Issuu

WINTER 2015 PREMIERE ISSUE SUPPLEMENT

INSIDE THIS ISSUE

Sports Stars Spread Sleep Awareness

Harry Sugg DDS Sleep Apnea Dentistry

A Long but Rewarding Journey

Koala Center for Sleep Disorders

I Scored a lot of Touchdowns in My Career

But No Score was as Big as being Treated for Sleep Apnea – Roy Green former NFL wide receiver

Signs and Symptoms of Sleep Apnea ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

Loud Snoring Morning Headaches Excessive Daytime Fatigue High Blood Pressure Inability to Lose Weight Choking/Gasping Sensation that wakes you up Acid Reflux Depression/Mood Swings Decreased Sex Drive

Koala Center for Sleep Disorders – Arrowhead Mark Castle, DDS 8110 W. Union Hills Blvd., Ste. 430, Glendale, AZ 85308 623-594-9787 | arrowhead@koalasleepcenters.com

Why I Joined For the everyday general dentist, we need practical integration for our patients, while still working with the medical field that supports us.

Erin E. Elliott, DDS

Diplomate American Board of Dental Sleep Medicine

Join Today The American Sleep and Breathing Academy is the first to offer a multi-disciplinay approach to Sleep Medicine. Our patient education and public sleep and wellness campaigns will further assist you with the patient tools you need to be a Sleep Care Provider who leads the way with current concepts in sleep medicine.

AmericanSleepandBreathingAcademy.com

From The Editor Lucid Thoughts TELL PEOPLE ONE THING TO PROTECT THEMSELVES AND

ne of the tenants of the American Sleep and Breathing Academy “ASBA” is to ensure that the sub-specialty of sleep medicine benefits from the practical integration of dentistry and medicine. The mission of the Academy is to

strengthen the profession by forming a true multidisciplinary approach to sleep medicine and overall sleep health.

AVOID PROBLEMS ASSOCIATED WITH

The Academy facilitates the improvement of professional networking within the field by

TOO LITTLE SLEEP,

expanding the scope of involvement to all healthcare professionals and administrators

IT IS THIS: ...THE

involved in sleep health and wellness.

MOMENT WHEN A CONSCIOUS

Sleep & Wellness magazine is a consumer-orientated publication distributed to over 110

EFFORT OF WILL

thousand dental and medical practices, as a complimentary copy for your waiting

IS REQUIRED TO

room patients.

KEEP YOUR EYES OPEN. DROWSI-

Our patient education, public sleep and wellness campaigns will further assist you with the

NESS IS A RED

patient tools you need to be a sleep care provider who leads the way treating sleep

ALERT THAT YOU

medicine. The ASBA hosts an annual convention every April for its membership and all

NEED SLEEP.”

interested sleep professionals. 2016 will see the conference hosted April 15-16 in Scottsdale, AZ. Sleep medicine is an incredible opportunity for any professional who has an interest in treating sleep disordered breathing patients either with oral appliance therapy or continuous positive airway pressure, and membership in the Academy is a must.

DR. WILLIAM C. DEMENT

Publishing Sleep & Wellness Magazine is produced, published, and distributed quarterly by the American Sleep and Breathing Academy, Phoenix, AZ. All rights reserved. Reproduction in whole or part may be granted by written permission. Produced in the United States of American Rates: Complete details regarding circulation, coverage, advertising rates, space sizes, and similar information are available to prospective advertisers. Editorial Contributions: Every precaution is taken to ensure accuracy, but the publishers cannot accept responsibility for the correctness or accuracy of information supplied herein or for any opinion expressed.

-Alan HickeyManaging Editor

CUSTOMER SERVICE American Sleep and Breathing Academy S&W Magazine Customer Care 1745 W. Deer Valley Road, Bldg 1, Suite 112, Phoenix, AZ 85027 PHONE: 714.720.8262 E-MAIL: info@myasba.com www.americansleepandbreathingacademy.com

SLEEP & WELLNESS

2016 A Conference For Healthcare Professionals

April 15-16

Scottsdale, AZ AmericanSleepAndBreathingAcademy.com

Table Of Contents

8 10

Sleep Health Welcome To Koala Center for Sleep Disorders of Arrowhead

13 16 20

INFOGRAPHIC Sleep Is Awesome

Sleep Apnea Dentistry A Long But Rewarding Journey

COVER STORY Sports Stars Spread Sleep Awareness

Living Heart Foundation

Q&A Insomnia

Promotes General Wellness

DREA

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Sleep & Wellness-Winter 2015

S PRIN G 2014 • S LEEP & WELLNESS MAGAZINE

SLEEP HEALTH WRITTEN BY RAYMOND HALL, MD SLEEP SCIENCE EXPERT, INVENTOR, AND SPORTS MEDICINE CHIROPRACTOR OF PACIFIC COAST SPORTS MEDICINE, LA

• Tired in the afternoon? Take a nap or siesta! Napping has been shown to improve productivity, improve alertness, reduce stress and the risk of heart disease, and reduce accidents at work and on the road. Even a work-friendly, 10- to 20-minute nap should be enough to set you up for a productive afternoon.

ORE THAN 40 MILLION AMERICANS SUFFER FROM CHRONIC SLEEP DISORDERS W I T H D E VA S TAT I N G C O N S E Q U E N C E S .

Sleep health has been neglected for so long, we’ve become a nation that is carrying the weight of increased obesity, auto accidents caused by drowsy driving (even more than texting), increased neck pain and even advanced signs of aging through poor quality and disrupted sleep.

Proper sleep hygiene, which is the routine that promotes healthy sleep patterns, can prevent the development of sleep problems and disorders as well as being an important factor in the quest to stay looking and feeling as young as possible throughout your life. Here are recommendations to take control of your sleep health and live your optimal life:

• Be consistent with sleep. Sleep is as important to a person as fuel is to a car, both in terms of quality and quantity. You need proper sleep to run your physiological engine. Poor quality sleep is like water in your fuel tank. You can’t store extra deep sleep or REM sleep, so approach your sleep health with balance and respect. It takes approximately 90 minutes to complete one sleep cycle, and a good night’s rest includes about five full cycles. Allowing yourself enough rest has great benefits during the daytime, as you will feel rejuvenated and alert and will be less prone to illness.

• Reduce pain and improve healing responses. After 29 years of treating headaches, neck and back injuries, as well as chronic muscle and joint pain, I firmly believe that sleep disruptions or sleep deprivation can have a major impact on pain as well as healing. Disruptive sleep due to abnormal breathing patterns can literally change oxygen concentrations in the bloodstream, which can also lead to headaches and poor healing.

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Sleep & Wellness Winter-2015 SLEEP & WELLNESS MAGAZIN E • S PRIN G 2014

• Stay young! Sleep affects every vital organ of our bodies in a profound way and can dramatically affect the aging process. Visible aging begins when the breakdown and oxidation of tissue exceeds the normal growth and maintenance of tissues within our bodies. Skin is the most visually dramatic and recognizable organ that expresses aging. Aim for optimal aging, or maximizing the body’s natural, daily healing process to rejuvenate and restore cellular tissue as well as actively minimize the breakdown and oxidation of all of the trillions of cells within your body. Good sleep hygiene is a critical factor in optimal aging.

• Improve mental alertness. Think of your sleep control mechanism as a variable dimmer switch that controls your lights. When you crawl into bed from a busy day, your dimmer switch is on high. You slowly lower the switch as you progress through the different stages of sleep; in stage 4, deep or delta sleep, your light is completely dark. Deep sleep is very important for hormone production and physiological regeneration. After about 50-60 minutes, your dimmer reverses itself, creating a brighter “light” and REM sleep kicks in. REM sleep is sometimes called paradoxical sleep because your muscles become essentially deactivated but your brain activity is similar to when you are awake. REM sleep lasts about 20-30 minutes and is said to be essential. We can consider REM sleep in computer terms: during REM sleep, you empty your recycle bin (decreasing some “mind clutter”) and transfer information from your memory to your hard drive. REM sleep has been scientifically proven to be a creative stage of sleep that can increase the associative networks in our brain and is linked to improved learning, focus and memory.

• Make wise choices about your sleep environment. Seek out a mattress that supports your body (not one that molds around you) and remains cool and breathable. Find a pillow that offers correct, anatomical support for your neck to open your airways and increase oxygenation. Your pillow should not push your head into a forward posture, similar to the posture you may assume during the day, with your shoulders curved and head and neck pushed forward over a computer or smartphone. When you sleep on your back or side, your pillow should support and lengthen your spine, encouraging more restful sleep, preventive health and improved beauty sleep. Sleeping on your back, with the correct contour for your neck, prevents wrinkles and promotes healthy sleep, naturally!

Remember, you’re in control of your sleep health, and making good choices will reap great results. S&W

Written By Janaye Key

for Sleep Disorders of Arrowhead

Welcome To Koala Center

The primary goal of a Koala Center for Sleep

Disorders is to help you sleep better than you ever have before so you or your patient can enjoy life to the fullest. Our team of fully trained dentists and staff are here to provide a comfortable treatment option for patients suffering from Obstructive Sleep Apnea and Temporomandibular Joint Disorder (TMD).

Mark Castle DDS & Marcus Allen NFL HALL OF FAME LOS ANGELES RAIDERS / KANSAS CITY CHIEFS [Running Back & Full Back]

Sleep & Wellness Winter-2015

The American Academy of Sleep Medicine and the American Sleep and Breathing Academy approve oral Appliances for patients who suffer from snoring, mild to moderate sleep apnea and sleep disordered breathing. Our outcomes meet or exceed national averages. Oral Appliance Therapy is a non-surgical, non-pharmacological option, which is a comfortable alternative to CPAP. This therapy is often covered by medical insurance. Contact 623-207-8744 the Arrowhead ofﬁce for a list of in network plans. For nearly three decades, Dr. Rod Willey, founder of Koala Center for Sleep Disorders, career was centered on helping patients through the practice of general dentistry. He received advanced training in neuromuscular dentistry, orthodontics, and oral appliance therapy for obstructive sleep apnea which

I am extremely passionate about treating patients with sleep apnea and other sleep complications. Although I realize I cannot change the world Good God I wish I could, I know I can make a world of difference in the people I treat - Dr. Castle

led him to start the Koala Center for Sleep Disorders. Today his focus, and the focus of the Koala Center for Sleep Disorders dentists, is on an even greater goal — Saving Lives. For nearly three decades, Dr. Rod Willey, founder of Koala Center for Sleep Disorders, career was centered on helping patients through the practice of general dentistry. He received advanced training in neuromuscular dentistry, orthodontics, and oral appliance therapy for Obstructive Sleep Apnea “OSA” which led him to start the Koala Center for Sleep Disorders. Today his focus, and the focus of the Koala Center for Sleep Disorders dentists, is on an even greater goal — Saving Lives. The Dental director for Koala Center for Sleep Disorders of Arrowhead is Dr. Mark Castle. He has been practicing locally for over 4 decades. His commitment to his patients and the outcomes he has been able to achieve are well known.

“I am extremely passionate about treating patients with sleep apnea and other sleep complications. Although I realize I cannot change the world Good God I wish I could, I know I can make a world of difference in the people I treat, “- Dr. Castle According to numerous articles and studies, 20% of Americans experience some form of sleep disorder, including insomnia, snoring, and sleep apnea — many of who go undiagnosed and suffer unnecessarily. What’s even more dramatic is that these numbers are expected to increase, due in large part to the obesity epidemic in this country, which affects every population group from the aging baby boomers to young children. Sleep disorders are more than just a nuisance that affects both job performance and personal relationships.

Sleep & Wellness-Winter 2015

When you consider that studies have shown that men in particular who are affected by severe sleep apnea have an almost 60% increased risk of developing heart failure, it is clear that sleep disorders have become a lifethreatening health crisis. Snoring occurs when the soft tissue structures of the upper airway collapse onto themselves and vibrate against each other as we attempt to move air through them. This produces the sound we know as snoring. Large tonsils, a long soft palate, a large tongue, the uvula, and excess fat deposits in the throat all contribute to airway narrowing and snoring. Usually, the more narrow the airway space, the louder or more habitual the snoring. Snoring is the sound of partially obstructed breathing during sleep. While snoring can be harmless, it can also be the sign of a more serious medical condition known as OSA. When OSA occurs, the tongue and soft palate

A typical sequence of OSA occurs when a person stops snoring and is silent for seconds, or minutes. The body’s oxygen level drops and the blood pressure rises. The heart is forced to beat faster, causing the pulse rate to increase. The brain may cause the arms, legs or whole body to jerk in an attempt to wake the sleeper so breathing will resume. The silence may end with a loud snort, cough or gasp. This causes the sleeper to wake brieﬂy and begin breathing. Once asleep again, the muscles relax and the airway becomes blocked, cutting off the airway again. This cycle can occur hundreds of times per night. OSA is the most common form of sleep apnea. It ranges in severity from mild to moderate, to severe. Other forms of sleep apnea include Central and Mixed Sleep Apnea The Koala Sleep center of Arrowhead has

collapse onto the back of the throat and

treated more former NFL greats than any sleep

completely block the airway, which restricts the

center in the United States of America. This is a

ﬂow of oxygen. The condition known as Upper

tribute to Dr. Castles treatment quality and the

Airway Resistance Syndrome (UARS) is midway

efﬁciency of the sleep center itself. If you have

between primary snoring and true OSA. People

a sleep disorders or feel you have one, this is

with UARS suffer many of the symptoms of OSA

the place to go. You can get a home sleep

but require special sleep testing techniques.

test there, treatment options and the same

OSA is characterized by complete airway

treatment trusted by NFL legends such as the

obstruction. It is often found, but not limited to,

greatest cardinal of all time Jet Stream Roy

older, overweight men and affects signiﬁcant

Green, Derek Kennard, Mark Walczak, Marcus

percentages of women and children as well.

Allen and many more.

If someone in your family has OSA, you will be

For more information visit

more likely to have it also. The serious and life-

koalasleepcenters.com/phoenix-arrowhead/

threatening problems start when sleepers begin experiencing apneas, where breathing stops, and hypopneas, where breathing is shallow due to an obstruction. Breathing is usually blocked in the back of the throat because:

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Sleep & Wellness Winter-2015 INFOGRAPHIC

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Sleep & Wellness-Winter 2015

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Sleep & Wellness Winter-2015 INFOGRAPHIC

LOOKING PRETTY Have sleep apnea treated to improve facial appearance and look more alert, youthful & attractive.

Adequate sleep is shown to improve a vast array of quality of life elements, ranging from health, intelligence in kids, increased productivity at work, improved cardio & brain execution, hence improving our overall well-being & health.

This infographic designed by FFunction for Zeo www.myzeo.com

Archie Roberts, David Gergen, Isaiah Robinson , Harry Sugg

Sleep Apnea Dentistry A Long But Rewarding Journey Written By Greg Thompson

t one time I had built my private practice Wheatland Dental in Dallas Texas into one of the largest dental practices in the United States with over 13 associate dentists. This was a huge practice which required that I not only train, inspire and mange an army of clinical staff. I also needed to keep my eyes and ears open for new opportunities, techniques and procedures that would bring enough patients to keep everyone busy. I have been treating sleep apnea for many years as an offshoot of my TMD practice.

Sleep & Wellness Winter-2015

Eric Dickerson & Harry Sugg

It was clear that I still needed a consultant to help bring Sleep Apnea Dentistry to my patients. This was when I hired that consultant from Erie PA, and started Lonestar Dental my sleep medicine practice

I decided in 2010 that I would make this area a focus for my team. I made this decision for two reasons. First I wanted to do good for my patients who were struggling, and second Sleep Apnea Dentistry was reputed to be a very proﬁtable and traﬃc inducing area of the business. I consider myself a CE junkie and relentless learner. I was not willing to add Sleep Apnea Dentistry to my practice without extensive training and consultation. With a practice the size of Wheatland Dental it just is not possible to work impulsively. I studied with some of the best, Harold Gelb DDS, Ed Spiegel DDS and also took some 2-day courses, John Tucker DMD, Ellen Crean DDS and Sleep Group Solutions. Sadly many of the courses are two-day sales demos by folks who really don’t use the materials they are presenting. If they are, many of them don’t have a national perspective. Not wanting to beat a dead horse but my practice is larger than

that of the presenters and it is in Texas. I really need context and a guide that understands the regionalism of the sleep business. I ultimately ended up in an American Sleep and Breathing Academy “ASBA” study club with Rod Willey DDS, Paul Van Wallegham DDS, Ken Burley DDS, Mark Collins DDS, Alan Gerbholtz DDS and J.C. Goodwin DDS. What a great group of guys, all at the same entry level I was, now all of them right at the top. I learned a lot of practical practice pearls. I am still in touch with all these guys at the ASBA meeting in Scottsdale every year. It was clear that I still needed a consultant to help bring Sleep Apnea Dentistry to my patients. This was when I hired that consultant from Erie PA, and started Lonestar Dental my sleep medicine practice. On one hand this was a great decision. I probably would not be in sleep without this decision, but boy, was it ever expensive….

Sleep & Wellness-Winter 2015

Harry Sugg & Michael Irvin

The practice of sleep apnea dentistry has turned out to be the highlight of the second half of my career.

It took me 3 years of hard work to undo some of the

damage and by focusing on the trail of breadcrumbs that were left behind, it was not a total loss. My hat is oﬀ to David Gergen, and Gergen’s Orthodontics for leading me out of this very dark place. David suggested I focus on the Herbst appliance for my sleep patients. I took his advice and have treated hundreds of patients without a problem using the sleep Herbst by Gergen’s. You should all start with this appliance. I now am working with the local NFLPA and ProPlayer Health Alliance, I count some of the retired NFL guys as my personal friends. Roy Green, Derek Kennard, Eric Dickerson, Tony Dorsett, Michael Irvin, Preston Pearson and Mark Walzcak have been very generous with their time and their eﬀorts in helping me work with the retired NFL legends.

The practice of Sleep Apnea Dentistry has turned out to be the highlight of the second half of my career. If you are considering this area of practice I urge you to do two things. 1. Stay away from vendor training initially. Usually it is a thinly disguised sales pitch.

Usually with a presenter who shows YouTube

videos for 2/3 of the course. He seems to ﬁnd

them funny (or just ran out of material) but you are there to learn!

2. Join the ASBA to learn the basics and get a foundation to build your practice

AmericanSleepandBreathingAcademy.com

NFL ALL-PRO ROY GREEN

THE PRO’S COUNT ON GERGEN’S AND YOU CAN TOO! In addition to working with some of the biggest names in Pro Sports, Gergen’s is a recognized leader in the field of orthodontic and sleep apnea appliances and now we’re proud to offer 3-D printing services!

By eliminating the need for physical impressions, our 3D printed models offer: • Increased accuracy

Actual mold printed from our 3D Printer

By virtually eliminating the need for physical impressions, this state-of-the-art system reduces chair time, and cuts down on impression material and shipping costs. Just scan and send us your 3D image and we’re able to start printing a model in minutes!

Call today and let us show you how Gergen’s is the team you can count on!

• Increased customer satisfaction • Accelerated production times • Increased production capacity • Reduced chair time and material costs • Digital storage solutions •

connectivity

866-437-4361 1745 W. Deer Valley Rd. | Building 1, Suite 112 | Phoenix, AZ 85027

info@GergensOrtho.com

GergensOrtho.com

No Matter the Arena Sleep Boosts Performance

Written By Andrew Lee

It is often overlooked in spite of the fame and fortune of a professional sports career, that retired stars are members of your community and want to contribute to your overall health awareness. And that’s why Pro Player Health Alliance team has teamed up with ZQuiet, the largest snoring company in the world.

Sleep & Wellness-Winter 2015

Recently the news has been filled with sleep related deaths that can be linked directly to sleep apnea. These we know about because of their high public visibility but we know that there are thousands upon thousands of deaths that don’t make the news each year. The majority of these thousands of deaths are everyday people who walk through your office doors, and walk back out of those doors unscreened and untested. Pro Player Health Alliance and ZQuiet’s mission is to educate the public and drive these patients to your office. Now we’re passing the ball off to you and it’s up to you to help us win the fight against sleep disorders.

Oral Appliances This story is about oral appliances, and how critical support from our industry partners makes it possible to provide therapy. We feel you could catch the passion evident in the dedicated professionals who support us beyond creating the Sleep Herbst, EMA and Dorsal Fin. Can you see a connection between what they do and the patient in front of you that you are trying to convince to get diagnosed? The ZQuietSA is cleared to treat OSA and is the perfect predictor device. Widely used in the medical community as a proof of concept for oral appliance therapy, The ZQuiet-SA comes in four diﬀerent advancement sizes and requires virtually no chairtime so it can be a wonderful tool in your practice to see if a sleep apnea patient is a candidate for oral appliance therapy.

ZQuiet ZQuiet works by keeping the mandible in an advanced position and maintains the patient’s airway at night. ZQuiet’s 2-Step Comfort System provides 2 unique mouthpieces designed to help your patients treat snoring comfortably and eﬀectively. Some patients need just a small advancement, while others need a little more. ZQuiet gives you both mouthpieces to insure that the noise stops so your patients and their family can get the quiet, restful sleep they deserve. Any dentist or physician can order the ZQuiet snoring solution for their patients through the website at proplayersleep. org. American Sleep and Breathing Academy members can login with their academy number on americansleepandbreathingacademy.com to receive a special discount on orders. David Gergen, Eric Dickerson, Roy Green, Marcus Allen

It’s fair to say there are few in the profession with more passion for connecting people with treatment than David Gergen and the Pro Player Health Alliance team. By 2008, Gergen had spent over 30 years improving jaw and tooth function by making orthodontic appliances. Servicing and training under a number of the ﬁeld’s leading providers, including Dr. Harold Gelb, Dr. Robert Ricketts, Dr. A. Paul Serrano and Dr. Edward Spiegel, Gergen raised the standard of orthodontic appliance. His innovations brought him Top Dental Lab Technician in the Country honors. Not enough for someone driven to excel; he looked around and realized that he had friends and family with obstructive sleep apnea who were completely untreated. They had been diagnosed and given CPAP, with many unable to comply with the therapy. They were risking all of the negative impact of not breathing well while asleep. Always a sports fan, Gergen knew the story of Reggie White of the Philadelphia Eagles who passed away in 2004 due to complications from untreated sleep apnea. Reggie White and Roy Green were teammates on the Philadelphia Eagles. Charles Barkley the biggest star in the city at that time had just been traded from the Philadelphia 76ers to the Phoenix Suns. All three of these superstars knew each other very well. Gergen, knowing he needed to be part of a solution so his friends would not suﬀer the same fate, put these two related issues together and changed the course of his life’s work.

Sleep & Wellness Winter-2015

Professional athletes are used to standards set at the highest levels – this prompted Gergen’s Orthodontic Lab, already a top tier appliance creator, to carry on at that level while embracing sleep apnea device fabrication. It was while working for the greatest dentists in the country Gergen learned the technique of supporting the airway by using an acrylic appliance to hold the jaw slightly forward while the patient is asleep. The device is small, easy to wear, and can be very eﬀective in opening the airway. It rapidly became obvious that this was a therapy that needed a little promotion – something that is successful, easy to make and for patients to use. He saw that patients loved it and tended to wear them all night, every night. Obstacles to overcome included medical practitioners who did not have a good understanding of the workings of the jaws and the eﬀect that minor repositioning can have on the upper airway. Dentists also had a great deal to learn about the upper airway and their role in treating the disease diagnosed by the sleep doctors.

Enter the NFLPA Enter the NFLPA - while looking for a way to make an impact, longstanding friendships with current and former sports stars resulted in conversations about their sleep breathing problems. Several players fit the same profile found across the country in countless dental offices – people at risk for sleep breathing problems, diagnosed but given only one solution. What was required was a highquality solution.

Connecting with Patients Professional athletes are used to standards set at the highest levels – this prompted Gergen’s Orthodontic Lab, already a top tier appliance creator, to carry on at that level while embracing sleep apnea device fabrication. The Sleep Department was added in 2009 and in 2012 was one of only two labs in the country authorized to make Medicare-approved devices. Over 100,000 custom appliances now serve sports stars, including legendary NBA and NFL athletes, and even more everyday people, helping them to better health.

Now Gergen’s Sleep Department is making the ZQuiet line of custom oral appliances, the ZQuiet Pro-Plus Dorsal and the ZQuiet Sleep Herbst, for ZQuiet Network Dentists. The ZQuiet Network was established to provide a group of practitioners to receive patients resulting from ZQuiet’s extensive marketing campaigns that each year reaches millions of consumers aﬀected by snoring and OSA. If you are interested in adding more patients to your practice, go to proplayersleep.org to learn more about the ZQuiet network program.

Eight Simple Questions How can you use this in your practice? Every dentist and other medical professional struggles to help their patients see their risk factors for disease – we can see it but they don’t. We know that men carry a greater risk of OSA, they tend not to see the doctor, and they deny signs and symptoms clearly observed by others. How can the dentist connect with these guys? Sports! If your patients won’t listen to their spouse, or you, maybe they will listen to NFL Superstar Roy Green or NBA Hall of Famer Charles Barkley! Charles and Roy are both extremely excited to continue educating and assist in the ﬁght against sleep apnea. Roy Green says, “It all begins with eight simple questions, now, that’s not too painful, is it?” 1. Do you snore loudly? 2. Do you often feel tired, fatigued, or sleepy during daytime? 3. Has anyone observed you stop breathing during your sleep? 4. Do you have or are you being treated for high blood pressure? 5. Are you over weight? 6. Age over 50? 7. Do you have a large neck? 8. Gender male? “If you say yes to 3 or more questions go get a sleep test”.

Ex NFL Superstar Roy Green & NBA Hall of Famer Charles Barkley

Sleep & Wellness-Winter 2015

Gergen and Green spent a signiﬁcant amount of their own time and money traveling the country working with veteran groups and football fans before they realized the impact on the retired professional football community as well as the community as a whole from sleep apnea and related co morbidities including diabetes, obesity, heart disease and stroke. Charles Barkley is one of the most inﬂuential and outspoken celebrities in the country, and is very enthusiastic to add his charisma to this campaign. Charles is, and has always been, very concerned about the health of all current and former athletes. This catapulted stars from all over the country such as Marcus Allen, Tony Dorsett, Eric Dickerson, and Chuck Foreman to make sleep disorder education a priority in their communities.

ASBA 2015 will prove to be a turning point in the identiﬁcation and treatment of sleep disorders based on the commitment of Pro Player Health Alliance and ZQuiet to raise awareness of this disease. If you want to team up in the eﬀorts of Pro Player Health Alliance and work with a sports icon in your community, join the fastest growing academy in the country, American Sleep and Breathing Academy “ASBA”, at AmericanSleepAndBreathingAcademy.com Look for publicity from Gergen’s Orthodontic Lab and the Pro Player Health Alliance, the partnership that Gergen and Green created, to help you connect with your patients. Getting celebrities involved with health care is better for us all. It might even get the attention of that high risk gentleman in your chair!

Charles Barkley, David Gergan, Roy Green

Some retired athletes are more than just celebrities: Dr. Archie Roberts was an NFL quarterback and went on to become a cardiologist and Founder of the Living Heart Foundation. Its HOPE (Heart, Obesity, Prevention, Education) Program is a comprehensive obesity, pulmonology, sleep, dentistry and overall health campaign sponsored by the NFL Player’s Association’s Professional Athletes Foundation, which strives to promote healthy lifestyles among former NFL players. According to a study by the New England Journal of Medicine, up to a third of NFL players suﬀer from sleep apnea and as many as 60% of NFL linemen may suﬀer from the disorder.

Tackling Sleep Apnea Former players are no diﬀerent from your patients in their ability to tolerate PAP therapy or wish for a simpler solution. Gergen has used his sports connections to position his Sleep Lab as the leading promoter of sleep apnea awareness in the athletic community. Through the “Tackling Sleep Apnea” campaign, which was launched in 2012, over 200 retired NFL players including Roy Green, Derek Kennard, Tony Dorsett, Mike Haynes and many more legends have received obstructive sleep apnea treatment with a sleep appliance made by Gergen’s Orthodontic Lab. Eric Dickerson, who is another strong advocate of player health, was treated through the “Tackling Sleep Apnea” campaign by David Gergen’s good friend, Dr. Harry Sugg in Dallas, TX. He was very outspoken about how getting his sleep apnea treated and it improved his overall health and eliminated his headaches.

Marcus Allen, Eric Dickerson, Chuck Foremen

Sleep & Wellness Winter-2015

Tony Dorsett, a former Heisman Trophy winner and NFL Hall of Famer, had claimed before being diagnosed with obstructive sleep apnea to be “snoring like a freight train.” Then he received his sleep Herbst custom ﬁtted by Gergen’s Orthodontic Lab. Now that he breathes well while he sleeps he proudly boasts “Superman ain’t got nothin on me.” He gives credit to Pro Player Health Alliance, David Gergen, the NFLPA HOPE Program and Gergen’s Orthodontic Lab for being able to sleep well at night.

Multidisciplinary Approach To help dentists meet this health challenge, David also has invested in state-of-the-art digital technology including an advanced 3D printer and support for digital impressions. Since 2011, he has also sponsored well-received educational courses with a wide variety of speakers. Since 2013, Gergen has aligned with the American Academy of Sleep and Breathing to connect dentists, physicians, respiratory therapists and sleep technologists in education and collaborative care. The Academy’s vision is to create convenient, aﬀordably priced and highly reviewed classes, uniting both the medical and dental sides of the sleep community. These classes can be taken online or in person.

Spread the Word Celebrities like famous athletes are spreading the word – getting your patient’s attention, creating ‘targets’ for you to aim your eﬀorts towards. Dedicated professionals like David Gergen are out there stirring things up to raise awareness, all the while making the highest quality oral appliances for you.

Celebrities like famous athletes are spreading the word – getting your patient’s attention, creating ‘targets’ for you to aim your efforts towards.

Sleep & Wellness-Winter 2015

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N LIVING HEART

“The cardiovascular problems like hypertension, stroke, and heart attack

are often experienced in conjunction with sleep disorders , such as sleep apnea, often associated with obesity or large body size.”

S L E ESleep P & W E& L LWellness N E S S M A G AWinter-2015 Z I N E • FA L L 2 0 1 4

FOUNDATION

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PROMOTES GENERAL WELLNESS

DR. ARCHIE ROBERTS, FORMER CARDIAC SURGEON, NFL PLAYER AND CHIEF MEDICAL OFFICER AND PRESIDENT OF THE PRO-PLAYER HEALTH ALLIANCE, FOUNDED THE LIVING HEART FOUNDATION IN 2001 TO PROMOTE CARDIOVASCULAR HEALTH AND WELLNESS AMONG ATHLETES AND UNDERSERVED POPULATIONS, YOUNG AND OLD. SINCE ITS FOUNDING, THE FOUNDATION HAS SHOWN SPECIAL INTEREST IN THE HEALTH OF PROFESSIONAL ATHLETES, PARTICULARLY NFL FOOTBALL PLAYERS.

✒ BY

ARCHIE ROBERTS, MD

Dr. Roberts was motivated to create the foundation because he’s passionate about health and wellness. At one point in his career, Dr. Roberts suffered a mini-stroke while delivering a lecture to a large group of doctors. He knew that others shared his experience with garbled speech, weakness in his arm, and the subsequent treatments and carotid artery surgery, and he wanted to help people avoid those experiences if he could. Dr. Roberts was heavily involved in sports throughout his life, with his athletics culminating in a career as a NFL quarterback for the Cleveland Browns and the Miami Dolphins. It is believed that he is the only NFL player to play football and graduate from medical school in 4 consecutive years. However, even in his youth, he planned to become a physician. Later, he recognized that as a doctor he could promote lifestyle choices that would lead to increased health for athletes—and for the general population, since many of us struggle with the same the health challenges athletes face. NFL athletes are often afflicted with hypertension, sleep apnea, and metabolic syndrome. When they find solutions for these problems, they are happy to share them with other peo-

ple who face the same symptoms. Choosing active and retired NFL players to serve as spokesmen has been especially helpful for the Living Heart Foundation. While many of us are affected by health challenges, lots of us “check out” when our doctors explain treatment options and lifestyle choices that could help us. When NFL players team up with medical professionals to share health messages, they reach a broader, more engaged, audience. The cardiovascular problems like hypertension, stroke, and heart attack that Dr. Roberts treated as a physician are often experienced in conjunction with sleep disorders, such as sleep apnea, often associated with obesity or large body size. Dr. Roberts and the Living Heart Foundation promote general wellness, which integrates healthy sleep with other beneficial lifestyle choices. The foundation benefits from the input of everyday people and a variety of experts that include doctors, dentists, health care professionals, and technicians—people who are interested in a good night’s sleep and are willing to approach treatment options across a range of disciplines. S&W

Fall 2011 // SLEEP & WELLNESS MAGAZINE

INSOMNIA By Cindy Olsen, RPSGT

Dr. Andrew Mouton, Ph.D., is a licensed clinical psychologist in Illinois and serves as a diplomat with the American Board of Sleep Medicine and with the American Academy of Sleep Medicine. A certified behavior sleep medicine expert, Dr. Mouton here addresses some common questions about insomnia. Dr. Mouton currently serves on the medical staff at the Center for Sleep Medicine in Illinois.

Q. As an expert in the field, how do you define insomnia? A. I see insomnia not so much as a diagnosis as I do a symptom. Insomnia is a complaint of inadequate or poor quality of sleep. Q. How can one recognize insomnia – what are the common symptoms? A. Insomnia can cause a difficulty in falling asleep or a difficulty in maintaining sleep. It can cause early awakenings in the morning, or simply be a lack of feeling refreshed in the morning. To be classified as insomnia, there must be an impairment of daytime functioning. Q. What is the most common type of insomnia that you see? A. Often people can fall asleep without difficulty but are then unable to maintain sleep. This inability to maintain sleep is the most common insomnia complaint I see. Q. So, what are the common causes for insomnia? A. Stress is an obviously huge contributor to insomnia, as well as other mental health conditions. If these issues are too overwhelming, counseling may be needed to help the individual learn coping and stress management skills. Another obvious contributor is medical conditions, including other sleep disorders and pain. Sleep schedules and poor sleep hygiene can lead to insomnia, as can many medications and chemicals. Q. What are the treatment options available to people experiencing insomnia? A. Medication is a common treatment. Medication can prove to be very helpful in initiating sleep, but medications can lose their effectiveness and can have many side effects. Cognitive Behavioral Treatment for Insomnia (CBT-I) is another treatment option. Q. What does CBT-I include? A. Cognitive Behavioral Treatment for Insomnia is a set of interventions directed at the behaviors, cognitions and physiological arousals that maintain insomnia. CBT-I targets the conditioned arousal.

Sleep & Wellness Winter-2015

SLEEP & WELLNESS MAGAZINE // Fall 2011

Q&A

Q. What can I do to start sleeping better? A. You can start by creating an evening ritual, just like you did when you were a kid. Hot shower, read a book – a relaxing routine that happens every night will trigger the nervous system to facilitate sleep onset. Another thing that can be helpful is to change your beliefs about sleep. Q. That’s interesting. What is an example of a “belief” about sleep that might be problematic or incorrect? A. A common one that I see is the belief that you should fall asleep within just a couple of minutes of retiring to bed. Taking 15-20 minutes to fall asleep is completely normal; in fact, falling asleep in less than five minutes can be an indicator of sleep problems. People also tend to believe that once you fall asleep you should stay asleep the remainder of the night. This is unrealistic. It is normal for people to wake during the night and then return to sleep. Night awakenings only become a problem when you cannot return to sleep and the awakening causes you to wake un-refreshed in the morning.

and as you do your sleep time should increase. You should limit your activity in bed to sleep and intimacy. Talking on the phone, watching television, working and reading should all be done before getting into bed. This helps you to associate the bed with sleep. Q. Is there anything else that helps one associate the bed with sleep? A. Simply put, if you’re not asleep, don’t be in bed. If you climb into bed and lay there for 20 minutes and can’t sleep, get up. Go to another room; keep the lights dim and the activity calming, then return to bed when you feel sleepy. Similarly, if you wake in the night and cannot return to sleep within 15-20 minutes, get up. If you are only in bed when you are sleeping, you will begin to associate the bed with sleep and your sleep quality will improve.

Q. What are some other common misconceptions about sleep? A. Many people also believe that you need eight hours of uninterrupted sleep each night and less than that means they have insomnia. In reality, we each require a different amount of sleep, and where eight hours may be the average, it is not necessary for us all. We each need just the amount of sleep it takes to wake up in the morning refreshed and have the ability to function throughout our day. Often, people lie in bed awake trying to sleep, but can’t. For many people the bed begins to be associated with wake instead of sleep, and then the insomnia increases. Q. How can people who have come to associate the bed with wakefulness change that perception and begin associating the bed with sleep again? A. It may be helpful to keep a sleep diary and track how many hours each night you are actually sleeping. Then restrict your “in bed” time to the amount of time you have actually been sleeping. You can gradually increase your “in bed” time, 9

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