ApneaRx Eases Patient Concerns- The Predictor Device®

Over the last 20 years there has been an ever increasing use of oral appliances for the treatment of obstructive sleep apnea (OSA) and sleep disordered breathing (SDB). In Scandinavian countries the preferred interventional therapy for the mild to moderate sleep apnea patient has been an oral appliance due to improved patient compliance. Only when the patient has severe sleep apnea or when there are other clinical factors to consider is CPAP recommended. In the United States the American Academy of Sleep Medicine (AASM) has recommended Oral Appliance Therapy as a first line therapy for mild to moderate OSA since 2006.
In America the dominance of CPAP therapy is quickly surrendering

Nox T3 by CareFusion
Home Sleep Test with ApneaRx
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Randy Clare

Randy Clare

Randy Clare brings to Sleep Scholar more than 25 years of extensive knowledge and experience in the sleep field. He has held numerous management positions throughout his career and has demonstrated a unique view of the alternate care diagnostic and therapy model. Mr. Clare's extensive sleep industry experience assists Sleep Scholar in providing current, relevant, data-proven information on sleep diagnostics and sleep therapies that are effective for the treatment of sleep disorders.

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Better Business Beyond the Turf Wars

Sleep awareness has blossomed over the last decade, and it’s hard to find anyone who believes the market is anywhere near its peak. Consumers and members of the medical community increasingly agree that better sleep is a must for improved overall health.

With all that positivity, Jeremy Andra still wonders why the business climate surrounding sleep remains unsettled. “We know things are changing, and have to change even more with heath care the way it is right now,” says Andra, sleep products manager for Washington-Ambulatory_EEG-001based Cadwell Laboratories. “It’s not going to be back the way it was. Do we want to sit around and wait for insurance companies to figure it out? I don’t think so, because they usually get it wrong. In fact, many misunderstandings can happen.” As one example, Andra points out that the phenomenon of home sleep testing was never meant to hurt the sleep market, but instead to help it. That message may be getting through in much the same way that it did years ago in the cardiology market. “Cardiologists once complained that family practice physicians wanted to do their own EKG strips,” explains Andra, who has opened up more than 100 sleep clinics in a lengthy sleep-related career. “They were crying foul saying this will hurt us, and you don’t know enough about the heart like we do. Family practice came back and said, ‘You’re right, but we do know what a normal EKG looks like, and if it’s abnormal, we’ll send them to you.” Andra is keen to examine the progress of relevant specialties in an effort to develop and expand Cadwell’s sleep diagnostic products (which includes digital video software that allows users to display video movement as a channel in recording montages). Ultimately, Andra is intent on bringing disparate groups together to better all facets of the sleep industry.
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Jeremy Andra, RPSGT, RST

Jeremy Andra, RPSGT, RST

Mr. Andra is well known throughout the western United States for bringing sleep programs from initial startup to full operational capabilities by opening approximately 100 sleep facilities. Mr. Andra has been involved in sleep medicine since 1990 when he started one of the first sleep labs using computerized digital systems and one of the earliest portable EEG services in the market. Later, he was involved in large drug research studies as well as evaluating and field testing various medical devices needing FDA approvals including auto technologies with major PAP companies. Mr. Andra then added the dental sleep medicine as a part of his focus. He developed a dental tool named the “Andra Gauge” that is now sold internationally. The Andra Gauge has won Medical Innovation Awards and Dental Products Report had it in their “Top 10 Most Wanted Products”. As a regular on the sleep industry speaking circuit, Jeremy Andra is known for bringing both medical and dental professionals together to create successful business and patient models for Sleep Medicine. Mr. Andra now serves as Product Manager and Business Development Manager for Cadwell Laboratories.

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Sleep Apnea and Reflux

Sleep Apnea and Reflux. Waking up in the middle of the night gasping for air is not always Obstructive Sleep Apnea (OSA).

Good sleep is critical to all physical and emotional functions. In search of good sleep, or as part of the remedies for poor sleep, consideration to reflux is often overlooked. Many medical research papers have discussed the association between sleep disorders and reflux, particularly the association between sleep apnea and acid reflux (Gastro-Oesophageal Reflux Symptoms are Related to the Presence and Severity of Obstructive Sleep Apnoea. J Sleep Re. 2010 Jun9.  Shepherd KL, James AL, Musk AW, et al.  Mechanism of Gastroesophageal Reflux in Patients with Obstructive Sleep Apnea Syndrome.  Neurogastroenterol Motil. 2010 Jun; 22 (6) 611-e172. Epubli 2010 Mar.  Kuribayasi S, Kusan M, Kawamura Shimoyama Y, et al.)
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Jordan Stern MD

Jordan Stern MD

Dr. Jordan C. Stern is Founder and Director of the BlueSleep Snoring and Sleep Apnea Center in New York City’s Financial District. He is a best selling author and sleep expert board certified in Otolaryngology and Sleep Medicine. He has participated in the development and clinical trials of new home sleep testing devices, and has published and lectured widely on the subject of sleep apnea and head and neck cancer with over 100 publications and presentations to his name. At BlueSleep, Dr. Stern takes a comprehensive approach to the diagnosis and treatment of sleep apnea and snoring. The center is unique, offering home sleep testing and personalized treatments including: in office tongue-base radiofrequency treatments, custom-made oral appliance therapy; as well as tongue strengthening exercises, weight loss, relaxation music, insomnia treatments, silent acid reflux treatment, and CPAP for severe cases. The on-site sleep experts include medical, surgical, and dental sleep specialists, speech therapists, audiologists and CPAP specialists. Dr. Stern is co-author of Dropping Acid: The Reflux Diet Cookbook and Cure, a New York Times best seller available at Amazon.com. Correcting reflux can lead to reducing sleep apnea, and is often part of the recommendations to achieve sleep health. He has also produced a three volume set of relaxation sleep music: “Music for Dreams” created and performed by world renowned pianist Magdalena Baczewska, available at BlueSleepMusic.com and itunes.com.

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Dental Sleep Medicine in the 21st century

Recent advances in sleep technology, 3D digital imaging and molecular genetics have given new insights into the role that dentists play in dental sleep medicine.  It is important to appreciate that dental sleep medicine is a multi-disciplinary endeavor with a team of professionals that aim to achieve maximum medical benefit for their patients.  Another important concept is to understand that obstructive sleep apnea is one slice in the broad spectrum of sleep medicine, so professional collaboration and cooperation with sleep specialists is the key to successful patient outcomes.  There are other historic examples of professional multi-disciplinary teams.  For example, patients with craniofacial pain, and children born with cleft lip and/or palate, are best managed by a team that includes both medical and dental personnel.  Therefore, this article provides a brief overview of some new concepts that lie in the hands of dentists working towards improved systemic health of their patients by addressing the putative root causes of OSA.
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Dave Singh DDSc, PhD, DMD

Dave Singh DDSc, PhD, DMD

Dr. Dave Singh was born, educated and trained in England, UK. He holds three doctorates, including a Degree in Dental Surgery; a Ph.D. in Craniofacial Development, and a D.D.Sc. in Orthodontics. He was invited to relocate to the Center for Craniofacial Disorders, USA on the basis of being an “outstanding professor”, where he led a NIH-funded program of craniofacial research. Currently, he is a Member of the World Association of Sleep Medicine, American Academy of Dental Sleep Medicine, an Academic Fellow of the World Federation of Orthodontists, and Fellow of the International Association for Orthodontics, where he was awarded prizes in 2005, 2013 and 2014. Dr Singh holds several patents in the USA, Canada and Europe as well as international patents. He has published numerous articles and books in the peer-reviewed medical, dental and orthodontic literature, and has lectured in Australia, Asia, Europe and North America.

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Next Steps in Navigating the World of Dental Sleep Medicine

You are reading this magazine because there’s always more to learn about treating sleep apnea – I’ll get to that. But first, let me start out by telling you why I NEVER wanted to make sleep appliances in my practice. In 2008, 5 years out of dental school, one thing I was absolutely sure of was that if a patient had Class I canine guidance then all was right in the world. One of my favorite patients, Phyllis B., had that perfect bite until she came in with (cue scary music) a posterior open bite! Gasp! The horror! I furiously wrote a referral to the orthodontist to get this immediately fixed. How dare a dentist make MY patient an oral appliance to help her airway at night that could potentially change her bite. You can even tell how mad I was
Continue reading Next Steps in Navigating the World of Dental Sleep Medicine

Erin Elliott DDS

Erin Elliott DDS

ERIN ELLIOTT, DDS, is in private practice in Post Falls, Idaho, where she provides general and cosmetic dentistry, short-term orthodontics, and dental sleep medicine. Dr. Elliott is an active member of the American Academy of Sleep Medicine and the American Academy of Dental Sleep Medicine, as well as a diplomate and sitting co-President of the American Sleep and Breathing Academy. She has authored several articles and lectured extensively on dental sleep medicine.

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Great Video from the Beginning of Dental Sleep Medicine

Dr L. Wayne Halstrom
Dr L. Wayne Halstrom

Dr L. Wayne Halstrom a SleepScholar contributor and pioneer of the Dental Sleep Medicine field recently posted his media reel on the Silencer Blog. I asked him for permission to post this material because some of the attendees at Dr John Tuckers Sleep Complete Presentation last weekend asked for access to the material.
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Randy Clare

Randy Clare

Randy Clare brings to Sleep Scholar more than 25 years of extensive knowledge and experience in the sleep field. He has held numerous management positions throughout his career and has demonstrated a unique view of the alternate care diagnostic and therapy model. Mr. Clare's extensive sleep industry experience assists Sleep Scholar in providing current, relevant, data-proven information on sleep diagnostics and sleep therapies that are effective for the treatment of sleep disorders.

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Sleep Bruxism: Occlusal Splint or OSA Appliance, That’s the Question

I attended the Henry Schein Sleep Complete meeting in Dallas this weekend, and presented Nox T3 sleep diagnostic device for the group. This is a dental meeting taught by Dr John Tucker DMD an excellent presenter and SleepScholar contributor. I have been in the dental sleep medicine arena for over twenty years and continue to be impressed with how much passion attendees show at these meetings. I tested 12 Drs with the Nox T3 overnight and we had many spirited discussions about the results.
Continue reading Sleep Bruxism: Occlusal Splint or OSA Appliance, That’s the Question

Randy Clare

Randy Clare

Randy Clare brings to Sleep Scholar more than 25 years of extensive knowledge and experience in the sleep field. He has held numerous management positions throughout his career and has demonstrated a unique view of the alternate care diagnostic and therapy model. Mr. Clare's extensive sleep industry experience assists Sleep Scholar in providing current, relevant, data-proven information on sleep diagnostics and sleep therapies that are effective for the treatment of sleep disorders.

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Trucking Industry Seeks Consistant OSA Regulations

In January, the Federal Motor Carrier Safety Administration issued a bulletin to medical examiners and training organizations regarding obstructive sleep apnea. A sleep physician with commercial transportation expertise weighs in.

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Edward Michaelson MD

Edward Michaelson MD

Edward D. Michaelson, MD is Board Certified in Pulmonary Medicine, Internal Medicine and Sleep Medicine and is a fellow of the American College of Physicians, the American College of Chest Physicians, the American Academy of Sleep Medicine, and is a member of Sigma Xi. He has spoken before audiences of all sizes both nationally and abroad. Dr Michaelson has participated on local, state and national committees concerned with pulmonary medicine, has served as a consultant to the National Institute of Health, United States Air Force and the Divers Alert Network. He is the author of over fifty scientific publications.

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Narval CC and Resmed – A Story of Innovation

At the recent American Academy of Dental Sleep Medicine

 Ludovic  Baratier
Ludovic Baratier

Conference I had the pleasure of presenting at the ResMed evening symposium to a group of passionate Dentists wanting to hear more about the Narval CC 3D printed appliance. However, the hi-light of this event for me was meeting and conversing with the  inventor of the Narval CC, Ludovic Baratier. Ludovic graciously agreed to a phone interview so that I could document the Narval CC from inception to date. So, here is the official story of the Narval CC.
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John Viviano B.Sc. DDS Diplomate ABDSM

John Viviano B.Sc. DDS Diplomate ABDSM

John Viviano B.Sc. DDS Diplomate ABDSM; from Mississauga ON Canada,obtained his credentials from U of T in 1983, he provides conservative therapy for snoring and sleep apnea in his clinic, Limited to the Management of Breathing Related Sleep Disorders. A member of various sleep organizations, he is a Credentialed Diplomate of the American Board of Dental Sleep Medicine, and has lectured internationally regarding management of Sleep-Disordered Breathing and the use of Acoustic Reflection. Dr Viviano has also conducted original research, authored articles and established protocols on the use of Acoustic Reflection for assessing the Upper Airway and its Normalization. For more info or to contact Dr Viviano click: SleepDisordersDentistry.com Website SleepDisordersDentistry LinkedIn Discussion Group

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The 4 D’s – Drunk, Drugged, Distracted and Drowsy Driving

The 4 D’s – Drunk, Drugged, Distracted and Drowsy Driving. Well getting 2 out of 4 isn’t bad. Dr. Mark Rosekind a renowned sleep and fatigue expert and the recently appointed Administrator of the National Highway Safety Administration in an interview with Sleep Review [1] outlined the 4 D’s of impaired driving. Drunk, Drugged, Distracted and Drowsy.
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Bob Stanton

Bob Stanton

just a truck driver with sleep apnea. Co-coordinator of the Truckers for a Cause a patient support group for truck drivers under treatment for obstructive sleep apnea. Active in lobbying and educational efforts as they apply to FMCSA medical certification guidelines and truck driver health and wellness.

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