All Press Releases for January 11, 2009

Sudden Cardiac Death, Left Ventricle Hypertrophy and Dilation, Cardiac Disease, Cardiac Failure and Cardiac Disease Associated with Obstructive Sleep Apnea. Dental Sleep Medicine, Oral Appliances and CPAP Reduce the Risk. Houston Dentist Dr Ronald Konig Joins www.ihatecpap.com

Sleep apnea is known to cause increases in blood pressure and a six-fold increased risk of heart attacks and strokes. This study shows that sleep apnea and especially low oxygen saturation may be a risk factor for sudden cardiac death. CPAP and oral appliance therapy can lower increased risks.



    GURNEE, IL, January 11, 2009 /24-7PressRelease/ -- Mayo Clinic cardiologist Apoor Gami, M.D., the lead researcher on the study, presented his findings at the American Heart Association's Scientific Sessions 2008 in New Orleans. "Nighttime low oxygen saturation in the blood is an important complication of obstructive sleep apnea," according to Virend Somers, M.D., Ph.D., the study's principal investigator. "Our data showed that an average nighttime oxygen saturation of the blood of 93 percent and lowest nighttime saturation of 78 percent strongly predicted SCD, independent of other well-established risk factors, such as high cholesterol. These findings implicate OSA, a relatively common condition, as a novel risk factor for SCD."

I HATE CPAP LLC was formed to inform the public of the dangers of sleep apnea and to offer comfortable alternative to CPAP to treat these serious conditions. WWW.ihatecpap.com

Another study; Int J Cardiol. 2008 Aug 18;128(2):232-9. Epub 2007 Aug 28. Showed that moderate to severe obstructive sleep apnea is linked to left ventricular hypertrophy, left ventricular dilatation or elevated natriuretic peptides in patients without overt cardiovascular disease. Significant changes in NT-pro-BNP values indicate an improvement of cardiac function following effective oral-appliance therapy.

Stroke victims who have obstructive sleep apnea die sooner than stroke victims who do not have sleep apnea or who have central sleep apnea, according to Swedish researchers, who will presented their findings at the American Thoracic Society's 2008 International Conference in Toronto on May 19. The results were independent of age, gender, smoking, body-mass index, hypertension, diabetes, atrial fibrillation, cognitive ability and how dependent patients were on help in their daily lives.

Cardiac disease, cardiac failure as well as increases in high blood pressure, diabetes and decreased quality of life are all associated with obstructive sleep apnea. Many studies have shown improvement with CPAP and studies are now showing similar improvements in outcomes with oral appliances. Information about oral appliance available at www.ihatecpap.com

Sleep apnea is recognized as deadly but until recently patients were offered only treatment with CPAP. This was unfortunate because while CPAP is considered the Gold Standard of treatment most patients are not able to tolerate it. Various studies have shown that only 23-45 % of patients prescribed CPAP actually tolerate it. Many patients are not offered alternatives to CPAP when they have demonstrated CPAP intolerance. Oral appliances have been shown to be a highly effective alternative to CPAP. Surgery is also an alternative to CPAP but has a relatively high morbidity and low success rate for treating sleep apnea. The surgical bi-maxillary advancement procedure is an exception that is highly successful. See the Sleep and Health Journal article comparing Oral appliances to Surgery: http://sleepandhealth.com/modules.php?name=News&file=article&sid=55&tid=22

Recognized for his expertise in advanced dentistry, Dr. Konig specializes in a wide-range of cosmetic and complex reconstructive dental procedures, TMJ, sleep apnea and snoring relief. It is this interest in helping patients with sleep apnea that led him to join I HATE CPAP program. Dr Konig does not hate CPAP but since 2/3 -3/4 of all patients prescribed CPAP do not use it I HATE CPAP is designed to connect with those patients and link them to dentists who make comfortable oral appliances as a CPAP Alternative. The website http://www.houston.ihatecpap.com/index.html will take you directly to Dr Ronald Konigs Houston site. Patients from around the country can find information and sleep apnea dentists at www.ihatecpap.com

Chicago dentist, Dr Ira Shapira is a pioneer of dental sleep medicine who formed I HATE CPAP LLC a company dedicated to promoting the dangers of sleep apnea and the role of dental sleep medicine in improving patients lives. Dr Shapira is clear in stating that he does not HATE CPAP which is still the gold standard for treatment. He formed the company and its website www.ihatecpap.com in response to what patients reported. The most common statements he heard from his patients were "i hate the mask" , "I hate The machine", "i hate CPAP!" and that was how the name came about. While some consider it provacative it resonates with patients unable to tolerate CPAP treatment. Thousands of patients who had abandoned CPAP have returned to treatment because they felt an emotional connection to the sentiment.

Most patients offered a choice between oral appliances and CPAP chose the appliances due to increased comfort and ease of use. Compliance, or patients continued use of therapy is much higher with oral appliances than CPAP.

Patients with untreated sleep apnea have a six fold increase in motor vehicle accidents and are also more prone to poor performance and accidents at work. Trucking companies have shown that screening for sleep apnea and insuring treatment have lowered insurance costs and accident rates. Short term memory loss is one of many intellectual defects associated with untreated sleep apnea. The problem is that many patients prescribed CPAP are not offered a choice and if they cannot tolerate treatment with CPAP then go without treatment.

There is an urgent need to help all patients diagnosed with sleep apnea find treatment modalities that work and that the can tolerate and use on a long-term basis. There will be a net reduction in overall medical expenses if all patients who do not tolerate CPAP are offered oral appliances as an alternative. Patients with mild to moderate sleep apnea should be offered oral appliances a a first line treatment along with CPAP according to the new parameters of care of the Academy of Sleep Medicine.

The National Heart Lung and Blood Institute (NHLBI) of the National Institute of Health (NIH) considers sleep apnea to be a TMJ Disorder. There were two articles published in Cranio by Shimshak et al that showed a 200-300% increase across all medical fields in patients carrying a diagnosis of TMJ disorders. This is vital information for those hoping to rectify problems with our current healthcare system. Their report CARDIOVASCULAR AND SLEEP-RELATED CONSEQUENCES OF TEMPOROMANDIBULAR DISORDERS NHLBI WORKSHOP was based on research by the National Heart, Lung and Blood Institute (NHLBI) , NHLBI Division of Heart and Vascular Diseases (DHVD) and the NHLBI National Center on Sleep Disorders Research (NCSDR).

The entire report can be reviewed at: http://www.nhlbi.nih.gov/meetings/workshops/tmj_wksp.pdf

Patients interested in learning more about oral appliances used to treat obstructive sleep apnea will find information at: http://www.ihatecpap.com/oral_appliance.html

Additional information about TMJ disorders cn be found in Sleep and Health Journal at: http://sleepandhealth.com/modules.php?name=News&file=article&sid=237&tid=22 or at www.ihateheadaches.org

Organizations involved in treating sleep apnea include The American Academy of Dental Sleep Medicine, DOSA the Dental Organization for Sleep Apnea, The American Academy of Cranifacial Pain, ICCMO the International College for CranioMandibular Orthopedics.

Dr. Ronald W. Konig, a 1986 graduate of Baylor College of Dentistry, continued his post graduate training at the L. D. Pankey Institute for Advanced Dentistry and the Las Vegas Institute for Advanced Dental Studies. He was awarded a Fellowship from The Academy of General Dentistry for his extensive continuing education endeavors and recently received his Fellowship from the Las Vegas Institute, an accomplishment very few have attained.

Along with attending continuing education courses, Dr. Konig has assisted in teaching dentists advanced esthetic techniques, and is frequently called by colleagues to share his experience. Various media, including television and magazines, have featured him for his expertise in cosmetic dentistry, veneers, porcelain crowns and inlays, smile designs, and reconstructive neuromuscular dentistry.

He maintains active memberships in numerous organizations and continues to participate in many symposiums each year. He maintains memberships in the IACA, AGD, ADA, GHDS and is one of only 15 Texas members of the International College of Craniomandibular Orthopedics. Additionally he is a member of the American Academy for Sleep Dentistry.

Ronald W. Konig DDS, FAGD
2201 W. Holcombe, #300
Houston, Texas 77030

Tel: 713-668-2289
[email protected]

Dr Ira L Shapira is an author and section editor of Sleep and Health, 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 Schools 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.

# # #

Contact Information

Ira Shapira
Sleep and Health Journal
Gurnee, Illinois
USA
Voice: 847-623-5530
E-Mail: Email Us Here
Website: Visit Our Website