The American Academy of Dental Sleep Medicine States: "Oral Appliances are Indicated for Use in Patients with Mild to Moderate OSA Who Prefer OAS to CPAP, or Who Do Not Respond to CPAP, are not Appropriate Candidates for CPAP"

    GURNEE, IL, December 22, 2008 /24-7PressRelease/ -- Dr Ira Shapira is a Diplomate of The American Board of Dental Sleep Medicine and the founder and president of I HATE CPAP LLC. He is a strong advocate for the field of Dental Sleep Medicine and has been promoting it through his website www.ihatecpap.com. Sleep Medicine has failed to adequately participate in referrals to Sleep Apnea Dentists. Dr Shapira emphasizes that he does not hate CPAP but is helping the 60% of patients that do hate it find CPAP Alternatives to protect their health.

Dr Shapira was a Charter member of the Sleep Disorder Dental Society and was credentialed by that group. The Sleep Disorder Dental Society has evolved and is now the American Academy of Dental Sleep Medicine with hundreds of members. He is also a founding member of DOSA, the Dental Organization for Sleep Apnea. There are several groups that teach courses in dental sleep medicine including the American Academy of Craniofacial Pain and ICCMO the International College of CranioMandibular Orthopedics. These two organizations are best known for their emphasis on the diagnosis and treatment of TMJ Disorders and this is important because Sleep apnea is a TMJ Disorder according to the National Heart Lung and Blood Institute (NHLBI) of the NIH. Dr Shapira teaches courses in Dental Sleep Medicine and TMJ disorders to small groups of dentists at his offices in Gurnee, Illinois. He limits participation to six dentists and their staffs. He does allow return visits of dentists who have previously taken his course.

THE AMERICAN ACADEMY OF SLEEP MEDICINE HAS SET UP NEW GUIDELINES FOR THE USE OF ORAL APPLIANCES THAT HAVE BEEN ENDORSED BY THE AMERICAN ACADEMY OF DENTAL SLEEP MEDICINE. THE PARAMETERS OF CARE CAN BE FOUND AT: http://www.aasmnet.org/Resources/PracticeParameters/PP_Update_OralApplicance.pdf Patients wishing to find a Sleep Apnea Dentist can find one at: http://www.ihatecpap.com/directory_listings/main_directories.html If a dentist is not yet listed in your area I HATE CPAP staffers will help you locate one.

Dentists in Australia and Great Britan will soon be listed in National directories as well.

CPAP is the Gold Standard for treatment of obstructive sleep apnea however numerous controlled studies spanning several years show the majority of patients do not use their CPAP on a regular basis. Numerous studies have shown that only 23-45% of patients actually use their CPAP. Other studies have shown that even patients who use their CPAP average only 4-5 hours a night not the recommended 7 1/2 -8 hours a night. Studies with BiPAP, APAP, Ramping and the multitude of masks show that these improvements have minimal affect on patient compliance. The one factor that predicts success with CPAP is initial acceptance. Patients who like CPAP treatment immediately after diagnosis appear to be compliant in the long term.

Dental Sleep Medicine offers sleep apnea treatment with oral appliances that patients find a more comfortable alternative to CPAP. The American Academy of Sleep Medicine has accepted oral appliances as a first line treatment for mild to moderate sleep apnea and as an alternative treatment for severe apnea when patients do not tolerate CPAP. The American Academy of Dental Sleep Medicine has endorsed this position. The National Sleep Foundation has declared that oral appliances are a treatment "whose time has come".

Dr Ira L Shapira, a Chicago dentist has a mission to increase the public's awareness of sleep apnea and the absolute need for patients to follow up with treatment or risk possible dire health consequences. He created I HATE CPAP LLC and the companies website www.ihatecpap.com that is a major source of information on sleep apnea treatment. The site covers all forms of treatment but focuses primarily on Dental Sleep Medicine and oral appliances. The poor compliance of patients with CPAP is at crisis levels and results in billions of dollars of avoidable medical expenses. Patients with untreated sleep apnea have a six fold increase in heart attacks and strokes and heavy snoring has been shown to cause a 10 fold increase in Carotid Atherosclerosis leading to a 1000% increased risk of stroke. Patients with untreated sleep apnea have slower reaction times than patients who are legally drunk and a six-fold increase in Motor Vehicle Accidents. One study showed that patients with mild apnea and no symptoms of daytime sleepiness had a 300% increase in motor vehicle accidents involving severe injury to one or more people.

www.ihatecpap.com is specifically designed by Dr Shapira to appeal to patients who have tried CPAP and discontinued using it. This is a large majority of diagnosed patients and many if not most are then lost to follow-up care. Many of these patients were never presented alternatives to CPAP so they see no reason to be reevaluated. Increasing awareness of the dangers of untreated sleep apnea and offering hope for successful treatment is what www.ihatecpap.com does best. That may be o to the passion of the creator of the site.

Dr Ira L Shapira, a Gurnee dentist was an early pioneer of oral appliance treatment. He became involved over concern for his three-year-old son Billy. Billy had large tonsils, poor sleep, night sweats and heavy snoring. When Dr Shapira and his wife Elise expressed their concerns to the pediatrician they were told he would outgrow the problem. When Billy was 5 years old he was held back from kindergarten and it was suggested that he had ADHD and that Ritalin might be appropriate treatment. At this point they decided to override the pediatrician and saw an ENT would not remove the tonsils because he would lose the pediatricians referrals. Dr Shapira arranged for Billy to have a sleep study done at Rush Sleep Center, which showed that Billy ha severe sleep apnea.

Billy had his tonsils out and his mouth widened orthodontically and became a straight "A" student and graduated college double major, double minor Magna cum Laude. Immediately after removal of the tonsils Billy went to a 95% growth curve, did not wake repeatedly, and did not need Ritalin.

Over the Last 25 years since Billy's sleep test research has shown that 80% or more of ADD and ADHD cases are related to sleep apnea. We now know that growth disturbances from disturbed sleep are well documented, as are immune deficiencies. Delayed brain development and even permanent changes in brain development are traced to untreated sleep apnea. The American Academy of Pediatric Medicine says that snoring can never be ignored in young children and that any apnea should be treated even if they only occur once an hour.

Dr Shapira spent the night with his son at the sleep lab and developed a life long interest in sleep apnea and snoring treatment. He became a visiting Assistant Professor at Rush and did research on the relation of jaw position to sleep apnea using neuromuscular dentistry techniques. His research showed that the jaw relations of apneic men were very similar to women with TMJ problems. The National Heart Lung and Blood Institute (NHLBI) released a report on that very subject.
CARDIOVASCULAR AND SLEEP-RELATED CONSEQUENCES OF TEMPOROMANDIBULAR DISORDERS: NHLBI WORKSHOP. This excellent article can be found at: http://www.nhlbi.nih.gov/meetings/workshops/tmj_wksp.pdf

This is extremely important information that links TMJ disorders including headache, migraine, earache, sinus pain, facial pain, TM Joint clicking and popping, neck pain, jaw pain and numerous other disorders to sleep and sleep disorders. Morning headaches are a frequent symptom of disturbed sleep and Fibromyalgia is also considered a sleep disorder. The full report can be found at: http://sleepandhealth.com/modules.php?name=News&file=article&sid=237&tid=22

Suffer No More is an excellent article published in Sleep and Health Journal on TMD or Temporomandibular Dysfunction. It is available at: http://sleepandhealth.com/modules.php?name=News&file=article&sid=237&tid=22

Dr Shapira was a charter and Credentialed member of the Sleep Disorder Dental Society which later became the American Academy of Dental Sleep Medicine, is a Diplomate of the American Board of Dental Sleep Medicine, a Founding member of DOSA, the Dental Organization for Sleep Apnea and was recently named to be on the Board of Directors of the Illinois Sleep Society.

When the American Academy of Sleep Medicine accepted oral appliance treatment of sleep apnea they recommended that dentists treating apnea should be well versed in treatment of TMJ/TMD disorders. Dr Shapira has has been involved in treating TMJ disorders and chronic pain for almost 30 years and is a Fellow and Regent of ICCMO, the International College of CranioMandibular Orthopedics. It is the premiere group focusing on Neuromuscular Dentistry and it's use in the treatment of chronic head and neck pain. Dr Shapira is a representative from ICCMO to the TMJ Dysfunction and Pain.

He has worked for several years on www.ihatecpap.com to pass on knowledge about sleep apnea and snoring to the general public and to creat a site where patients could find dentists trained in Dental Sleep Medicine. Dr Shapira teaches courses on Dental Sleep Medicine in his Gurnee office and has also lectured at ICCMO and the American Academy of Anti-Aging Medicine (A4M) on sleep disorders.

The second project Dr Shapira has been working on is minimally invasive early removal of wisdom teeth with collection of Stem Cells. He holds several patents on methods and devices to collect bone marrow and stem cells from developing third molars in young children. He hopes to change the practice of dentistry so patients no longer have to suffer through wisdom tooth extractions. His techniques will almost eliminate morbidity associated with third molar removal. The young healthy stem cells collected through his procedures will enable more people to benefit from future stem cell developments and possibly a future vaccine against aging.

Dr Ira L Shapira is an author and section editor of Sleep and Health, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical Schools Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.

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