Dr Shapira is Awarded Diplomate Status By American Board of Sleep and Breathing and is Diplomate of American Board of Dental Sleep Medicine.

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Treatment of Sleep Apnea with oral appliances is an excellent alternative to CPAP for mild to moderate sleep apnea and an alternative for severe sleep apnea when patient do no tolerate or want CPAP.

Since 1982 Dr Shapira has been a leader in the field of Dental Sleep Medicine.  He sees patients in Highland Park and Gurnee Il.

HIGHLAND PARK, ILLINOIS  3500 Western Ave, Suite 101 60035     847-533-8313      www.ThinkBetterLife.com

GURNEE, ILLINOIS   310 S Greenleaf   60031       847-623-5530     www.DelanyDentalCare.com

Dr Shapira has added Diplomate Status by the American Board of Sleep and Breathing to his long history of being in the forefront of Dental Sleep Medicine.  He first became involved in Dental Sleep Medicine and the treatment of Sleep Disorders in 1982.  In 1985 Dr Shapira began research evaluating jaw position  as a visiting Assistant Professor at Rush Medical School in Chicago.

The Sleep Disorder Dental Society (SDDS) was the first organization dedicated to the science and practice of Dental Sleep Medicine and attended the first meeting in 1992 in Phoenix.  Dr Shapira was one of only 20 dentists at that meeting and the only dentist serving as an Assistant Professor of a medical School.  He was later credentialed by the SDDS.  The Sleep Disorder Dental Society became the American Academy of Dental Sleep Medicine and the American Board of Dental Sleep Medicine was formed and Dr Shapira was awarded Diplomate status.

He was also a founding member of DOSA or the Dental Organization of Sleep Apnea dentists.  He taught courses to hundreds of physicians and dentists and lectured on the subject as the American Academy of Anti-Aging Medicine.  One lecture from 1998 became a chapter in a medical textbook on Anti-Aging Medicine.

Dr Shapira was honored but being chosen to write the Guest Editorial when CRANIO: or the Journal of Cranio Mandibular Practice changed its name to the Journal of Craniomandibular and SLEEP Practice due to his influence in the growth of this  important medical  field that brings together the practice of Slkeep Medicine, Cardiology, Pulmonary Medicine and Dentistry

Dr Shapira is now a leader in the field of Epigenetic Orthodontics/ orthopedics and the use of the mRNA version of the DNA Appliance to offer possible permanent cures of Sleep Apnea through growth of the airway in a process called pneumopedics.

Dr Shapira practices in Gurnee at Delany Dental Care   847-623-5530

and in Highland Park  847-533-8313

 …

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.