Speaker:
Rob Veis, D.D.S.
CEO, Appliance Therapy Group
You can’t read a paper, listen to the radio or watch television without learning something about the latest device, herbal medicine, nasal strip, surgical technique or dental appliance being used to treat snoring.
Bottom Line? Perhaps ten percent of adults snore. And although for most of those afflicted snoring has no serious medical consequences, for an estimated one percent, habitual snoring is the first indication of the potentially life-threatening disorder known as Obstructive Sleep Apnea.
Estimates reveal that sleep disorders are indirectly responsible for more than 41 billion dollars lost each year in job productivity; 17 to 27 billion in motor vehicle accidents; seven billion in work-related accidents; two to four billion dollars a year in home and public mishaps. Clearly there is a problem– a nation-spanning problem demanding immediate (and qualified) attention.
At our most recent ATPA (Appliance Therapy Practitioners Association) Symposium –held annually in Las Vegas, NV– it became evident (based upon attendance at the Sleep Apnea sessions and frequent interactions with symposium attendees) that interest is high, the buzz is on and the potential for exploration, innovation and professional growth in this burgeoning concern are profound, to say the least.
I love the smell of opportunity in the morning!
SLEEP DISORDERS: WHO YOU GONNA CALL?
Up until fairly recently, the diagnosis and treatment of sleep disorders have traditionally fallen under the jurisdiction of physicians. The sad fact is the majority of physicians have received less than one hour of training in sleep medicine as part of their medical education. Yes, during the course of four years of medical school a mere average of two hours is devoted to teaching medical students anything about sleep and sleep disorders. True story.
The medical community continues to typically treat snoring and sleep apnea with the continuous positive airway pressure (CPAP) therapy mask, which has a rejection rate of 50% to 80%. Clearly, there is room for improvement.
That said, it is becoming increasingly more evident that today’s dental practitioner has a significant role to play in the successful recognition and treatment of Snoring and Sleep Apnea.
NEW DIRECTIONS
Numerous appliances are presently available and viable for treating snoring and OSA, with many more innovations and breakthroughs expected. Essentially, sleep appliances are for treatment of snoring and mild to moderate OSA — to reduce snoring, make available a higher amount of oxygen and eliminate excessive daytime sleepiness — in the interest of ensuring normal daily function. These are also appropriate for those patients who cannot tolerate a CPAP or are unwilling (or able) to endure surgery.
Most recently, appliances like Dr. Brian Keropian’s Full Breath Breathing Solution have emerged to challenge the usual suspects.
Used in conjunction with an accredited sleep study or the FDA-approved Home Sleep Study and pharyngometer, it is designed to gently keep the mouth open, the air passage free and providing just the right amount of tongue restriction, eliminating any potential jaw pain or TMJ problems. And it has enjoyed phenomenal success, attaining a 72% drop in the Apnea Hypopnea Index (measuring the number of times per hour that the tongue blocks the airway for at least 10 seconds).
Research has proven that sleep appliances such as Dr. Keropian’s actually offer several distinct advantages over other therapy choices. They are relatively inexpensive, non-invasive, easy to fabricate, reversible and well-accepted.
SLEEP APPLIANCES: A GROWING CONCERN
Sleep appliances can work to provide one of or a combination of as many as three therapeutical functions. First, they can reposition the soft palate, bring the tongue forward or lift the hyoid bone. As they reposition, they may also act to stabilize the tissues, preventing airway collapse. Lastly, appliances seem to increase muscle tone.
Appliance designs vary according to desired method of retention; type of material used; method and ease of adjustment; level of vertical control provided; differences in mandibular movement; and finally, whether or not the appliance is lab or office fabricated. Concerns factored into design selection include 1) TMJ health 2) periodontal structures and 3) number and relative overall health of teeth.
Sleep disorder therapy is no longer an ill-served adjunct of the medical GP. And sleep appliances are, in every sense of the word, a going concern–a technological tsunami that is building size and momentum as we speak. Dentists are at the forefront of this new wave, and rightfully so!
Not only does it represent a golden opportunity to embrace the new technology and techniques, it provides you with a positively platinum opportunity to grow your practice. Treating just one patient per month can add as much as $30,000 to your gross yearly income. Treat one per month and the rest will come.
New technology, new frontiers, new prosperity. Excited yet?
World-traveled lecturer, celebrated educator, and veteran dental practitioner, Dr. Rob Veis is also CEO of The Appliance Therapy Group® (ATG). Comprised of Space Maintainers, Inc.®, Success Essentials®, Second Opinion® The Smile Foundation®, and The Appliance Therapy Practioners Association®, ATG is presently celebrating its 51st year of service–more than half a century of sharing innovative appliances, information and insights with dental patients and professionals all over the world.
For more information on today’s dental treatments and technologies, or for online access to The Appliance Therapy Group Archives of accredited studies, publications and timely Practice Building Bulletins, visit www.TheATPA.com or call 800.423.3270
Filed Under: Archives, ATPA, Space Maintainers Laboratory