact us today.
posted by Lynn at 11:21 AM 0 comments
What is OSA?
OSA is caused by a blockage of your airway; the blockage typically occurs when the soft tissue in the back of your throat collapses and closes while you sleep. In another type of sleep apena, central sleep apnea (CSA), the airway is not fully blocked but the brain fails to signal your muscles to breathe. There is also mixed sleep apnea, which, as its name implies, is a combination of OSA and CSA. It is estimated that 12 million Americans have some form of sleep apnea. Like many diseases and conditions, family members are affected by the condition; in this case, your partner will certainly be affected by your interrupted sleep and may even hear you gasping for air in the middle of the night. This can be quite scary because it sounds like you’re suffocating.
Some of the risk factors for sleep apnea are:
Being male
Being overweight
Being over the age of forty
However, sleep apnea can affect females, those who are not overweight and can even affect children. Many cases of sleep apnea go undiagnosed and, therefore, also go untreated. If left untreated, sleep apnea can cause a whole host of medical problems including these signs and symptoms of sleep apnea:
Heart disease
Diabetes
Stroke
Depression
Anxiety
High blood pressure
Fatigue
Concentration problems
Memory problems
As you can see by this only partial list of medical problems associated with sleep apnea, it cannot be ignored. Sleep apnea specialists such as Gurnee, Illinois dentist, Dr. Ira Shapira, can evaluate your case thoroughly and then recommend a treatment plan that is best suited for your individual case.
Please contact Dr. Shapira's Snoring & Sleep Apnea Treatment Center today to schedule your initial appointment to be evaluated for OSA.
posted by Lynn at 8:10 AM 0 comments
Tuesday, October 20, 2009
Are Sleep Apnea and Snoring the Same?
Sleep apnea, on the other hand, can be very serious and much more than an annoyance to your partner. People with sleep apnea actually stop breathing while they sleep; some people stop breathing for several seconds several hundred times a night. If your partner has stopped breathing while sleeping, you know this can be quite alarming! But more than that, sleep apnea can cause serious health issues such as:
Stroke
Cardiac problems
Memory problems
Concentration problems
Fatigue
High blood pressure
Diabetes
Anxiety
Depression
If you or your partner snore or feel you may suffer from sleep apnea, there are ways to treat both of these conditions to save your health and improve your sleep.
If you live in the Gurnee, Illinois area, please contact sleep apnea dentist, Dr. Ira Shapira today to schedule an initial consultation.
posted by Lynn at 10:43 AM 0 comments
Thursday, October 15, 2009
Aussies Develop New Way to Detect Sleep Apnea
This new method actually records and analyzes the sonic characteristics of the patient's snoring. Snoring is one of the common symptoms of sleep apnea. While snoring is prevalent in sleep apnea sufferers, the presence of snoring doesn't necessarily mean that the patient has sleep apnea. That's where this new, non-invasive procedure comes in. This new procedure records your snores and monitors the change in frequency, pitch and various other characteristics of snores to diagnose sleep apnea. This sort of information provides doctors with important information about how the airways in your body are being obstructed. This can lead to a more proper diagnosis of your sleep apnea, if you have it at all.
Eventually, the goal for this technology is to provide home screening kits to people who think they are suffering from sleep apnea. This will prevent the long lines that have developed for sleep apnea tests at hospitals and other screening centers. While this technology can detect sleep apnea with 90% accuracy, this method is still seen as a supplemental test to be performed prior to an actual sleep apnea screening at a hospital or screening center. The scientists involved with this device hope that home screening kits will be available to the general public in the next three to five years.
If you or your partner snore or stops breathing during the night, please contact Gurnee, Illinois sleep dentist, Dr. Ira Shapira.
posted by Lynn at 8:15 AM 0 comments
Tuesday, October 6, 2009
Sleep Apnea Sufferers May Be Road Hazard
Sleep apnea occurs when you stop breathing while sleeping. People with sleep apnea may stop breathing for several seconds several hundred times a night. Obstructive sleep apnea (OSA) affects millions of Americans and is characterized by a temporary collapse of the tissues in the back of the throat during sleep, causing you to stop breathing for brief periods of time. Untreated sleep apnea may lead to:
High blood pressure
Heart attack
Depression
Anxiety
Diabetes
Fatigue
Stroke
Mood swings
Memory problems
According to statistics, OSA may be a factor in as many as 1,400 traffic fatalities annually in the United States. The study found that drivers suffering from sleep apnea had more difficulty staying in their lane and were more likely to crash during a simulated virtual road trip than drivers without OSA.
If you live in the Gurnee, Illinois area and feel you or your partner may suffer from sleep apnea, Dr. Ira Shapira, sleep apnea specialist, will meet with you and perform a complete evaluation. There are many viable sleep apnea treatment options available today, and Dr. Shapira can certainly help you just as he has helped thousands of others suffering from this dangerous disorder.
posted by Lynn at 8:26 AM 0 comments
Tuesday, September 29, 2009
Sleep Apnea in Children
Children are being defined in this post as a child who has yet to go through puberty. Once a child reaches puberty, sleep apnea symptoms begin to mirror the symptoms of sleep apnea in adults. Some of the symptoms for children with sleep apnea are the following:
Overly large tonsils
Sleeping in strange positions
Snoring
Obesity
Sleeping restlessly
Children with pre-existing health conditions may also have a higher risk of sleep apnea. Some of these conditions include:
Cerebral palsy
Down's syndrome
Muscular dystrophy
The cure of sleep apnea in children is also different than that for adults. Since most children who develop sleep apnea have large tonsils, a tonsillectomy is usually recommended to cure sleep apnea in children. This clears the breathing airway for children and usually results in a child who is sleep apnea free. A child's adenoids may also be removed to help clear the airway in addition to performing a tonsillectomy.
If you notice any of the above symptoms in your child or your child falls into any of the above risk groups, make sure you see a doctor about the potential of sleep apnea in your child.
If you are in the Gurnee, IL area and your child suffers from sleep apnea, please contact sleep dentist Dr. Ira Shapira today.
posted by Lynn at 9:57 AM 0 comments
Tuesday, September 22, 2009
Polysomnogram: What's That?
Big words like polysomnogram are intimidating but are really quite simple when you know what they mean. A polysomnogram is an overnight sleep study that is administered to test for various different sleep disorders. It is a common procedure that is used to diagnose sleep apnea.
More specifically, a polysomnogram monitors the biophysiological changes your body undergoes during sleep. This includes, but isn't limited to:
- Brain waves
- Heart activity
- Breathing
- Eye activity
- Leg movements
This comprehensive list of bodily activities is closely monitored in order to paint a complete picture as to what your body experiences when you are asleep. An abnormality in any of these activities can combine to contribute to various sleep disorders, including sleep apnea.
A polysomnogram is usually performed at a hospital or a sleep center. You will go to the sleep center or hospital at night and your sleep will be monitored during your normal bed time. A series of sensors and wires will gently be placed on your skin while you sleep to monitor your body's activity during your slumber. A doctor will come in to reattach sensors if they become dislodged during sleep. The sensors will also have to be removed if you need to go to the bathroom during the middle of the night.
After your sleep study, Dr. Shapira will analyze the results and will determine what variety of sleep disorder that you may have. It can take up to two weeks for you to receive the results of your sleep study.
If Dr. Shapira determines that you have sleep apnea, it is important to get started on a treatment plan as soon as possible. Sleep apnea is a very serious medical condition.
If you suffer from sleep apnea and live in the Gurnee, IL area, please contact sleep dentist Dr. Ira Shapira today.
posted by Erica at 10:53 AM 0 comments
Thursday, September 10, 2009
Some Questions and Answers about Sleep Apnea
Many of you may have heard of sleep apnea or the acronym OSA (obstructive sleep apnea) but may be a bit confused as to what this medical condition actually is; many people have no idea how dangerous it is.
Simply put, sleep apnea is a serious and potentially life-threatening disorder characterized by interrupted sleep. Some people who suffer with sleep apnea may actually stop breathing hundreds of times a night for several seconds each time. Sleep apnea can result in serious symptoms and conditions including but not limited to:
- Memory problems
- Difficulty concentrating
- Fatigue
- Dry mouth
- Sore throat
- Depression
- Anxiety
- Weight gain
- Diabetes
- Heart problems
- Stroke
- Headaches
- Intellectual deterioration
- High blood pressure
- Impotence
- Decreased libido
- Choking
If you snore or your partner stops breathing during the night, please contact sleep apnea specialist, Dr. Ira Shapira, in Gurnee, Illinois.
posted by Evan Langsted at 4:01 PM 0 comments
Thursday, September 3, 2009
OSA 101
Obstructive sleep apnea (OSA) is a very common, but serious, medical condition that affects millions of Americans. OSA is characterized by intermittent periods of breathing cessation while you sleep. Some sleep apneics stop breathing up to several hundred times a night. Snoring is often associated with sleep apnea. Apnea actually comes from the Greek and means “without breath.”
OSA is caused by a blockage of your airway; the blockage typically occurs when the soft tissue in the back of your throat collapses and closes while you sleep. In another type of sleep apena, central sleep apnea (CSA), the airway is not fully blocked but the brain fails to signal your muscles to breathe. There is also mixed sleep apnea, which, as its name implies, is a combination of OSA and CSA. It is estimated that 12 million Americans have some form of sleep apnea. Like many diseases and conditions, family members are affected by the condition; in this case, your partner will certainly be affected by your interrupted sleep and may even hear you gasping for air in the middle of the night. This can be quite scary because it sounds like you’re suffocating.
Some of the risk factors for sleep apnea are:
• Being male
• Being overweight
• Being over the age of forty
However, sleep apnea can affect females, those who are not overweight and can even affect children. Many cases of sleep apnea go undiagnosed and, therefore, also go untreated. If left untreated, sleep apnea can cause a whole host of medical problems including these signs and symptoms of sleep apnea:
- Heart disease
- Diabetes
- Stroke
- Depression
- Anxiety
- High blood pressure
- Fatigue
- Concentration problems
- Memory problems
As you can see by this only partial list of medical problems associated with sleep apnea, it cannot be ignored. Sleep apnea specialists such as Gurnee, Illinois dentist, Dr. Ira Shapira, can evaluate your case thoroughly and then recommend a treatment plan that is best suited for your individual case.
Please contact Dr. Shapira’s Snoring & Sleep Apnea Treatment Center today to schedule your initial appointment to be evaluated for OSA.
posted by Evan Langsted at 2:54 PM 0 comments
Thursday, August 27, 2009
What, Exactly, is Sleep Apnea?
If you snore and stop breathing sometimes up to hundreds of times a night, you may suffer from a very common, though serious medical condition known as Obstructive Sleep Apnea (OSA). The word "apnea"is Greek and literally means "without breath."In addition to OSA, there is also Central Sleep Apnea (CSA), in which the airway is not blocked, but the brain actually fails to signal your muscles to breathe. The third type of sleep apnea is mixed sleep apnea, which, as its name implies, is a combination of OSA and CSA.
Regardless of which type you have the severity of the apnea, you must have this condition treated as it can lead to a whole host of medical problems including these sleep apnea signs and symptoms:
- Memory problems
- Fatigue
- Sore throat
- Gastric reflux
- High blood pressure
- Diabetes
- Depression
- Anxiety
- Mood swings
- Weight gain
Sleep apnea also affects your partner. While sleeping next to you, your partner may be awakened by your gasping for air. This can be frightening. Some sleep apneics stop breathing for several seconds and up to hundreds of times per night. Driving after a night of interrupted sleep is dangerous; operating machinery is also very dangerous. If you think you may suffer from OSA, CSA or a combination, you should see a dentist who specializes in treating this disorder immediately.
Gurnee, Illinois sleep apnea dentist, Dr. Ira Shapira, has helped countless people from all over the country who have suffered with this condition for years, if not decades. Dr. Shapira created the IHATECPAP! website and forum for dentists and sufferers to share their stories and treatment successes. CPAP (continuous positive airway pressure) has been the gold standard of sleep apnea treatment, but nowadays there are so many more comfortable, convenient and effective methods of treating this dangerous condition. Come see what Dr. Shapira has to offer. Effective treatment of sleep apnea can change your life forever.
To learn more about sleep apnea and its treatment, please contact Dr. Ira Shapira in Gurnee, Illinois today. Why suffer another night of interrupted sleep that may make you very sick and disturb your partner's sleep? You need not suffer any longer.
posted by Evan Langsted at 10:11 AM 0 comments
Friday, August 21, 2009
New Study Shows Men Are Twice As Likely To Die Early If They Suffer From Sleep Apnea
For the past eight years, researchers at Johns Hopkins University have studied the lives and sleep patterns of men and women between the ages of 40 and 70 years old. The study showed that about one-third of the people studied suffered from some form of sleep apnea. 8 percent of men and 3 percent of women in the study suffered from severe sleep apnea.
Sleep apnea occurs when the muscles in the throat become over-relaxed during sleep, closing the passageway and preventing the lungs from receiving the oxygen they need. When this happens, the brain wakes from sleep temporarily to open the passageway and give the body the air it needs.
For people with severe sleep apnea, or Obstructive Sleep Apnea (OSA), the brain can wake the body more than 30 times in just an hour. Obstructive Sleep Apnea prevents the brain from staying in deep, REM sleep, which allows it to rejuvenate and rest. The dangers of sleep apnea include high blood pressure, depression, and heart attack.
The results of the sleep research concluded that men aged 40 to 70-years-old who suffer from severe sleep apnea are twice as likely to die early than men who do not suffer from a sleep disorder.
To make sure you are not at risk of suffering an early death, or putting your body at risk for serious health side effects, please contact Gurnee, Illinois sleep dentist, Dr. Ira Shapira to schedule a sleep evaluation today.
posted by Evan Langsted at 3:32 PM 0 comments
Tuesday, August 11, 2009
Early Sleep Apnea Detection Could Help Your Child Academically
In general, the people who are at most at risk for sleep apnea are older individuals and people who are severely overweight. Sleep apnea can prevent the body and brain from getting the deep, restful sleep required by everyone to perform at their peak. For adolescents suffering from Obstructive Sleep Apnea (OSA), academic studies can be seriously affected.
When someone is suffering the OSA, the soft tissues in the throat can temporarily close during sleep. The brain must then wake the body and open the throat so oxygen can reach the lungs. This process can occur hundreds of times in a single night, resulting in many different physical and mental side effects:
- Daytime Exhaustion
- Depression
- High Blood Pressure
- Memory Loss
- Weight Gain
- Headaches
If your child is dealing with some or all of these sleep apnea symptoms while attempting to complete schoolwork, their grades could suffer. By contacting an experienced sleep dentist like Dr. Ira Shaira in Gurnee, Illinois, you can find out if your son or daughter is suffering from sleep apnea.
Sleep apnea is a serious condition that affects millions of people all over the world, so there is a chance that your child is suffering from the dangerous sleep disorder. Please contact Dr. Ira Shapira, Gurnee, Illinois sleep dentist today to schedule a sleep evaluation.
posted by Evan Langsted at 1:07 PM 0 comments
Tuesday, August 4, 2009
Changing Your Diet May Not Help Your Snoring
We've all heard about different foods and drinks affecting the way we sleep at night and the amount you snore or not. Unfortunately, if you are suffering from sleep apnea, simply changing the foods you eat and liquids you drink might not prevent you from snoring.
Snoring at night can seriously affect the way you and even your sleeping partner sleep at night. Depending on how severe your snoring is it may be a symptom of sleep apnea, a sleeping disorder that can impact many other aspects of your life. Sleep dentists like Dr. Ira Shapira in Gurnee, Illinois, help people diagnose their sleep apnea when there is something more serious involved.
For some people, snoring is simply a disturbance that could be caused by many different factors. Drinking alcohol, eating dairy products, or eating a large meal before going to sleep might make this type of snoring worse.
Millions of other people who snore are actually suffering from a much more dangerous condition called Obstructive Sleep Apnea (OSA). When someone has OSA, the passageways in their throat temporarily close and prevent oxygen from reaching the lungs. To correct this problem, the brain wakes you from sleep so the body can open the passageway.
With the body and brain constantly waking up throughout the night, the body can't get the deep, restful sleep it needs to perform correctly and it can suffer from a few different dangers of sleep apnea.
If you or your sleeping partner is suffering from snoring a night and changing diet habits haven't helped, sleep apnea might be causing the sleep problems. To find out if you or one of your loved ones is suffering from sleep apnea, please contact Dr. Ira Shapira in Gurnee, Illinois to schedule a professional sleep analysis.
posted by Evan Langsted at 2:17 PM 0 comments
Tuesday, July 28, 2009
Study Shows Lack of Sleep May Prevent Post-Pregnancy Weight Loss
Have you recently had a baby and are now trying to lose some of weight you gained during pregnancy? A new study performed by Kaiser Permanente has shown that a good night’s sleep is just as important as diet and exercise for women trying to lose those difficult extra pounds after giving birth.
Unfortunately for many women, Obstructive Sleep Apnea (OSA) prevents them from getting the deep, restful sleep they need to successfully lose the extra weight. Sleep dentists like Dr. Ira Shapira in Gurnee, Illinois can help women diagnose and treat their sleep apnea, but they need to schedule a sleep evaluation first.
Sleep apnea is a sleeping disorder that occurs when the soft tissues in the throat close temporarily during sleep, preventing the lungs from getting the air they need. When this happens, the brain wakes and forces the body to open the airway, giving you the necessary oxygen.
When the body is constantly waking up to allow you to receive oxygen, you don't get the rest you need and the body doesn’t function correctly. The result is an increased chance of high blood pressure, weight gain, and exhaustion among other sleep apnea dangers.
If you believe that sleep apnea is preventing you or your sleep partner from losing the post-pregnancy weight they want, please contact experienced Gurnee, Illinois sleep dentist, Dr. Ira Shapira to schedule a sleep evaluation.
posted by Evan Langsted at 3:58 PM 0 comments
Friday, July 24, 2009
Bariatric Surgery May Not Reduce Sleep Apnea Symptoms
For very overweight people suffering from sleep apnea, the prospect of bariatric surgery seems like the best solution. Unfortunately, a new study from The American Journal of Medicine shows that weight loss surgery may not help people suffering from Obstructive Sleep Apnea (OSA).
Obstructive Sleep Apnea is a sleep disorder that millions of people all over the country suffer from. The reason the dangers of sleep apnea are so severe is because it prevents the brain from getting the deep, rejuvenating sleep it needs to function properly.
The people most at risk for suffering from Obstructive Sleep Apnea are overweight and older individuals. Obstructive Sleep Apnea occurs when the soft throat tissues close up during sleep, preventing the oxygen from reaching the lungs. The brain temporarily awakes the body over and over throughout the night so you can breathe.
In the past, very overweight people thought that by correcting their weight problems with bariatric surgery, their sleep problems would also be eliminated. The new study now shows that weight loss surgery will help people lose large amounts of weight and lessen the number of sleep apnea episodes during the night, but it won't necessarily cure Obstructive Sleep Apnea.
If you believe that you or a loved one is suffering from Obstructive Sleep Apnea, please contact Gurnee, Illinois sleep dentist, Dr. Ira Shapira today to schedule a professional sleep evaluation.
posted by Evan Langsted at 1:57 PM 0 comments
Wednesday, July 15, 2009
Men May Be More Likely To Develop Sleep Apnea
We have all heard family members, friends, and sleeping partners snore away at night, but for the most part men snore a bit more than women. One of the reasons experienced sleep dentists and scientists believe men snore more than women is testosterone.
Men are exposed to testosterone for their entire lives and as a result, their throats and necks are more developed than women. This means men's chances of snoring and developing sleep disorders like Obstructive Sleep Apnea (OSA) is more likely than women.
Snoring occurs when the soft tissues of the throat close during sleep; when air moves past these tissues into the lungs, creates a vibrating sound, commonly referred to as snoring. Snoring is also a common sleep apnea symptom.
Sleep is one of the most vital parts of your life because it allows your body and mind to rejuvenate. When you suffer from sleep apnea, your body and brain are not allowed to reach the deep, necessary sleep you need. Sleep apnea temporarily closes your airways, preventing the lungs from receiving oxygen. As a result, the brain momentarily wakes the body so you can get the needed oxygen.
Sleep apnea can be dangerous because the body loses its ability to repair itself, stressing it over time. Some of the biggest dangers of sleep apnea include a higher risk of blood clots, obesity, and diabetes.
If you believe that you, your husband, or any other male in your family is suffering from serious snoring or sleep apnea, please contact Gurnee, Illinois sleep dentist, Dr. Ira Shapira to schedule your sleep evaluation.
posted by Evan Langsted at 9:16 AM 1 comments
Tuesday, July 7, 2009
New Symptoms Point To Sleep Apnea in Children
Sleep apnea can have a huge affect on the health of adults, but when the dangers of sleep apnea are directed at children, the results can be devastating. Overweight children are still developing, and sleep apnea can stress their bodies, putting them at an even greater risk of sleep apnea symptoms.
According to a new study, children who are overweight and wet the bed may be suffering from obstructive sleep apnea. After performing sleep studies on control and sleep apnea suffering children, the study showed that both bedwetting and being overweight can be associated with sleep apnea but the two not associated with each other.
The data from the study showed that there is a significant association between overweight children, bedwetting, and obstructive sleep apnea. Scientists are unsure of why this association exists, but they suggest doctors examine the possibility of children suffering from obstructive sleep apnea if an overweight child is also suffering from bedwetting; especially if they are also suffering from other sleep apnea symptoms.
Researchers claim that a child who suffers from bedwetting is five times more likely to have sleep apnea. While unrelated, a child who suffers from being overweight is four times more likely to have obstructive sleep apnea.
If you live in the Illinois area and you suspect that your child or other family member is suffering from sleep apnea, please contact Dr. Ira Shapira, Gurnee, Illinois sleep dentist to schedule a professional sleep apnea examination.
posted by Evan Langsted at 3:43 PM 0 comments
Monday, June 29, 2009
Obstructive Sleep Apnea Linked to Sleepwalking
According to a new research study, almost 1 in 10 people suffering from obstructive sleep apnea also suffer from some form of parasomnia. While obstructive sleep apnea may not cause parasomnia, it can make the condition worse if you are already predisposed to it. An experienced sleep dentist can help people determine if they are suffering from either parasomnia or sleep apnea.
Parasomnia is a sleeping condition many people suffer from that includes a few different symptoms like sleepwalking, sleep paralysis, acting-out dreams, hallucinations, and even eating or driving.
New research looked at the sleep records of 537 sleep patients and found that 51 patients who suffered from sleep apnea also suffered from one or more symptoms of parasomnia. This means that about 10 percent of sleep apnea sufferers may also be suffering from the symptoms of parasomnia. Parasomnia can be very dangerous, sleepwalking or driving while asleep can injure you or the people around you.
One of the reasons sleep apnea can put people more at risk for parasomnia is because the brain becomes active the going through a sleep apnea episode. During one of these episodes, the soft tissue in the throat closes and the body is momentarily deprived of oxygen; the brain is then aroused so that you can breathe again.
This brain arousal can cause the symptoms of parasomnia. Sleep apnea can have other hazardous affects on your health like an increased risk of heart attack, high blood pressure, and stroke. Some of the symptoms of sleep apnea include being tired during the day, snoring, depression, and weight gain.
If you believe that you or your sleeping partner is suffering from sleep apnea or parasomnia, there are solutions available to you. To put an end to your sleep problems, please contact Dr. Ira Shapira, Gurnee, Illinois sleep dentist today.
posted by Evan Langsted at 2:04 PM 0 comments
Wednesday, June 24, 2009
Millions of People Suffering From Type 2 Diabetes May Also Suffer From Sleep Apnea
Right now, there are more than 24 million people on the planet suffering from type 2 diabetes. In a recent study, 306 obese type 2 diabetes patients were studied while they slept. Staggeringly, 87% of the patients in the study were suffering from obstructive sleep apnea but had never been diagnosed for the sleep disorder.
A healthy night's sleep is one of the most important aspects of staying healthy. For people already dealing with being overweight and having other health problems, suffering from sleep apnea can make matters even worse. One of the ways obese or overweight people can make sure they don't have obstructive sleep apnea is by having a sleep study performed by an experienced sleep apnea dentist.
Type 2 diabetes can increase an individual's risk of heart disease, nerve damage, blindness, and kidney damage. What's worse is that sleep apnea and obesity also affect a person's overall health in dangerous ways. Some of the dangers of sleep apnea include increased risk of heart attack or stroke, as well as high blood pressure.
Obstructive sleep apnea develops in overweight and obese people because the muscles and soft tissues in the throat weaken over time with the stress of excess body mass. This means that as you sleep, the soft tissues in the throat can close, stopping air from reaching your lungs. When this happens, the body wakes up momentarily to clear the airway, preventing you from getting the deep, restorative sleep you need.
If you are feeling drowsy or are suffering from other sleep apnea symptoms, or if you believe your partner has sleep apnea, it may be time to schedule a sleep study. Please contact an experienced sleep dentist like Dr. Ira Shapira in Gurnee, Illinois who can help you diagnose and treat your obstructive sleep apnea.
posted by Evan Langsted at 7:25 AM 0 comments
Wednesday, June 17, 2009
Snoring While Pregnant Can Put Both Mother and Child at Risk
A new study released information also showing that snoring while pregnant can lead to future health issues between both the mother and the baby. By having a sleep apnea evaluation performed by Dr. Ira Shapira in Gurnee Illinois, you can make sure you put a stop to your snoring and sleep apnea so you and your baby get the sleep you need.
The study was performed on 189 healthy women who were observed and surveyed both early in their pregnancy, when they enrolled, and in their third trimester. The results showed that women who snore at least 3 nights per week had 14.3% chance of developing gestational diabetes. Women who did not snore this often only had a 3% chance of developing the disease.
Gestational diabetes is a form of diabetes that develops in 1% to 3% of pregnant women, and it affects their ability to process sugar. The results of having gestational diabetes include an increased risk of complications and health problems with the baby at birth.
Doctors believe that pregnant women develop serious snoring problems and sleep apnea because the increased weight gained by the pregnant body can lead to airway resistance. An experienced sleep dentist can help determine what the best sleep apnea treatment is for you.
If you or your sleep partner is pregnant and snoring at least 3 times per week, you should contact sleep apnea dentist Dr. Ira Shapira in Gurnee, Illinois to schedule a sleep evaluation.
posted by Evan Langsted at 8:03 AM 0 comments
Tuesday, June 9, 2009
Trucking Companies Testing Drivers For Sleep Apnea
Trucking companies have a notoriously high number of overweight people driving trucks, and with more people becoming aware of the dangers of sleep apnea, companies are beginning to screen drivers for sleep apnea.
Since sleep apnea develops in seriously overweight people, trucking companies are beginning to treat drivers that may be suffering from the sleep problem. People who suffer from sleep apnea often suffer from sleep apnea symptoms like being tired during the day and not being able to make it through the day without a nap.
This can be dangerous for people whose occupation involves driving a multi-ton commercial truck. Drivers are already regulated, and are not supposed to drive more than 11 hours without a 10 hour break, but this might not be enough for victims of sleep apnea.
Trucking companies believe that by identifying drivers with sleep apnea and treating the problem, they may be able to cut down on truck accidents. If a driver is falling asleep at the wheel because they are suffering from sleep apnea at night, it poses a serious danger on the road.
If you would like to find out if you or your sleeping partner is suffering from sleep apnea, please contact Dr. Ira Shapira in Gurnee Illinois to schedule a complete sleep apnea evaluation.
posted by Evan Langsted at 2:46 PM 0 comments
Thursday, June 4, 2009
More and More People Discover They Have Sleep Apnea
With the rise of sleep medicines in the United States, more and more people are discovering they are suffering from sleep apnea. When people come into the doctor and describe why they need sleep medicines, doctors often discover either they or their sleeping partner is suffering from obstructive sleep apnea (OSA).
With sleeping pills and other medicines increasing in popularity, patients have been coming to doctors describing a few different reasons as to why they need to get better rest at night. Some people want to sleep through a sleeping partner's loud snoring; other people feel like they wake up throughout the night for no reason. Both of these are common sleep apnea symptoms.
Sleep apnea occurs very often in older and obese people when the muscles in the throat become weak and are unable to keep the airways open. The result of this obstruction is loud snoring that can be a true nightmare for sleeping partners. In addition to snoring, the body can also force you awake because it is in need of air. When you wake up multiple times a night simply for your body to get oxygen, it can have a serious effect on other aspects of your life.
Sleep apnea dangers include an increased risk of heart attack and stroke, obesity, and high blood pressure. If you're feeling tired during the day, or if you're hearing from your sleep partner that you snore all night, it may be time to discover if you have sleep apnea.
The best way to determine if you have sleep apnea is to schedule a full sleep apnea evaluation with Dr. Ira Shapira, Gurnee, Illinois dentist.
posted by Evan Langsted at 7:04 AM 0 comments
Wednesday, May 27, 2009
Feeling Tired? You Might be Suffering From Sleep Apnea
One of the biggest signs of suffering from sleep apnea is feeling tired in the middle of the day. If you have sleep apnea, you may be waking up numerous times throughout the night, depriving you of the sleep you need. At the moment, it’s estimated that over a quarter of the American population is not getting the sleep they need.
For most adults, seven to nine hours of sleep per night is plenty of time for the body to relax and repair itself. Unfortunately, obstructive sleep apnea can deprive you of this important rest and make you feel tired throughout the day. Some of the most common sleep apnea health problems include:
- Obesity
- Increased Risk of Stroke
- High Blood Pressure
- Impotence
- Weight Gain
Some people feel so exhausted during the day that they feel the need to take numerous naps just to make it through work or other activities. One of the ways you can take care of your sleep apnea symptoms is by speaking with an experienced sleep apnea dentist.
If you are suffering from lack of sleep due to obstructive sleep apnea and you are ready to fix things, please schedule a full sleep apnea evaluation with Dr. Ira Shapira, Gurnee Illinois dentist.
posted by Evan Langsted at 3:35 PM 0 comments
Thursday, May 21, 2009
Sleep Apnea Now Directly Linked to High BMI
A recent study has now shown that length and quality of sleep is linked directly to a person’s Body Mass Index (BMI). The study found that on average, people sleeping less than normal had a BMI index about 4 points higher than a “normal” sleeper.
In addition to these findings, the study also found that “short sleepers” have a harder time falling asleep in general. Despite sleeping less, short sleepers tended to also be about 25% more active than long sleepers during the day and spent almost 1,000 more calories during the day.
This is interesting because it shows that a long, restful night sleep can be even more beneficial than we once thought. People who sleep longer and more soundly use fewer calories but tend to have a lower BMI.
People suffering from sleep apnea can wake up many times during the night because their body needs oxygen. These countless repetitions of waking up momentarily and going back to sleep can cause many other Sleep Apnea Dangers in addition to a higher BMI.
If you or your spouse is suffering from snoring or sleep apnea and are ready to correct the problem, please contact Gurnee, Illinois sleep apnea dentist, Dr. Ira Shapira, to find out the best way to treat your obstructive sleep apnea.
posted by Evan Langsted at 3:42 PM 0 comments
Thursday, May 14, 2009
Continuous Positive Airway Pressure: What is it?
Continuous Positive Airway Pressure (CPAP) has been the main treatment modality for patients suffering with the very dangerous condition known as sleep apnea. The CPAP machine works by using pressure to send air flowing through the nasal passages, keeping the throat from collapsing during sleep-the main reason why individuals with sleep apnea stop breathing periodically throughout the night. CPAP, however, is uncomfortable and many people do not use CPAP because of the inconvenience and bulkiness of the apparatus.
Sleep apnea must be treated; if it is not, it can lead to many serious medical problems including:
- Fatigue
- Depression
- High blood pressure
- Diabetes
- Sore throat
- Dry mouth
- Excessive daytime drowsiness
- Poor concentration
- Short-term memory problems
- Anxiety
- Mood swings
- Impotence
- Cognitive deterioration
Most of us are aware that a good night's sleep is essential. REM Sleep, the time during sleep when we dream, contributes to overall health and proper body function. But during a sleep apnea event, the individual leaves REM sleep many times throughout the night to restart his or her breathing. The result is a lack of deeply restful sleep that seriously affects the body's ability to function.
There are three different types of CPAP machines:
- CPAP: delivers one continuous air pressure
- APAP: adjusts to your need for oxygen by starting out at low pressure, senses raising the pressure during a sleep apnea event
- BiPAP: uses a higher pressure when you inhale and lower pressure when you exhale
To learn more about snoring and sleep apnea, please contact sleep apnea specialist, Dr. Ira L. Shapira, in Gurnee, Illinois today to schedule your initial consultation.
posted by Evan Langsted at 4:54 PM 0 comments
Thursday, April 30, 2009
How Snoring Occurs
Snoring occurs when the air passages at the back of the mouth and nose do not have a free flow of air. Obstruction of the airways usually occurs when the soft tissues in that area collapse during sleep, causing the tongue to meet briefly with the soft palate (top part of your mouth in the back) and the uvula (the hanging bell-shaped tissue in the back of your throat). The vibrations are what cause the actual sound of snoring.
Snorers may also suffer from:
Large tonsils and adenoids. Excess throat tissue can cause snoring. Being overweight can cause excess neck tissue, which is why snoring is more common in overweight individuals.
Long uvula and/or soft palate. Individuals with a long palate have a narrower opening between the nose and throat that can create noise during the relaxed breathing of deep sleep. A longer than normal uvula worsens the situation.
Nasal airway obstruction. Stuffy noses do not have a free flow of air. The extra effort it takes to breathe through a stuffed up nose creates a strong pull on floppy throat tissues, causing a snoring sound. That is why some people experience snoring only during hay fever attacks, a cold or a sinus infection.
Nose or nasal septum deformities, such as a deviated septum, can cause obstruction.
To learn more about snoring and sleep apnea, please contact Gurnee, Illinois dentist and sleep apnea specialist, Dr. Ira L. Shapira today to schedule your initial consultation.
posted by Evan Langsted at 1:16 PM 0 comments
Thursday, April 23, 2009
Treatments for Sleep Apnea
Most dental appliances are made from acrylic and fit inside your mouth like an athletic mouth guard or braces. Some appliances fit around your head and chin to help reposition your lower jaw. All dental appliances are designed to open your airway, bringing your jaw or tongue forward during sleep to reduce obstruction. Unfortunately, individuals suffering from more severe forms of sleep apnea cannot find relief with these devices.
Side effects from dental appliances include:
- Mouth soreness
- Permanent changes or damage to the jaw, teeth, or mouth
- Build up of saliva
- Nausea
Specialized medication may help curb the effects of sleep apnea or complement more aggressive treatment options when taken before bedtime. Natural plant enzymes and herbs reduce congestion and swelling in the nose and throat and minimize snoring. Special nose drops or nasal sprays, and aromatherapy, have proven beneficial.
Surgery can increase airway size by surgically removing excess tissue inside the nose or back of the throat, and may include the removal of tonsils and adenoids. The jaw may be reconstructed to enlarge the upper airway. Surgery certainly carries risks, but for some, this is the best option.
To learn more about snoring and sleep apnea, please contact sleep apnea/snoring dentist Dr. Ira L. Shapira in Gurnee, Illinois today to schedule your initial consultation.
posted by Evan Langsted at 8:23 AM 1 comments
Wednesday, April 15, 2009
Treatment for Sleep Apnea
- Depression
- Anxiety
- High blood pressure
- Fatigue
- Mood swings
- Short-term memory problems
- Memory problems
- Attention problems
- Dry mouth
- Diabetes
- Sore throat
We have become very well-known for our saying, "I hate CPAP," but, in actuality, we don't really hate CPAP; we just realize that it's terribly uncomfortable and inconvenient for the patient. For this reason, we provide our patients with a variety of treatment options for sleep apnea that are much more pleasant than CPAP. It is estimated that a very low percentage of people using CPAP actually tolerate it as directed. Some of the other sleep apnea treatments Dr. Ira Shapira, Gurnee, Illinois dentist and his patients have had great success with include:
- Use of dental appliances
- Behavior modification
- Medication
- Surgery
After a thorough evaluation, Dr. Shapira will discuss with you which treatment plan would be best for your needs and the severity of your case.
To learn more about treatments for sleep apnea, please visit the website of I Hate CPAP! today. Cosmetic dentist, Dr. Ira Shapira, and his dental team in Gurnee, Illinois will work hard to find the right treatment for you.
posted by Evan Langsted at 9:05 AM 0 comments
Tuesday, April 7, 2009
Sleep Apnea
There are three types of sleep apnea: obstructive sleep apnea (OSA), central sleep apnea, and a combination of the two. OSA is caused by a blockage of your airway; excess tissue may be the cause of this blockage. The blockage could be in the nasal passages, or something related to the structure of the jaw and airway may also cause the sleep apnea.
Central sleep apnea is not as common as obstructive sleep apnea. In CSA, the brain does not send the appropriate signals to the breathing muscles to produce respiration.
The causes of sleep apnea are numerous and may include:
- Structural problems in the airway that cause interrupted breathing during sleep
- Throat muscles and tongue relax during sleep blocking the airway
- Narrowing of the airway often occurs in obese individuals due to the excess tissue in the throat and neck areas
Some people are more prone to suffer from sleep apnea than others. A staggering 15 million people are estimated to suffer from this condition with more men than women having the condition. People who are overweight, have hypertension (high blood pressure) or snore loudly are at a greater risk of developing sleep apnea. Some studies indicate that the disorder may be hereditary.
There are a variety of treatments for sleep apnea, and treatment for sleep apneaics varies from case to case. In the past, CPAP (Continuous Positive Airway Pressure) has been used but because you must actually wear a mask while you sleep. The CPAP machine uses pressure to send air flowing through the nasal passages. Other treatments for sleep apnea include:
- Oral appliances
- Behavioral changes
- Medication
- Surgery
If you think you may suffer from sleep apnea, there is help out there for you. In Gurnee, Illinois, Dr. Ira Shapira has successfully treated thousands of sleep apneaics, and he can help you, too. Please contact The Snoring & Sleep Apnea Treatment Center in Gurnee today to schedule an evaluation.
posted by Evan Langsted at 10:10 AM 0 comments
Thursday, April 2, 2009
Sleep Better with PureSleep
Invented in 1995, this device, which requires no prescription, can be used in adults over age 18 who have been:
-Diagnosed with sleep apnea
-Diagnosed with a respiratory disorder
-have loose teeth
-Have oral abscesses
-Have gingivitis
-Have Temporomandibular Joint Disorder (TMD)
-Have full dentures
Sleep apnea is a serious, potentially life-threatening condition in which the person stops breathing repeatedly while he sleeps. Sleep apenaics may stop breathing several hundred times a night. This condition can lead to high blood pressure, depression, and a host of other serious conditions.
The PureSleep dental device is a 'boil and bite' mouthpiece very similar to the type athletes wear. It reduces or eliminates snoring by holding your lower jaw slightly forward of its normal position. This widens the airway so air isn't forced through such a narrow opening. PureSleep, by opening your airway, eliminates the vibrations we call snoring and allows you a much better night's sleep.
If you suffer from sleep apnea and/or a chronic snorer, please contact the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois today.
posted by Erica at 12:20 PM 0 comments
Friday, March 27, 2009
One Anatomical Cause of Obstructive Sleep Apnea
The palate is the roof of the mouth. The front of the palate is the hard palate, and behind it is the soft palate, which extends back to the uvula (the fleshy, dangling protuberance at the back of the mouth. Using sleep videofluoroscopy to measure anatomical changes and polysomnography to identify apnea/hypoxia events, researchers found that the soft palate behaved very differently in sleep apnea sufferers than it did in simple snorers. Sleep apnea sufferers were more likely to see the soft palate expand backward during sleep. And this expansion was linked to instances of apnea and hypoxia.
The distinction between simple snorers and obstructive sleep apnea sufferers is a crucial part of delivering the right solution for those with sleep disordered breathing. Simple snoring is just a nuisance, but the dangers of sleep apnea make it a deadly condition that can dramatically reduce a person's life expectancy.
If you need help getting the best solution for your sleep apnea, schedule a sleep apnea consultation at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois today.
posted by Dr. Candelaria at 7:22 AM 0 comments
Friday, March 20, 2009
Medicare Authorizes Funding for Home Sleep Studies
Now, as part of its program to ensure that all sleep apnea sufferers over the age of 65 receive treatment for this serious condition that can lead to premature death, Medicare has decided to fund home sleep apnea tests, and prescriptions for sleep apnea treatments (including CPAP and oral appliance therapy) based on those home tests. This makes Medicare the first insurer to back diagnosis of sleep apnea using home test methods.
The use of home tests to diagnose sleep apnea is controversial among sleep scientists. Although some do not believe they are as accurate as lab-based tests, others argue that home sleep data, taken over a longer period of time under normal sleeping conditions, are actually more accurate. And recent research also supports the repeatability of home sleep apnea tests, which lends considerable credibility to their results.
Sleep apnea poses a serious health threat partly because it so often goes undiagnosed and untreated, we hope that this change will help people get the diagnosis and treatment necessary to avoid the dangers of sleep apnea. Home sleep studies come at a considerable cost saving to patients, costing about $200 with a $35 copay for Medicare, as opposed to a $1000 procedure with a $150 copay for laboratory sleep study. With reduced cost, people are more likely to get diagnosed. In addition, home sleep tests allow patients to be diagnosed more quickly than at sleep centers, which may have long waiting lists for sleep studies. We can only hope that more insurers will pick up this policy.
If you have been diagnosed with sleep apnea, we can help you get the best treatment for you. To learn more about your treatment options, schedule a sleep apnea treatment consultation at the Snoring & Sleep Apnea Treatment Center in Gurnee, Illinois today.
posted by Dr. Candelaria at 10:03 AM 0 comments
Tuesday, March 10, 2009
Blame the Economy if You Want, but Americans Are Sleeping Less and Less
A recent poll by the National Sleep Foundation shows that Americans are sleeping less than they used to. This is not a new thing, although some people attribute it to short-term economic woes. According to the poll, Americans are sleeping an average of 6.7 hours per night, down from 7 hours per night in 2001. In addition, the number of people reporting that they sleep less than 6 hours per weeknight has increased from 13 % to 20 %, and the number receiving 8 or more hours of sleep has decreased from 38 % to 28 %.
Although many, including those at the National Sleep Foundation, are reporting that economic stress may be behind increasing sleep woes, the truth is that the decrease in sleep is more likely due to lifestyle factors. Although a survey conducted by the American Psychological Association last year reported that 52 % of Americans reported losing sleep due to stress, if this were the major cause, we would expect to see a spike in lost sleep, but the numbers do not show that.
Instead, the numbers show a gradual loss of sleep, with average hours slept on weekday nights decreasing from 7.0 in 2001, to 6.9 in 2002, to 6.8 in 2005 to 6.7 in 2009. Therefore, it seems more likely that a number of lifestyle factors are contributing to the decreased sleep levels. This includes the growth of 24-7 activity levels facilitated by the Internet and by the expansion of internet activities and methods of access, such as Blackberries. In addition, more people are likely suffering from snoring either by themselves or their cosleeper. Or, worse, they may be suffering from the dangerous condition of obstructive sleep apnea.
If you find that your sleep has been cut dramatically in recent years, schedule a sleep health consultation with the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois today to learn about comprehensive treatment that include behavioral therapy, oral appliance therapy, or even Continuous Positive Airway Pressure treatment for sleep apnea, if necessary.
posted by Dr. Candelaria at 9:43 AM 0 comments
Friday, March 6, 2009
PureSleep: Benefits and Limits of Over-the-Counter Snoring Aids
PureSleep is a new anti-snoring device that is available Over-the-Counter without a prescription from a doctor. This device has been cleared by the FDA for the treatment of snoring. In order to secure FDA approval, a device must go through tests that indicate the device is "reasonably safe and effective" for its authorized usage. So FDA approval is some level of assurance for a device. In this case, you can be relatively sure that PureSleep is "reasonably safe and effective" for stopping snoring.
PureSleep is essentially a "boil-and-bite" mouthpiece like those commonly used by amateur athletes, much to their detriment. These mouthpieces provided limited protection for athletes, and no remedy for neuromuscular symptoms. It is probably safe to say that PureSleep has a similar relationship to true oral appliance therapy that boil-and-bite mouthpieces have to the Pure Power Mouthguard: in the same category, but nowhere near the same class.
Snoring is more than just an annoyance--it may be the sign of the potentially lethal condition, obstructive sleep apnea. About 30 % of snorers have sleep apnea, but not all obstructive sleep apnea sufferers snore. A snorer with sleep apnea may cure one problem and get better sleep at night. Since many people with sleep apnea are unaware of their condition, former snorers who are now not being awakened fully by their cosleeper's complaints about snoring, may never be aware of their problem.
If you are a snorer who is interested in this low-cost option for remedying the problem, you should first be evaluated for sleep apnea and only try PureSleep if you have been cleared of this dangerous condition. And do not stop CPAP or other therapy designed for the remedy of sleep apnea in favor of PureSleep, which has never been shown to affect sleep apnea.
If you would like to better understand your treatment options, schedule a snoring and sleep apnea consultation today at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, helping dentists and patients with sleep apnea solutions nationwide.
posted by Dr. Candelaria at 9:38 AM 1 comments
Monday, February 23, 2009
Losing Weight May Be Best Route to Curing Sleep Apnea
The doctor first pointed out, as we have discussed, that weight gain contributed to obstructive sleep apnea by placing additional weight on the airway during sleep. However, he also noted that being overweight affects the nerve signals from the brain to the airway. The result is that the muscles in the airway lose tone and become flaccid, which makes them less able to keep the airway open, especially when relaxed during sleep. Interestingly, no one knows why the signals change. Some point to the hormone leptin (you can read more about the correlation between sleep apnea and leptin levels in this blog), saying that too much leptin could affect breathing control.
Because of this twofold contribution of being overweight to sleep apnea, it certainly seems that weight loss as part of a comprehensive program of behavioral therapy is a good first step. At the very least, losing weight will probably reduce the volume and frequency of snoring, and it may reduce severe sleep apnea to a moderate level that can be controlled with oral appliance therapy as opposed to the less convenient CPAP.
If you would like to learn more about the best approaches for tackling your sleep apnea, schedule a sleep apnea consultation at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois.
posted by Dr. Candelaria at 11:37 AM 0 comments
Monday, February 16, 2009
Sleep Apnea Affects Blood Flow in the Brain
Specifically, the researchers used Doppler ultrasound to measure blood flow velocity in the brain and compared it with blood pressure and CO2 saturation. The study shows that patients with obstructive sleep apnea had a lower velocity of blood flow in their brains at all times. In addition, the brains of sleep apnea sufferers seem slower to recover following changes in blood pressure. However, the brains of sleep apnea sufferers did seem to respond adequately to increases in CO2 saturation.
Researchers speculate that lower blood velocity and compensatory mechanisms in sleep apnea sufferers may make them more susceptible to ischemic stroke. Ischemic stroke is caused by blood clots that become lodged in the brain, depriving part of the brain of oxygen.
Stroke is just one of the most severe of the risks faced by sleep apnea sufferers. If you have obstructive sleep apnea, oral appliance therapy can reduce the number of apneic events you suffer and dramatically reduce the level of your risk. To learn more, schedule a sleep apnea consultation at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois today.
posted by Dr. Candelaria at 11:36 AM 0 comments
Monday, February 9, 2009
Snoring and Sleep Apnea Treatment for Couples
Weight gain is one of the most common causes of snoring in men, who tend to deposit fat reserves in the throat, leading to snoring and obstructive sleep apnea. It is also rarely a problem for just one partner. Maybe this Valentine's Day it is time to make a commitment to health together and begin dieting and exercising together.
Smoking inflames the nasal and throat tissues. If you or your partner smokes, quitting can really help reduce the amount of snoring.
Allergies have a similar effect as smoking on the tissue of the nose and throat. If you have a high level of allergens in the home, instituting more regular vacuuming, dusting, etc can help. You might also consider changing pillows if one of you is allergic to down, and some people are allergic to certain components of laundry detergents, so switching to a hypoallergenic brand may help.
Alcohol leads to increased relaxation of the throat muscles which contributes to the severity of obstructive sleep apnea. So try to cut down on alcohol consumption, something that is easier as a couple.
If the above behavioral therapy methods do not solve your problem it is important to recognize that there are many risks associated with sleep apnea and seek professional help. Sleep apnea diagnosis followed by CPAP or oral appliance therapy can help you both sleep and ensure your happily ever after is a lot longer.
If your partner is a snorer and this is affecting your relationship, schedule a snoring consultation at the Snoring and Sleep Apnea Treatment Center in Chicago, Illinois.
posted by Dr. Candelaria at 11:35 AM 0 comments
Monday, February 2, 2009
Sleep Disordered Breathing Independently Correlated to Insulin Sensitivity
According to the study, those with mild, moderate, and severe SDB had a reduction in insulin sensitivity of 26.7, 36.5, and 43.7 %, respectively. In addition, the reductions in insulin sensitivity and the decrease in pancreatic β-cell function were both correlated to reductions in blood-oxygen saturation. And glucose effectiveness was negatively correlated with the frequency of apneic events. Glucose effectiveness is the measure of glucose disposal independent of insulin function, such as through the liver and other methods of filtering it from the bloodstream. This may be an early sign of an effect discussed in another paper published in the same issue, which notes that liver disease in obese patients may be increased by sleep apnea.
By linking SDB to important precursors to type 2 diabetes, the study reaffirms that sleep apnea and snoring are important independent health risks. Although obesity is commonly recognized as a cause of type 2 diabetes, more needs to be done to address the sleep apnea that may be responsible for both obesity and diabetes.
If you suffer from sleep apnea or are a snorer, you may be able to head off type 2 diabetes by receiving treatment. Schedule a snoring and sleep apnea consultation at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois today.
posted by Dr. Candelaria at 11:33 AM 0 comments
Tuesday, January 27, 2009
Snoring and Sleep Apnea Increase Energy Consumption
How many more calories did sleep apnea sufferers burn? The disparity between the high level and the low level was 373 calories per night. However, this should not be taken as a recommendation that sufferers should avoid treatment for their sleep apnea in the hope of losing weight. As we have already seen, sleep apnea leads to a poor diet, and the amount of additional energy consumption is roughly equal to the amount of additional calories consumed in fat and protein alone. And it doesn't help dissipate the additional cholesterol consumed. And the dangers of sleep apnea, such as high blood pressure and increased risk of stroke and heart attack, mean leaving the condition untreated is a dangerous thing.
To learn more about the dangers of sleep apnea, schedule a sleep apnea consultation at the Snoring and Sleep Apnea Treatment Center today.
posted by Dr. Candelaria at 9:31 AM 0 comments
Tuesday, January 20, 2009
Loud Snoring Independently Correlated with Daytime Sleepiness
The highest recorded volume of snoring in the subjects was strongly and independently correlated with daytime sleepiness--commonly considered as a symptom of sleep apnea--as measured by the Epworth Sleepiness Scale (ESS) in apneic patients, but not in other patients. Interpreting these results is difficult, but researchers concluded that snoring intensity may explain daytime sleepiness that cannot be fully explained by variables measured by polysomnography.
The mechanism is very difficult to imagine, but since the ESS is a subjective measure, perhaps there is a deeper, more cognitive effect of snoring on the quality of sleep. We know that snoring disturbs cosleepers, but perhaps it also disturbs the sleeper himself in a way we cannot appreciate.
Although the study only correlated the effect of snoring for apneics, it is possible that all snorers suffer diminished quality of sleep. To learn more about the benefits of snoring treatment, schedule a snoring consultation at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois.
posted by Dr. Candelaria at 9:29 AM 0 comments
Tuesday, January 13, 2009
Repeatability of Sleep Apnea Tests
A recent study published in the International Archives of Medicine showed that not only are the tests reliable, but they may be more reliable than in-lab assessments. The researchers took a small sample size of patients and gave them four tests--two in-lab and two at-home--over a period of six months and compared the results. Polysomnography results were taken and sent to three different accredited sleep laboratories for interpretation while the at-home tests were collected by the patients and scored according to standardized algorithms. According to the researchers, the in-lab tests showed a high degree of variability from test to test when compared to the at-home tests. Whereas at-home tests showed essentially no variability, the second polysomnography seemed biased toward greater apnea-hypopnea and apnea indices.
Although the study, with its small sample size, does not say whether one test is more accurate than the other, it does urge doctors using polysomnography to measure severity of sleep apnea to be aware of the possible bias of the test.
If you have been diagnosed with sleep apnea, we can help. Schedule a sleep apnea consultation at the Snoring and Sleep Apnea Center in Gurnee, Illinois today.
posted by Dr. Candelaria at 9:28 AM 0 comments
Tuesday, January 6, 2009
Treating Sleep Apnea Helps Alzheimer's Patients
Because impaired cognition is a symptom of sleep apnea, it makes sense that Alzheimer's patients who suffer from sleep apnea are likely to see cognitive improvement if treated for their apnea. A recent study by researchers at the University of California confirmed the effect. Researchers also recommended sleep apnea treatment as a way to improve the independence of Alzheimer's patients.
Although the study was small, with only 52 subjects, and it was unable to demonstrate statistically significant results when the subjects were initially divided into treatment and control groups, the results are potentially very important. Patients being treated saw improvement in verbal learning, memory, cognitive flexibility, and mental processing speed.
It is estimated that as much as 70 to 80 percent of dementia sufferers have sleep apnea. Researchers explained, "Although it is unlikely that OSA [obstructive sleep apnea] causes dementia, the lowered oxygen levels and sleep fragmentation associated with OSA might worsen cognitive function." It has also been shown that elderly patients with dementia suffered more severe symptoms, including more frequent awakenings, than patients without dementia.
When these researchers refer to sleep apnea treatment, they mean CPAP, but it is possible that oral appliance therapy may also be effective, and may be better tolerated.
This study confirms that no matter what the condition, it is most likely worsened by sleep apnea. If you are a sleep apnea sufferer, beginning treatment is one of the best things you can do for your long-term health. To learn more, schedule a sleep apnea consultation at the Snoring and Sleep Apnea Center in Gurnee, Illinois.
posted by Dr. Candelaria at 9:27 AM 0 comments
Wednesday, December 24, 2008
Doctors Begin to Recognize Importance of Sleep Medicine
Not so sleep dentistry, which is still not a specialty recognized by the American Dental Association. Nonetheless, sleep dentists have been working for decades to help people get a good night's sleep through oral appliances that can stop snoring and remedy obstructive sleep apnea.
If you are a snorer or have been diagnosed with sleep apnea, especially if you have been started on CPAP treatment by a sleep doctor but it is not working for you, schedule a sleep dentistry consultation at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, today.
posted by Dr. Candelaria at 6:47 AM 0 comments
Wednesday, December 17, 2008
Baby Boomers Losing Sleep
About 18 percent of Baby Boomers report that they don’t get enough sleep because their significant other snores or tosses and turns. No wonder so many of them are moving into separate bedrooms. But it doesn’t have to be this way. If you snore or if your loved one snores, you may be able to get relief with oral appliance therapy.
These days, there is enough to worry about with the economy and financial stress, and with everyone getting older, family worries just keep multiplying. Don’t let snoring keep you awake at night. Schedule an oral appliance therapy consultation at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois.
posted by Dr. Candelaria at 6:44 AM 0 comments
Wednesday, December 10, 2008
Circadian Rhythms Related to Metabolism
The researchers studied a pair of molecules, known to modulate the body's response to metabolic hormones. They created a mutation in mice which prevented the two hormones, NCoR and HDAC3, from working together. This partnership is known to affect animals' metabolism responses to food, but when they disrupted this partnership, they found a surprising side effect: suddenly the mice were on a different sleep schedule. Suddenly, they had a different circadian rhythm than unaltered mice. They were sleeping less, but their bodies responded more readily to insulin. This means they did not gain as much weight when put on a high-fat diet, and seemed healthy.
Researchers are hopeful that this discovery might someday lead to new therapies in the battle against obesity and diabetes. They warn, however, that the discovery shows sleeping less and greater insulin response may be triggered by the same mutation, not that people who sleep less, or who have disrupted sleep patterns as a result of sleep apnea or snoring, will lose weight. In fact, the evidence suggests the opposite.
If losing weight has been a problem for you, especially if you can't seem to control your diet or appetite, perhaps sleep apnea is a contributing factor. Schedule a sleep apnea treatment consultation at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, today.
posted by Dr. Candelaria at 6:42 AM 0 comments
Wednesday, December 3, 2008
Husbands and Wives Being Driven Apart by Sleep Disorders
Psychologists say that although it is important for people to get sleep, simply moving into another room can cause irreparable damage to your relationship. Although sleeping in separate rooms might defuse the tension surrounding snoring or RLS-related disturbance to your partner, it also reduces the amount of bonding you do with him or her. Sleeping in the same bed is important for establishing intimacy which is the foundation of a healthy marriage. Although used as a euphemism for sexual relations (also affected by snoring and sleep apnea), intimacy is a combination of psychological and biochemical mechanisms that help couples to feel close to one another.
And simply moving to another room leaves potentially dangerous conditions untreated. Snoring is often just the most audible symptom of obstructive sleep apnea, which can lead to a number of dangerous health effects. If you truly love your husband or wife, you will not abandon them to gasp and suffer alone, but will help them get treatment, using either CPAP or the more comfortable and less invasive oral appliance therapy.
The best solution to a snoring problem is not to run away, but to seek treatment through sleep medicine. To schedule a snoring relief consultation, contact the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, today.
posted by Dr. Candelaria at 6:34 AM 0 comments
Tuesday, November 25, 2008
Sleep Apnea Diagnosis Delays in Canada
Sleep medicine is one area where people can suffer potentially deadly delays as a result of the system. In Saskatchewan, for example, there are very few labs able to diagnose sleep apnea. One lab has a waiting list of over 2000 people, and some of these people have been waiting five years for diagnosis and treatment of sleep apnea. Because of the myriad dangers of sleep apnea, Health Canada guidelines recommend a maximum wait time for sleep apnea diagnosis of two to six months.
A relatively new program in Saskatchewan, though, has given thousands of Canadians an option. Instead of waiting in line for diagnosis at a sleep lab, people who suspect sleep apnea can take home a portable testing kit to determine whether they are likely to be suffering from sleep apnea.
The only problem with the program? Funding. Although it has successfully reduce the waiting lists at the area sleep clinic and brought wait times into the recommended length, the provincial government is unsure whether it wants to continue funding the program. With funding up in the air, it is uncertain whether the program will be cut off despite its early success.
At the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, we can make sure you receive timely diagnosis and treatment for your sleep apnea. Schedule a sleep apnea consultation today.
posted by Dr. Candelaria at 2:41 PM 0 comments
Tuesday, November 18, 2008
Sleep Apnea and Post-Traumatic Stress Disorder
In one study of crime victims suffering from PTSD, 90 % of the victims also suffered from respiratory disruption, and half also suffered from obstructive sleep apnea. Other studies have found similar results, and it has been determined that insomnia and daytime sleepiness within a month after the traumatic event are important predictors for the development of PTSD.
With PTSD, as with obesity, it is hard to determine which came first. But sleep apnea saps a person's mental and physical resources for dealing with life events. Since it is impossible to predict who will suffer from PTSD after a traumatic event, all that we can say is that people with sleep disorders are more likely to develop PTSD.
In one case study of a Vietnam Veteran who suffered from both sleep apnea and PTSD, the treatment of sleep apnea led to a significant reduction in PTSD symptoms. The man had frequent waking episodes, often accompanied by choking, and he complained of nightmares and flashbacks to his combat experience. Once the man began CPAP treatment, and his level of REM sleep increased, his PTSD all improved. His doctors attributed this in part to the dramatic reduction of his waking instances during REM sleep and more time spent in REM sleep.
If you or a loved one have suffered a traumatic event and are finding it hard to get back to normal life. If your sleep is disrupted and you fear for your physical and mental health, sleep apnea might be part of the problem, and treatment part of the solution. Schedule a sleep apnea consultation at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois today.
posted by Dr. Candelaria at 2:40 PM 0 comments
Tuesday, November 11, 2008
Even Mild Sleep Apnea Can Be Serious Health Risk
The symptoms of sleep apnea are relatively easy to identify once you know what you're looking for. Snoring, daytime sleepiness, weight gain, impaired cognitive function and focus, can make a very clear pattern pointing in the direction of sleep apnea. But as little as 1 in 5 sleep apnea sufferers actually manifests the discernible symptoms of sleep apnea. Because they are harder to identify and study, the risk these people, with only mild to moderate OSA, face has not been studied in the past. However, this study, conducted by the Oxford Centre for Respiratory Medicine, identifies the significant risk of cardiovascular damage even in very mild cases of OSA.
According to the study's results, people with sleep apnea had blood vessels less able to expand and contract to regulate blood flow, and their arteries were significantly more stiff than non-apneic subjects. Surprisingly, apnea sufferers had higher blood pressure, but not significantly.
Although blood pressure was not determined to be a factor in this study, the cardiovascular symptoms pointed to by the study still represent an increased risk for people with even mild, largely asymptomatic OSA.
If you experience even intermittent hints that you may suffer from sleep apnea, the potential dangers of sleep apnea justify undergoing evaluation to determine the presence or absence of the condition. And if you have only mild OSA, it is more likely that you can receive good results with non-invasive, comfortable oral appliance therapy. Schedule a sleep apnea consultation with the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, to learn more.
posted by Dr. Candelaria at 2:39 PM 0 comments
Tuesday, November 4, 2008
Apnea Leads to Poor Diet
All of the patients in the study had sleep apnea. In looking at the data, researchers also found that people with an RDI > 50, meaning people with more disturbed sleep breathing, consumed a diet that was higher in cholesterol, protein, total fat, and total saturated fat. In fact, those with higher RDI's consumed, on a daily basis,
88.16 mg more cholesterol
21.96 g more protein
27.75 g more total fat
9.24 g more saturated fat
Although apnea is commonly correlated with obesity, these results were after correction based on body mass index (BMI), meaning that there seems to be an independent correlation between SDB and diet. Although it seems unwise to jump to conclusions, this study points strongly in the direction that, in some cases at least, sleep apnea causes obesity rather than the other way around.
If you find you are having trouble sticking to a diet and losing weight because of unexplained cravings or appetite that is out of control, perhaps SDB is to blame. Schedule a sleep apnea consultation at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, today.
posted by Dr. Candelaria at 2:36 PM 0 comments
Thursday, October 30, 2008
Epilepsy and Sleep Apnea
The study followed a 28-year old obese man who suffered both epilepsy and sleep apnea following brain trauma. They used a combination of EEG and polysomnography to monitor him for both seizures and apneic events. They detected both obstructive sleep apneas and central sleep apneas. They also found that there seemed to be a reinforcing effect between the two conditions. Sometimes apneic events were brought on by seizures, and sometimes seizures were brought on by apneic events.
As part of the case study, the researchers recommended that all epileptic patients whose condition is resistant to treatment, whether they present snoring or not, should be studied using a polysomnogram to determine both the presence of sleep apnea and what relationship it might have to their epilepsy.
Epilepsy is just one of many conditions that can be worsened by sleep apnea. If you have a medical condition that is resistant to treatment, it is possible that sleep apnea is a contributing factor. Consult with your doctor and contact the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, to schedule a sleep apnea consultation.
posted by Dr. Candelaria at 9:39 AM 0 comments
Thursday, October 23, 2008
PBS Feature on Sleep Apnea Neglects Oral Appliance Therapy
The story showed three men, one who was just being diagnosed with sleep apnea, one who was getting ready to begin treatment for sleep apnea, and one who had been undergoing treatment with CPAP successfully for three years. The man prepared to begin treatment was fitted with a CPAP mask, and openly expressed his distaste for the machine. The story revealed that CPAP treatment only works for about 25 % of patients, and that the man who was fitted with the CPAP mask didn't feel he had slept any better with it than without it.
However, the story failed to give any mention to CPAP alternatives, such as oral appliance therapy. Oral appliance therapy is not for everyone, but neither is CPAP, and with the potentially deadly effects of sleep apnea, people need to be informed of all their options so they can find the treatment that works best for them.
If you have been diagnosed with sleep apnea and are trying to undergo treatment, but are finding that CPAP just isn't working for you, schedule a consultation with the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois today.
posted by Dr. Candelaria at 9:38 AM 0 comments
Thursday, October 16, 2008
You Can Lose the Weight and Not the Apnea
The study would seem to lend credibility to the theory we talked about last time: that obesity is an effect, not a cause, of sleep apnea, but it may not be true. It is important to remember that while all the patients experienced a dramatic reduction in BMI, they were by no means reduced to patients with an ideal BMI. Although they were no longer severely morbidly obese, they were still technically obese following their surgery.
More importantly, the study also found that although patients were still suffering from a potentially deadly degree of sleep apnea, the majority of them had discontinued use of their sleep apnea treatment, which in the study was CPAP. Most of them thought their sleep apnea was resolved, but this was probably due to the increase in energy they felt as a result of their weight loss. Once they felt this increase in energy, they were happy to be rid of the nuisance and discomfort of CPAP forever. It's possible that if the study had involved people being treated with oral appliance therapy, more of them might have continued their treatment following surgery.
If you have had bariatric surgery or lost a great deal of weight through diet and exercise, you may think your apnea is cured, but most likely it is not. However, there may be a more comfortable treatment option for your sleep apnea than your CPAP. To learn more about oral appliance therapy for sleep apnea, contact the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois today to schedule your sleep apnea consultation.
posted by Dr. Candelaria at 9:36 AM 0 comments
Thursday, October 9, 2008
Obesity and Sleep Apnea: A New Chicken-and-Egg Paradox
In human beings, two hormones that have a powerful effect on appetite are leptin and ghrelin. It is more complicated than this, but in general leptin suppresses appetite, while ghrelin stimulates appetite. In studies, the level of both hormones were found to be correlated with low sleep levels. In fact, in a Wisconsin Sleep Cohort Study of 1024 individuals, shorter sleep time was found to correlate both with increased ghrelin levels and lower leptin levels. Since leptin also stimulates the body to burn energy, the combination of elevated ghrelin levels and reduced leptin levels will lead to decreased energy consumption and increased appetite, leading to higher levels of obesity. The study's only caveat is that because of the population it contained more snorers than the overall population.
Interestingly, not all studies have confirmed these results. Some have found sleep apnea sufferers have elevated levels of leptin, not ghrelin, while others suggest that sleep apnea sufferers seem to have elevated levels of both hormones. What is agreed by all the studies, however, is that sleep deficiencies can have a significant impact on the levels of these hormones. And there is evidence that sleep apnea treatment with CPAP can regulate the level of these hormones. It is likely that in cases where oral appliance treatment is called for, it will also help regulate these levels.
So if you are a sleep apnea sufferer who is overweight, it is possible that your apnea is the cause of your weight gain, not the other way around. And if you have been trying to lose weight but have so far been unsuccessful, it may be due to sleep apnea. If you would like to learn more about the possible benefits of sleep apnea treatment, contact the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois today to schedule your sleep apnea consultation.
posted by Dr. Candelaria at 9:35 AM 0 comments
Monday, September 29, 2008
Heavy Snoring Increases Risk of Carotid Atherosclerosis
Researchers studied 110 adults, both snorers and nonsnorers, and evaluated them using polysomnography (commonly used to diagnose sleep apnea) and scanned them for carotid and femoral atherosclerosis. Based on the polysomnography, study subjects were divided into categories of mild, moderate, and heavy snorers. It was found that the risk of carotid atherosclerosis was 20 % for mild snorers, 32 % for moderate snorers, and 64 % for heavy snorers. There was no association between snoring and femoral atherosclerosis.
Snoring is more than just a nuisance. Not only can it be associated with sleep apnea, but it can have serious health complications of its own. If you are a snorer, you should seek snoring treatment today at the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois.
posted by Dr. Candelaria at 1:08 PM 0 comments
Thursday, September 25, 2008
Obstructive Sleep Apnea Contributes to Erectile Dysfunction
The study looked at mice who were exposed to nocturnal CIH, and it monitored not only the visible sexual behaviors, but connected sexual hormones include testosterone and estrodiol, endothelial and neuronal nitric oxide synthase. Endothelial nitric oxide synthase is the hormone affected by sildenafil, tadalafil, and vardenafil, the active ingredients in Viagra, Cialis, and Levitra, respectively.
If you want to sleep better and be able to better enjoy your waking hours, contact the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, for a free sleep apnea consultation today.
posted by Dr. Candelaria at 1:05 PM 0 comments
Monday, September 22, 2008
Daytime Sleeping Leads to Poor Recovery
Earlier, we looked at how sleep apnea can lead to an increased risk of surgical complications. Now it seems that daytime sleeping, one of the possible outcomes of sleep apnea, can have a detrimental impact on the recovery of patients in rehabilitation following a heart attack, stroke, or orthopedic condition. According to a study published in the September issue of the journal Sleep, residents of rehab had significantly decreased functional recovery if they slept more during the day.
The study was conducted by researchers at UCLA's David Geffen School of Medicine. The study focused primarily on daytime sleeping and correlated it with the rate of functional recovery following three months of rehab. Although it did not focus directly on sleep apnea, researchers described sleep disturbances as one of the primary causes leading to daytime sleeping.
The value of the study is that sleep apnea treatment and treatment of other sleep disturbances can be more readily quantified than other variables that inhibit recovery during rehab. Factors like cognitive function and the likelihood of hospital readmission, which have also been shown to be significant variables in determining a patient's rate of recovery during rehab, are less remediable. On the other hand, sleep apnea treatment, whether through CPAP or oral appliance therapy, has a consistent record of documentable success.
If you would like to learn more about how sleep apnea treatment can increase your general health and ability to recover from surgery or injury, contact the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, today for a free initial consultation.
posted by Dr. Candelaria at 1:05 PM 0 comments
Monday, September 15, 2008
Have Diabetes? Get Screened for Sleep Apnea
As part of the numerous dangers of sleep apnea, sleep apnea sufferers are at an increased risk of suffering diabetes. Some studies suggest that sleep apnea may worsen insulin resistance. In addition, behavioral effects related to daytime sleepiness, such as snacking and stimulant consumption, followed by inactivity, can worsen diabetes and impair behaviors such as exercise and diet control that are an important part of diabetes treatment.
If you suffer from diabetes, it is important to be tested for sleep apnea to make sure that you can effectively treat both conditions together for maximum effect. If you have diabetes and have not been tested for sleep apnea, but think you might have the condition, contact the Snoring and Sleep Apnea Treatment Center in Gurnee, Illinois, today for a free initial sleep apnea consultation.
posted by Dr. Candelaria at 1:07 PM 1 comments
Monday, August 25, 2008
Oral Appliances More Effective and Comfortable than CPAP
When provided by doctors and dentists trained in sleep apnea, such as Dr. Shapira, oral appliances are a better option for the treatment of sleep apnea than CPAP. Patients who are prescribed CPAP complain about the noise of the machine, or the claustrophobic feeling of the mask, which can cause nightmares. Patients do not like feeling tethered by the hose. Some patients report problems with allergies, acne, bronchitis, dizziness, and dry mouth or nose, and many suffer chronic sinus infections. As a result, only about 23-45 % of patients actually use their CPAP machine, meaning that their sleep apnea goes untreated and they continue to suffer the dangers of this condition.
Patients given the choice between CPAP and an oral appliance will generally choose the oral appliance, and because it is more comfortable, they will actually use their oral appliances and experience relief.
The comfort and relief provided make oral appliances a more effective sleep apnea treatment in most cases, and that is the reason why Dr. Shapira trains dentists and doctors in the use of oral appliance therapy for the treatment of sleep apnea. Dentists trained with Dr. Shapira provide oral appliance treatment in Grand Rapids, Michigan to Dallas, Texas; Tampa Bay, Florida to Palo Alto, California.
If you have either been prescribed CPAP, and either cannot use it or would rather try a better alternative, contact Dr. Shapira at the Snoring and Sleep Apnea Treatment Center today to learn how oral appliances can provide relief.
posted by Dr. Candelaria at 1:18 PM 0 comments
Monday, August 18, 2008
Ringing in the Ears or Tinnitus? You Could Be a Victim of the Great Impostor.
Many people experience an occasional ringing in the ears, but for some this phenomenon becomes persistent and may even lead to a reduction in productivity, an increase in irritability, and a general decrease in one's quality of life. In seeking treatment, people may see some of the best experts in the field of medicine, but still find no relief, despite many years and much money spent on numerous treatments and medications.
Why can something so simple be so hard to treat? Because it is often due to what is known as temporomandibular dysfunction (TMD), one of the hardest conditions to treat because it masquerades as so many other things. If you look at a partial list of the symptoms, you can see why. In addition to tinnitus, symptoms for TMD include:
· Headaches
· Facial and/or sinus pain
· Earache
· Dizziness
· Shoulder, neck, and other muscle pain
· Irritable bowel, abdominal pain, and gastric reflux are often associated secondarily
Looking at the symptoms, it's easy to see why TMD can be confused with one or more other illnesses. If you have tinnitus or any of these other symptoms, and your doctor has been unable to provide relief, you should consult with a neuromuscular dentist. These specially-trained dentists specialize in treatment of TMD and its related symptoms.
Dr. Ira Shapira, founder of the Snoring and Sleep Apnea Treatment Center, is a neuromuscular dentist who can provide relief for TMD and its symptoms. Please contact him today to schedule a consultation.
posted by Dr. Candelaria at 6:38 AM 0 comments
Thursday, August 14, 2008
The Effectiveness of the SomnoDent MAS
The SomnoDent MAS (Mandibular Advancement Splint) is a relatively simple oral appliance for the treatment of snoring and sleep apnea. It is manufactured by the SomnoMed corporation. Compared to both CPAP and most other oral appliances, it represents a minimalist solution to the problem of snoring and sleep apnea. The SomnoDent consists of two pieces that are custom-fitted to the teeth of the patient. One piece has flanges that fit into pockets in the other piece to maintain the jaw in an appropriate position during sleep.
Although it is a minimalist solution, it is highly effective. Objective studies showed that 63 % of patients treated with the device saw complete cessation of clinical obstructive sleep apnea (OSA) (reduction of apneic events to less than 5 per hour) or a 50 % improvement in their apnea/hypoxia index, a measure of blood oxygen levels during sleep. This includes mild, moderate, and severe sleep apnea sufferers. Studies also showed that SomnoDent users saw an increase in REM sleep, and a reduction in waking.
SomnoDent also improved snoring. On average, snorers saw a 43 % reduction in the number of snores per hour. The snoring was also quieter. Both the average snoring volume and the maximum snoring volume were reduced by 3 decibels.
Subjectively, 83 % of SomnoDent users said they had "significant improvement" in snoring, sleep quality, and reduction of daytime sleepiness. Its ease of use meant that 86 % of patients reported using the device every night. And the combination of comfort and effectiveness led 96 % of patients to say they would continue using SomnoDent MAS.
Because it is a minimalist solution, SomnoDent also has the benefit of being less expensive than other snoring and sleep apnea treatment options. If you would like to learn more about this inexpensive and effective treatment option, contact the Snoring and Sleep Apnea Treatment Center in Gurney, Illinois, today for a free initial consultation.
posted by Dr. Candelaria at 6:43 AM 0 comments
Monday, August 11, 2008
How to Correct the Sinus and Ear Pain of CPAP
Many users of CPAP complain about frequent sinus and ear pain. This pain can be the result of the positive pressure being forced into the otolaryngal cavity.
Obstructive sleep apnea is caused by the relaxation of soft tissues in the throat, which then collapse, constricting the airways. CPAP works by forcing enough air pressure into these airways to keep them open. However, air pressure cannot be selective. It fills the entire otolaryngal cavity, which means that the same pressure that is holding your airway open is pushing against your ears and your sinuses. This can lead to sinus pain and ear pain.
CPAP can be compared to carpet bombing an entire city to root out one nest of radicals, while in many cases what you really need is a targeted solution, a "smart bomb" that goes right to the source of your obstructive sleep apnea and leaves the rest of your airway alone.
For many people, oral appliances are that smart bomb. By correcting the actual obstructive configuration of tissues, oral appliances are a targeted therapy that corrects your sleep apnea without the collateral damage left by CPAP.
Stop fighting so hard against your sleep apnea that you do more harm than good. Instead, contact the Snoring and Sleep Apnea Treatment Center today to learn how you can fight smart and sleep better without sinus and ear pain.
posted by Dr. Candelaria at 1:17 PM 0 comments
Monday, July 28, 2008
Study Provides Objective Evidence for Benefits of Chiropractics
People are split on chiropractors. There are those who believe they are quacks and those who believe they are skilled medical practitioners capable of providing lasting relief to serious medical conditions. Patients have long been able to describe and voice the benefits they receive from going to the chiropractor, but objective measurement of these benefits has been difficult to obtain.
However, a recent study shows that adjusting the atlas, the top cervical vertebra, can lead to a significant decrease in blood pressure, one of the dangers of sleep apnea. The decrease was the equivalent of taking a double dose of prescribed blood pressure medications. Chiropractors who have eschewed full-spine adjustments in favor of delicate manipulations of the atlas vertebra see this finding as a vindication of their approach.
In a different study, it has been shown that neuromuscular dental treatment can help adjustments of the atlas vertebra to stay in place. Because the alignment of the atlas depends almost exclusively on soft tissue, including muscles and ligaments that can be affected by TMD.
To learn more about how neuromuscular dentistry can increase the effectiveness of your chiropractic treatments, contact Dr. Ira Shapira, neuromuscular dentist, at his Gurnee, Illinois office.
posted by Dr. Candelaria at 10:25 AM 0 comments
Tuesday, July 22, 2008
Treat Headaches without Medication Using Neuromuscular Dentistry
The first thing most people do for a headache is go to the medicine cabinet to take an aspirin, acetaminophen, or ibuprofen. However, all medications produce side effects, and these medications are no exception. Aspirin side effects include bleeding in the brain, kidney failure, and increased risk of stroke. Acetaminophen has been shown to be very bad for the liver, and ibuprofen is an NSAID, in the same class of medications as Vioxx, which was pulled from the market because of it increased risks for heart attack and stroke. As a result, it is wise to seek non-drug relief from chronic headaches.
Instead, consider neuromuscular dentistry. The trigeminal nerve, or dental nerve, accounts for half of all input into the central nervous system, and it controls the front 2/3 of the meninges (membranes) that control blood flow to the brain. Because of this role in controlling blood flow, the trigeminal nerve can be blamed for many chronic headaches.
Neuromuscular dentistry, by relieving pressure and dysfunction of the jaw, has, among other effects, the ability to improve the function of the trigeminal nerve.
To learn more about how neuromuscular dentistry can relieve your suffering from chronic headaches, contact Dr. Ira Shapira at his Gurnee, Illinois office.
posted by Dr. Candelaria at 1:05 PM 0 comments
Tuesday, July 15, 2008
Meticulous Cleaning Essential for CPAP
One common complaint among CPAP users is that they get sinus and ear infections. They are more likely to suffer bronchitis than the general population. The constant mucous surplus created by your body in an attempt to fight against infection can be almost as disruptive as the sleep apnea that CPAP is designed to cure. These infections are the result of exposure to the micro-organisms that breed on the mask and hose of the CPAP machine. With daily use, the CPAP machine can host a dangerous menagerie of bacteria, fungi, and viruses that feed on the skin, mucous, and oils from your body that accumulate on the mask.
Then, once these populations have been breeding all day, the CPAP machine becomes a delivery system that pushes them inside your body. The positive airway pressure makes sure these micro-organisms are forced throughout your otolaryngal cavity. The inside of your ears, your throat, even your lungs are all seeded with a breeding population, making it highly likely that the populations will take hold. This is made even more likely as a result of the drying of your mucous membranes that can be a side effect of CPAP treatment.
To avoid the dangers of the CPAP machine, it is essential that you maintain an impeccable cleaning routine for the mask and hose. It is often advisable that you have several sets of hoses and masks so that you can rotate them and soak them in an antibiotic solution between uses.
Another option is the use of oral appliance therapy, which not only fosters less in the way of bacterial and other micro-organismal populations, but is easier to clean, and, even if it becomes populated, does not give these infectious disease organisms a free ride into your lungs. Most people prescribed CPAP therapy can actually get as good or better results from oral appliance therapy, without this health-threatening side effect.
To learn more about how oral appliance therapy can be healthier than CPAP, contact Dr. Ira Shapira at the Snoring and Sleep Apnea Treatment Center today.
posted by Dr. Candelaria at 12:41 PM 2 comments
Tuesday, July 8, 2008
Dr. Shapira to Team with Other Sleep Expert to Provide Care in Bannockburn
Dr. Shapira has been treating people for sleep apnea in the Chicago area from his Gurnee office for over 25 years, and will soon extend the same high quality care to more patients through his partnership with another sleep apnea expert.
Dr. Alex Golbin is the founder of Sleep and Behavioral Medicine. He is a well-known expert on children with sleep disorders, and has written the only textbook on Sleep Psychiatry. He maintains three offices on the North Shore, in Vernon Hills, Skokie, and Bannockburn, all accredited by the Academy of Sleep Medicine. At these state-of-the-art offices, Dr. Golbin treats sleep apnea, insomnia, and bedwetting in children. He also coordinates a number of advanced research projects through his Vernon Hills office, constantly advancing the state of sleep medicine.
The hope is not only that this cooperative effort will not only give patients in the North Shore better access to advanced sleep medicine, but by sharing ideas, experience, and practices, the doctors will be able to improve the treatment of sleep disorders for all their patients.
If you are suffering any of the symptoms of sleep apnea, please contact the Snoring and Sleep Apnea Treatment Center today for a free initial sleep apnea consultation.
posted by Dr. Candelaria at 12:38 PM 0 comments
Thursday, June 26, 2008
Sleep Apnea Personal Quest for Dr. Shapira
Dr. Shapira became interested in sleep apnea treatment because his 3-year-old son, Billy, had severe snoring and suffered from night sweats. When he mentioned his concerns to his son's pediatricians, the concerns were brushed off. When his son was held back from starting kindergarten at age five, Dr. Shapira took matters into his own hands. He took Billy to Rush Medical School's sleep center, where it was determined that the boy had severe sleep apnea. Billy's apnea was treated, and he became a straight "A" student and graduated college with a double major Magna Cum Laude. This experience instilled in him a lifetime interest in sleep disorders. He became a Visiting Assistant Professor at Rush in the sleep service in the 1980's and returned as an Assistant Professor in the 1990's until early this century where he treated sleep apnea and snoring with oral appliances.
Partly as a result of Dr. Shapira's long campaign, the American Academy of Sleep Medicine now recognizes oral appliances as a first-line treatment of mild to moderate sleep apnea and an alternative treatment for severe apnea in patients who do not tolerate CPAP, and in winter 2008, The National Sleep Foundation declared oral appliances "A Therapy Whose Time Has Come."
To learn more about oral appliance therapy, and its ability to correct the major detriment of sleep apnea, please contact the Snoring and Sleep Apnea Treatment Center today for a free consultation.
posted by Dr. Candelaria at 7:38 AM 0 comments
Thursday, June 19, 2008
The Epworth Sleepiness Scale
The Epworth Sleepiness Scale (ESS) is, like the Pittsburgh Sleep Quality Index a questionnaire designed to measure daytime sleepiness. It is used both to indicate whether a person should undergo more conclusive sleep apnea diagnosis and to determine the success of sleep apnea treatment.
The ESS asks patients to rate their likelihood of falling asleep during certain activities, including sitting and reading, watching TV, at a meeting or in a movie theater, while driving, and others. The questionnaire makes sure patients know not to consider just feeling tired, but actually falling asleep. Patients rate each activity from 0 (no chance of falling asleep) to 3 (high chance of falling asleep).
The ESS was designed by doctors at the Epworth Hospital in Melbourne, Australia in 1991. The initial study used the ESS on a group of 180 patients, including 30 normal men and women, and 150 men and women with many different sleep disorders. The ESS was able to distinguish the controls from the rest of the group with a high degree of accuracy, and even distinguished persons with sleep apnea from those who merely snored.
Although the ESS is not a sufficient diagnostic tool, it can be used as a first-screening tool for determining whether you may have sleep apnea.
If you suspect you have sleep apnea, please contact the Snoring and Sleep Apnea Treatment Center for a free sleep apnea consultation.
posted by Dr. Candelaria at 7:30 AM 0 comments
Tuesday, June 10, 2008
The Pittsburgh Sleep Quality Index
The Pittsburgh Sleep Quality Index (PSQI) is a questionnaire designed to determine the quality of sleep experienced by a person. The PSQI seeks to measure the sleep quality of a patient over the course of the last month. Originally designed by professors at the Pittsburgh School of Medicine to measure the sleep quality among psychiatric patients, since its introduction in 1989, the PSQI has been applied in many different contexts to many different populations, with a high degree of success.
In its initial test over an 18-month period, the test showed almost a 90 % sensitivity and specificity in distinguishing between good and bad sleepers. Month-to-month repeatability of results was high. Later clinical trials have also established that the test also had a high level of stability over two years.
The PSQI questionnaire includes questions directed at many different parameters over one month. First, it asks about the time a person goes to sleep, how long it takes to fall asleep, time of waking, and the amount of actual sleep per night. It asks questions about disruptions to sleep, including difficulty falling asleep, night waking, breathing difficulties, and bad dreams. The questionnaire also asks the respondent to get information from any cosleeper(s) about nighttime behaviors such as snoring and restless leg syndrome.
Although the PSQI cannot diagnose sleep apnea, it can be a useful tool for helping clarify a suspicion of the condition. It also can be very useful as a source document for starting your sleep diary, since it identifies many key parameters related to the quality of your sleep.
If you suspect you may have sleep apnea, please contact the Snoring and Sleep Apnea Treatment Center, serving patients in the Chicago area, northern Illinois and southern Wisconsin, for a free sleep apnea consultation.
posted by Dr. Candelaria at 9:43 AM 0 comments
Friday, May 30, 2008
Post-Surgical Risks for Sleep Apnea Sufferers
If you have central, obstructive, or mixed sleep apnea, you may be at risk for dangerous complications following surgery. According to studies, patients with obstructive sleep apnea (OSA) were at double the risk of suffering complications following surgery, and nearly triple the risk for suffering serious complications, including transfer to the intensive care unit and cardiac events. In addition, patients with OSA had an average of 33 % longer hospital stay than patients with normal sleep patterns.
In addition, OSA sufferers are at a greater risk for complications related to sedatives or painkillers, and should be given limited dosages and closely monitored while on these drugs. Any surgery which may lead to swelling in the mouth and throat can become a deadly combination for OSA sufferers.
If you have sleep apnea, make sure your surgeon knows about it prior to any procedure, and make sure you ask your doctor explicitly about possible sleep-apnea-related complications with any prescribed medications.
If you have any sleep apnea symptoms, it may be best to have a conclusive diagnosis for sleep apnea performed before any major surgery. Please contact the Snoring and Sleep Apnea Treatment Center today for a free initial consultation.
posted by Dr. Candelaria at 10:11 AM 0 comments
Thursday, May 22, 2008
New Sleep Apnea Screening Test Seeks to Reduce Surgical Complications
Because sleep apnea sufferers are at an increased risk for post-surgical complications, a team of Canadian Anesthesiologists has developed a very brief sleep apnea screening tool that can quickly be administered to all patients during preoperative interviews. The screening tool, known as STOP, consists of 4 questions:
Do you Snore loudly?
Do you often feel Tired, fatigued, or sleepy during the day?
Has anyone Observed you stop breathing during sleep?
Do you have or are you being treated for high blood Pressure?
A patient who answers yes to two or more questions is considered to be at high risk for sleep apnea. In an initial study, the questionnaire was found to have an 80 % sensitivity for those patients suffering from the highest level of sleep apnea-hypopnea. When combined with other risk factors for sleep apnea, such as body mass index, age, neck circumference, and gender, the sensitivity rose to virtually 100 % for the highest levels of sleep apnea-hypopnea.
If you suffer from sleep apnea, you could be placing yourself at risk for serious postoperative complications, complications that can be prepared against if you know about your condition beforehand. If you suspect you may have sleep apnea, please contact the Snoring and Sleep Apnea Treatment Center today to set up your free sleep apnea consultation.
posted by Dr. Candelaria at 1:29 PM 0 comments
Thursday, May 15, 2008
Sleep Apnea no "Get Out of Jail Free" Card for Mafioso
Carmen "The Cheeseman" DiNunzio, underboss of the Boston Mafia, was recently arraigned on charges of Conspiracy to Commit Bribery, Extortion, and various violations of gaming laws. When he was brought before the judge during his bail hearing, he cited sleep apnea as one of the reasons he should be released from prison. Other health ailments that he said should merit his release included type II diabetes, an overburdened heart, and clogged lungs, all of which are related to his severe obesity and are dangers of sleep apnea.
The 400-pound Mafioso was arrested when an FBI agent played the role of a state highway inspector seeking a bribe to give DiNunzio a $6 million contract for laying loam along Boston's Rose Fitzgerald Kennedy Greenway. The mobster described himself and his operation to the agent, who was carrying a concealed microphone and video camera.
Although it may not merit release for a "dangerous" mobster, sleep apnea is a serious condition that is not given enough regard by police officers and prison administrators. Many people arrested for even such free-speech related offenses as participating in sit-ins have noted that police do not allow the use of CPAP machines in jail. However, it is possible that, with education, police may be more receptive to the use of oral appliance therapy.
If you suffer from sleep apnea, you should consider the full range of treatment options beyond CPAP, whether or not you plan on being arrested! To learn more about sleep apnea treatment options, contact the Snoring and Sleep Apnea Treatment Center today for your free sleep apnea consultation.
posted by Dr. Candelaria at 1:47 PM 0 comments
Thursday, May 8, 2008
May is Better Sleep Awareness Month
Sponsored by the Better Sleep Council, Better Sleep Awareness month hopes to help the 40 % of Americans that suffer from some form of sleep disorder, including sleep apnea. Whether you know what's causing you to lose sleep or not, there are some ways that you can improve your level of rest.
One way to improve your level of rest is to take a nap. For most people, some time during the hours between 12 and 3 in the afternoon, our bodies begin to prepare themselves for sleep. A drop in body temperature, a drop in alertness, a decrease in pulse rate and breathing rate, all combine to help the body prepare itself for the mid-afternoon nap that has been banned by modern society. However, if you can, take a nap from between 10 to 50 minutes some time before 3pm. Let your body dictate when you take it, but make sure you're up again by 3pm to avoid interfering with your night sleep.
Second, make sure that you rest for at least half an hour before heading to bed at night. No matter when you're going to bed, taking that half hour--even at the expense of a half hour of actual sleep--can mean better rest for your entire night's rest.
And if daytime sleepiness persists, you may suffer from sleep apnea. To learn more about the dangers of sleep apnea and be diagnosed for the illness, please contact the Snoring and Sleep Apnea Treatment Center for your free initial consultation.
posted by Dr. Candelaria at 8:12 AM 0 comments
Wednesday, April 30, 2008
Sleep Apnea Diagnosis: X-Rays
The hyoid bone is located in the neck, the only human bone not attached to any other bone. It is only attached to the muscles of the neck and the tongue muscle. Therefore, when the muscles of the throat relax, the hyoid bone can shift and become one of the main constrictors of the airway passage. By analyzing the position of the hyoid bone, researchers hope to use x-rays as a pre-screening tool to look for sleep apnea.
Since sleep apnea is significantly underdiagnosed, and since the x-rays that might be used are routinely given to teens in preparation for orthodontic treatment with braces, the assessment can be used to direct people to sleep apnea diagnosis at a young age, hopefully allowing them to avoid the dangerous consequences of untreated sleep apnea.
If you suspect you may suffer from sleep apnea, please set up a free initial consultation with the Snoring and Sleep Apnea Treatment Center, where the latest and best diagnostic tools are used to identify your sleep apnea and design an appropriate course of treatment.
posted by Patti at 9:23 AM 0 comments
Sunday, April 27, 2008
Play Your Didgeridoo, Blue, to Reduce Obstructive Sleep Apnea
Researchers believe that the improvement was due to the training of the upper airways which made their airways less susceptible to collapse during sleep.
This study shows one example of the wide range of behavioral therapy options available for sleep apnea treatment. Although it may not be the only answer, for many people with sleep apnea, behavioral therapy can be a big help and lead not only to reduced apnea, but increased overall quality of life.
Sleep apnea is a dangerous condition, made even more dangerous by underdiagnosis. If you snore or have any symptoms of sleep apnea, please contact the Snoring and Sleep Apnea Treatment Center today for a free initial sleep apnea consultation.
posted by Patti at 9:15 AM 0 comments
Thursday, April 24, 2008
Sleep Apnea Increases Risk of Heart Attack, Death
According to researchers, sleep apnea triggers the body's threat response, which distributes blood to the body in preparation for a "fight or flight" response and decreases the blood pumped to the heart. Repeated apneic events every night for years can starve the heart of oxygen, leading to the increased risk of heart failure and death.
Although sleep apnea and heart disease have common risk factors, such as obesity, this study was large enough to take that into account and adjust the findings to reflect the real risk of sleep apnea independent of other known heart disease causes.
If you have any of the symptoms of sleep apnea, it may be deadly to wait for treatment. Please contact the Snoring and Sleep Apnea Treatment Center today for a free initial consultation.
posted by Patti at 9:06 AM 0 comments
Tuesday, April 22, 2008
Research Confirms Sleep Apnea Sufferers' Increased Accident Risk
Although previous studies have identified the risk of car crashes among sleep apnea sufferers, this is the largest study yet, and the first time that researchers investigated the severity of the crashes. The study also found that the risk of crash was not necessarily correlated with the severity of sleep apnea. Said one researcher, "Even those patients with fairly mild sleep apnea had an increased risk of serious crashes." Even though daytime sleepiness is a common sign of sleep apnea, researchers found that the risk of crashes was not correlated with self-reported sleepiness, leading them to conclude that "patients may not be aware of the potential driving hazards caused by sleep apnea."
As a result of this increased risk, the co-author of the study said, "we feel it is important for people with suspected sleep apnea to be assessed for this common disorder for which there are several effective treatments."
If you have any of the symptoms of sleep apnea, contact the Snoring and Sleep Apnea Treatment Center today for a free initial sleep apnea consultation and avoid risking your life on the road.
posted by Patti at 3:43 PM 0 comments
Thursday, April 17, 2008
Local Dentist To Lecture On Sleep Apnea At "The Big Sleep Show" - May 9-10, 2008-Chicago, IL
Gurnee, IL (April 2008)- Dr. Ira L. Shapira, of Delany Dental Care, will be participating in "The Big Sleep Show," An Alertness & Healthy Sleep Expo being held at the Donald E. Stevens Convention Center, May 9-10, 2008. Because sleep is a vital human need, our productivity, attitude, alertness-our very well being depends on its quality and quantity. An Institute of Medicine report estimates that 50 to 70 million Americans chronically suffer from sleep disorders and confirms links to "increased risk of hypertension, diabetes, obesity, depression, heart attack and stroke." Regrettably, 95% of people with sleep Disorders remain undiagnosed and untreated.
Dr. Shapira has successfully treated hundreds of patients with sleep apnea for over 25 years. Sleep apnea is a serious, potentially life-threatening condition in which an individual repeatedly stops breathing while he or she sleeps. Typical solutions for patients with sleep apnea include a continuous positive airway pressure (CPAP) device. A CPAP device includes a mask, tubes and a fan that uses air pressure to push the tongue forward and open the throat. Although the industry's gold standard, CPAP is only 23-45% successful due to lack of patient compliance.
Dr. Shapira, a pioneer of oral appliance titration during sleep tests, will be lecturing on the benefits of intra-oral appliances, an alternative to CPAP. He will explain how intra-oral devices eliminate sleep apnea through Titration, which changes the position of the jaw causing mandibular advancement. His exhibit will display intra-oral sleep appliances. associated literature and other related materials.
For more information on Dr. Ira L. Shapira and "The Big Sleep" contact Delany Dental Care at 847-623-5530 or visit www.IHateCPAP.com.
Local Dentist To Lecture On Sleep Apnea At "The Big Sleep Show" –May 9-10, 2008-Chicago, IL
posted by Blogger Admin at 3:18 PM 0 comments
Friday, February 29, 2008
Testimonial From Rita, Patient of Dr. Siegel's
Dear Dr. Marc,
I would like to "Thank You" and your staff, for helping me in my great need.
I couldn't be happier with my new mouth piece. It works so wonderful for me. Since I have had my mouth piece, I sleep all night, I don't "snore" or "blow up with air in my stomach," like I did with the C-Pap.
I joined the BAC Health Club, I go most every day. I have a lot more energy, and I have been breathing much better. I am so very happy I got you, Dr. Siegel, off the Internet. You are my life saver! Before I got the splint, I had chest pains and breathing like I was taking my last breath. I didn't sleep at night at all. My poor husband said I was "restless" and "snoring" almost all night.
So you have made me and my husband very happy, Dr. Marc. Also, I would like to add that your staff has been the best.
Thank you again,
Rita
If you would like to learn more about Dr. Siegel, and his work, please visit Snyder Dental Group.posted by htorbit at 11:43 AM 0 comments
Monday, April 30, 2007
Comments dated April 2007 read:
LAB
posted by Jori Taylor at 5:50 AM 0 comments
Thank You Note dated April 2007 reads:
currently a junior (3rd year). From the very begin of college, I decided
to pursue a career in dentistry. It was towards the end of high school
that I took a great appreciation for the work that Dr. Shapira and Dr.
Amidei do at Delany Dental Care. From that point, I decided to commit
myself to follow their example and become one of the few true masters of
dental health care and art. Ultimately, my goal is to start my own dental
practice that service patients in all fields of dentistry.
My experience during spring break with Delany Dental Care was more than I
expected it to be. I looked forward to dedicating my spring break to
shadowing Dr. Shapira and Dr. Amidei and I thought I had a basic idea of
what their daily routine looked like. However, from the first hour when my
shadowing began, I realized how much more interesting, exciting, and
intense this professional career really was. I was blown away by the work
I observed and I left the office each day very excited, looking forward to
the next days procedures. It really is incredible how within a few hours
you can reconstruct and improve a person's mouth, and further more improve
their health and quality of life. The way I see it, it's preventative
health care that also makes you look good.
I chose Delany Dental because my family has a very close relationship with
them. For over a decade we have been their patients as a whole family. We
pretty much grew up with Dr. Shapira, Dr. Amidei, and Barb (our hygienist).
I was confident that this was the best practice for me to shadow and learn
from; after all, I know first hand that they are one of the best in quality
work. And I mustn't forget to mention that the entire staff is fun,
friendly, and professional. I look forward to visiting the Delany Dental
very soon.
I think I covered most of it. Let me know if you need more. Thanks again.
Say hi to everyone in the office for me.
-Arash Hosseini
posted by Jori Taylor at 5:41 AM 0 comments
Sunday, April 29, 2007
Thank You Note dated April 2007 reads:
MM
posted by Jori Taylor at 5:24 PM 0 comments
Comments dated April 2007 read:
JW
posted by Jori Taylor at 5:20 PM 0 comments
Friday, April 27, 2007
Letter dated January 2007 reads:
Thank you so much for your very kind contribution to the Susan Komen Breast Cancer Foundation in my name. Their work is so important to all of us. It is a wonderful gesture on your part.
This is an opportunity for me to tell you how grateful I am to you for your knowledge and expertise, which have been so beneficial to my health! I had a sleep test last week at Lake Forest Hospital and the technician (whom I have had twice before) told me that the appliance has cured, or is curing, my apnea! I knew that because I have been feeling so much better every day, and sleeping so much better every night. I carried it in my purse to Israel recently. I have told almost everyone I know about it and about You!
I am very thankful to you and wish you and your wife and family good health. May you continue to do your wonderful work for many, many years to come.
Very sincerely,
EK
posted by Jori Taylor at 11:44 AM 0 comments
Letter dated July 2002 Reads:
I must admit that at my first appointment with you I was very apprehensive about your alternative option to the CPAP machine.
I thought that the mouthpiece would never work for me and I was very concerned about the hook that attached the upper and lower mouthpieces together. I have claustrophobia.
I decided to give you a chance to prove me wrong and you certainly did do that.
I made an appointment and went to your office. I had my mouth fitted with lots of plastic and that dreaded bar on the lower appliance and the dreaded hook on the upper appliance. That very night I tried the appliance with my CPAP because I was very nervous about my apnea. My husband, Andy, was out of town and I felt that I needed someone to monitor my sleeping. I drooled a lot that night just like you said I would.
When Andy returned, I tried the mouthpiece without the CPAP and he told me that I did not snore and that I had a restful night’s sleep.
I have had a sleep study done at Condell Hospital and I was told that the “Dr. Shapira device” passed with flying colors-Hallelujah!!!
Dr. Shapira, thank you for your patience with me and thank you for inventing this wonderful plastic mouthpiece that will free me from my CPAP machine.
I travel quite a lot and my new appliance lets me sleep without the machine; I am able to hear the birds chirp in the morning; I am able to smell my fresh sheets; I can hear thunder approaching instead of only hearing the long noises when the storm is directly over my house; I do not look like a Martian when I am sleeping with my CPAP over my face; I can fall asleep on an airplane and not worry about disturbing fellow passengers; and I can go camping with my grandchildren.
Thank you again,
AS
posted by Jori Taylor at 11:37 AM 0 comments
Monday, March 12, 2007
Blog Posts
Thank you,
Dr Ira L Shapira
posted by ilshapira at 2:26 PM 1 comments
TAP APPLIANCE Saved my Trip to China
My previous trip to China was the worst experience in my life. The stewardess woke me at least twenty times because my snoring was so loud that other passengers were complaining. I was in first class and I understand there were a ton of complaints even in the coach cabin about the noise. Not being able to use my CPAP always leaves me exhausted and the stewardess made it worse. I was on a business trip and could barely function and fell asleep during meetings. I hope to forget the embarassment of hearing everyone talking about my snoring being worse than a crying infant.
This trip was a huge success due to the TAP appliance! The stewardess did not wake me, I slept soundly the entire trip and arrived with more energy than I have felt in years. I was so pleased with how well the appliance worked on the plane that I used it the rest of the trip and never unpacked my CPAP. My meetings went smoothly and I had enough energy to do a lot of sightseeing. I have never done that in any of my previous trips.
I have never unpacked my CPAP since returning home. My wife is actually sleeping in the same room with me.
My only problem was leaving my appliance on the nightstand at the hotel and having to retrieve it before leaving for the airport. Luckily I made the plane.
Best investment I ever made and my insurance reimbursed me almost 80% of the cost.
JWP
posted by ilshapira at 1:59 PM 0 comments
Tuesday, February 13, 2007
Welcome to Our New Blog!
Ira L Shapira
posted by ilshapira at 8:07 PM 1 comments
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Disclaimer: Chicago, Illinois Dentist Dr. Shapira's website only provides information on sleep apnea treatment,sleep apnea appliances, sleep problem remedies and on the prevention and cure of snoring in Gurnee, Kenosha, Lake Geneva, Milwaukee, Racine and Chicago, Illinois. This information is not to be taken as medical advice.
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