Gurnee Dentist: Delany Dental Care, Dr Ira L Shapira and Dr Mark Amidei Have a Very Special Practice as Evidenced in the Press

I have included a series of previous press releases about Delany Dental Care (http://www.delanydentalcare.com) in honor of the opening of our new office. After 27 years Delany Dental Care has moved to 310 South Greenleaf in Gurnee. The entire team a Delany Dental Care want to exceed your expectations when you visit our office.

Whether you are interested in General Family Dentistry, Cosmetic Dentistry, Implants, Dentures or treatment of medical conditions such as Sleep Apnea, Snoring, Insomnia,Headaches and TMJ Disorders you owe yourself a visit to Delany Dental for a consultation.

Dr Shapira and Dr Amidei have over 50 years combined experience in placing and restoring dental implants.

Please read the following press releases to learn more about what makes Delany Dental Care your first choice in dental care.

PRESS RELEASE:
Gurnee Implant Dentist: Learn How You Can Save Money And Time And Often Eliminate The Need For Bone Grafts With Max Implants At Delany Dental Care.
Max Implants Can Save Months on Treatment Time
Dental Implants are a major focus at Delany Dental Care in Gurnee.

Their new office at 310 South Greenleaf has a surgical suite dedicate to ultimate patient comfort. Sedation Dentistry and Nitrous Oxide and the Gentle Touch make implants easier.

GURNEE, IL, September 27, 2011 /24-7PressRelease/ — Dental Implants have been a major focus to Dr Ira L Shapira and Dr Mark Amidei for many years. They have over 50 years combined experience in placing and restoring dental implants. They have recently moved to the Max implant for immediate implant placement after molar removal. While Max implants cannot be used in every case, when they can be used they can reduce the number of surgical procedures a patient needs and can often eliminate the need for expensive and time consuming bone graft procedures.

While bone grafting can be very successful it can add 6 months or more to an implant case. Bone grafting procedures can cost thousands of dollars but allow almost all patients to receive the benefits of dental implant therapy. Max implants can give equal results with less surgery and without the use of cadaver bone, cow bone or artificial bone.

Patients considering dental implants to replace molars should consider the advantages of extraction and implant placement in a single visit.

Gurnee Dental Implants: A New Surgical Suite Makes Dental Implant Procedures Especially Comfortable For Patients Seeking Improved Esthetics And Comfort From Snap-In Dentures Or Fixed Restorations.

Delany Dental Care Ltd is moving to 310 South Greenleaf after over 27 years in its current location. The new office is designed to maximize patient comfort. Ceiling mounted televisions, Nitrous Oxide and Sedation Dentistry are offered, of course.

Many patients chose dental implants to replace a single tooth while others may place implant bridges, snap in dentures or even full mouth reconstruction on dental implants.

Call Delany Dental Care (http://www.delanydentalcare.com) at 847-623-5530 to learn about implant possibilities and how they can improve your quality of life.

Delany Dental Care also provides mini implants that can secure your denture in a single day. Mini-implants are the affordable implant solution. Mini implants are also used to provide immediate stabilization of fixed bridgework for the maximum in comfort and esthetics during the course of implant therapy. Patients can experience “TEETH IN ONE DAY” and still chose an ideal long-term treatment alternative.

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE:
CEREC Crowns and Onlays Are Done In a Single Visit with No Messy Impressions; Gurnee Dentists Dr Ira L Shapira and Dr Mark J Amidei Were the First Lake County, IL Dentists to Offer CEREC Dentistry

Comfort and efficiency is what Dr Shapira and Dr Amidei offer their dental patients. They have just completed the move of Delany Dental Care Ltd to 310 South Greenleaf. Their new office suite is designed specifically for patient comfort.

GURNEE, IL, September 21, 2011 /24-7PressRelease/ — Cerec Restorations are considered on of the finest ceramic restorations available in terms of fit and esthetics but the real beauty of this technology is that they are completed in a single visit. They do not require messy impressions, there is never a problem with loose temporaries and you only need to be numb one time.

Dr Shapira and Dr Amidei are leaders in the field of CAD-CAM dentistry and were the first Lake County dentists to utilize this powerful tool. Delany Dental Care (http://.www.delanydentalcare.com ) offers all aspects of general dentistry. The focus of their office is primary adult general dentistry,dental implant reconstruction, cosmetic dentistry, and cosmetic dentures including the dental facelift. They believe that denture patients deserve the same attention to detail as patients who have their natural teeth.

Dr Shapira is well known for his treatment of patients with Sleep Apnea and Snoring. He offers comfortable alternatives to CPAP where patients wear a comfortable oral appliance to maintain their airway. He did research as an Assistant Visiting Professor at Rush Medical School in the 1980s and was a pioneer in the field of Dental Sleep Medicine. He has been teaching Dental Sleep Medicine to dentists from across the U.S. for several years.

Treatment of TMJ Disorders and treatment of chronic headaches is another area of special interest to Dr Shapira who uses the power of Neuromuscular Dentistry to improve patients lives.

Call Delany Dental Care Today at 847-623-5530 and experience the comfort and care offered especially for you.

PRESS RELEASE:
Sleep Through Your Dental Appointment: Sedation Dentistry in Gurnee; Delany Dental Care Announces the Opening of a New Gurnee Office at 310 Greenleaf – the New Office is Dedicated to Patient Comfort

Dr Ira Shapira and Dr Mark Amidei are pleased to announce the opening of their new office at 310 Greenleaf in Gurnee. Patients have come to know Delany Dental Care for the gentle doctors, warm team members and attention to detail, including sedation.

GURNEE, IL, September 13, 2011 /24-7PressRelease/ — Dentistry has become a relaxing procedure for most patients. If you are one of the patients who is terrified by dentistry or the thought of seeing a dentist, Delany Dental Care (http://www.delanydentalcare.com) has the answers you seek.

Patients can chose from a variety of anxiolytic medications that ease the anxiety of dentistry and allow it to become a pleasant experience. The use of Nitrous Oxide in conjunction with anxiolytic medication is an efficient method of easing fear and eliminating discomfort for almost all patients. Many patients actually sleep through their dental appointments.

Dr Shapira and Dr Amidei also make available IV sedation that is supervised by Physicians to insure maximum safety for patients desiring full anaesthesia. The doctors feel that protecting patients health is of utmost importance and therefore utilize medical professionals trained in anaesthesia to safely treat patients requiring these services.

Dental implants are a special interest to both Dr Shapira and Dr Amidei who have over 50 years combined experience and training in Implant Dentistry. Both doctors are licensed general dentists and have extensive experience in both surgical and prosthetic aspects of Implant Dentistry.

They have done implants for 27 years at their old 1810 Delany Road location but have set up a surgical suite in their new Greenleaf office. It is designed to offer patients the utmost in comfort while the doctors strive to produce the finest restorations available. Call today 847-623-5530 to make an appointment for an implant consultation.

The new office is primarily dedicated to comprehensive adult general dentistry but the entire family is welcome to enjoy are services.

Implant Dentistry can be used to replace a single tooth or completely revitalize patients with a full mouth reconstruction. Snap-In Dentures is an extremely popular approach to Implant Dentistry. In as little as one visit patients can leave with an affordable alternative to expensive reconstruction that vastly improves their quality of life,

Neuromuscular Dentistry is the art and practice of combining physiological and mechanical aspects of dentistry to treat TMJ disorders (TMD) and chronic headaches. Dr Shapira has had numerous patients whose lives he has changed by treating or eliminating chronic daily headaches, tension headaches and migraines. He frequently helps patients live without pain and without pain medication.

Dr Amidei and Dr Shapira are graduates of LVI, The Las Vegas Institute, where they have acquired expertise in utilizing Neuromuscuar Dentistry to create superp cosmetic reconstructions. Their office Logo “PASSION – PERFECTION – POSSIBILITIES” reflect their commitment to their patients. Dr Shapira is a firm believer in “Creating a lifetime dental strategy for my patients to care for them now, five years from now and for the rest of their lives” and states that “Planning is key to developing lifetime dental health”.

Dr Shapira lectured in the 1990s to the A4M. American Academy of Anti-Aging Medicine and astounded attendees with the Anti-Aging effects of Neuromuscular Dentistry and Dental Sleep Medicine.

PRESS RELEASE:
GURNEE, IL, September 12, 2011 /24-7PressRelease/ — Delany Dental Care (http://www.delanydentalcare.com) has a long history of providing exquisite cosmetic reconstructions and comfortable implant solutions to a multitude of problems. Dr Ira L Shapira and Dr Mark Amidei are especially proud of their efforts to build a new facility dedicated to exceptional care and comfort.

Drs Shapira and Amidei have over 50 years combined experience in both surgical and prosthetic aspects of implant dentistry and work closely with specialists on complex implant cases. Patients with difficult problems will find an open and friendly environment to facilitate a smooth transition throughout the

“We only use top brand implant systems,” states Dr Mark Amidei who believes that ‘our patients always deserve the finest care available”. The office logo “PASSION, PERFECTION, POSSIBILITIES” reflect our commitment to a lifetime of quality care, according to Dr Amidei whose passion for dentistry began as an eight year old. We offer patients solutions they never considered possible and we always strive for perfection.

“A lifetime dental strategy is an essential part of our treatment planning” according to Dr Shapira. “We need to find solutions that not only take care of current problems but plans for the future to prevent future problems. We are architects of the mouth and must take into account physiological, biological and engineering aspects in our patients care.”

While we do dentistry for the whole family our primary emphasis is comprehensive adult dentistry. There is no Dental Implants Specialty but Dr Amidei believes that “Our extensive experience in all aspects of Implant Dentistry including surgical and restorative aspects benefit our patients care in specialized techniques and knowledge. Our teamwork approach supplies our patients with are combined experience and knowledge.

In addition to General and Implant Dentistry Dr Shapira has been offering patients comfortable oral appliance treatment of Sleep Apnea and Snoring for almost 30 years. In the mid 1990’s he did research as an Assistant Visiting Professor at Rush Medical School into the relation of jaw position to Sleep Apnea and Snoring. His research revealed that the jaw position of male sleep apneics was very similar to female patients with TMJ disorders and chronic tension headaches.

The Sleep Disorder Dental Society was founded 20 years ago and Dr Shapira was one of 20 Sleep Apnea Dentists to found this vital organization, which later became the American Academy of Dental Sleep Medicine. Dr Shapira is a Diplomate of the American Board of Dental Sleep Medicine and a recognized expert in this field. He recently gave lectures at the Illinois Academy of General Dentistry and the Illinois Sleep Society. He has lectured nationally on the subject with top dental consultant Bill Blatchford and at A4M, The American Academy of Anti-Aging Medicine.

Dr Shapira works closely with sleep physicians to offer comfortable alternative to CPAP for treating sleep apnea and snoring. In 2006 the American Academy of Sleep Medicine declared that oral appliances were a first line treatment (along with CPAP) for mild to moderate Sleep Apnea and an alternative to CPAP for severe sleep apnea when patients do not tolerate it.

Sleep Apnea is an extremely dangerous disorder that can cause heart attacks and strokes. CPAP is considered the “Gold Standard” of treatment and is extremely effective when it is actually used. Unfortunately, recent studies have shown 60% of patients do not utilize their CPAP machines. Learn more about oral appliances at http://www.ihatecpap.com

Dr Shapira is currently on the board of the Illinois Sleep Society and is president of Chicagoland Dental Sleep Medicine Associates with additional offices in Skokie, Vernon Hills and Schaumburg. He regularly teaches courses on Dental Sleep Medicine to dentists who travel from across the U.S. to learn from one of the few dentists in the world with his level of expertise and experience.

Dr Amidei and Dr Shapira practice Neuromuscular Dentistry and are both graduates of LVI, The Las Vegas Dental Institute that blends cosmetic dentistry and neuromuscular dentistry. Dr Shapira is currently the Secretary of ICCMO, the International College of CranioMandibular Orthopedics. He is a former Regent, a Fellow and the ICCMO representative to Alliance of TemporoMandibular Organizations or TMD Alliance.

Dr Shapira is also the Dental Editor of Sleep and Health Journal as well as founder of Ihatecpap.com and Ihateheadaches.org. He is President of Dato-Tech and holds several patents on the collection of Multipotent Stem Cells during minimally invasive prophylactic removal of tooth bus of developing wisdom teeth. He has recently joined Dr Wayne Franco of New Heart LLC to promote the use of dental stem cells to treat autism and brain damage from trauma and hypoxia in children.

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE:
Parents Who Did Not Save Their Children’s Umbilical Cord Blood Have a Second Chance with Tooth Bud From Developing Wisdom Teeth; British Stem Cell Study Shows Safety of Injecting Cells Into Brain

An article in the BBC news described a new study for treating stroke with Stem Cells. Stem Cells from developing tooth buds are ideal due to their lineage from the Neural Crest. New Heart LLC reports their cells “Are Growing like Weeds!”

GURNEE, IL, September 09, 2011 /24-7PressRelease/ — Dr Wayne Franco is president of New Heart LLC sees a major escalation in stem cell therapies in the near future. According to Dr Franco, the developing tooth bud may be the richest and most versatile source of viable stem cells. There are advantages of these Stem Cells compared to Umbilical Cord Blood and Embryonic Stem Cells. The lab reports on stem cells from wisdom tooth buds are impressive.

New Heart has been involved in utilizing umbilical cord blood stem cells to treat traumatic and hypoxic brain damage. Dr Franco and Dr Shapira from Dato-Tech have joined forces to provide a new source of Stem Cells for parents who missed the window of opportunity to save their children’s Cord Blood.

According to BBC News: “The world’s first clinical trial of brain stem cells to treat strokes is set to move to its next phase. The assessment paves the way for the therapy to be tested on more patients to find a new treatment for stroke.”

The story also states “The hope is that the stem cells will help to repair damaged brain tissue” and this is exactly what Dr Franco has been working toward. He has multiple patents on utilizing stem cells to treat Autism and Traumatic Brain injury. The BBC report can be found at http://www.bbc.co.uk/news/health-14731682.

Dr Franco has already used stem cells from Cord Blood in pediatric patients “Cord blood wakes up drowning victim’s brain” is a headline that thrills Wayne Franco MD. Dr Wayne Franco wants to drastically improve the lives of children and adults with brain damage, stroke, brain trauma and cerebral palsy.”

Dr. Franco and New Heart Foundation’s licensee, Cord Blood Registry, recently posted encouraging results using a patient’s cord blood stem cells to treat her after a drowning accident left her with moderate to severe brain damage.

Two-year-old Sparrow Morris drowned in her family’s pool and as a result lost oxygen for approximately 45 minutes and suffered two cardiac arrests. She was not expected to live. She did survive the drowning, but was but left with significant brain damage

She was a beautiful two year old who only functioned at the level of a 3 month old infant.

Fortunately, her parents had stored her cord blood stem cells with Cord Blood Registry. A year after her accident her parents were called by Cord Blood Registry and were told about an experimental treatment they were involved in at Duke University. Little Sparrow went to Duke University where she was treated with an infusion of her own cord blood stem cells. Within a day, her parents reported a dramatic improvement and she continues to improve. Her parents report she has not reached a plateau in her recovery since the stem cell treatment.

New Heart Foundation and Cord Blood Registry together have patent pending protocols to treat stroke, cerebral palsy, brain trauma, and low oxygen injury to the brain. Cord blood registry has successfully treated cerebral palsy and is actively recruiting patients for stroke, brain trauma, and low oxygen injury to the brain.

Unfortunately, many patients suffer from these conditions. In addition, there is little in the way of available treatments for these conditions. United States statistics for these conditions include : Stroke: 6 million patients, Brain Trauma: 1.7 million, and Cerebral Palsy: 1 million.

Dr Franco has been desperate to offer the benefits of cord blood stem cells to all the patients with brain damage and serious neurologic deficit diseases but is stymied because most parents have not banked their children’s cord blood.

Stem cells from lost baby teeth and wisdom teeth are being banked but are generally of lower quality. Dr Franco is now working with a Gurnee, Illinois dentist, Dr Ira L Shapira who is president of Dato-Tech and has method and device patents on the collection of stem cells from minimally invasive prophylactic removal of wisdom tooth buds before calcification.

The optimal time to remove tooth buds from the developing wisdom teeth is between ages 7-12. It is New Heart’s hope that these stem cells will have a role in the treatment of multiple neurological disorders.

Most stem cell companies are about one type of stem cell. It is New Heart’s vision to combine more than one type of stem cell for optimal success.

Dr Franco is currently providing an opportunity for patients to have prophylactic removal of wisdom teeth buds and subsequent processing, evaluation, and storage of stem cells.

Contact
Wayne Franco MD, CEO, New Heart, LLC
860-305-6041
Wayne-franco-md@sbcglobal.net

New Heart LLC has recently joined with Dato-Tech LLC a Highland Park, Il company and its founder Dr Ira L Shapira a Gurnee Dentist to change the future of dentistry and medicine. Dr Franco and Dr Shapira have joined forces to harness the power of these pluripotent stem cells. These cells represent a second chance for parents who did not save their infants umbilical cord blood and they may prove superior to umbilical cord blood stem cells because of their orgin from the neural crest. Developing tooth buds have the ability to grow rapidly without the chemical attacks used to convert adult cells into stem cells.

Dr Franco and Dr Shapira are hoping to receive endorsements as “THE ETHICAL ALTERNATIVE” to embryonic stem cells from the Vatican and other Catholic groups as well as Southern Baptists and other religious groups who reject the use of Embryonic Stem Cells. While both Dr Franco and Dr Shapira believe in embyonic stem cell research they believe that the developing tooth bud may be more valuable over the long term.

Dr Shapira has method and device patents for collecting stem cells from the developing tooth bud. While he envisioned these cells being collected from prophylactically removing the developing third molars (wisdom teeth) Dr Franco realized that if stem cells were needed at an earlier age for essential life-changing medical treatment they could be obtained from other developing teeth at a much younger age.

Dr Franco believes that the explosive growth seen in stem cells from the tooth bud shows they are at least as viable as cord blood and probably superior. Currently there are only a few dentists in the U.S. doing collections.

Dr Shapira is hoping that the American Academy of Pediatric Dentistry and the American Association of Oral and Maxillofacial Surgeons will embrace prophylactic removal of the developing third molars and collection of possibly priceless stem cells for their patients.

Studies have shown that there are risks associated with retained wisdom teeth and that there is also a considerable risk of morbidity when removing third molars. Early prophylactic removal of third molars will reduce both of these risks.

A press release (October 19, 2010) from the AAOMS stated:

“Conventional Wisdom about Wisdom Teeth Confirmed Evidence Shows Keeping Wisdom Teeth May Be More Harmful than Previously Thought”

Having wisdom teeth removed during young adulthood not only improves dental and oral health, but may also reduce the chance of illness later in life, according to research from American Association of Oral and Maxillofacial Surgeons (AAOMS), surgeons, and academics.

The evidence-based data confirmed what dentists and health professionals have been telling patients for years: having your wisdom teeth removed.

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com. Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE:
Charity Golf Event: Brooke is Looking for Top Golfers to Help Her Get Pregnant. Birdies for Babies is a Unique Program Designed to Help Infertile Couples Afford Fertility Treatments

Everyone s a winner with this endearing program. It is a perfect event for couples who enjoy golf. Read about Brooke and Travis in Sleep and Health Journal and help them achieve their dream. Golfers have always been known for their generous nature.

GURNEE, IL, August 29, 2011 /24-7PressRelease/ — Brooke and Travis are this years lucky recipients of the Birdies for Babies award. Read about their touching story in Sleep and Health Journal @ https://www.sleepandhealth.com/node/590

Birdies for Babies is looking for sponsors and donations to their worthwhile cause. Dr Ira L Shapira an Editor of Sleep and Health Journal is hoping to see this excellent program expand beyond Chicago and Lake County lllinois.

Corporate sponsors of this fantastic event will enjoy both public praise and satisfaction for their generosity.

“There are loving and caring future parents who will experience the joys and hardships of parenthood because of this program. Todd and Melissa Trader are heroes for their dedication to helping fertility challenged couples. They are points of light which will hopefully be emulated from across the country. If every golf club in the country set aside just a single day a year thousands of couples could be spared unnecessary anguish and pain.” according to Dr Shapira.

Sleep and Health Journal will publish a list of all the contributors, sponsors and patrons of “Birdies for Babies” .

Please contact Birdies for Babies now at their website to view the entire sponsorship menu www.golfinvite.com/bfb. Donations can be made as monetary or non-monetary for raffle and contest prizes.

Don’t be left out in helping Brooke and Travis have their baby. Who knows, he/she might be the future president of the United States.

Birdies for Babies is an annual golf outing hosted by Todd and Melissa Trader and sponsored by Illinois Fertility Centers. All proceeds from the outing will go to families that have to pay out of pocket for fertility treatments that can range up to $20,000.00 each time. By participating in this event, you will be helping a family answer their prayers of having a baby and starting a family, when otherwise it may be too expensive. To learn more about IVF and the costs associated with these treatments visit our Title Sponsor, Fertility Centers of Illinois at www.fcionline.com

Birdies for Babies will be hosting our 8th annual Golf Outing on Saturday September 24th, 2011 at Tamarack Golf Club. We are in need of sponsors and donations to help support our cause. By being a sponsor in this event you will be entitled to a Sponsor Plaque with your organizations name on it and being recognized on our website, in our program, and at the awards reception. We have many sponsorship opportunities, so please visit our website to view the entire sponsorship menu www.golfinvite.com/bfb. Donations can be made as monetary or non-monetary for raffle and contest prizes.

PRESS RELEASE:
Stem Cells Growing Like Weeds! Stem Cells from Developing Tooth Buds Offer a Second Chance to Invest and Store Stem Cells if Umbilical Cord Blood Was Not Banked.

Stem Cell Therapies are Expanding
Dr Wayne Franco of New Heart Foundation is excited by the explosive cell growth seen from developing tooth bud sample. Dr Ira L Shapira, a Gurnee dentist is working with New Heart Foundation to change the standards of care in dentistry.

GURNEE, IL, May 24, 2011 /24-7PressRelease/ — We currently have an oral surgeon in A Northern Chicago Suburb and one in New York to do collections but are beginning negotiations with a surgical group that is in 30 cities across the U.S.

Stem Cells from Developing Tooth Buds can be the Answer to a Prayer or a Fountain of Youth. Stem Cells from Tooth Buds are an Ethical Alternative to Embryonic Stem Cells for Therapy. New Heart Foundation founder Dr Wayne Franco believes that stem cells from developing tooth buds may be the key to treating autism, brain trauma, hypoxic brain injuries and stroke. These priceless cells are readily available.

Dr Shapira firmly believes that there is an excellent chance that these cells will one day be able to act as a “vaccine” against aging. Future uses of these cells cannot be guaranteed but stem cell science is advancing at an amazing pace.

Early removal of third molar tooth buds offers numerous advantages over current treatment of wisdom teeth in terms of morbidity reduction. The normal removal of third molars carries risks of dry sockets, impaired healing, damage to other teeth, parasthesia or permanent numbness of the lip or tongue, damage to TM Joints that can lead to severe pain, development of RSD or complex pain syndromes that can lead to permanent painful lives.

Dr Shapira wants early prophylactic removal of third molar tooth buds to become the national standard of care due to reduction in morbidity. The stem cells are a bonus, that may be more valuable then we can possibly imagine currently with stem cell research still in early infancy as a science.

New Heart, LLC has patents pending in the US for treatment of autism, brain trauma, cerebral palsy, hypoxic injury to the brain, multi-infarct dementia, and stroke using adult stem cells. New Heart, LLC also has patents pending in Europe for the treatment of acute and chronic diseases of the brain and pancreas (diabetes).

New Heart’s latest interest is stem cells derived from tooth buds. The optimal time to remove tooth buds is ages 7-12. It is New Heart’s hope that these stem cells will have a role in the treatment of neurological disorders. Most stem cell companies are about one type of stem cell. It is New Heart’s vision to combine more than one type of stem cell for optimal success.

Dr Franco is currently providing an opportunity for patients to have prophylactic removal of wisdom teeth buds and subsequent processing, evaluation, and storage of stem I recently heard from Dr Wayne Franco of NEWHEART LLC about the incredible growth of the stem cells collected from a developing tooth bud.

We expect that as further processing of these cells continues we may also find extensive quantities of neural cells.

Contact
Wayne Franco MD, CEO, New Heart, LLC
860-305-6041
Wayne-franco-md@sbcglobal.net

Unfortunately, many patients suffer from these conditions. In addition, there is little in the way of available treatments for these conditions. United States statistics for these conditions include : Stroke: 6 million patients, Brain Trauma: 1.7 million, and Cerebral Palsy: 1million.

Dr Franco is now working with a Gurnee dentist, Dr Ira L Shapira, who is president of Dato-Tech and has method and device patents on the collection of stem cells from minimally invasive prophylactic removal of wisdom tooth buds before calcification.

Dr Shapira’s vision was to reduce the morbidity of wisdom tooth removal while simultaneously collecting and storing stem cells from the developing tooth bud. These may actually be more powerful for treating neurological injuries because they develop from the neural crest. Dr Shapira’s concept was published in a letter to the editor in the July 2010 JADA, Journal of the American Dental Association on morbidity associated with third molar removal.

Dr Wayne Franco considered these stem cells an answer to a prayer. He would now be able to help an even greater number of patients. Dr Shapira believed the best time to collect cells was between 7-12 years old when it could be done in a minimally invasive procedure in just a few minutes.

Dr Franco has taken this one step further. Utilizing Dr Shapira’s easy technology stem cells can be collected at almost any time until 12 years old from other developing teeth with little or no discomfort. While Dr Shapira was focused on utilizing third molars that often create problems Dr Franco saw the promise of utilizing stem cells from other earlier developing teeth.

Dr Franco calls this “The Second Chance” and hopes by combining his work with Dr Shapira’s a new paradigm can be created.
The doctors are currently looking for a manufacturer for the device that collects and stores the stem cells for processing. Dr Franco would like to see a single storage company for all stem cell collections from tooth buds. If there is a paradigm change this could literally be millions of samples per year.

Dr Shapira believes that in time these multipotent stem cells will act as a fountain of youth and help reverse many of the symptoms of aging.

Contact
Wayne Franco MD, CEO, New Heart, LLC
860-305-6041
Wayne-franco-md@sbcglobal.net

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE:

Dental Office Receives Top Award: Talk of the Town Awarded Delany Dental Care Their Top Honor of 5 Stars! Top Award is Only Given to a Small Select Group of Highly Rated Dental Practices

Talk of the Town News has awarded Delany Dental Care a 5 Star Customer Satisfaction Award. Dr Ira L Shapira and Dr Mark J Amidei and the Team at Delany Dental Care have always strived for unsurpassed excellence in patient care.

GURNEE, IL, May 10, 2011 /24-7PressRelease/ — TALK OF THE TOWN CONGRATULATES ALL NEW 2011 AWARD WINNERS!

DELANY DENTAL CARE RECEIVES TOP 5 STAR RATING!

The Delany Dental Care Logo “Passion, Perfection, Possibilities” well represents the effort that every member of the team put forth to enhance the patients positive experiences at their plush facility. Their commitment to their patients experiences is one reason why they have so many patients who travel very long distances to take advantage of their expertise.

“Talk of the Town establishes ratings with industry leading sample-based methodology to track customer satisfaction. We sample highly respected, no cost online user review websites to measure customer satisfaction. Star ratings from the websites, along with the number of user reviews, establish the basis for our ratings. This annual audit provides data to determine a mathematical formula, or matrix, to evaluate and rate its findings. Based on the results of this formula we assign our own rating to act as a representation of the data that we have accrued.

As a business that has reviewed and published case studies on the most desirable companies in America, we thought it would be extremely helpful to create a measurement tool using this customer generated feedback. ”

Delany Dental Care was established by Dr Shapira in 1984. Dr Amidei became a partner a few years later. The doctors have always been pioneers in many fields of dentistry:

They were the first dentists in Lake County to utilize Cad-Cam (CEREC) technology allowing patients to have ceramic retorations in a single visit. They have upgraded their technology and currently utilize Sirona CEREC 3D Technology. http://www.delanydentalcare.com/cerec.html

Dr Shapira is a pioneer in the field of Dental Sleep Medicine and utilizes oral appliances to treat sleep apnea and snoring. He did research in the 1980’s as a visiting Assistant Professor at Rush Medical School. He is one of 20 dentists who founded the Sleep Disordr Dental Society and is a Diplomate of the American Board of Dental Sleep Medicine. He is on the Board of the Illinois Sleep Society and teaches courses in Dental Sleep Medicine to dentists from across the U.S. http://www.delanydentalcare.com/sleep_apnea.html

He most recently spoke on about Sleep Apnea Treatment on May 6,2011 at aseminar on Dental Excellence given by world famous practice consultant Bill Blatchford. He is giving a full day seminar to at the Illinois Academy of General Dentistry on May 14, 2011 and a lecture at the Illinois Sleep Society on May 21, 2011.

Dr Shapira is teaching his intensive comprehensive level course on Sleep Apnea to Dentists and their teams on June 3-4, 2011 Doctors will learn from an expert practioner with almost 30 years of success treating snoring and sleep apnea with comfortable oral appliances.

Dr Shapira and Dr Amidei both utilize Neuromuscular Dentistry to treat TMJ disorders (TMD) and to create spectacular dental reconstruction. A recent patient, the wife of a physician had total elimination of her headaches that had been continuous for over 50 years. Dr Shapira is a Fellow of ICCMO, the International College of CranioMandibular Orthopedics and a Diplomate of the American Aceademy of Pain Management. Both doctors have done advanced studies at LVI, The Las Vegas Institute of Dental Excellence. Dr Shapira is the ICCMO representative to the TMD Alliance. http://www.delanydentalcare.com/neuromuscular.html

Symptoms addressed by Neuromuscular Dentistry include :
TMJ (Temporomandibular Joint) pain
Headache
Facial Pain
Migraine
Neck Pain
Ear Pain
Ringing and Buzzing in the ears
Stuffy Ears or the Feeling of water in the ears
Dizziness
Disequilibrium
Sinus Pain and Pressure
Tooth Pain without obvius causes
Muscle Pain and Soreness
Fibromyalgia
Sleep Disorders
Bruxism
Excessive Tooth Wear
Premature Signs of Aging
Balance Issues
Sports enhancement

Dental implants have recently grown in popularity and Dr Shapira was placing and restoring implants for over 30 years. His experience in placing and restoring dental implants helps patients receive the results they desire. Dr Amidei began doing Implants immediately after graduating dental school while in an Post-Doctorate Advanced General Residency at Northwestern University. Dr Amidei recently returned from advanced courses in Implantology and Bone Grafting at the prestigious Pacific Institute. The doctors are now utilizing a new implant that allows implant placement immediately after the extraction of molars. This new implant procedure can eliminate the need for bone grafts saving patients thousands of dollars and saving 6 months of treatment time. http://www.delanydentalcare.com/implants.html

Dr Shapira and Amidei are experts at finding comfortable and esthetic solutions for maintaining comfort throughout Implant treatment.

Dr Shapira was a frequent lecturer throughout the 1990’s at the American Academy of Anti-Aging Medicine. A lecture he gave to 2000 physicians in 1998 at the A4M meeting was turned into a chapter on Anti-Aging Dentistry in a medical textbook on the subject of Anti-Aging Medicine. Dr Shapira has several patents oncollection of stem cells during early prophylactic removal of wisdom teeth. He is working with Dr Wane

The Logo of Delany Dental Care includes the words “Passion – Perfection – Possibilities”
and those are the goals the entire team strives for with every patient. Whether patients are looking for Cosmetic Reconstruction, Implant Reconstruction, Esthetic Dentures, freedom from headaches and TMJ disorders or just a better nights sleep the doctors at Delany Dental Care can provide solutions. The entire team tries to surpass patients expectations not just in the quality of care but in the gentle caring manner it which it is delivered.

Dr Mark Amidei offers Invisalign to almost magically straighten teeth and improve smiles without braces. This is especially appreciated by executives and other working adults who are ready to improve their smiles but do not want to deal with two or more years of braces.

Instant Orthodontics creates gorgeous smiles almost overnight. Creating beautiful attractive faces and smiles is more than just making white teeth. The doctors utilize the Golden Proportion is designing exquisite smiles. http://www.delanydentalcare.com/instant_orthodontics.html

Dental Facelifts utilize the combined power of Neuromuscular Dentistry and Ceramic restorations to make patients appear younger and healthier and improve underlying physiology.

Delany Dental Care was an early adapter of Vizilight to detect oral cancer and one of the first adopters of Velscope an advanced device used to allow early detection and visualization of oral cancer. Dr Shapira was seen on National TV with a patient and Long-term Cancer Survivor that he detected squamous cell carcinoma of the tongue. That interview is used by Vizilight in their promotions.

New patients who mention this press release will qualify for a free Oral Cancer Exam that includes utilizing the Amazing Technology Velscope offers.

Delany Dental Care is also an educational center and Dr Shapira teaches courses to dentists from across the country on the treatment of Sleep Apnea and Snoring, Neuromuscular Dentistry, TMJ disorders, Trigger Point Injections and Nerve Blocks for treating chronic head and neck pain, Tension-type headaches and Migraines.

The techniques he teaches dentists for SPG (spenopalatine ganglion) Blocks he also teaches to patients to self administer (with cotton swabs) can frequently prevent headaches or migraines or greatly reduce their intensity. These autonomic blocks can also have miraculous results on many different problems. This has been presented in an excellent book “Miracles on Park Avenue”.

The Team at Delany Dental Care are thrillled to receive the 5 Star Rating from Talk of The Town and would like to thank the wonderful patients who have made this award possible.

About the Award and Sponsors:
CMUS Power Ratings are sponsored by Talk of the Town News, Celebration Media U.S. and Customer Care News magazine (Recent Press Release). Ratings are based on research collected from customer reviews and surveys, user-review websites, business rating services, and other honors and accolades.

Delany Dental Care has received the highest rating given, 5 STARS.

This is the third year CMUS, Talk of the Town News and Customer Care News have honored companies for achieving high levels of customer satisfaction. Among the types of organizations and professionals eligible to receive the award are hospitals, dentists, accountants, physical therapists, veterinarians, optometrists, insurance, chiropractors, lawyers, financial planners, restaurants, bakeries, event centers, home improvement companies, florists, spas, salons and mortgage companies.

For more information about the award or its sponsors, please contact CMUS and Talk of the Town News at 877-498-6405.

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE:
North Shore, Chicago, Illinois: The Best Sleep Apnea Treatment: CPAP vs. Oral Appliances – A Question of Compliance and Effectiveness. Oral Appliances Win the Compliance Award – Snoring Can Be Cured!

CPAP is considered the gold standard for sleep apnea treatment but poor compliance issues with CPAP often make oral appliances the best sleep apnea treatment. For the morbidly obese patient, CPAP is the best first line treatment.

CHICAGO, IL, February 04, 2011 /24-7PressRelease/ — What is the best sleep apnea treatment? It is not CPAP, according to a recent study that showed 60% of patients abandon CPAP use. At least it is not the best treatment for the 60% of patients who abandoned it. This does not mean CPAP is not the most effective treatment, what it means is no matter how effective a treatment may be, it is a poor treatment if it is not used. Oral appliances are an extremely effective treatment for mild to moderate sleep apnea but less effective for morbidly obese patients and those with severe sleep apnea.

Oral appliances are the “Best Sleep Apnea Treatment” because patients actually use them. Compliance issues have always been the biggest problem with CPAP. Studies have shown most patients quit CPAP completely but even patients who use CPAP average only 4-5 hours/ night 4-5 nights a week. That is not the best treatment but it is better than no treatment. The best site for information on oral appliance therapy and dental sleep medicine is http://www.ihatecpap.com.

Dr Ira L Shapira is a Diplomate of the American Board of Dental Sleep Medicine. He is the president of Chicagoland Dental Sleep Medicine Associates. He is proud to provide treatment of Sleep Apnea and Snoring at Delany Dental Care Ltd in Gurnee, Skokie and Schaumburg. Visit Chicagoland Dental Sleep Medicine at http://www.chicagoland.ihatecpap.com/.

Dr Shapira also sees patients at Sleep and Behavioral Medicine Institute in Vernon Hills by special arrangement.

Medicare recognized how poor CPAP compliance was and now has minimum usage schedules for CPAP that will save Medicare millions of dollars because such a small percentage of patients actually utilize their machines on a regular basis.

CPAP is the “best treatment” for the 25% of patients who love their CPAP, and use it all night, every night.

Oral appliances may be less effective across a range of all patients at eliminating sleep apnea but they are much more effective at achieving patient compliance. A treatment that is used will always be superior to a treatment that is not used.

Oral appliance success can be greatly improved by titration of appliances in the sleep lab. When an appliance eliminates sleep apnea based on a sleep study it is effectively equivalent to CPAP. The issue of compliance almost always favors oral appliances but objective monitors for oral appliance use are not yet available. They probably will be available in the very near future, making oral appliances a leading choice of sleep medicine physicians who care about patients’ desires.

The best treatment is one that works and is used. For most patients with mild to moderate sleep apnea the best treatment is an oral appliance due to much higher compliance. If compliance is equal and CPAP or appliances are equally effective than both would qualify as the best treatment. The patient can chose their desired treatment. Studies have shown the majority of patients offered a choice prefer a comfortable oral appliance over CPAP.

Some severe sleep apnea patients refuse CPAP, for those patients an oral appliance is superior to “no treatment”.

CPAP is almost always the best treatment for the morbidly obese patients but an oral appliance is still better than no treatment if CPAP is refused.

There are patients who are severe and/or morbidly obese and the “best treatment” is actually combination treatment of an oral appliance and CPAP combined. A mask retained by the teeth instead of straps may be considerably more comfortable for many patients and lower pressure from combined use makes CPAP easier to tolerate.

The best treatment may be CPAP but with a custom made nasal mask that is made from an impression of the patients face similar to how dentures are made. Custom masks combined with oral appliances are a new entry in the field coming from airway management.

Cleanliness is of major importance with both CPAP and oral appliance treatments. Dirty masks and hoses can lead to sinus infections, bronchitis and pneumonia while poor oral hygiene with an oral appliance can lead to periodontal disease. Dr Shapira advise all patients to keep their masks and hoses scrupulously clean. It is vital to be just as thorough in cleaning oral appliances and in maintaining oral hygiene care when wearing an oral appliance. They are not well suited for patients who do not regularly brush their teeth.

What is the best CPAP mask for patients who utilize CPAP? Studies have shown that different masks and machines usually do not increase patient compliance but they do increase comfort for patients who actually use CPAP. Other studies have shown that patients’ usage of CPAP initially predicts long term compliance with CPAP. Patients who reject CPAP initially rarely embrace CPAP use in the long term. What is the best CPAP mask? A mask the patient actually uses. This will be very patient specific.

What is the best type of CPAP machine? There is standard CPAP machines that come in many styles and shapes. The industry has done a good job of making CPAP machines quieter and smaller. BiPAP machines have lower pressure during expiration that reduces claustrophobic feelings in some patients and often eliminates the sensation of drowning on air. Ramping is a gradual increase in pressure allowing patients to fall asleep prior to pressure increasing. Humidification and heated hoses are also increasing patient comfort. Unfortunately all of these advances have not been shown to increase overall patient compliance.

Servo-ventilation machines are more efficient and effective in treating central sleep apnea, which is a neurological condition where the brain “forgets” to breathe.

The best sleep apnea treatment is always patient specific. The 60% of patients who do not tolerate CPAP will likely find comfortable oral appliances are the best treatment.

A small minority of patients do not tolerate CPAP or oral appliances. The best treatment for these patients may be surgery.

What is the best sleep apnea surgery? The morbidly obese and extremely severe sleep apneics may find that a tracheotomy is the best treatment. Patients breathe through their throat bypassing the pharyngeal blockages. Most patients do not want a trach.

Soft palate surgery is almost never the best sleep apnea treatment. UP3 or Uvulopalatopharyngealplasty is painful and has very high morbidity but more importantly rarely eliminates sleep apnea and patients still require CPAP or oral appliance therapy. Pillars, somnoplasty, LAUP or laser-assisted uvuloplasty are less painful but still ineffective in treating most apnea patients completely.

Maxilo mandibular advancement is extremely effective but is major surgery where the upper jaw (maxilla) is cut loose from the skull and often split in pieces, the lower jaw (mandible) is sectioned into 3 pieces and the hyoid bone is sectioned in pieces and then the patient is wired shut for six weeks. This surgery is often very successful. A geniohyoid surgery is less invasive only splitting the lower jaw in pieces and advancing the chin and tongue. While it is effective in patients with severely recessed lower jaws (weak chin) in most patients it is the “Jay Leno” surgery creating his unique profile.

For severely obese patients with severe sleep apnea bariatric surgery may be the best sleep apnea treatment.

It is also possible to do several tongue reduction surgeries that vary in effectiveness. Dr Shapira suggests that patients attempt CPAP and/or Oral Appliances before considering surgery. Patients with blocked nasal airways frequently improve with partial turbinectomies and correction of deviated septums but while helpful this will usually not eliminate sleep apnea.

Dr Shapira reminds patients of the famous quote: “There is no disease or disorder known to man that can’t be made worse by sticking a knife in it.” This does not mean to avoid surgery cautions Dr Shapira but rather to approach any surgery with caution and consider the possible problems associated with surgery.

Information on the dangers of sleep apnea, sleep apnea treatment and comfortable oral appliances is available at http://www.ihatecpap.com.

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE:
Oral Appliances Are Equally Effective to CPAP according to a New Study in Respiration. This Game Changing Study Is Good News For Patients Who Do Not Tolerate Or Want CPAP Masks, Hoses or Machines.

Nasal CPAP has always been considered the “Gold Standard” of trreatment for sleep apnea. A new study in Respiration changes that forever. The study shows that oral appliances are equally effective to CPAP for mild to moderate sleep apnea.

GURNEE, IL, November 22, 2010 /24-7PressRelease/ — Sleep Apnea treatment will dramatically change in the future. Nasal CPAP has always been the “Gold Standard” of treatment even though the majority of patients could not tolerate treatment and as many as 60% discontinue treatment. The field of Dental Sleep Medicine has been brought front and center by the website http://www.ihatecpap.com. Thousands of patients have learned about oral appliance therapy and are currently receiving treatment as a direct result of I HATE CPAP.com.

This new study may have immediate adverse effects on the stock prices of CPAP companies that are already feeling pressure from new Medicare rules that demand significant patient compliance to qualify nasal CPAP for reimbursement. It will lead to better treatment of patients who almost always prefer oral appliances to CPAP when offered a choice. Unfortunately most patients have not historically been offered oral appliance treatment. An excellent case to that point is that sleep apnea has been listed as the cause of death for a prominent Pennsylvania State Representative. Robert C. Donatucci died in his sleep on Tuesday, just one week after he won the election for his 16th House term. He refused CPAP treatment according to his brother.

Another recent article showed that CPAP causes orthopedic and orthodontic changes in patients after two years of use. The following is reprinted from Wikipedia “The CPAP mask can act as an orthodontic headgear and move the teeth and the upper and/or lower jaw backward. This effect can increase over time and may or may not cause TMD disorders in some patients. These facial changes have been dubbed “Smashed Face Syndrome”. Chest. 2010 Oct;138(4):870-4. Epub 2010 Jul 8. Craniofacial changes after 2 years of nasal continuous positive airway pressure use in patients with obstructive sleep apnea. Tsuda H, Almeida FR, Tsuda T, Moritsuchi Y, Lowe AA.”

Dr Ira L Shapira is a Chcago Area Dentist who created the I HATE CPAP! website and has been treating sleep apnea with Oral Appliances for over 25 years. He is a Diplomate of the American Board of Dental Sleep Medicine and a pioneer in the field of Dental Sleep Medicine. He was one of 20 dentists from around the United States at the first meeting of the Sleep Disorder Dental Society (SDDS) 19 years ago. The SDDS evolved into the American Academy of Dental Sleep Medicine. Dr Shapira did research as a visiting assistant professor at Rush Medical School’s Sleep Service in the 1980’s where he measured jaw position in sleep apnea patients and found distict similarities to jaw position of TMJ disorder patients. The National Heart Lung and Blood Institute (NHLBI) of the National Institute of Health (NIH) published a report on TMJ disorders and sleep apnea titled “CARDIOVASCULAR AND SLEEP-RELATED CONSEQUENCES OF TEMPOROMANDIBULAR DISORDERS”

The power of CPAP companies in the field of sleep medicine is evidenced by the fact that I HATE CPAP LLC was banned from presenting or having a booth at the American Academy of Dental Sleep Medicine meetings. The website www.ihatecpap.com is recognized as a leading source of information on Dental Sleep Medicine and Oral Appliance Therapy.

A recent article ” Appliance Therapy versus Nasal Continuous Positive Airway Pressure in Obstructive Sleep Apnea: A Randomized, Placebo-Controlled Trial” in Respiration compared oral appliance therapy and nasal CPAP therapy in treating mild to moderate sleep apnea. The article looked at carefully controlled studies in which both the CPAP and the oral appliances were carefully titrated. The article concluded that “There is no clinically relevant difference between MAD and nCPAP in the treatment of mild/moderate OSA when both treatment modalities are titrated objectively.”

It is important to note that the article clearly states that treatment is equal when there is objective titration of the oral appliances. I have strongly been recommending titration on all oral appliance therapy for over ten years. This is trtuly a landmark study because while CPAP has always been considered “the gold standard for treatment of sleep apnea” that statement is no longer true for mild to moderate sleep apnea.

This study did not cover severe sleep apnea therefore CPAP is still considered the gold standard of treatment for severe sleep apnea and oral appliances are an alternative for patients who do not tolerate CPAP.

The major problem with CPAP has always been low compliance. A recent study showed 60% of patients do not tolerate CPAP treatment. If compliance is factored in then it is clear that oral appliances are now the “Gold Standard” of treatment for mild to moderate sleep apnea.

PubMed abstract:
Respiration. 2010 Oct 20. [Epub ahead of print]ral Appliance Therapy versus Nasal Continuous Positive Airway Pressure in Obstructive Sleep Apnea: A Randomized, Placebo-Controlled Trial.
Aarab G, Lobbezoo F, Hamburger HL, Naeije M.

Department of Oral Kinesiology, Academic Center for Dentistry Amsterdam, Research Institute MOVE, University of Amsterdam and VU University Amsterdam, The Netherlands.
Abstract
Background: Previous randomized controlled trials have addressed the efficacy of mandibular advancement devices (MADs) in the treatment of obstructive sleep apnea (OSA). Their common control condition, nasal continuous positive airway pressure (nCPAP), was frequently found to be superior to MAD therapy. However, in most of these studies, only nCPAP was titrated objectively but not MAD. To enable an unbiased comparison between both treatment modalities, the MAD should be titrated objectively as well. Objective: The aim of the present study was to compare the treatment effects of a titrated MAD with those of nCPAP and an intra-oral placebo device. Methods: Sixty-four mild/moderate patients with obstructive sleep apnea (OSA; 52.0 +- 9.6 years) were randomly assigned to three parallel groups: MAD, nCPAP and placebo device. From all patients, two polysomnographic recordings were obtained at the hospital: one before treatment and one after approximately 6 months of treatment. Results: The change in the apnea-hypopnea index (AHI) between baseline and therapy evaluation differed significantly between the three therapy groups (ANCOVA; p = 0.000). No differences in the AHI were found between the MAD and nCPAP therapy (p = 0.092), whereas the changes in AHI in these groups were significantly larger than those in the placebo group (p = 0.000 and 0.002, respectively). Conclusion: There is no clinically relevant difference between MAD and nCPAP in the treatment of mild/moderate OSA when both treatment modalities are titrated objectively.

Copyright 2010 S. Karger AG, Basel.
PMID: 20962502 [PubMed – as supplied by publisher]

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE:Smashed Face Syndrome: An Undesired Side Effect Of CPAP. Chest Article Details Craniofacial Changes With CPAP Use. CPAP and Oral Appliances Can Cause Bite Changes With Long Term Apnea Treatment.

Negative orthopedic and orthodontic changes in patients with long term CPAP use is documented in Chest Journal. Dr Shapira dubs these changes “Smashed Face Syndrome” while stressing the importance of continued treatment for sleep apnea.

GURNEE, IL, November 08, 2010 /24-7PressRelease/ — Smashed Face Syndrome can be caused by long term use of CPAP for sleep apnea. The following is excerpted from Sleep and Health Journal.

Sleep apnea is a serious and dangerous disorder that can cause a wide variety of illness and dysfunction. CPAP is considered the Gold Standard of treatment for sleep apnea and the first line treatment for severe sleep apnea. For mild to moderate sleep apnea CPAP and Oral Appliances (http://www.ihatecpap.com) are considered to be the first lines of treatment.

Numerous studies attest to the efficacy of Continuous Positive Airway Presssure (CPAP) for treating sleep apnea. Unfortunately, there are numerous articles relating to CPAP failure due to non-compliance. A recent study showed 60% of patients abandon CPAP therapy entirely and that even among patients who utilize CPAP average compliance is only 4-5 hours a night 4-5 nights a week.

Approximately 25% of CPAP patients love their CPAP from the start of treatment and their compliance is very high, often reporting using CPAP all night every, every night.

It is these patients who are most likely to have Smashed Face Syndrome that was reported in October Chest in an article by Tsuda H, Almeida FR, Tsuda T, Moritsuchi Y, Lowe AA titled “Craniofacial changes after 2 years of nasal continuous positive airway pressure use in patients with obstructive sleep apnea” (see abstract below).

The article details changes to the position of the bones of the jaw and cranium and to changes in tooth position that occur in as little as 2 years of CPAP usage. The article states that “After nCPAP use, cephalometric variables demonstrated a significant retrusion of the anterior maxilla, a decrease in maxillary-mandibular discrepancy, a setback of the supramentale and chin positions, a retroclination of maxillary incisors, and a decrease of convexity.”

In simple English it means that the upper jaw was pushed backward and the upper teeth pushed backward changing the angle they come out of the jaws. The lower jaw and chin were also pushed backward and there was less freedom of movement available between the upper and lower jaws. These same changes are often seen in patients with chronic headaches, migraines and TMJ disorders (http://www.ihateheadaches.org). MaxiiloMandibular Advancement (MMA) is the most effective surgery for sleep apnea. MMA surgically corrects sleep apnea by moving the upper and lower jaws forward, exactly the opposite of what happens in Smashed Face Syndrome. It has been discussed that patients can become “addicted” to CPAP. This may be due to physiologic responses of the pharyngeal reflexes but it might also be due to an anatomical worsening of the underlying jaw conditions that lead to sleep apnea initially.

These changes should not cause patients quit CPAP therapy that can be life saving but the use of intra-oral appliances to prevent these changes should be considered. It is absolutely essential that patients be informed of these orthopedic and orthodontic changes that can occur. Dentists have been treating patients with oral appliances for many years and inform their patients of orthodontic and dental changes that can occur. In contrast to CPAP the change that occur with usage of an oral appliance to treat sleep apnea actually decrease the risk of sleep apnea. Studies have shown no long term TMJ (Temporomandibular Joint) problems associated with use of Oral Appliances to treat sleep apnea and snoring. Dental and Orthopedic change definitely occur with long-term use but many patients consider the changes of no consequence or even as favorable.

CPAP is considered the first choice of treatment for patients with severe sleep apnea. Oral Appliances are a first line of treatment for mild to moderate sleep apnea but are considered an alternative to CPAP for severe sleep apnea when patients do not tolerate CPAP. The National Heart Lung and Blood Institute (NHLBI) considers sleep apnea to be a TMJ disorder in their report “CARDIOVASCULAR AND SLEEP-RELATED CONSEQUENCES OF TEMPOROMANDIBULAR DISORDERS”. The entire report can be viewed @ http://www.nhlbi.nih.gov/meetings/workshops/tmj_wksp.pdf.

It is essential that patients using CPAP or Oral Appliances be aware of orthopedic and orthodontic changes that can occur from the use of either modality. Consideration of alternating between therapies is one option. There is also the ability to use combination therapy. The TAP-PAP appliance uses the upper jaw to retain the CPAP mask that decreases and/or eliminates the potential for retropositioning of the maxilla. Combination therapy can lower CPAP pressures. The proble remains 60% of all CPAP users reject the device and seek out CPAP Alternative.

It has been reported to this author that Dr Colin Sullivan, the Australian who invented CPAP actually utilizes an oral appliance to treat his own sleep apnea. I have heard this from numerous sources but I have not received confirmation of this fact from Dr Sullivan so it can only be considered a rumor at this time.

What is the best sleep apnea treatment? The best sleep apnea treatment eliminates the problem with a minimum of negative side effects. For patients with severe sleep apnea and who tolerate CPAP the best treatment is often CPAP. For the majority of patients who do not tolerate or HATE CPAP (http://www.ihatecpap.com) oral appliances may be the best sleep apnea treatment. For patients who do not tolerate CPAP or Oral Appliances Surgery may be the best sleep apnea treatment.

Soft palate surgery is rarely if ever the best treatment. UP# surgery or Uvulopalatopharyngealplasty has high morbidity and low effectiveness. Variations such as Pillars, Snoreplasty, Somnoplasty of soft palate or LAUP or Laser Assisted Uvuloplasty are rarely effective in treating sleep apnea.

The best sleep apnea surgeries are usually Maxillomandibular advancement or genioglossal advancement and tongue reduction surgeries.

These are all major surgical procedures but can be the best sleep apnea treatment for some patients.

The quote “There is no disease or disorder known to man that can’t be made worse by sticking a knife in it ” is a warning to all patients considering surgery to evaluate all the possible consequences befor doing surgery. It does not mean avoid surgery but proceed with caution, ask questions and get second opinions before proceeding with surgery.

Surgery to correct deviated septums or reduce obstructive turbinates are relatively low risk surgical procedures that almost always improve the quality of patients lives. They usually will not cure sleep apnea but will improve treatment with other modalities.

Weight loss and/or positional therapy to treat sleep apnea is probably the best sleep apnea treatment for many patients and are often used in conjunction with other treatments.

Regardless of the treatment patients chose to fit their lifestyles it is essential that sleep studies be utilized to ensure treatment efficacy.

Dr Shapira treats sleep apnea and snoring at his general dental practice, Delany Dental Care Ltd in Gurnee, Illinois and at offices of Chicagoland Dental Sleep Medicine Associates in Skokie and Schaumburg. Contact Dr Shapira toll free at 1-8-NO-PAP-MASK OR AT 1-800-TM-JOINT.

Chest. 2010 Oct;138(4):870-4. Epub 2010 Jul 8.
Craniofacial changes after 2 years of nasal continuous positive airway pressure use in patients with obstructive sleep apnea.
Tsuda H, Almeida FR, Tsuda T, Moritsuchi Y, Lowe AA.

Department of Oral Health Sciences, The University of British Columbia, Vancouver, BC, Canada. htsuda@dent.kyushu-u.ac.jp
Abstract
BACKGROUND: Many patients with obstructive sleep apnea (OSA) use nasal continuous positive airway pressure (nCPAP) as a first-line therapy. Previous studies have reported midfacial hypoplasia in children using nCPAP. The aim of this study is to assess the craniofacial changes in adult subjects with OSA after nCPAP use.

METHODS: Forty-six Japanese subjects who used nCPAP for a minimum of 2 years had both a baseline and a follow-up cephalometric radiograph taken. These two radiographs were analyzed, and changes in craniofacial structures were assessed. The cephalometric measurements evaluated were related to face height, interarch relationship, and tooth position.

RESULTS: Most of the patients with OSA were men (89.1%), and the mean baseline values for age, BMI, and apnea-hypopnea index (AHI) were 56.3 +- 13.4 years, 26.8 +- 5.6 kg/m(2), and 42.0 +- 18.6/h. The average duration of nCPAP use was 35.0 +- 6.7 months. After nCPAP use, cephalometric variables demonstrated a significant retrusion of the anterior maxilla, a decrease in maxillary-mandibular discrepancy, a setback of the supramentale and chin positions, a retroclination of maxillary incisors, and a decrease of convexity. However, significant correlations between the craniofacial changes, demographic variables, or the duration of nCPAP use could not be identified. None of the patients self-reported any permanent change of occlusion or facial profile.

CONCLUSION: The use of an nCPAP machine for 2 years may change craniofacial form by reducing maxillary and mandibular prominence and/or by altering the relationship between the dental arches.

PMID: 20616213 [PubMed – indexed for MEDLINE]

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE:
I HATE CPAP! Website is Awarded Best Blog Award! The I HATE CPAP Website is the Premiere Site for Information on the Dangers of Sleep Apnea and Alternatives to CPAP for Treating Apnea.

Dr Ira L Shapira who founded I HATE CPAP LLC is a pioneer in Dental Sleep Medicine and a Diplomate of the American Board of Dental Sleep Medicine. He is president of Chicagoland Dental Sleep Medicine Associates.

GURNEE, IL, September 26, 2010 /24-7PressRelease/ — Sleep Apnea is a serious medical condition usually treated with CPAP or continuous positive air pressure. Patients are fitted with a mask, hose and compressor and treatment is very effective.

Unfortunately, the majority of patients do not tolerate CPAP. A recent study showed 60% of patients completely quit CPAP and even patients who continue to use it average only 4-5 hours a night not the recommended 7-8 hours a night.

Dr Shapira created I HATE CPAP! LLC and the website http://www.ihatecpap.com to help patients who could not tolerate CPAP. His website has been featured in Bottomline Personal and other local and national media outlets. Thousands of patients visit his site every month in search of a better nights sleep and a better life.

The Award letter states “I Hate CPAP!, was determined to be one of the best blogs to exude overall brilliance. And so, it has received our 2010 Top 15 Sleep Disorder Blogs award presented by Medical Billing and Coding!”

VISIT THE BLOG AT http://ihatecpap.blogspot.com/ OR VISIT http://www.ihatecpap.com

A list of the other winners can be found at http://www.medicalbillingandcoding.org/top_sleep_disorders/#I_Hate_CPAP

Dr Shapira treats snoring and sleep apnea patients at Chicagoland Dental Sleep Medicine Associates http://www.chicagoland.ihatecpap.com/ and at Delany Dental Care Ltd in Gurnee http://www.delanydentalcare.com/sleep_apnea.html

Patients can call Toll Free at 1-8-NO-PAP-MASK FOR ANY OF DR SHAIRA’S OFFICES.

PRESS RELEASE:

Libertyville, Illinois: The Best Sleep Apnea Treatment: CPAP vs. Oral Appliances. A Question of Compliance and Effectiveness. Oral Appliances Win the Compliance Award. Snoring Can Be Cured!

CPAP is considered the gold standard for sleep apnea treatment but poor compliance issues with CPAP often make oral appliances the best sleep apnea treatment. For the morbidly obese patient, CPAP is the best first line treatment.

GURNEE, IL, September 14, 2010 /24-7PressRelease/ — What is the best sleep apnea treatment? It is not CPAP, according to a recent study that showed 60% of patients abandon CPAP use. At least it is not the best treatment for the 60% of patients who abandoned it. This does not mean CPAP is not the most effective treatment, what it means is no matter how effective a treatment may be, it is a poor treatment if it is not used. Oral appliances are an extremely effective treatment for mild to moderate sleep apnea but less effective for morbidly obese patients and those with severe sleep apnea.

Oral appliances are the “Best Sleep Apnea Treatment” because patients actually use them. Compliance issues have always been the biggest problem with CPAP. Studies have shown most patients quit CPAP completely but even patients who use CPAP average only 4-5 hours/ night 4-5 nights a week. That is not the best treatment but it is better than no treatment. The best site for information on oral appliance therapy and dental sleep medicine is http://www.ihatecpap.com.

Dr Ira L Shapira is a Diplomate of the American Board of Dental Sleep Medicine. He is the president of Chicagoland Dental Sleep Medicine Associates. He is proud to provide treatment of Sleep Apnea and Snoring at Delany Dental Care Ltd in Gurnee. Visit Chicagoland Dental Sleep Medicine at http://www.chicagoland.ihatecpap.com/.

Dr Shapira also sees patients at Sleep and Behavioral Medicine Institute in Vernon Hills by special arrangement.

Medicare recognized how poor CPAP compliance was and now has minimum usage schedules for CPAP that will save Medicare millions of dollars because such a small percentage of patients actually utilize their machines on a regular basis.

CPAP is the “best treatment” for the 25% of patients who love their CPAP, and use it all night, every night.

Oral appliances may be less effective across a range of all patients at eliminating sleep apnea but they are much more effective at achieving patient compliance. A treatment that is used will always be superior to a treatment that is not used.

Oral appliance success can be greatly improved by titration of appliances in the sleep lab. When an appliance eliminates sleep apnea based on a sleep study it is effectively equivalent to CPAP. The issue of compliance almost always favors oral appliances but objective monitors for oral appliance use are not yet available. They probably will be available in the very near future, making oral appliances a leading choice of sleep medicine physicians who care about patients’ desires.

The best treatment is one that works and is used. For most patients with mild to moderate sleep apnea the best treatment is an oral appliance due to much higher compliance. If compliance is equal and CPAP or appliances are equally effective than both would qualify as the best treatment. The patient can chose their desired treatment. Studies have shown the majority of patients offered a choice prefer a comfortable oral appliance over CPAP.

Some severe sleep apnea patients refuse CPAP, for those patients an oral appliance is superior to “no treatment”.

CPAP is almost always the best treatment for the morbidly obese patients but an oral appliance is still better than no treatment if CPAP is refused.

There are patients who are severe and/or morbidly obese and the “best treatment” is actually combination treatment of an oral appliance and CPAP combined. A mask retained by the teeth instead of straps may be considerably more comfortable for many patients and lower pressure from combined use makes CPAP easier to tolerate.

The best treatment may be CPAP but with a custom made nasal mask that is made from an impression of the patients face similar to how dentures are made. Custom masks combined with oral appliances are a new entry in the field coming from airway management.

Cleanliness is of major importance with both CPAP and oral appliance treatments. Dirty masks and hoses can lead to sinus infections, bronchitis and pneumonia while poor oral hygiene with an oral appliance can lead to periodontal disease. Dr Shapira advise all patients to keep their masks and hoses scrupulously clean. It is vital to be just as thorough in cleaning oral appliances and in maintaining oral hygiene care when wearing an oral appliance. They are not well suited for patients who do not regularly brush their teeth.

What is the best CPAP mask for patients who utilize CPAP? Studies have shown that different masks and machines usually do not increase patient compliance but they do increase comfort for patients who actually use CPAP. Other studies have shown that patients’ usage of CPAP initially predicts long term compliance with CPAP. Patients who reject CPAP initially rarely embrace CPAP use in the long term. What is the best CPAP mask? A mask the patient actually uses. This will be very patient specific.

What is the best type of CPAP machine? There is standard CPAP machines that come in many styles and shapes. The industry has done a good job of making CPAP machines quieter and smaller. BiPAP machines have lower pressure during expiration that reduces claustrophobic feelings in some patients and often eliminates the sensation of drowning on air. Ramping is a gradual increase in pressure allowing patients to fall asleep prior to pressure increasing. Humidification and heated hoses are also increasing patient comfort. Unfortunately all of these advances have not been shown to increase overall patient compliance.

Servo-ventilation machines are more efficient and effective in treating central sleep apnea, which is a neurological condition where the brain “forgets” to breathe.

The best sleep apnea treatment is always patient specific. The 60% of patients who do not tolerate CPAP will likely find comfortable oral appliances are the best treatment.

A small minority of patients do not tolerate CPAP or oral appliances. The best treatment for these patients may be surgery.

What is the best sleep apnea surgery? The morbidly obese and extremely severe sleep apneics may find that a tracheotomy is the best treatment. Patients breathe through their throat bypassing the pharyngeal blockages. Most patients do not want a trach.

Soft palate surgery is almost never the best sleep apnea treatment. UP3 or Uvulopalatopharyngealplasty is painful and has very high morbidity but more importantly rarely eliminates sleep apnea and patients still require CPAP or oral appliance therapy. Pillars, somnoplasty, LAUP or laser-assisted uvuloplasty are less painful but still ineffective in treating most apnea patients completely.

Maxilo mandibular advancement is extremely effective but is major surgery where the upper jaw (maxilla) is cut loose from the skull and often split in pieces, the lower jaw (mandible) is sectioned into 3 pieces and the hyoid bone is sectioned in pieces and then the patient is wired shut for six weeks. This surgery is often very successful. A geniohyoid surgery is less invasive only splitting the lower jaw in pieces and advancing the chin and tongue. While it is effective in patients with severely recessed lower jaws (weak chin) in most patients it is the “Jay Leno” surgery creating his unique profile.

For severely obese patients with severe sleep apnea bariatric surgery may be the best sleep apnea treatment.

It is also possible to do several tongue reduction surgeries that vary in effectiveness. Dr Shapira suggests that patients attempt CPAP and/or Oral Appliances before considering surgery. Patients with blocked nasal airways frequently improve with partial turbinectomies and correction of deviated septums but while helpful this will usually not eliminate sleep apnea.

Dr Shapira reminds patients of the famous quote: “There is no disease or disorder known to man that can’t be made worse by sticking a knife in it.” This does not mean to avoid surgery cautions Dr Shapira but rather to approach any surgery with caution and consider the possible problems associated with surgery.

Information on the dangers of sleep apnea, sleep apnea treatment and comfortable oral appliances is available at http://www.ihatecpap.com.

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE:
What is The Best Sleep Apnea Treatment? CPAP vs. Oral Appliances. A Question of Compliance and Effectiveness. Oral Appliances Win the Compliance Award. Morbidly Obese Patients Should Attempt CPAP

CPAP is considered the gold standard for sleep apnea treatment but poor compliance issues with CPAP often make oral appliances the best sleep apnea treatment. For the morbidly obese patient, CPAP is the best first line treatment.

GURNEE, IL, September 02, 2010 /24-7PressRelease/ — What is the best sleep apnea treatment? It is not CPAP, according to a recent study that showed 60% of patients abandon CPAP use. So it is at least not the best treatment for the 60% of patients who abandoned it. This does not mean CPAP is not the most effective treatment, what it means is no matter how effective a treatment may be, it is a poor treatment if it is not used. Oral appliances are an extremely effective treatment for mild to moderate sleep apnea but less effective for morbidly obese patients and those with severe sleep apnea.

Oral appliances are the “Best Sleep Apnea Treatment” because patients actually use them. Compliance issues have always been the biggest problem with CPAP. Studies have shown most patients quit CPAP completely but even patients who use CPAP average only 4-5 hours/ night 4-5 nights a week. That is not the best treatment but it is better than no treatment. The best site for information on oral appliance therapy and dental sleep medicine is http://www.ihatecpap.com.

Medicare recognized how poor CPAP compliance was and now has minimum usage schedules for CPAP that will save Medicare millions of dollars because such a small percentage of patients actually utilize their machines on a regular basis.

CPAP is the “best treatment” for the 25% of patients who love their CPAP, and use it all night, every night.

Oral appliances may be less effective across a range of all patients at eliminating sleep apnea but they are much more effective at achieving patient compliance. A treatment that is used will always be superior to a treatment that is not used.

Oral appliance success can be greatly improved by titration of appliances in the sleep lab. When an appliance eliminates sleep apnea based on a sleep study it is effectively equivalent to CPAP. The issue of compliance almost always favors oral appliances but objective monitors for oral appliance use are not yet available. They probably will be available in the very near future making oral appliances a leading choice of sleep medicine physicians who care about patients desires.

The best treatment is one that works and is used. For most patients with mild to moderate sleep apnea the best treatment is an oral appliance due to much higher compliance. If compliance is equal and CPAP or appliances are equally effective than both would qualify as the best treatment. The patient can chose their desired treatment. Studies have shown the majority of patients offered a choice prefer a comfortable oral appliance over CPAP.

Some severe sleep apnea patients refuse CPAP, for those patients an oral appliance is superior to “no treatment”.

CPAP is almost always the best treatment for the morbidly obese patients but an oral appliance is still better than no treatment if CPAP is refused.

There are patients who are severe and/or morbidly obese and the “best treatment” is actually combination treatment of an oral appliance and CPAP combined. A mask retained by the teeth instead of straps may be considerably more comfortable for many patients and lower pressure from combined use makes CPAP easier to tolerate.

The best treatment may be CPAP but with a custom made nasal mask that is made from an impression of the patients face similar to how dentures are made. Custom masks combined with oral appliances are a new entry in the field coming from airway management.

Cleanliness is of major importance with both CPAP and oral appliance treatments. Dirty masks and hoses can lead to sinus infections, bronchitis and pneumonia while poor oral hygiene with an oral appliance can lead to periodontal disease. Dr Shapira advise all patients to keep their masks and hoses scrupulously clean. It is vital to be just as thorough in cleaning oral appliances and in maintaining oral hygiene care when wearing an oral appliance. They are not well suited for patients who do not regularly brush their teeth.

What is the best CPAP mask for patients who utilize CPAP? Studies have shown that different masks and machines usually do not increase patient compliance but they do increase comfort for patients who actually use CPAP. Other studies have shown that patients’ usage of CPAP initially predicts long term compliance with CPAP. Patients who reject CPAP initially rarely embrace CPAP use in the long term. What is the best CPAP mask? A mask the patient actually uses. This will be very patient specific.

What is the best type of CPAP machine? There is standard CPAP machines that come in many styles and shapes. The industry has done a good job of making CPAP machines quieter and smaller. BiPAP machines have lower pressure during expiration that reduces claustrophobic feelings in some patients and often eliminates the sensation of drowning on air. Ramping is a gradual increase in pressure allowing patients to fall asleep prior to pressure increasing. Humidification and heated hoses are also increasing patient comfort. Unfortunately all of these advances have not been shown to increase overall patient compliance.

Servo-ventilation machines are more efficient and effective in treating central sleep apnea, which is a neurological condition where the brain “forgets” to breathe.

The best sleep apnea treatment is always patient specific. The 60% of patients who do not tolerate CPAP will likely find comfortable oral appliances are the best treatment.

A small minority of patients do not tolerate CPAP or oral appliances. The best treatment for these patients may be surgery.

What is the best sleep apnea surgery? The morbidly obese and extremely severe sleep apneics may find that a tracheotomy is the best treatment. Patients breathe through their throat bypassing the pharyngeal blockages. Most patients do not want a trach.

Soft palate surgery is almost never the best sleep apnea treatment. UP3 or Uvulopalatopharyngealplasty is painful and has very high morbidity but more importantly rarely eliminates sleep apnea and patients still require CPAP or oral appliance therapy. Pillars, somnoplasty, LAUP or laser-assisted uvuloplasty are less painful but still ineffective in treating most apnea patients completely.

Maxilo mandibular advancement is extremely effective but is major surgery where the upper jaw (maxilla) is cut loose from the skull and often split in pieces, the lower jaw (mandible) is sectioned into 3 pieces and the hyoid bone is sectioned in pieces and then the patient is wired shut for six weeks. This surgery is often very successful. A geniohyoid surgery is less invasive only splitting the lower jaw in pieces and advancing the chin and tongue. While it is effective in patients with severely recessed lower jaws (weak chin) in most patients it is the “Jay Leno” surgery creating his unique profile.

For severely obese patients with severe sleep apnea bariatric surgery may be the best sleep apnea treatment.

It is also possible to do several tongue reduction surgeries that vary in effectiveness. Dr Shapira suggests that patients attempt CPAP and/or Oral Appliances before considering surgery. Patients with blocked nasal airways frequently improve with partial turbinectomies and correction of deviated septums but while helpful this will usually not eliminate sleep apnea.

Dr Shapira reminds patients of the famous quote: “There is no disease or disorder known to man that can’t be made worse by sticking a knife in it.” This does not mean to avoid surgery cautions Dr Shapira but rather to approach any surgery with caution and consider the possible problems associated with surgery.

Information on the dangers of sleep apnea, sleep apnea treatment and comfortable oral appliances is available at http://www.ihatecpap.com.

Dr Ira L Shapira is a licensed general dentist and a Diplomate of the American Board of Dental Sleep Medicine. Patients wishing to see him in his Gurnee office or at Chicagoland Dental Sleep Medicine offices in Skokie, Schaumburg, Lake County, Gurnee and Vernon Hills can call 1-8-NO-PAP-MASK 866-7276275 or contact his Gurnee office at 847-623-5530.

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE:
Stem Cells Repair Brain Damage: Umbilical Cord Blood and Developing Tooth Buds Contain Stem Cells That Can Change Lives; Stem Cells from Developing Tooth Buds Offer a Second Chance for Stem Cells

“Cord blood wakes up drowning victim’s brain” is a headline that thrills Wayne Franco MD. Dr Wayne Franco wants to drastically improve the lives of children and adults with brain damage, stroke, brain trauma and cerebral palsy.

GURNEE, IL, August 12, 2010 /24-7PressRelease/ — Dr. Franco and New Heart Foundation’s licensee, Cord Blood Registry, recently posted encouraging results using a patient’s cord blood stem cells to treat her after a drowning accident left her with moderate to severe brain damage.

Two year old Sparrow Morris drowned in her family’s pool and as a result lost oxygen for approximately 45 minutes and suffered two cardiac arrests. She was not expected to live. She did survive the drowning, but was but left with significant brain damage

She was a beautiful two year old who only functioned at the level of a 3 month old infant.

Fortunately, her parents had stored her cord blood stem cells with Cord Blood Registry. A year after her accident her parents were called by Cord Blood Registry and were told about an experimental treatment they were involved in at Duke University. Little Sparrow went to Duke University where she was treated with an infusion of her own cord blood stem cells. Within a day, her parents reported a dramatic improvement and she continues to improve. Her parents report she has not reached a plateau in her recovery since the stem cell treatment.

New Heart Foundation and Cord Blood Registry together have patent pending protocols to treat stroke, cerebral palsy, brain trauma, and low oxygen injury to the brain. Cord blood registry has successfully treated cerebral palsy and is actively recruiting patients for stroke, brain trauma, and low oxygen injury to the brain.

Unfortunately, many patients suffer from these conditions. In addition, there is little in the way of available treatments for these conditions. United States statistics for these conditions include : Stroke: 6 million patients, Brain Trauma: 1.7 million, and Cerebral Palsy: 1million.

Dr Franco has been desperate to offer the benefits of cord blood stem cells to all the patients with brain damage and serious neurologic deficit diseases but is stymied because most parents have not banked their children’s cord blood.

Stem cells from lost baby teeth and wisdom teeth are being banked but are generally of lower quality. Dr Franco is now working with a Gurnee dentist, Dr Ira L Shapira who is president of Dato-Tech and has method and device patents on the collection of stem cells from minimally invasive prophylactic removal of wisdom tooth buds before calcification.

Dr Shapira’s vision was to reduce the morbidity of wisdom tooth removal while simultaneously collecting and storing stem cells from the developing tooth bud. These may actually be more powerful for treating neurologic injuries because they develop from the neural crest. Dr Shapira’s concept was published in a letter to the editor in the July 2010 JADA, Journal of the American Dental Association on morbidity associated with third molar removal.

Dr Wayne Franco considered these cells an answer to a prayer. He would now be able to help an even greater number of patients. Dr Shapira believed the best time to collect cells was between 8-10 years old when it could be done in a minimally invasive procedure in just a few minutes.

Dr Franco has taken this one step further. Utilizing Dr Shapira’s easy technology stem cells can be collected at almost any time until 10 years old from other developing teeth with little or no discomfort. This would cause a loss of a tooth but this is a small price if brain trauma, cerebral Palsy or other conditions can be alleviated or drastically improved.

Dr Franco calls this “The Second Chance” and hopes by combining his work with Dr Shapira’s a new paradigm can be created.

The doctors are currently looking for a manufacturer for the device that collects and stores the stem cells for processing and a storage facility. Dr Franco has already made contact with Cord Blood Registry and several other storage facilities. Patients with serious problems could have the cells processed and directly infused. Dr Franco would like to see a single storage company for all stem cell collections from tooth buds. If there is a paradigm change this could literally be millions of samples per year.

There are two collection sites that are ideal in most patients and one could be used for personal storage while a second could conceivably be used for public banking, research or as a back-up for personal use possibly at a second storage site.

The collection of stem cells from developing tooth buds has many advantages in ease of collection and scheduling compared to Cord Blood. In Japan Hepatocytes, or liver cells have been grown from stem cells from tooth buds. The stem cells from the tooth bud contain epithelial stem cells, nerve stems, blood vessel stem cells and the typical mesenchymal stem cells found in extracted teeth.

Contact Wayne Franco MD, CEO, New Heart Foundation
8603056041
Wayne-franco-md@sbcglobal.net
https://sleepandhealth.com

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE:
Chicago Sleep Apnea Treatment: I Hate CPAP! Offers Comfortable Alternatives To CPAP. Dental Sleep Medicine and Oral Appliances Can Improve Your Sleep And Improve Your Life!

Sleep Apnea is a serious medical condition that can lead to heart attacks, strokes, endocrine problems and worsen diabetes. CPAP, the standard treatment is abandoned by 60% of all patients. I HATE CPAP.com offers a more comfortable alternative.

GURNEE, IL, July 12, 2010 /24-7PressRelease/ — Waking up feeling well rested and ready and excited to meet a new day is a wonderful feeling. Unfortunately, patients with snoring, sleep apnea, upper airway resistance, insomnia and numerous other sleep disorders rarely experience this.

Loud snoring not only is a major sign of sleep apnea but also disrupts the sleep of your partner. DO NOT FOOLISHLY IGNORE LOUD OR DISRUPTIVE SNORING, IT MAY BE A WARNING SIGN OF THIS SERIOUS AND DANGEROUS DISORDER THAT CAN COST YOU YOUR HEALTH OR EVEN YOU’RE LIFE!

Learn more about the dangers of sleep apnea at http://www.ihatecpap.com/sleep_apnea_dangers.html

Sleep Apnea is defined by repetitive episodes where breathing stops causes an arousal from sleep and then the cycle starts again. It is common for patients with sleep apnea to deny they have a problem. This is often observed by the bed partner who sees pauses in breathing followed by gasping for breath.

CPAP, the standard medical treatment for sleep apnea is one of the greatest success stories in medicine. It ican be effective in treating almost every patient with obstructive sleep apnea, snoring, hypopnea and upper airway resistance.

CPAP is also one of the greatest failures in medicine not because it isn’t effective but because it is not used. The failure to utilize an effective medical treatment is called non-compliance. Non-compliance is the typical result when CPAP is prescribed. Medicare has recently taken a serious look at the costs of CPAP to the taxpayers and realized that there was a poor return on investment. It is for this reason that Medicare will no longer pay for CPAP that is not used at least four days a week for four hours a night. This is an incredibly low standard for usage but the savings to Medicare will be enormous.

Medicare is dead wrong! The real savings for Medicare comes from decreased medical expenses for strokes, heart attacks, diabetes, Alzheimers, dementia and numerous other disorders that are improved when apnea is well treated. Even poor treatment is better than no treatment. Of Course, treatment that is used all night every night is ideal and only one in four CPAP users achieve that goal. Oral Appliances (http://www.ihatecpap.com/oral_appliance.html) are much better tolerated by patients who usually report using them all night long.

A recent study showed that 60% of patients abandon CPAP treatment completely. That means only 4 in 10 patients use their CPAP machines. Even patients who do use their CPAP machines average only 4-5 hours of nightly use, not the recommended 7 1/2 hours. One in four utilize it all night so the rest of patients have only minimal actual usage.

I BELIEVE THAT MEDICARE AND PATIENTS WITH SLEEP APNEA WOULD BE MUCH BETTER SERVED IF IMEDICARE PAID FOR CPAP BASED ON THE PERCENTAGE OF TIME IT WAS ACTUALLY USED. !00% USAGE WOULD BE 7 HOURS A NIGHT 7 DAYS A WEEK. THE ACTUAL TIME CPAP WAS USED IN THE FIRST FULL YEAR OF TREATMENT COULD THEN BE USED TO DETERMINE MEDICARE PAYMENTS, IE 50 % USAGE WOULD RECEIVE 50% PAYMENT.

The reason most patients give for not wearing their CPAP is that they “Hate CPAP” They hate the CPAP mask, the hate the noise, the hate the hose. I HATE CPAP! LLC and the website www.ihatecpap.com took it’s name from the passion of these patients. Why is such a successful treatment such a phenomenal failure? CPAP is not a failure but it does fail the majority of patients. It is still a 4 1/2 billion dollar a year industry. Approximately 25% of patients love CPAP from the first time they use it and they use it faithfully forever. I HATE CPAP! was founded by Dr Ira L Shapira, a Chicago dentist and a Diplomate of the American Board of Dental Sleep (D, ABDSM). He is a charter member of the Sleep Disorder Dental Society (SDDS), which evolved into the American Academy of Dental Sleep Medicine (AADSM). He is a founding member of DOSA, The Dental Organization of Sleep Medicine and a member of the Academy of Dental Sleep Medicine.

Patients who love CPAP from the start are the exception. Studies have also shown that patients who do embrace CPAP treatment early on rarely become successful CPAP users in the future.

Oral Appliances are very well accepted by patients who love both the comfort and convenience but are most pleased to not have to deal with masks, hoses compressors, humidifiers, noise air leaks and other annoyances associated with CPAP. 95% of patients offered a choice between CPAP and Oral Appliance Therapy chose the Oral Appliances. In cities countries like Sweden where the national health insurance offers patients their choice of treatment Oral Appliances are the primary treatment modality. Only a small percentage of patients chose CPAP when offered a choice.

Oral Appliances and CPAP are both considered first line approaches for treating sleep apnea by the American Academy of Sleep Medicine and the American Academy of Dental Sleep Medicine. CPAP is still considered the only first line therapy for severe obstructive sleep apnea but studies have shown that Oral Appliances can also treat many cases severe sleep apnea very successfully. The American Academy of Sleep Medicine recognizes Oral Appliances as an alternative to CPAP for severe sleep apnea when patients do not tolerate CPAP.

THE NATIONAL SLEEP FOUNDATION HAS DECLARED THAT “ORAL APPLIANCES ARE A THERAPY WHOSE TIME HAS COME”

CPAP will probably always be the primary first line treatment for the morbidly obese patients and with patients who have obesity-hypoventilation syndrome.

The reason is based on the different ways the CPAP and Oral Appliances use to treat Sleep Apnea. First you must understand what actually happens during snoring and sleep apnea. The easiest way to understand this condition is to use Dr Shapira’s garden hose analogy. Normal breathing is like a garden hose where a lot of water passes with very little disruption. Simple Snoring would be like placing your thumb over the hose to water your garden. There is now a lot of disruption to the flow but the total amount of water flowing is the same. When breathing this disruption would be loud snoring.

Obstructive Apnea would be like kinking the hose so no air passes. Apnea could then be described as suffocation followed by awakening from sleep and then gasping for life saving air. The Apnea index is how many times you suffocate and then awaken to gasp for air per hour. This repetitive awakening and gasping for air is extremely stressful for the heart and creates and underlying stress disorder as it creates continual stimulation of a fight for your life scenario that creates stress hormone release.

Hypopnea is a partial apnea. It can be described as almost suffocation and there is at least a 4% drop in oxygen levels. It is more annoying to the bedmate as you can snore very loudly with hypopnea but it still leads to a gasp.

Upper Airway Resistance Syndrome (UARS) or Respiratory Effort Related Arousals are when it is hard to breathe and disturbs the patient’s sleep but the event does not meet the criteria definition of apnea or hypopnea.

CPAP works by stenting the airway with air pressure much the way some “buildings” are held up by blowing air. Oral Appliances work by bringing the airway forward which increases the size of the airway. In severe obesity the large amount of fatty tissue surrounding the airway may not be stented or opened by an Oral Appliance but CPAP can be turned up to a very high pressure to blow past the obstruction. The actual airway collapse is not merely passive but rather inspiration creates a negative pressure or vacumn that causes the airway to suck closed. While oral Appiances alone may not be successful in treating the morbidly obese they will allow CPAP to be successful at much lower pressures.

The TAP appliance (Thorton Adjustable Positioner) is leading the field of Dental Sleep Medicine in creating combination therapy that improves compliance and efficacy of CPAP by combining CPAP and integrated Oral Appliances. The TAP 1 appliance is one probable the most successful appliance in treating severe sleep apnea due to the handle that allows advancement of the jaw after the appliance is in the mouth. The TAP 3 appliance can now be fitted with a similar handle. The TAP 3 is also ideally suited for combination therapy with a TAP-PAP combination.

If patients are comfortable utilizing full face masks than any Dental Oral Appliance can be used in combination with CPAP. The Somnodent Appliance by Somnomed is one of the most comfortable appliances available. The SUAD Appliance by Strong Dental is one of the most robust appliances for patients with severe bruxism. The Myerson EMA appliance is a very comfortable and compact appliance.

Dr Ira L Shapira has been treating patients with sleep apnea with Oral Appliances for over 28 years and stresses how important it is that practitioners be familiar with a wide variety of Oral Appliances. Many course are taught by appliance manufacturers but patients may suffer if the doctor only has a single appliance he is familiar with using. Dr Shapira teaches an in depth course to small groups (six or less) dentists and their teams to insure that each doctor thoroughly understands the numerous intricacies of both sleep medicine and Dental Sleep Medicine. To insure that his doctors provide the highest level of service and quality he works with each doctor on a monthly basis to solve problems and help interpret sleep studies. He limits his class to six new doctors to insure that learning is personalized and that there is sufficient time for follow-up consultations. Many of the doctors Dr Shapira have mentored have seen Dental Sleep Medicine become a major percentage of their practice.

Dr Bill Blatchford is the leading dental practice management consultant in the United States and he regularly refers his clients to Dr Shapira because he has seen such positive changes in the practices of dentists who have had this training. Dr Shapira lectured on Sleep Apnea and Dental Sleep Medicine at a “Purple Cow” seminar the Dr Blatchford presented several years ago. Hundreds and hundreds of dentists have viewed his lecture on DVD and become involved in the treatment of sleep apnea and snoring as a result.

The individual small group learning experience and long term follow-up is key to striving for excellence in Dental Sleep Medicine. In the 1990’s Dr Shapira was a frequent lecturer at the American Academy of Anti-Aging Medicine (A4M) and a lecture he gave in 1998 on Anti-Aging Dentistry was printed as a chapter in a medical textbook on Anti-Aging Medicine.

Dr Shapira was one of the first dentists to lecture to physicians on the oral health connections of gum disease and overall health and on Dental Sleep Medicine. He also has a passion for the treatment, prevention and elimination of migraines and headaches utilizing Neuromuscular Dentistry. His research as a Visiting Assistant Professor at Rush Medical Schools Sleep Dsorder Center in the 1980’s showed hat there were numerous similarities between male sleep apnea patients and female patients with TMJ disorders, Chronic Pain and Fibromyalgia. The National Heart Lung and Blood Institute later issued a report “THE CARDIOVASCULAR AND SLEEP RELATED COSEQUENCES OF TEMPOROMANDIBULAR (TMJ) DISORDERS”

I HATE HEADACHES LLC is a new company created by Dr Shapira and Page 1 Solutions to expose the public to Neuromuscular Dentistry and the unique role it plays in treating and eliminating chronic headaches and migraines. The website http://www.ihatecpap.com is a leading resource for information on headaches and TMJ disorders and the value of neuromuscular dentistry in alleviating these problems and improving the quality of patients lives.

Patients that live in the Chicago or Milwaukee metropolitan areas or anywhere in Northern IIllinois or Southern Wisconsin can contact Dr Shapira at his office.

Call Today: 1-8- NO-PAP-MASK or 1-800-TM-JOINT
OR CONTACT DR SHAPIRA THRU HIS WEBSITES.
HTTP://WWW.DELANYDENTALCARE.COM
HTTP://WWW.IHATECPAP.COM
HTTP://WWW.IHATEHEADACHES.ORG

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

PRESS RELEASE;
Headache and Migraine: Elimination and Prevention Through Neuromuscular Dentistry – Improve The Quality Of Your Life and Live In The Land Of the Pain Free!

Quality of life is destroyed when you live with chronic pain. Migraines, chronic daily headaches and other chronic head and neck pain can frequently be eliminated through the science of Neuromuscular Dentistry and Trigeminal Nervous system relief.

GURNEE, IL, June 06, 2010 /24-7PressRelease/ — A recent patient who suffered a constant headache for over 50 years is now pain free without dependence on medication. Patient M was married to a physician and had access to the finest care available but still lived in continuous pain for over 50 years. Patient M met Dr Ira L Shapira by accident. Her husband had sleep apnea and loud snoring and found Dr Sapira through the website http://www.IHateCPAP.com.

M was at her husband’s consultation and Dr Shapira noticed she held her temple during the appointment and asked if she had a headache. She did, and he used a simple technique to turn off a trigger point and to relieve her pain. This was a first for M who had never experienced this in 50 years of living with chronic headache pain. Neuromuscular Dentistry was discussed briefly at that visit and at the second visit her husband received his oral appliance to eliminate his sleep apnea and snoring and M began her Neuromuscular Dentistry treatment.

M recieved a Diagnostic Neuromuscular Orthotic that day and except for one day has been headache free since that time. M does report that when she is sick she may get a headache but it is different than the headaches she lived with for most of her life.

What is Neuromuscular Dentistry and what is a Diagnostic Neuromuscular Orthotic and how does it work?

An article that Dr Shapira was asked to write for the American Equilibration Society is one of the best explanations available online and has been reprinted in Sleep and Health Journal @ https://www.sleepandhealth.com/neuromuscular-dentistry.

A second article “SUFFER NO MORE: DEALING WITH THE GREAT IMPOSTER” in Sleep and Health Journal discusses typical patient stories.

In the most simple terms the way Neuromuscular Dentistry works is change input and output from our brains and central nervous system to muscles, joints, and nervous system end organs in the Trigeminal Nervous System. Our brains are similar to computers. GARBAGE IN- GARBAGE OUT explains in computer lingo how bad input leads to bad output. The brain is basically a biological computer and GARBAGE IN- GARBAGE OUT holds true when it comes to our brains.

Input to the brain comes from two sources, input from the spinal column which accounts for 20% of the total input to the brain and input from 12 pairs of cranial nerves that accounts for 80% of brain input. The cranial nerves are responsible for sight, smell, taste, vision, hearing, proprioception and control of the autonomic nervous system.

The trigeminal nerve accounts for approximately 70% of the input to the brain from the 12 cranial nerves or more than half of total brain input. The Trigeminal Nerve is also known as the Dentist’s Nerve. It goes to the teeth, jaw joints, jaw muscles, the periodontal ligaments of the teeth, the muscle that tenses the eardrum, the muscle that opens and closes the eustacian tubes, that innervates the lining of the sinuses and nasal mucosa. It also controls the blood flow to the anterior 2/3 of the meninges of the brain. When we smell menthol that is another trigeminal nerve function which may be why Vicks Vapor Rub works for many pains.

The trigeminal nerve also has a enormous autonomic component and is a chief cause of central sensitization. Central Sensitization is a primary aspect of most headaches and migraines, facial pains, fibromyalgia and almost all other chronic pain syndromes.

GARBAGE IN – GARBAGE OUT takes on new meaning when we are talking about the majority of input to the brain. Neuromuscular Dentistry turns bad data our brain receives into good data. Central Sensitization can turn good input into bad output. Examples are Hyperesthesia where there is an over-reaction to pain stimuli and Allodynia where non-painful input is received as Nociceptive of Pain impulses. Fibromyalgia is considered a disease caused by or accompanied by Central Sensitization. The Trigeminal Nerve is also vital for controlling respiration and airway patency. The National Heart Lung and Blood Institute issued a report “Cardiovascular and Sleep Related Consequences Of Temporomandibular Disorders” which is available at http://www.nhlbi.nih.gov/meetings/workshops/tmj_wksp.pdf.

Dr Shapira created http://www.ihateheadaches.org to help patients understand headaches, migraines and how Neuromuscular Dentistry is an essential and vital treatment resource.

Why do patients suffer for years if there is a treatment that can so drastically improve their lives?

Do problems addressed Neuromuscular Dentistry actually affect health and medical costs?

Cranio, The Journal for CranioMandibular Practice published two articles that answer that question. The studies by Shimshak et al showed that patients with TMJ disorders had a 300% increase in medical utilization in all fields of medicine except obstetrics. In other words, aside from not getting pregnant these patients utilize three times the average in medical expenses. Treatment of Temporomandibular disorders and the neuromuscular pathology that cause them can drastically improve patients lives and possibly drastically decrease medical expenses.

The NHLBI report discusses how respiratory disorders related to TMJ disorders can effect many body systems. Dental Sleep Medicine is an extremely effective approach to treating sleep apnea. It is more effective overall than surgery. CPAP is still considered the Gold Standard of treatment for Sleep Apnea but has horrendous issues with patients compliance.

Poor compliance means it works well if used but most patients do not use it. CPAP that is not used is worthless and dangerous because the patient remains untreated. A recent study showed that 60% of patients did not use their CPAP. Other patients refuse to even have a sleep test because they do not want to use CPAP. One study cited at the Trucking and Sleep Apnea conference presented by the American Sleep Apnea Association showed only 5% of truckers using their CPAP. This is a frightening fact considering than patients with untreated sleep apnea have a six-fold increase in motor vehicle accidents. Patients overwhelmingly prefer oral appliances to CPAP when they offered a choice but most patients are never given a choice. That would be understandable if CPAP compliance wasn’t an issue. Studies of patients who do use their CPAP show that they average only 4-5 hours a night of use not 7-7 1/2 that is ideal.

Patients with untreated sleep apnea have up to a six-fold increase of risk of heart attacks and strokes which usually occur in the early morning hours. Most CPAP users have already stopped utilizing their CPAP during the early morning hours when the risk is greatest.

Dr Shapira created the website I HATE CPAP! to help the majority of patients who could not tolerate treatment with CPAP. Thousands and thousands of patients visit this website every single month which leads them to appropriate and scientifically supported treatment.

Treatment and prevention sleep apnea with oral appliances is now well accepted but is still fighting for its proper place in medicine. In a few years oral appliances will probably account for a vast majority of treatment of mild to moderate sleep apnea.

Morning headaches have two primary causes, TMJ disorders and Sleep Apnea. The NHLBI says Sleep Apnea is a TMJ disorder. There is an FDA approved appliance for preventing migraines the the NTI-TSS appliance.

The Aqualizer appliance, invented by Dr Martin Lerman is an a simple inexpensive appliance that can produce incredible success but does not offer permanent correction. IAn Aqualizer was used to keep M free of pain between her first and second appointment until her diagnostic neuromuscular orthotic was delivered.

Neuromuscular Dental treatment starts with a Diagnostic Orthotic. When treatment effectiveness is assured patients can proceed with long term phase 2 treatment of a permanent removable orthotic, orthodontic correction or a Neuromuscular Reconstruction. Patient M chose reconstruction which not only eliminated her headaches but also gave her a beautiful new smile. Reconstruction can be accomplished in just a few appointments for patients who do not wish to go through extended treatment with orthodontics or wear a long term orthotic.

The Aqualizer and NTI-TSS are excellent tools but they do not provide definitive treatment.

Dr Shapira studied Neuromuscular Dentistry with Barney Jankelson who founded the science and with his son Robert Jankelson. His 30 years of neuromuscular dentistry and pioneer work in Dental Sleep Medicine makes him uniquely suited to treating patients with chronic head and neck pain.

The Las Vegas Institute is the primary educator in Neuromuscular Dentistry and has appointed Dr Norman Thomas to head educational and research studies into Neuromuscular Dentistry. Dr Thomas is a world leading expert in the field of Neuromuscular Dentistry and how it relates to Physiology and Anatomy of masticatory and postural systems.

Dr Barry Cooper also does a superb job at introducing dentists to the field of Neuromuscular Dentistry. Dr Shapira strongly recommends dentists begin their training with Dr Cooper because he teaches small groups of 1-6 doctors which is the ideal learning environment. Dr Shapira limits his sleep apnea and Dental Sleep Medicine classes to six doctors as well. This allows for one on one interaction and follow-up during the most difficult period of the learning curve.

The international college of craniomandibular orthopedics or iccmo is the leading organization representing neuromuscular dentistry. Dr shapira stronly suggests you find a neuromuscular dentist who is a member of iccmo. Iccmo was founded by dr barney jankelson, the father of neuromuscular dentistry.

Patients in Northern Illinois and southern Wiscosin looking for a Neuromuscular Dentist are a comfortable drive to Dr Shapira’s general dentistry office, Delany Dental Care Ltd in Gurnee and to the offices of Chicagoland Dental Sleep Medicine Associates. Dr Shapira currently sees patients in Skokie and Schaumburg and recently announced a new office will open soon in Highland Park, Illinois.

Dr Shapira’s team can make arrangements for patients from outside of the Chicago Metropolitan area
to have an intensive course of treatment. Dr Shapira will consider accepting long distance patients on a case by case basis. Patients wishing to see Dr Shapira can contact his office toll-free at 1-800-TM-Joint or 1-8-NO-PAP-MASK or 847-623-5530

Patients can contact Dr Shapira through the following websites:
http://www.ihatecpap.com
http://ww.ihateheadaches.org
http://delanydentalcare.com
http://www.chicagoland.ihatecpap.com/

Dr Shapira will help patients locate a Sleep Apnea Dentist or Neuromuscular Dentist anywhere in the country. Dr Shapira strongly advises patients to seek out treatment of Sleep Apnea only from dentists trained in treating TMJ disorders preferably by Neuromuscular Dentists.

The American Academy of Sleep Medicine (AASM) advised that patients receive oral appliances from dentists trained in Dental Sleep Medicine and treatment of Temporomandibular Disorders (TMD). The American Academy of Dental Sleep Medicine (AADSM) endorsed the position of the AASM.

Dr Ira L Shapira is an author and section editor of Sleep and Health Journal, President of I HATE CPAP LLC, Pesident of I Hate Headaches LLC, President Dato-TECH, and has a General Dental Practice, Delany Dental Care Ltd with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School’s Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.