Re: [ACEsthetics] Re: [Wasted Days] Texas news on OAT

You can do nothing about idiots.  Guy

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On May 25, 2013, at 12:37 PM, bigdrtim@hotmail.com <bigdrtim@hotmail.com> wrote:

Which makes our job more critical.  There are docs near me simply making night guards for osa, then claiming dental treatment doesn't help.....

----- Reply message -----
From: "Richard A. Bonato, Ph.D" <rick@braebon.com>
To: "riccoker@gmail.com" <riccoker@gmail.com>, "safariandmd@aim.com" <safariandmd@aim.com>
Cc: "Guy Moorman" <gmoor@windstream.net>, "John Hackbarth, DDS" <drhackbarth@texasdentalhealth.com>, "Kent Smith" <kentsmith@21stcenturydental.com>, "Wasted Days" <wasted-days-and-sleepless-nights@googlegroups.com>, "Ace" <acesthetics@googlegroups.com>
Subject: [ACEsthetics] Re: [Wasted Days] Texas news on OAT
Date: Sat, May 25, 2013 10:49 am

Gents,

 

I see this as a broader scope of airway.  Anytime a dentist sticks something in the mouth you have the potential to impact airway.  That's not me saying that.  That's from Dr. Gilles Lavigne Dean of Dentistry at the University of Montreal.  I attended one of his lectures a few years back and he was referring to the attached published article which shows a 50% increase in apnea in about half the apneics when using a single arch nightguard for sleep bruxism.  So airway IS part of dentistry.

 

WRT Dr. Safarian's comment about treating at an early age, that is spot on.  And that's one reason I have one of my son's undergoing ortho right now.  Last Fall, I was involved with a case of severe OSA in a four-year old and we helped expedite her Tx by gathering the conclusive data to convince the M.D.s to proceed with adenotonsillectomy.  Documenting apnea with a 13% peripheral oxygen desaturation in an otherwise healthy sleeping child is eye opening.  After ADT her AHI went from 11 (over 10 is severe in peds) down to about 3, which is mild for a child (see also the recently published CHAT study attached).  I suggested her parents see a local orthodontist for a consult (same one treating two of my children).  This local doc understands airway and will not perform bicuspid extractions precisely because he doesn't want to create apneics later in life.  I would agree that many in the medical community do not understand all this.

 

 

 

 

With kind regards,

RB

Richard A. Bonato, Ph.D.

President & CEO

BRAEBON Medical Corporation

 

 

 

From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Rick Coker
Sent: Saturday, May 25, 2013 9:36 AM
To: safariandmd@aim.com
Cc: Guy Moorman; John Hackbarth, DDS; Kent Smith; Wasted Days; Ace
Subject: Re: [ACEsthetics] Re: [Wasted Days] Texas news on OAT

 

My intuition says that none of this came from the sleep apnea physicians- we are not a threat to them, and more and more, they are wanting to recruit us to help screen for them. Most MD's do need to understand better the role of sleep appliances, no doubt!

 

Rick

 

On Sat, May 25, 2013 at 8:22 AM, <safariandmd@aim.com> wrote:

A medical condition that can be directly changed by us at an early age. I wonder if the MD's even understand this.. My guess is many don't. If they understood our role better the business of OSA would be a much smoother ride.

Now I do believe that severe OSA is another animal and needs much more attention by the MD but personally we as dentists can treat snoring, mild and moderate cases IF we educate ourselves properly.

Shahin Safarian DMD, MBA, LVIF | Irresistible Smiles
Carmel Valley/Del Mar 858.755.8993 | Chula Vista/Eastlake 619.656.6785
WEBSITE | FACEBOOK | LINKEDIN | YOUTUBE | THEBATTLEGUARD



-----Original Message-----

From: Rick Coker <riccoker@gmail.com>
To: Guy Moorman <gmoor@windstream.net>
Cc: John K.. Hackbarth DDS <drhackbarth@texasdentalhealth.com>; Kent Smith <kentsmith@21stcenturydental.com>; <wasted-days-and-sleepless-nights@googlegroups.com> <wasted-days-and-sleepless-nights@googlegroups.com>; ACE group <acesthetics@googlegroups.com>
Sent: Sat, May 25, 2013 01:28 AM
Subject: Re: [ACEsthetics] Re: [Wasted Days] Texas news on OAT

I disagree, most of us should be part of a team work approach in treating sleep apnea, just like we are part of a team treating all sorts of medical and dental problems. General dentists are the ultimate "screeners" of medicine, seeing people who think that they are doing okay, and helping to keep them healthy and functioning.

 

It is that we shouldn't purport to do this alone, just like we don't do cancer diagnosis and surgery alone, either. But that doesn't mean we don't screen and refer when needed.

 

Rick

 

On Sat, May 25, 2013 at 7:12 AM, Guy Moorman <gmoor@windstream.net> wrote:

Most of us should not be treating sleep apnea.  

Sent from my iPad

 

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