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Sleep Apnea Treatment: CPAP and Oral Appliances are Equivalent According to Outcome Studies. Patients Prefer Comfortable Oral Appliance to CPAP Chicago Dentist Leader in Oral Appliance Therapy
Oral Appliances are preferred over by 95% of patients with Sleep Apnea yet CPAP is usually prescribed even in mild and moderate sleep apnea when outcomes are equal. Patient Testimonials say it all! Do CPAP Companies Pay Kickbacks to promote CPAP?
CHICAGO, IL, April 09, 2016 /24-7PressRelease/ -- Treatment of sleep apnea is essential. CPAP was once considered the Gold Standard of Care but today Oral Appliances are considered a First Line Approach equal to CPAP for mild to moderate Sleep Apnea and an alternative for severe apnea when the patient does not tolerate or prefers oral appliance therapy.
Patients generally don't like CPAP, in fact only 25% use CPAP as recommended but 60% abandon it completely. The number one reason patients give why they discontinue CPAP use "I Hate CPAP!"
Millions of patients have visited www.IHateCPAP.com looking for comfortable alternatives to CPAP. Marketing of this site at AASM and AADSM meetings was banned even though it was acknowledged it would save lives of non-compliant CPAP patients.
Dr Ira Shapira is a Chicago area dentist who has been treating sleep apnea with oral appliances since 1982. The American Academy of Dental Sleep Medicine is celebrating it's 25th Anniversary in June in Denver. Dr Shapira was one of 20 dentists worldwide who started the Sleep Disorder Dental Society 25 years ago that became today's American Academy of Sleep Medicine. Dr Shapira created the I Hate CPAP website that brought oral appliances into the mainstream and was featured on numerous Television and Radio news stations as well as publications like Bottomline.
The Science of Sleep Medicine has given it's verdict: Oral Appliances are safe and effective for mild, moderate and severe sleep apnea.
Outcome studies for cardiac, blood pressure and cognitive measures are equal and sometimes oral appliances rate higher than CPAP.
A new article in JAMA states that outcome studies of CPAP and Oral Appliances are similar. Another article in Sleep and Breathing Comparison of effects of OSA treatment by MAD and by CPAP on cardiac autonomic function during daytime. This article concluded that "that both MAD and CPAP result in similar beneficial changes in cardiac autonomic function during daytime, especially in blood pressure."
Oral Appliances continually prove to be equal to CPAP in OUTCOME STUDIES. This is in spite of the fact that the majority of research money funds studies to show value of CPAP and that CPAP companies expect a return on their investment.
The conclusions of this study are enormous, Among patients with obstructive sleep apnea, both CPAP and MADs (mandibular advancement devices) were associated with reductions in BP. Network meta-analysis did not identify a statistically significant difference between the BP outcomes associated with these therapies.
Another article in Respirology, "Cardiovascular mortality in obstructive sleep apnoea treated with continuous positive airway pressure or oral appliance: an observational study" concluded "Both CPAP and MAD may be equally effective therapy in reducing the risk of fatal cardiovascular events in patients with severe OSA."
The Sleep and Breathing article also stated that "CPAP is more effective than MAD in eliminating respiratory events." While this is true other studies have shown that the frequency and length of use of oral appliances actually makes total effectiveness higher. Most CPAP users only utilize CPAP 30-40% of the time.
A 2-year mean follow-up of oral appliance therapy for severe obstructive sleep apnea: a cohort study. (Oral Dis. 2015 Apr;21(3):386-92.) concluded that "Oral appliances were found to be successful for treating for severe OSA after first-line treatment had failed."
The DNA Appliance (an oral appliance) has been shown to orthopedically grow the airway in a process called Pneumopedics and has been shown in clinical cases to "Cure" Sleep Apnea. Long term prospective studies are beginning.
CPAP continues to be prescribed far more than oral appliances. Much of this is due to doctors who are ignorant of newest studies or who like CPAP and ignore the research. There is also a problem with billions of dollars in Revenue allowing CPAP companies to push their product, often using unethical practices.
A recent lawsuit found " Philips Respironics has agreed to pay $34.8 million to resolve alleged False Claims Act violations for paying kickbacks to DME providers that bought its CPAP masks, the Department of Justice has announced."
There are many in the field of sleep medicine who feel this is only the tip of the iceberg and that illegal or unethical marketing may be widespread.
"The payment of illegal remuneration in any form to induce patient referrals threatens public confidence in the healthcare system," said Principal Deputy Assistant Attorney General Benjamin Mizer, head of the Justice Departments' Civil Division. "Americans deserve to know that when they are prescribed a device to treat a serious healthcare problem, they supplier's judgment has not been compromised by illegal payments from equipment manufacturers."
The Anti-Kickback Statute prohibits the knowing and willful payment of any remuneration to induce the referral of services or items that are paid for by a federal healthcare program, such as Medicare, Medicaid or Tricare. Claims submitted to these programs in violation of the Anti-Kickback Statute are also false claims under the False Claims Act.
Respironics will pay roughly $34.14 million to the federal government and roughly $660,00 to various state governments based on their participation in the Medicare program.
The field of Dental Sleep Medicine grew based on patient referrals and testimonials not by illegal kickbacks. In the following youtube testimonials patients clearly explain why they prefer oral appliances to other treatments.
Think Better Life - Dr. Ira Shapira
35 YEARS OF SLEEP APNEA TREATMENT. VIEW THIS VIDEO OF A PATIENT WEARING AN ORAL APPLIANCE FOR 9 YEARS.
https://www.youtube.com/watch?v=1WsNhOE0wvw
ANOTHER PATIENT WITH 9 YEARS EXPERIENCE
https://www.youtube.com/watch?v=Cub9IROYoYY
A FEMALE PATIENT USING ORAL APPLIANCE
https://www.youtube.com/watch?v=0BxuX9Yso1I
USED TO FALL ASLEEP DRIVING
https://www.youtube.com/watch?v=d4R4xYs_tAE
ORAL APPLIANCE FOR INTERNATIONAL TRAVEL
https://www.youtube.com/watch?v=6VNsb6n8mXw
PHYSICIAN REVIEWS SLEEP APNEA APPLIANCE.
https://www.youtube.com/watch?v=aMp64bXi9bI
RESPIRATORY THERAPIST REVIEWS APPLIANCE
https://www.youtube.com/watch?v=f9w9L1miIN4
Dentist helps with sleep apnea, snoring, and fibromyalgia
https://www.youtube.com/watch?v=kMEhJemCwm8
ADNA Appliance Testimonial...Life Changing results!!!
https://www.youtube.com/watch?v=j9Y7EPf9tiM
ADDITIONAL VIDEOS ON SLEEP, TMJ TREATMENT, MIGRAINE TREATMENT , CHRONIC DAILY HEADACHES AND MORE
https://www.youtube.com/channel/UCk9Bfz6pklC7_UluWFHzLrg/videos
Learn More at www.IHateCPAP.com
In Highland Park and surrounding suburbs Visit:
www.ThinkBetterLife.com
In Gurnee and Far North Suburbs:
www.DelanyDentalCare.com
North Shore visit:
www.NorthShoreSleepDentist.com
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Dr Ira L Shapira created the I HATE CPAP (www.ihatecpap.com) and I HATE HEADACHE (www.ihateheadaches.org) websites to help patients find help with these difficult medical disorders that medicine can frequently not treat adequately without a dental collaboration. Dr Shapira did research in the 1980's as a visiting assistant professor at Rush Medical School where he worked with Rosalind Cartwright PhD who is primarily responsible for the entire field of Dental Sleep Medicine. He also studied with Dr Barney Jankelson who created the initial concepts that neuromuscular dentistry still uses today and created a company Myotronics that is the leading manufacturer of instrumentation used by Neuromuscular Dentistry.
Dr Shapira is a Diplomate of The American Board of Dental Sleep Medicine, a Diplomate of the American Academy of Pain Management, and a Fellow of the International College of CranioMandibular Orthopedics (ICCMO). He is a former national and International Regent of ICCMO, its current Secretary and the representative to the Alliance of TMD organizations or the TMD ALLIANCE has a general dental practice (http://www.delanydentalcare.com) in Gurnee, Il and has recently started Chicagoland Dental Sleep Medicine Associates with offices in Vernon Hills and Highland Park. Patients in Northern Illinois or southern Wisconsin can contact Dr Shapira thru his office websites or thru http://www.ihateheadaches.org or http://www.chicagoland.ihatecpap.comwww.ThinkBetterLife.com, NorthShoreSleepDentist.com SleepandHealth.com
Dr Ira L Shapira is President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice, Delany Dental Care with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative and the current Chair of the American Alliance of TMD Organizatins (www.TMDAlliance.com), He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical School's Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of the fields of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com
Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. He is currently working with Dr Tom Diekwisch at the Baylor in Texas to prove these stem cells can change peoples lives for the better. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.
Dr Shapira is currently working on patents he hope will drastically improve the field of pain management.
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