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A “snore-fire” way to hurt your relationship

A “snore-fire” way to hurt your relationship

American Academy of Dental Sleep Medicine
Thursday, February 12, 2015
DARIEN, IL – If you’re looking to attract a sweetheart this Valentine’s Day, don’t be a snore. More than a quarter of Americans recently confessed that a snoring bed partner makes them annoyed or angry, according to a survey from the American Academy of Dental Sleep Medicine (AADSM) – with one in five saying a snoring partner could drive them out of bed.

As the most romantic day of the year approaches, Americans who snore frequently may find their special night interrupted and their relationship as a whole at risk. Forty percent of women claim snoring in the opposite sex is a turn-off, and nearly one in 10 Americans went so far as to admit that snoring has hurt at least one of their romantic relationships.

Moreover, snoring, and the bed partner woes that come with it, aren’t isolated to an aging demographic. Generation Xers age 35-44 reported the highest incidence of snoring struggles, with 43 percent claiming a snoring partner steals their sleep, 35 percent saying it ticks them off and 24 percent admitting they want to – or do – sleep in a separate room because of their loved one’s loud snoring.

“Because it can be embarrassing, snoring can often be the elephant in the room when it comes to addressing relationship frustrations and health concerns,” said Kathleen Bennett, DDS, president of the AADSM, the leading organization for dentists who treat sleep apnea with oral appliance therapy. “But it’s important that your significant other is made aware of their snoring – and the effects it has on you, your relationship and their personal health – so they can begin taking steps to remedy it.”

Beyond the Bedroom: The Effects of Snoring on Health
In addition to pushing couples to sleep apart, 45 percent of women said they worry about the health of their bed partner when they snore. Snoring is a tell-tale sign of obstructive sleep apnea, a potentially life-threatening condition that causes sufferers to stop breathing during sleep for anywhere from a few seconds to more than a minute. If left untreated, sleep apnea can increase the risk for serious health problems from congestive heart failure, high blood pressure and heart disease to diabetes, depression and impotence.

“Sleep apnea is traditionally treated with a continuous positive airway pressure machine, which includes a constantly running motor, tubing and a face mask. CPAP is a great treatment but it can be hard to adjust to and sleep with, and it’s not the only treatment option,” said Dr. Bennett. “Many people are surprised to learn that dentists can help treat sleep apnea with an oral appliance, a device similar to an orthodontic retainer that’s effective, and also less cumbersome and more discreet for the snorer and their partner.”

Oral Appliances: The Attractive Treatment Option
Oral appliance therapy (OAT) uses a small “mouth guard-like” device worn only during sleep to maintain an open, unobstructed airway, making it a “sexier” treatment than a CPAP mask. Single adults surveyed were twice as likely to prefer OAT to CPAP for a bed partner. Custom-made oral appliance devices prevent the airway from collapsing by supporting the jaw in a forward position. OAT is a proven and effective OSA treatment, and the devices also come with the perks of being silent, portable and simple to care for.

“I’ve treated so many couples who claim that oral appliance therapy saved their marriage by giving the snorer more energy and better health, and allowing the partner to sleep better in bed with their sweetheart,” said Dr. Bennett.

To obtain an oral appliance, a patient first must be diagnosed with snoring or obstructive sleep apnea by a physician. Then a dentist can examine the diagnosed patient and provide a custom-made oral appliance. There are more than 100 oral appliances that have received FDA clearance, and the therapy is covered by many medical insurance plans.

If you or your significant other suffers from sleep apnea or loud and frequent snoring, go to www.LocalSleepDentist.com to learn more and find a dentist offering oral appliance therapy locally.

About the Survey
AADSM Snoring Research Survey, Jan. 2015 – Conducted by an independent research firm on behalf of the AADSM, results are based on the responses of 1,009 randomly selected adults, ages 18 and older, living in the United States who completed a telephone survey, Jan. 29 – Feb. 1, 2015. Results are accurate to +/- 3 percentage points with a 95 percent confidence level and can be generalized to the entire adult population in the United States within those statistical parameters. For more information or a copy of the complete survey and results, contact Jackie Zureich at LCWA: 312/565-4639 or jzureich@lcwa.com.

About The American Academy of Dental Sleep Medicine
The American Academy of Dental Sleep Medicine (AADSM) is the only non-profit national professional society dedicated exclusively to the practice of dental sleep medicine. The AADSM provides educational resources for dentists and promotes the use of oral appliance therapy for the treatment of obstructive sleep apnea and sleep-disordered breathing. Established in 1991, the AADSM has more than 3,000 member dentists worldwide. Visit www.aadsm.org or call the national office at (630) 737-9705 for more information.

Sleep Loss Affects Risk for Ulcerative Colitis

If overall mortality, cardiovascular disease and cancer were not enough risks associated with chronic sleep loss, you can now add ulcerative colitis to the list as well.


A new research study published in Clinical Gastroenterology and Hepatology, the journal of the American Gastroenterological Association, found individuals who lose out on the recommended seven to eight hours of sleep each night are more likely to develop this digestive disorder.


This study “Sleep Duration Affects Risk for Ulcerative Colitis: A Prospective Cohort Study” is based on an analysis of women enrolled in the Nurses’ Health Study (NHS) I since 1976 and NHS II since 1989. The findings linked sleep duration and risk of ulcerative colitis, independent of other risk factors.


It is not just too little sleep that causes trouble. Too much of it is an equally damaging culprit. Says noted lead researcher Ashwin N. Ananthakrishnan, M.D., of Massachusetts General Hospital, ““We found that less than six hours of sleep per day and more than nine hours of sleep per day are each associated with an increased risk of ulcerative colitis.”


An earlier study (also published in Clinical Gastroenterology and Hepatology in 2013) by Dr. Ananthakrishnan and his colleagues reported a two fold increase in risk of Crohn’s disease at six months of poor sleep quality.


Next time you think of mere chronic fatigue as a risk of poor sleep, pause to think again. Sleep disruption profoundly impacts our immune system, and we need to be aware of it. There is also a critical need for providers to routinely inquire and analyze sleep duration and quality as important parameters of health in patients with inflammatory bowel diseases.

Rising Prevalence of Sleep Apnea in U.S. Threatens Public Health

Public health and safety are threatened by the increasing prevalence of obstructive sleep apnea, which now afflicts at least 25 million adults in the U.S., according to the National Healthy Sleep Awareness Project. Several new studies highlight the destructive nature of obstructive sleep apnea, a chronic disease that increases the risk of high blood pressure, heart disease, Type 2 diabetes, stroke and depression.

“Obstructive sleep apnea is destroying the health of millions of Americans, and the problem has only gotten worse over the last two decades,” said American Academy of Sleep Medicine President Dr. Timothy Morgenthaler, a national spokesperson for the Healthy Sleep Project. “The effective treatment of sleep apnea is one of the keys to success as our nation attempts to reduce health care spending and improve chronic disease management.”

Data previously published in the American Journal of Epidemiology show that the estimated prevalence rates of obstructive sleep apnea have increased substantially over the last two decades, most likely due to the obesity epidemic. It is now estimated that 26% of adults between the ages of 30 and 70 years have sleep apnea.

Findings from new studies emphasize the negative effects of sleep apnea on brain and heart health; however, these health risks can be reduced through the effective treatment of sleep apnea with continuous positive airway pressure therapy:

• A neuroimaging study in the September issue of the journal Sleep found that participants with severe, untreated sleep apnea had a significant reduction in white matter fiber integrity in multiple brain areas, which was accompanied by impairments to cognition, mood and daytime alertness. One year of CPAP therapy led to an almost complete reversal of this brain damage.

• A study published online ahead of print Sept. 21 in the journal NeuroImage found functional and anatomical changes in brainstem regions of people with sleep apnea.

• A study in the October issue of Anesthesiology shows that diagnosing sleep apnea and prescribing CPAP therapy prior to surgery significantly reduced postoperative cardiovascular complications — specifically cardiac arrest and shock — by more than half.

• A study published online ahead of print Sept. 19 in the Journal of Hypertension found a favorable reduction of blood pressure with CPAP treatment in patients with resistant hypertension and sleep apnea.

• A Brazilian population study published online ahead of print Sept. 23 found that nocturnal cardiac arrhythmias occurred in 92 percent of patients with severe sleep apnea, compared with 53 percent of people without sleep apnea. The prevalence of rhythm disturbance also increased with sleep apnea severity.

Why is a dentist involved in treating Sleep Apnea?


This is a question we often get at our office and at Current Dental Discussions seminars that we speak at, and a good question at that!

Dentist, who are trained in Dental Sleep Medicine, work hand in hand with Sleep Physicians and Pulmonologist in treating a variety of Obstructive Sleep Apnea issues.  After a sleep study is done and a diagnosis is made by the Sleep Physician or Pulmonologist the patient can then be given their options for treating their Obstructive Sleep Apnea issues.

In the case of either Mild or Moderate Sleep Apnea, the patient can choose between treating their disorder with either a CPAP machine, or an Oral Appliance.  These two approaches have similar levels of effectiveness; however offer different methods of delivery to the patient.  A pulmonologist would administer and manage the CPAP approach and a trained Dental Sleep Medicine dentist would fabricate and manage the use of an Oral Appliance.  A dentist is trained in taking impressions and managing occlusions (bites), which are affected with the use of an Oral Appliance.

In our practice, we have found considerable success in treating Mild and Moderate sleep apnea with the use of Oral Appliances.  These devices are like retainers that advance the mandible (lower jaw) forward during sleep, to open the obstructed airway.  We have found that patients adapt to these readily and since they need no electricity or hoses,  they are easier to travel with and are very convenient when at home.




Osteoporosis Risk Heightened Among Sleep Apnea Patients

A diagnosis of obstructive sleep apnea may raise the risk of osteoporosis, particularly among women or older individuals, according to a new study published in the Endocrine Society’s Journal of Clinical Endocrinology & Metabolism (JCEM) titled “Obstructive Sleep Apnea and Risk of Osteoporosis: A Population-Based Cohort Study in Taiwan”.

The findings by Taiwanese researchers add yet another ailment to the growing list of conditions made worse by sleep apnea. “Ongoing sleep disruptions caused by obstructive sleep apnea can harm many of the body’s systems, including the skeletal system,” said one of the study’s authors, Kai-Jen Tien, MD, of Chi Mei Medical Center in Tainan, Taiwan. “When sleep apnea periodically deprives the body of oxygen, it can weaken bones and raise the risk of osteoporosis. The progressive condition can lead to bone fractures, increased medical costs, reduced quality of life and even death.”

The retrospective cohort study used records from Taiwan’s single-payer National Health Insurance program to track treatment of 1,377 people who were diagnosed with obstructive sleep apnea between 2000 and 2008. During the course of the next six years, researchers compared the rate of osteoporosis diagnosis in this group of obstructive sleep apnea patients to 20,655 people comparable in age and gender who did not have the sleep disorder.

Researchers found the incidence of osteoporosis was 2.7 times higher among patients with sleep apnea than their counterparts, after adjusting for age, gender, other medical problems, geographic location and monthly income. Women and older individuals faced increased risk of developing the bone condition.

“As more and more people are diagnosed with obstructive sleep apnea worldwide, both patients and health care providers need to be aware of the heightened risk of developing other conditions,” Tien said. “We need to pay more attention to the relationship between sleep apnea and bone health so we can identify strategies to prevent osteoporosis.”


MS and Poor Sleep a Bad Combination

Having multiple sclerosis is tough enough, but sleep problems on top of this devastating disease can actually worsen what’s known as “MS fatigue.” In fact, a new study suggests that these sleep problems might be the root cause of the fatigue.

The study ”The Under diagnosis of Sleep Disorders in Patients with Multiple Sclerosis” is published online today in the Journal of Clinical Sleep Medicine.” was conducted by researchers at the University of California, Davis, with Data for the study coming from more than 2,000 members of the Northern California Chapter of the National MS Society.

The study shows that people with MS also suffer from sleep loss, which increases fatigue. “A large percentage of MS subjects in our study are sleep deprived and screened positive for one or more sleep disorders,” said Steven Brass, associate clinical professor and director of the Neurology Sleep Clinical Program and co-medical director of the UC Davis Sleep Medicine Laboratory. “The vast majority of these sleep disorders are potentially undiagnosed and untreated.”

For the study, the researchers reportedly assessed the quality of sleep of 2,375 participants enrolled in the Northern California Chapter of the National MS Society. Consistent with previous findings, a majority of MS patients were females (over 80%).

“Researchers found that around 52% of the respondents said that it took them more than 30 minutes to fall asleep, with 11 percent saying that they used medications to sleep at night. Around 38% of the participants had obstructive sleep apnea, a condition that leads to severe snoring and frequent awakenings,” wrote Nature World staff writers. “About 32% of the people had moderate to severe insomnia and 37 percent had restless leg syndrome. What’s disturbing is that just four percent of the participants with OSA were actually diagnosed by a physician, meaning that common sleep problems go unnoticed and untreated in people suffering from MS.”


Current Dental Discussions – Aston Gardens

 Sleep Apnea

Dr. Stephen Page


On August 25, 2014, Dr. Stephen Page presented a lecture on Sleep Apnea to the attendees at Aston Gardens at Pelican Marsh.  This presentation provided a lecture / question & answer format which allowed those in attendance to get specific information on their personal questions.

Dr. Page provided background knowledge and understanding to the highly underdiagnosed medical issue known as Sleep Apnea.  In this lecture, causes of Sleep Apnea were discussed as well as what exactly the information in a sleep study tells us and how this condition can be managed.

There were 26 people in attendance and many were very inquisitive and not shy about asking questions.  Dr. Page stated that he enjoys the interaction of those in attendance because he then can tailor the discussion in a custom fashion.

“I have to admit, I have found that in these type of speaking engagements, you can get some pretty interesting questions”.  “I find it very personal and try to thoroughly answer the question so that the answer is understood clearly”.  Dr. Page said that one question brought a smile to his face when a lady in attendance asked, “does drinking 2 Scotches in the evening make my Sleep Apnea worse”?

Carol from the office of Drs. Boe, Page and Page was also present to address questions in regards to insurance and Medicare reimbursements.

Peggy and her staff at Aston Gardens provided a well-equipped and comfortable atmosphere to present these types of educational lectures for those interested.  These lectures are open to the public as well as the residents of Aston Gardens.

Please check our website schedule of upcoming events to find out where we will be speaking next.

American Academy of Dental Sleep Medicine




Dr. Steven Boe and Dr. Stephen Page

4953 Castello Drive, Suite 100

Naples, FL 34103





Dr. Steven Boe and Dr. Stephen Page recently attended the American Academy of Dental Sleep Medicine’s Annual Meeting in Minneapolis, MN


        • Drs. Boe and Page were able to attend a number of lectures by International Sleep Physicians, Dental Sleep Practitioners and Researchers.  The annual event aims to foster the advancement of oral appliance therapy as a treatment for obstructive sleep apnea and snoring.  The knowledge and current understanding in this evolving field are continually advancing.

An effective alternative to continuous positive airway pressure (CPAP), oral appliance therapy uses a mouth-guard like device, worn only during sleep, to maintain an open, unobstructed airway. Gathering with and learning from leaders in the field of dental sleep medicine, Drs. Boe and Page reviewed new clinical studies and treatment procedures centered on oral appliance therapy that they can now incorporate into their Naples practice.


“Opportunities like these allow me to further hone my skills in dental sleep medicine and ensure that I can continue to provide my patients with the best treatment solutions for their snoring and sleep apnea”, said Dr Boe. “Many local residents need an effective alternative to CPAP, and participating in National and International Conferences as this helps me to provide cutting-edge oral appliance therapy for my patients.”


AADSM’s Annual Meeting was held in Minneapolis, MN, on May 29th – 31st, 2014.  It offers the opportunity for further education as attendees discuss recent advances in sleep apnea and snoring treatments, review the relationship between sleep apnea, snoring and various health problems and come to understand new evidence regarding long-term oral appliance therapy care.


Dr. Page stated, “At this conference, we were able to have valuable, face to face conversations with Board Certified Pulmonologist on a more comprehensive management approach for the health risk of Sleep Apnea patients”.  “The combined approach of researchers, practicing Pulmonologist and Dental Sleep Practitioners, provides the patient with an excellent team of contributors”.


Dr. Steven Boe and Dr. Stephen Page are members of the American Academy of Dental Sleep Medicine.  They have maintained a Dental Practice in Naples, FL since 1980, focusing on General and Reconstructive Dentistry and Dental Sleep Medicine.


The dental practice of Drs. Boe and Page is located at 4953 Castello Drive, Naples, FL.  Patients with loud snoring or have been diagnosed sleep apnea sufferers with difficulty tolerating CPAP, should contact Drs. Boe or Page at (239) 263-2122 to schedule a free consultation.  Drs. Boe and Page work closely with Sleep Physicians and Sleep Centers to treat snoring and obstructive sleep apnea.

About The American Academy of Dental Sleep Medicine

The American Academy of Dental Sleep Medicine (AADSM) is the only non-profit national professional society dedicated exclusively to the practice of dental sleep medicine. The AADSM provides educational resources for dentists and promotes the use of oral appliance therapy for the treatment of obstructive sleep apnea and sleep-disordered breathing. Established in 1991, the AADSM has more than 2,800 member dentists worldwide. Visit www.aadsm.org or call the national office at (630) 737-9705 for more information.



Anytime, Anywhere, Anyone – Brain Health Event

This event was held Saturday, April 12th at the NCH Downtown Naples Hospital campus.  Boe, Page & Page Dental Group were participating sponsors for this event.  This was a free community event focusing on prevention, awareness and care recovery of brain injuries, stroke and other brain disorders.  The program included a community resource fair, brain games to improve memory and attention, presentations about neuroplasticity and a brain injury survivors and expert panel.  The speakers shared an uplifting message of hope and increased the awareness of this important topic to those in our community.

National Children’s Dental Health Month

February is National Children’s Dental Health Month.  The American Dental Association sponsors this national awareness to raise the importance of oral health.  The goal is to educated children and their parents on developing good dental habits, encouraging regularly scheduled dental visits, and to promote healthy eating habits across the country.  Parents and teachers are urged to help children understand the importance of good oral health.  It is hoped that with better understanding and education, that children will make a better effort to brush and floss properly, on their own.  Drs. Boe, Page and Page helped to promote Children’s Dental Health Month by donating over sixty toothbrushes and toothpaste to the Gulf Coast Charter Academy in Naples.  It is our hope to encourage and support dental awareness in our community to help children enjoy a lifetime of healthy, happy smiles!