DNA® & RNA® APPLIANCES by VIVOS: EPIGENETIC ORTHODONTICS, ORTHOPEDICS AND PNEUMOPEDICS: PATIENT TESTIMONIALS: VIVOS : The Breathe New Life Advantage.

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DNA and RNA Appliance are used to Treat a wide variety of issues including TMJ disorders, Headaches, Migraines, Snoring and Sleep Apnea.  Postural disorders to impaired breathing can be related to chronic head and neck pain and spread  postural issues throughout the body.

It is vitally important for dentistry and medicine to address the development of airway issues that last a lifetime.  I primarily work with older children, adolescents and adults in my practice.  Children, even very young children receive the biggest benefit from expansion of airways.  The DNA/RNA Appliance gives an important second chance to patients who did not properly develop as children.  Adults can now be treated without orthognathic surgery, tongue reduction and other invasive procedures.

The DNA Appliances are changing the field or dental orthodontics from cosmetic shifting of teeth in available bone into the field of Epigenetic Orthopedics correcting problems that conventional orthodontics never addressed.

Orthodontics utilizing braces and brackets or plastic aligners as used by Invisalign, Smile Direct and other systems is about moving the teeth in the available bone to create a prettier smile and straighter teeth.   Phased orthodontics in children has to a small extent embraced expansion of bone to create more space to straighten the teeth.  Airway has only been minimally addressed by most of orthodontics.

There are many orthodontists who still practice “Contraction Orthodontics” also known as “Four on the Floor” or Bicuspid Extraction cases.  The thought process is the you “Amputate” the teeth to make room in the mouth for all of the remaining teeth.  This Contraction Orthodontics” makes the teeeth fit but crowds the tongue and impairs breathing.

Unfortunately, until recently the question of airway and ideal development of the jaws has not been addressed.  There have been major changes in the last few hundred years to patterns of orofacial and cranial bone growth.  These are negative epigenetic changes due to environmental issues including pollution, changes in how babies are fed and nurtured as new borns ant throughout their early lives.  This has led to a massive problem of underdeveloped maxillas, mandiibles and airways.

I became involved in the early 1980’s in managing airway in adults by treating sleep apnea and snoring.  I saw my son Billy had issues but when he was ready to start Kindergarten he was evaluated and I was told he had ADD, ADHD, could not start Kindergarten and needed to be on
Ritalin for life.  You worry about your child’s when they cannot start kindergarten and I refused the diagnosis and took Billy to Rush Medical School for a sleep study.  He had severe sleep apnea and we proceeded to have tonsils and adenoids removed and at 5 orthopedic expansion of hist maxilla.  He had a tongue and lip tie corrected as well.  He became a straight “A” student, went from 50% growth curve to 90% growth curve, slept well and mood was vastly improved.  He graduated college double major, double minor Magna Cum Laude,  His drug of choice was Oxygen not Ritalin.  I became a Visiting Assistant Professor at Rush Medical School Sleep Center in 1985 and did research into similarities in jaw position in sleep apnea patients and TMJ patients.

Breast feeding is a major factor in the development of proper facial form.  “Form follows function” is a truth in medicine and the changes in how babies are fed and nurtured has changed,  which changes their development.  These changes in growth and development  affect airway and sleep, intelligence and learning and most importantly brain development and function and can lead to learning and behavioral disorders including ADD, ADHD and ODD.  Many of these disorders are related to sleep disordered breathing including snoring, increased upper airway resistance syndrome (UARS), Respiratory effort related arousals (RERA) Hypopnea, Sleep Apnea.

The  underdevelopment of the nasal  oropharyngeal airway is the single biggest culprit and creates problems not just in infants, children and adolescents but also problems that last a lifetime.  Sleep Apnea can cause issues with insulin resistance, memory loss and dementia, they cause a 300-600% increase in heart attacks and strokes as well as motor vehicle accidents, are implicated in hypertension,  metabolic syndrome and obesity.  Ideally a narrow airway is corrected before 8 years of age and it was thought expansion was limited if not impossible in adolescents and adults.  The DNA Appliance has changed all that and expansion is possible throughout your life.

The DNA Appliance  is an FDA approved orthodontic device that can often correct all of these issues.  The RNA version of the
DNA Appliance is an FDA approved Sleep Apnea Appliance.  Both the DNA and RNA Appliance utilize Epigenetic Orthopedics to grow larger airways and offer the possibility of curing sleep disordered breathing in all forms.  The process of growing a larger airway has been called Pneumopedics by Dr David Singh who invented the DNA Appliance.

I will present several video testimonials of patients who have utilized the DNA/RNA Appliances.  The first one is a patient experiencing major improvement in nasal breathing after just a few months of treatment.  When the maxilla is expanded the roof of the mouth widens and high palates correct themselves flattening out.  The hard palate is the roof of the mouth  but that same bone is also the floor of the nose.  With epigenetic expansion the cross section of the nose dramatically increases in both height and width.  The expansion of the mouth makes more room for the tongue.

Nasal breathing increase the amount of Nitric Oxide the body produces which is the single most powerful antioxidant known.  A Nobel prize has been given for work on Nitric oxide.

Sleep Apnea is a serious medical issue for millions of Americans.  There are many treatments available to treat Sleep Apnea, the best known treatment is CPAP or Continuous Positive Airway Pressure which uses a compressor to deliver pressurized air through the nose and/or mouth through a mask.  CPAP is extremely effective when it is used by patients but only about one in four patients prescribed CPAP actually use it on a regular basis.  The 25% of patients who utilize CPAP is dwarfed in number by the 60% of patients who reject or fail CPAP completely.  Approximately 15% try to manage CPAP but do poorly.  Success is not the norm with CPAP in spite of the fact that it is extremely effective when used and is considered the “Gold Standard” of treatment.

The primary reason patients don’t use CPAP is that they “Hate CPAP”.   Oral Appliances are also extremely successful at treating Sleep Apnea and are considered a first line approach for mild to moderate sleep apnea and an alternative to CPAP for severe sleep apnea.  They are under prescribed primarily due ignorance in the medical community about effectiveness.  CPAP is a billion dollar industry that has tremendous monetary power and thee makers of CPAP machines also make much of the diagnostic instrumentation for sleep.

The website https://www.IHATECPAP.com is an excellent resource to learn more about Sleep Apnea diagnosis and treatment.  The name of the website is from patients who when asked why the wanted an oral appliance would commonly reply “I HATE CPAP!”

The following is a video of a physician describing his experience with an oral appliance to treat sleep apnea.  Many physicians choose not to utilize CPAP but rather a comfortable oral appliance.  Oral Appliances are excellent for managing Sleep Apnea but the DNA/RNA Appliances offer a “CURE”!  Patients with sleep apnea must have their sleep apnea treated but it can be managed for a lifetime without negative consequences.

The following video is a physician whose life was affected by her sleep apnea and who chose to seek a cure for her apnea rather than just a treatment.  She has not completed treatment at the time this video was made.  Prior to treatment she was living in a state of exhaustion.  The RNA Appliance is acting as both a sleep appliance and is growing her airway orthopedically.  When the DNA/RNA Appliance is used to cure sleep apnea it actually results in a 24/7 improvement in airway not just a correction during sleep.  This patient discusses oral Myofunctional Therapy which can aid in expansion and ideally should be utilized in every single orthodontic treatment.  More important pediatric dentists and physicians should learn to be aware of these developmental issues and address them as soon as possible to prevent future issues.  In retrospect, my son would have been far better off having his airway issues treated far earlier.  Brain development is changed by sleep apnea even in infants and very young children.

TMJ Disorders, Chronic Headaches and Migraines and other types of Orofacial pain are often associated with airway issues.  The National Heart Lung and Blood Institute published a report “The cardiovascular and sleep related consequences of TMJ disorders”  The NHLBI of the NIH  considers Sleep Apnea to be a TMJ disorder.  The DNA Appliance is often utilized as a second phase of treatment for patients with TMD.  The following is a patient who has lived her entire life with an underdeveloped maxilla and is using the DNA/RNA appliance to pneumopedically grow a larger airway and orthopedically grow her maxilla in order to treat her TMJ disorder.  While she is still early in treatment she feels that her TMJ disorder has been cured.  Her lower jaw (mandible) was locked in a posterior position and maxillary expansion has given it freedom to move forward and relieve abnormal pressure in the TM Joints

The next video is a patient who has lived with chronic head and neck pain for many years and initially was treated with a neuromuscular dental  orthotic and is  now utilizing the DNA Appliance to complete her treatment (Phase 2 ).  She describes a wide variety of improvements after wearing the DNA Appliance for a couple of months.  When you breathe better and correct airway issues it has positive effects throughout the entire body.

The next video is a patient who has had a lifetime of sinus issues and TMJ issues.  While here TMJ issues were dealt with her small airway would create a less stable result and relapse.  The DNA Appliance is being utilized to increase her airway and led to dramatic improvements in he sinus issues.  Listen as she discusses how improved breathing is improving all aspects of her life.

Shimshak et al published a paper in Cranio Journal in  1998 looking at medical expenses in patients with TMJ disorders and found that there was a 300% increase in medical expenses in every single field of medicine.  We now know that sleep and airway are very closely related and that the increase in medical expenses has many causes but treatment with the DNA Appliance addresses a wide spectrum of these issues.  I wrote an article for Cranio Journal in 2013.  The full ediitorial can be found at https://www.tandfonline.com/doi/pdf/10.1179/crn.2013.001?needAccess=true.  I was asked to write this editorial by Riley Lunn tthe editor of
Cranio Journal because I had been treating sleep and airway issues since 1982 long before most of medicine or dentistry ever looked at airway and sleep apnea.

TMJ Alias, The Great Imposter, Has a Co-Conspirator: Poor Sleep

The next patient is much  younger and his parents who are both Chiropractors brought him in to address airway issues that were leading to forward head posture and was affecting his posture in his entire body.  Chiropractors are very aware of how head and jaw position affect the entire body.

The DNA Appliance is giving three dimensional expansion and there is a cascade of positive outcomes that occur as airway improves.

The next video is of Lewis who is now utilizing his RNA Appliance instead of CPAP while he is growing a larger airway.  He appreciates being able to go camping with his appliance, something he could not do with CPAP.His teeeth have straightened out and he has a bigger better lower jaw.

 

The DNA and RNA Appliance utilize Epigenetic Orthodontics which is the single most exciting advancement in dentistry today.  While  it is called epigenetic orthodontics a more accurate name would be epigenetic orthopedics because it actually grows and reshapes and idealizes the bone rather than just move the teeth.  This is far different than typical orthodontics.

This  technological advances of the Vivos System allows us to comfortably create (grow) big wide healthy looking smiles even in patients with narrow arches. Patients with weak chins and poor profiles can see improvements often even early in treatment. In an ideal world every patient would naturally have developed big wide healthy arches with resultant large airways and enough room for their lower jaw to grow ideally.

One very special aspect of utilizing the DNA Appliance and Epigenetic Orthodontics is that the appliances are only worn for 14-16 hours per day.  This is very different that standard orthodontics with brackets and wire or Invisalign®.  Most of the wear can be done in your sleep, watching TV or commuting.  During the day at work or with friends you can be free of the appliance.  This is one of the special features patients love about the DNA Appliance, the convenient fit into your lifestyle.

The time when the appliances are out the teeth move to ideal position as nature and/or genes intended.

Typical orthodontics is a four-step process designed to move teeth through the bone.  The first step is FORCE that creates PRESSURE (1) that compresses the periodontal ligament and puts pressure on the bone.  The second step is INFLAMATION (2) which is associated with pain and discomfort. The third step which is RESORBTION (3)  which is breaking down the bone by osteoclasts to create space.  The fourth step is CONSOLIDATION (4) where new bone is formed.  The process is then repeated after every orthodontic visit when braces are tightened or with each new Invisalign® tray.

Epigenetic Orthodontics is very different because it is a two step process.  The forces are very light and movement is limited to 250 microns approximately every four days.  The light forces are applied and growth and movement occur without inflammation which makes the entire process practically pain free.  If there is any discomfort the adjustments are spaced out further.

Relapse is frequently a problem with orthodontics after orthodontists have used fixed braces to straighten crooked teeth.  Relapse is the teeth moving back to their original position and relapse is why orthodontists make retainers.  The reason for relapse is complex and not well understood.  The hours when the appliance is out let the teeth follow natural eruption processes with far lower risks of relapse.

According to Dr. Dave Singh the Founder of the field of pneumopedics and craniofacial epigenetics which includes epigenetic orthodontics “there is a natural way for the body to remodel the upper airway, reshape bone and move teeth into their correct positions painlessly without the use of surgery, drugs or injections.”

Professor G. Dave Singh DDSc, PhD, BDS states on his website: “However, the entire human genome has now been sequenced, and we now know that certain genes are involved in moving teeth. Teeth are naturally-designed to move, for example, tooth eruption in a normally-growing child. In addition, the teeth in some people erupt in a specific arrangement, producing a beautiful smile. Dr Singh believes that the specific arrangement of teeth is due to certain genes. In fact, a natural process called ‘temporo-spatial patterning’ is at work. This process is the blueprint or body plan that is encoded by genes. In other words, the right and left sides of the body, the top and bottom of the body as well as the front and back of the entire body is under the control of a genetic body plan, including the teeth. Sometimes, however, the plan gets disturbed, producing crooked teeth and improper orthopedics.”:

Getting Older or Getting Better™. THE CHOICE IS YOURS! Come in and find out what is possible.

The Vivos DNA Appliance allows us to grow and develop a more ideal facial structure and a healthier airway.

Dr. Shapira has long had a special interest in developmental processes because of his work with sleep apnea in children and adults. Dr Shapira also has over 38 years experience in treating difficult TMJ Disorders, Migraines, headaches and other Chronic Pain.  When these processes go are disturbed it changes how people breathe and swallow.  Young children are frequently put in expanders to expand their maxilla or upper jaw.  This is needed because of negative epigenetic changes caused by environmental allergies, food allergies or disturbed growth from insufficient breast feeding and bottle feeding.

Dr. Shapira, has taught classes to hundreds of dentists and their teams on how to treat sleep apnea with oral appliance therapy.  It is one of Dr. Shapira’s students Dr .Martha Cortes who first introduced him to Dr Singh and to this exciting new field.

Dr Shapira has studied this field extensively and in 2014 gave a lecture in Buenos Aires,  Argentina on the “Common Developmental Pathways of TMJ Disorders and Sleep Apnea.”  These pathways are an example of negative environmental effects on development that can be reversed in adults who were not expanded as children.  Prior to the DNA Appliance only extensive orthognathic surgery was available to widen or move bone.

Faces are different and each and every one of us is unique.  Our appearance and physiology is determined by our DNA or genes.  Genes determine our physiology and everything else about us.  This is a description of Genetics

What many people are not aware of is that the environment and other factors can change how our genes express themselves.  These types of changes are called Epigenetic changes.

Each person has a unique Genotype, these are the genes we inherited from our parents that when combined created a unique and special person.  Identical  twins  actually share a identical DNA .

The Phenotype is how are Genes are expressed, the effects of the environment on us.  These are the epigenetic changes that can be positive or negative in nature.  This can be the difference between a big wide smile that shows all the teeth

What makes the DNA Appliance special is that it uses the patient’s own genes to modify and change not just the position of the teeth but the size, shape and position of the bone that holds the teeth as well as Pneumopedically change the size and shape of the airway.  This 3-D spatial reconfiguring of the teeth and bone can make amazing changes not just in the teeth but in the face as well.  The changes the DNA Appliance stimulates mimic the natural developmental process that occur in an ideal world.  Biomimetic is the term used to describe what the DNA Appliance accomplishes, it mimics through biologic means what an ideal environment would have developed.

Oral appliances are frequently worn as a comfortable alternative to CPAP to manage snoring and obstructive sleep apnea.  These appliances often protrude the lower jaw and are needed for life.  Pneumopedics® is a term coined by Dr Singh to describe non-surgical upper airway remodeling is a different approach because instead of merely repositioning the lower jaw during sleep it gently allows allows the body to gently and gradually orthopedically increase the size of the upper jaw and increase the nasal airway.  This has been shown in some clinical cases to create a cure for sleep apnea and snoring.  The FDA-registered Daytime-Nighttime Appliance® system (or DNA appliance®) is worn during the evening and night for a total of 14-16 hours/day

Patients who are CPAP intolerant can utilize the FDA-cleared, patented mandibular Repositioning-Nighttime Appliance® (or mRNA appliance®) which works to maintain an open airway in the fashion of sleep apnea oral while gently re-developing the upper airway and moving the mandible or lower jaw and the teeth into a more natural position.

The DNA appliance® and mRNA appliance® protocols can effectively address TMD issues and headaches in both adults and children.  Dr Shapira is a leader in the use of the DNA Appliance to finish phase two treatment in TMD patients.

Sleep Disorder Causes: Stress

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“Could Stress Be The Cause Of My Sleep Disorder?”

If you’re someone who has trouble getting to sleep at night, there could be many reasons why. Sleep disorders are found to be quite common these days, with some people experiencing periodic bouts of sleep deprivation. But there are some people who tend to experience a lack of sleep for many months and even years, which can really affect the overall quality of their everyday lives. 

One of the most common sleep disorder causes is stress. And the fact that reports are telling us that nearly 7 out of every 10 adults are experiencing some form of stress on an everyday basis means that there a lot of people who are looking for treatment options so they can stop feeling so tired. And it doesn’t matter if the stress is work related or personal, the fact that you’re not sleeping well is proof on how stress affects sleep. 

Being stressed can easily lead to sleep deprivation. Mainly because stress can not only affect your ability to fall asleep and stay asleep, it can also affect the overall quality of your sleep. It’s important to understand that even though stress can cause or even worsen sleep disorders, some sleep disorders actually have a dental cause.

Stress Can Worsen An Already Existing Sleep Disorder

If you’re someone who has already being diagnosed with a sleep disorder, then stress can make it worse. There are many different types of sleep disorders that people are living with these days, with some people not even aware that they indeed have a sleeping disorder. They just figure that the cause of their lack of sleep is due to stress and they hope for the best that it will end soon. But the possibility of them having a sleep disorder that hasn’t been officially diagnosed is high.

Some Sleep Disorders Have Dental Causes… And There Are Dental Solutions

Some sleep disorders are breathing related and may have a dental cause. Sleep apnea and snoring are two common sleep disorders, and can be treated by using orthotics. TAP and Narval are 2 repositioning devices that allow for easier breathing. Another option includes using specifically made Orthodontics, which is proven to not only help treat sleep apnea, it can also help to alleviate TMJ symptoms, as well.

Find Out If Dental Treatment Could Help You

A complete and thorough evaluation is necessary in order to determine the true cause of your sleep deprivation, which could reveal a breathing related sleep disorder. In this case, we can help to determine what the best treatment would be for you.

Sleep Disorder Treatment

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Is lack of sleep or poor sleep impacting your life?

sleep-disorder-treatmentEveryone has a sleepless night on occasion, whether you’re waiting up for your teen to come home from a party or a pressing matter is making sleep elusive. However, when sleep evades you on a regular basis, it could be an indicator of a more serious problem and you may need sleep disorder treatment.

It is normal to wake up and feel great in the morning, if you are slow to wake or always feel you need more sleep or constantly hitting the snooze button on your alarm you probably are not having quality sleep.

When you find it difficult to sleep or your sleep is disrupted night after night, we recommend you take steps to determine if you have a sleep disorder and seek an effective remedy.

Signs a sleep disorder is in gear

While an occasional restless night or bout of sleeplessness is normal, chronic sleep deprivation can have serious consequences to your health, mood, and safety.

How do you know if your sleeplessness is an indication of something more serious? Here are a few signs to watch for:

  • Agitation during the day
  • Lack of concentration or short term memory loss
  • Feeling sleepy all the time
  • Feeling like you never get enough sleep, even when you go bed early and wake up late
  • Unexplained weight gain
  • Mood swings and irritably
  • A rise in blood pressure
  • Gasping for breath in the night
  • Periods when you snore
  • Seeping in fits and spurts, waking suddenly
  • Marital discord due to poor communication

If you find yourself struggling with any of these issues, getting to the root of your problem will help you find effective treatment.

The consequences of poor sleep or sleeplessness

Inadequate sleep over a prolonged period of time can have a negative impact on your health. People who are deprived of sleep on a long term basis are at a higher risk of developing diabetes, high blood pressure, and depression. Obesity is another consequence of unhealthy sleep as disruptions in sleep patterns slow the body’s metabolism and cause weight gain that is hard to reverse.

Your body requires sleep to recharge, rejuvenate, and keep all systems functioning at optimal levels. Good Sleep is at the core of an anti-aging medical protocol.

Could sleep apnea be hijacking your sleep?

Over 40 million Americans are fighting with some type of sleep-related problem. While there is a broad range of conditions that can affect the quality of your sleep, sleep apnea has been getting a lot of attention in recent years.

Sleep apnea involves the obstruction of your airway during sleep. In the most severe cases, people have been known to experience bouts when they do not breathe as often as 400 times a night. Each time your breath stops, your brain jerks you awake to restart your breathing. The resulting sleep and oxygen deprivation is what causes the serious health risks associated with obstructive sleep apnea.

Snoring can be an indicator of sleep apnea, it may also be a sign of a milder airway restriction although it is never a harmless problem. Sometimes snoring is more disturbing to significant others than the one who snores. The spouse of snorers can lose as much as 15% of their sleep. Snoring can cause serious medical problems over time in some people including carotid atherosclerosis or blockage of blood flow to the brain

Get back to sleep with sleep disorder treatment

When you are dealing with an issue that is getting in the way of your sleep, it’s important to diagnose the specific problem and find a cure or treatment.

The good news about sleep apnea is it’s treatable. Many times making simple changes to your habits could bring about a good night’s rest.

  • Try establishing a regular pattern at night, going to bed at the same time on a daily basis and doing relaxing activities before bed
  • Stop eating and don’t drink drink alcohol several hours before bed. This will settle your digestive system and stop your throat muscles from over relaxing
  • Lose weight
  • Practice relaxation techniques and exercise during the day to relieve stress

If home remedies do not help, plan a visit to Dr. Shapira to investigate if a custom or commercial sleep airway orthotic, TMJ treatment or epigenetic orthodontics could get you back to healthy sleep. Epigenetic orthodontics can cure sleep apnea by growing a larger airway, a process called pneumopedics.

TMJ Pain and Sleep

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TMJ Pain and Sleep: Why do I have trouble sleeping?

tmj-pain-and-sleepDo you find trouble sleeping and at the same time have jaw pain? A lot of Americans suffer from one sleep disorder or another but the most common is something called sleep apnea. Sleep apnea occurs when the airways become blocked and you find that you keep waking up as your body reacts to the lack of oxygen.

There are other reasons that can help to stop you sleeping well and these are related to your temporomandibular joint (TMJ). The jaw joints that connect the lower jaw to the skull are the TMJ Joints.  When they do not function smoothly you may hear clicking, popping or grinding noises in your joints or experience mild to severe pain when using your jaw.  This is the part of the face that allows you to move your jaws up, down or sideways.  When the TMJ is not working you may experience locking of your jaws or experience pain with movement.

If your ‘bite’ becomes misaligned you might experience symptoms such as face, ear, neck and jaw pain, because a ‘bad bite’ can affect your TMJ. A problem with the TMJ may then also cause snoring and sleep problems.  Your bite and your two TMJ joints act like a three-legged stool, if the legs are even the stool is stable.  If one or more of the joints or the bite is not correct you will have instability resulting in problems.  Muscle pain, neck pain and headache are some of the most common results of instability.

A jaw joint disorder could be causing your sleep problems

If you have a problem with your TMJ, then the pain could cause a TMJ related sleep disorder. The link between your TMJ and some sleep disorders like sleep apnea is crystal  clear, but just the jaw pain may still prevent you from getting a proper night’s sleep.

TMJ problems are often caused by a misaligned bite, which can put your tongue in the wrong place so that it readily blocks your airways. If you snore a lot and cannot sleep because of your TMJ, you do need to find a remedy because it could lead to more serious health issues, including heart disease and high blood pressure. A sleep disorder is more than a lack of sleep as it is a warning that further health problems are possible if treatment does not start.

The National Heart Lung and Blood Institute of the NIH published a report on “THE CARDIOVASCULAR AND SLEEP-RELATED CONSEQUENCES OF TEMPOROMANDIBULAR DISORDERS”  I  wrote a paper for Cranio Journal titled “TMJ, The Great Imposter has a Co-coconspirator Poor Sleep”   I  was requested to write the editorial for Cranio by Riley Lunn, the editor and owner when the Journal  changed it’s name from  the Journal for Craniomandibular Practice to the Journal for Craniomandibular Practice and Sleep.

Sleep problems can cause a multitude of pain Disorders including Fibromyalgia

It does not matter if jaw pain or airway problems are causing your disturbed sleep.  Once you sleep is disturbed it creates a host of new problems with widespread muscle pain.  There is a very specific sleep finding in Fibromyalgia, Alpha Intrusion into Delta Sleep or in simple English you wake or have disturbed deep sleep.  Studies have shown that many patients have Fibromyalgia symptoms if you disturb their sleep.  The disruption in sleep also alters our endocrine system affecting insulin resistance, cortisol levels, growth hormone, adrenal function, sexual hormones and thyroid hormone.  All of these factors can increase the pain and dysfunction associated with TemporoMandibular Disorders.

Dental treatments for your jaw problems and sleep disorder

This may be the right time to consider dentistry to correct the TMJ problem and any sleeping disorders, too. We will first ensure that no other health problems are causing your TMJ problem and any other sleep disorders. The first test we might use is an ultra low-frequency electronic device which will relax the muscles in your face.  Many patients have comorbid conditions or health problems that contribute to their TMJ disorder but there are also many patients who experience a host of medical problems because of their TMJ disorder.   One study showed that patients with TMJ disorders have a 300% increase in spending in every field of medicine.

If your TMJ is the culprit, then a special orthotic appliance is put in place which prevents the bite misalignment. If teeth grinding (bruxism) seems to be the main reason for the TMJ disorder, fitting a night guard is quite likely. This is a custom-made mouthpiece that you will wear when you sleep. These treatments can lead to less pain and better breathing.  Many patient who grind their teeth have sleep apnea and the bruxism helps to stiffen and open their airways.  Sometimes, a troublesome behavior can have both  positive and negative  consequences.  It is extremely important that patients with sleep problems and/or TMJ problems always see an expert in both fields.

Dr Shapira is a Diplomat of the American Board of Dental Sleep Medicine, A Diplomat of the Ameican Academy of Pain Management and a Felllow of the International College of CranioMandibular Orthopedics.

Stop the pain and get back to sleep

If you have been experiencing jaw pain and find it hard to get to sleep you may have a problem with your TMJ which could be helped by physiologic dentistry combined with Dental Sleep Medicine. We will need to make a thorough examination and eliminate other possible causes of the pain and any sleeping problems you have been experiencing. By utilizing advanced clinical and diagnostic protocols available in modern dentistry techniques, Dr. Shapira will be able to help you find a night filled with better sleep and a reduction or elimination of your daytime pain.

Sleep Disorders and Loss of Sex Drive

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Trouble getting in the mood?

sleep-disorders-and-loss-of-sex-driveIf you have a sleep problem you may be experiencing a loss of sex drive too. Interest in any type of physical activity can be an issue if you have a sleep disorder. It takes quite a lot of energy to motivate your sex drive!

If you do experience a loss of libido because you just don’t get enough sleep, you certainly aren’t alone. For men with sleep apnea, studies suggest that 50% of sufferers also secrete lower-than-normal levels of testosterone throughout the night.

Sleep disorders and loss of sex life

If you are suffering from a sleep disorder like sleep apnea, when your breathing gets obstructed, you may also be secreting less sex hormone.  If this happens you will naturally have a low libido and in the long term your relationship with your partner may suffer. Not getting enough sleep due to sleep apnea not only affects your relationship but can also accelerate the onset of heart disease and other serious ailments.

Snoring often accompanies sleep apnea, so the sleep patterns of your partner may be affected too. Neither lack of sleep nor snoring loudly is good for your relationship.

Boost your love life with better sleep

There are dental treatments available that can restore your love life by helping you get better sleep. The Continuous Positive Airway Pressure appliance (CPAP) is one treatment options for patients suffering from sleep apnea, and is often recommended by doctors. It functions by sending small amounts of air into the nasal passages, which prevents the collapse of the throat while the patient sleeps so that normal undisturbed breathing can take place. However, this treatment is often found to be uncomfortable and noisy by patients.

The Thornton Adjustable Positioner (TAP) is a custom made appliance which has similarities to a mouth guard and it influences the lower jaw by holding it forward so preventing the airway from collapsing while ensuring continuous breathing. It has been found to a be a good alternative option to CPAP.

The Somnomed Appliance is another excellent choice for comfortably treating snoring and Sleep Apnea.  By using one or another of these devices you have a good chance of reclaiming your sleep and improving your love life.

Nothing kills the mood than falling asleep when your partner is feeling amorous

Treating your sleep apnea and snoring gives you more stamina and alertness.  Don’t fall asleep on your partner when they want to make love.  The anger that creates affects not just your nights but your future together.  When you’re sleeping well your body produces higher levels of sex hormones and you feel better in a multitude of ways.  Experience the life changing effects of restorative sleep.  Get you apnea treated and get your life back the way it should be.

Get your mojo back

Whatever the reason for your sleep disorder it is essential to get a proper diagnosis. If you are suffering from sleep apnea, you can receive dental treatment for it, which may involve wearing a device that helps you to breathe better.

When you are able to sleep more easily you will regain some of your lost energy and will be in the mood to reinvigorate your relationship.

Do I Have a Sleep Disorder?

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A sleep disorder has to be taken seriously…

sleep-disorder-chicagoIf you find yourself constantly battling fatigue, feeling as if your sleep is disrupted on a nightly basis, or if your family complains about your snoring, you could have an underlying sleep disorder. There are several, common sleep issues that plague many individuals, robbing them of a good night’s rest and leaving them sleep-deprived.

When sleep doesn’t come easily or if you never seem to fall into that deep restful state, a more serious problem could be at the heart of the matter.

Your symptoms are your clue

Sleep disorders are a major problem in the United States. In fact, over 40 million Americans suffer from a some kind of chronic disorder that disrupts their sleeping patterns. Doubly disturbing is in many cases it goes undiagnosed.

To determine if you are one of the millions, it’s important to pay attention to your symptoms. The following are common symptoms for many people who struggle to get the required amount of quality sleep on a nightly basis:

  • Snoring
  • Gasping for breath in the middle of the night
  • Always feeling tired, regardless of how much sleep you get
  • Waking with a morning headache
  • Bruxism and/or jaw pain
  • Having a lack of energy
  • Finding it difficult to maintain concentration
  • Short term memory loss
  • Unexplained weight gain
  • Increased blood pressure
  • Gatric reflux and related sinus issues
  • Awakening multiple times during the night

If any of these symptoms apply to you, we recommend you seek help to pinpoint the source of your problem before you find yourself dealing with more serious health concerns.

Why treat your sleep disorder?

Everyone has a sleepless night on occasion. However, when it happens on a regular basis for an extended period of time, it can wreak havoc on your health. People with untreated sleep disorders are at a greater risk of developing:

  • Diabetes
  • Obesity
  • Cardiovascular problems
  • Depression
  • Stroke
  • Memory loss
  • Cancer
  • Premature aging and early onset age-related disorders
  • Associated with earlier onset of Alzheimer’s and Dementia in patients at risk

In addition to these medical conditions, the sleep deprivation that comes with a sleep disorder can impact your safety, job performance, and relationships.

Which sleep disorder is plaguing you?

There are many types of disorders that hinder a person’s ability to sleep well.

Insomnia

There are two primary types of insomnia, sleep onset insomnia and maintenance insomnia

Onset Insomnia is a very common problem faced by Americans. People with onset insomnia have difficulty falling asleep. People with maintenance insomnia wake up and can’t get back to sleep. They are very different disorders and both can occur in the same individual. As a result, they don’t get adequate sleep or have poor-quality sleep leading to a multitude of medical problems.

  • Acute insomnia (lasting a few days to a few weeks) is usually due to stress, family pressures or a traumatic event.
  • Chronic insomnia (lasting a month or longer) is usually a symptom of an underlying problem or side effect of a medication.
  • Maintenance insomnia is usual the result of another primary sleep disorder such as sleep apnea or restless legs.

Narcolepsy

Narcolepsy is another common disorder that involves sudden onset of sleep at any time. People who suffer from narcolepsy often have vivid dreams because they fall into REM sleep quickly and wake up from it suddenly.

Researchers suspect low levels of Hypocretin (hi-po-KREET-in), a brain chemical that helps keep you wakeful is the cause of narcolepsy. So far, what causes the low levels isn’t well understood.

While, currently there is no cure for narcolepsy, symptoms can be alleviated through medication and lifestyle changes.

Restless leg syndrome (RLS)

Restless leg syndrome involves a condition that causes a strong urge to move your legs. It occurs because of unpleasant feelings in your legs that are relieved when you move them. These feelings are described by suffers as:

  • Creeping
  • Crawling
  • Pulling
  • Itching
  • Tingling
  • Burning
  • Aching
  • Electric

Some people also feel this in their arms because these feeling tend to happen when you’re at rest they can keep you awake.

Periodic leg movements in sleep actually causes disturbed sleep frequently leading to awakenings and is most common in patients with RLS.

Upper airway resistance syndrome (UARS) may exacerbate or cause restless legs during sleep. Fibromyalgia can also occur from disturbed sleep caused by UARS as can other chronic pain disorders. There is a specific sleep marker for Fibromyalgia called Alpha Intrusion into Delta Sleep, this is awake brain waves during deep sleep and can be caused by numerous sleep disorders.

Treatment for restless leg syndrome usually involves lifestyle changes or medication. If it is caused airway obstruction it may disappear with treating of snoring or sleep apnea.

Sleep Apnea , UARS, RERAs and Snoring

Sleep apnea is another serious condition that impedes sleep. Many people who suffer from this condition are not even aware that they have a problem. This disorder usually stems from an obstruction of the airway at night that causes the victim to be jerked awake after the body stops breathing.

Frequently patients think they wake multiple time to urinate and are unaware of the far more serious underlying causes.

These episodes can happen hundreds of times during the night and last up to a minute in duration. It’s a serious condition that robs the body of essential oxygen and places a major burden on the heart. Snoring can be an indicator of sleep apnea.

Snoring can cause serious problems in the absence of apnea. Patients who snore have a 300% increase in Motor Vehicle Accidents and severe snoring can lead to atherosclerosis of the carotid arteries that supply blood to the brain.

Snoring, Upper Airway Resistance Syndrome, RERAs respiratory-related arousals hypopnea and apnea are variations in the severity of upper airway obstructions during sleep.

Sleep apnea can be treated with continuous positive airway pressure (CPAP), surgery or sleep orthotics that help keep the airways open.

Live the Better Life that comes with Better Sleep

In many cases, disorders involving your sleep can be addressed through lifestyle changes.

Eliminating stress, increasing exercise, and losing weight may get to the source of your sleepless nights. Meditation and massage may be helpful, as well as establishing a regular, sleep pattern. Prescription medication from your doctor can also help.

In the case of sleep apnea, a sleep airway orthotic fitted by a expert Sleep Apnea Dentist or Physiologic TMJ treatment can help realign your jaw to keep your airway from closing while you sleep. The DNA Appliance and Epigenetic Orthodontics may permanently correct your sleep disorder while improving your appearance and posture.

Whatever your sleep disorder, it’s important to pinpoint the cause and get the correct treatment. Without restful sleep, your health will suffer.