While orthodontistists are uniquely poised to incorportate sleep into orthodontic practices, there are signficant challenges in actually doing so. The orthodontist will need to understand the challenges and discern to what capacity they will incorporate sleep into the practice. From simple screening to more advanced complex case management, building of a sleep practice will come with numerous challenges. Creating a medical practice within your orthodontic office can be rewarding, but there is much that can upset the apple cart.
Recognize and understand several challenges to incorporating sleep medicine in an orthodontic practice.
Evaluate the interactive role the orthodontist can play with the patient's physician.
Comprehend that success in case management of each sleep patient may be defined differently based on case presentation and the fluid nature of sleep disordered breathing.
You must be logged in and own this session in order to
2/16/19 7:05 pm
Teddy Rothstein DDS PhD
2/15/19 1:08 pm
Posted to Kevin O'Brien Blog 020719 and sent to Dr. Rolf Behrents and the Chairman of the AAO White Paper Committee https://youtu.be/451mmOSsSRI Video of Powerpoint presentation to Tri-County Orthodontic Study Club Portland OR My work demonstrates that Dental Professionals (DPs) are welcomed by the public and as providers of weight control services as part of a Healthcare team that includes dietitians, physicians, psychotherapists and bariatric surgeons. OJW is a fixed intra-oral, bio-mechanical appliance and protocol for controlling compulsive overeating (CEEP) in carefully selected patients who are obese/heading toward obesity, that help them start regaining control over compulsive eating habits with potentially grave health consequences... Read the rest at where the Video is living... Providing Weight-control in your office, be it for Weight-control per se, or eliminating Sleep Apnea (Snoring) by eliminating the Major, Most Common CAUSE of it, seems more sensible than the devices we currently offer. I speak from EXPERIENCE having tried not less than four different types of them and finally the CPAP---UGH to all of them. When my wife decides she’s had enough of my snoring (BMI 26) she heads off to the guest bedroom. Below find my criteria for providing my Weight-control service. * Here’s some good articles: https://www.ncbi.nlm.nih.gov/books/NBK441909/ Apnea, Snoring And Obstructive Sleep, CPAP Jawedulhadi Memon; Susan N. Manganaro The major predisposing factor for sleep apnea is excess body weight. It has been estimated that 58% of moderate to severe OSA is attributable to obesity. The etiology of OSA involves both structural and nonstructural factors, including genetic factors. Structural factors related to craniofacial bony anatomy that predisposes patients with OSA to pharyngeal collapse during sleep, e.g. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5181619/ Obstructive Sleep Apnea without Obesity Is Common and Difficult to Treat: Evidence for a Distinct Pathophysiological Phenotype Emma L. Gray, et al Results: Twenty-five percent of the participants with a diagnosis of OSA had a body mass index (BMI) within the normal range (BMI < 25 kg/m2) and 54% had a BMI < 30 kg/m2 (nonobese). My work demonstrates that Dental Professionals (DPs) are welcomed by the public and as providers of weight control services as part of a Healthcare team that includes dietitians, physicians, psychotherapists and bariatric surgeons. OJW is a fixed intra-oral, bio-mechanical appliance and protocol for controlling compulsive overeating in carefully selected patients who are obese/heading toward obesity, that help them start regaining control over compulsive eating habits with potentially grave health consequences. I currently provide this service in Brooklyn NY and have done so for the past eighteen years. I have treated 200+, patients most of whom have come from everywhere in the United States. I recently opened a second office in Salem, Oregon to provide the service. Moreover, I teach Dental professionals how to provide the service in accordance with their state’s code of dentistry. I ardently believe that OJW: Weight-control is a service that dental professionals will and should provide with pride and pleasure in their own communities. And that the overweight will applaud our efforts to help them. My experiences providing this service have demonstrated that the patients are deeply grateful for the opportunity to begin regaining control of their compulsive eating habits. *Good Candidates for OJW: Weight-Control: BMI is between 28 and 38 Overall health is still good Failed at previous methods of weight control Are looking to jump-start an attainable weight-loss goal *They consider weight-loss medications out of the question and Weight-reduction gastric surgery too risky Are eating "mindlessly" when not hungry. … Or are experiencing Binge-Eating-Disorder (BED) *They are DEDICATED to and PASSIONATE about Achieving and Maintaining a weight goal Teddy Rothstein DDS, PhD 3035 S.E. Martins St. Portland OR 97202 NYU Orthodontics ‘73 Solo Orthodontic Practice. 1976- 2016 Licensed to practice in New York and Oregon Currently Provides OJW: Weight-control in Brooklyn, NY and Salem, OR Lives in Portland Oregon since 08-28-16 Establishing OJW: Weight-control practice in Portland Cell: (718) 808-2656; Home: (503) 894-9276 Drted35@gmail.com Linked In: https://www.linkedin.com/ OJW Dental Professional Group: https://www.linkedin.com/groups/5160631