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August 2016 Issue                                                         The Metz Center for Sleep Dentistry
Vitamin D and the B Vitamins ...
What Do They Have To Do With Sleep?
Dr. Stasha Gominak will answer this question at our October 2016 Step Up Continuum!

Meet Dr. Stasha Gominak!

She is a board certified neurologist and believes many neurologic diseases can be treated or improved by allowing the patient to stay in deep sleep longer. She also is investigating if patients who have abnormal sleep also have vitamin D deficiency.

"Most people who have a neurologic problem such as headache, tremor, balance difficulties, vertigo, burning in the feet, depression, body pain, stroke, or memory loss also have abnormal sleep. Surprisingly, fixing the sleep can often fix the neurologic problem.
In 2005 one of my patients with daily headache found that she had sleep apnea. Her headaches went away after a few weeks of using a sleep apnea mask. I then started to perform sleep studies on all of my headache patients. They all had abnormal sleep studies. After realizing that many of my patients had sleep complaints I began to do sleep studies on most of my patients. The majority of them had abnormal sleep studies, sometimes without realizing that their sleep was abnormal.

...The disease in the background, the reason why the brain is not sleeping properly, needs to be fixed. I accidentally discovered that all of the patients with abnormal sleep had vitamin D deficiency, and it turns out that vitamin D is not their only deficiency. Everyone with abnormal sleep has a combination of both vitamin D and B vitamin deficiencies."
Note: This excerpt from Dr. Gominak's website is not meant to be a summary of current science. It is a summary of her thoughts on how Vitamin D works based on her patient observations as well as current science.
On behalf of Dr. James E. Metz and The Metz Sleep Center, I regularly review literature for pertinent information pertaining to sleep-disordered breathing. As relevant information is found, we like to share it with you!
Sincerely,   Dr. Mickey Harrison
Burks et al.
SLEEP 2016;39(5):967-975

Limited data from commercial drivers is a major reason for the US Federal Motor Carrier Safety Administration's failure to require screening for obstructive sleep apnea (OSA). We present the results of the first large-scale, employer program to screen, diagnose, and monitor OSA treatment adherence in the US trucking industry. Among drivers in whom OSA was diagnosed through the program, those adherent with employer-provided positive airway pressure treatment had crash risks similar to controls. Nonadherent drivers had...
Read more about this important study and their findings.
Source: The American Academy of Sleep Medicine, 2016

The implications of untreated sleep apnea and even very mild inspiratory airflow limitation during sleep are of public health concern! In the United States the estimated economic cost of undiagnosed sleep apnea was nearly $150 billion in 2015. Yes, that is billion with a "B"! 

What can YOU do?
The goal of the medical professions is to enable conditions for healing.  Dentistry has traditionally been focused on the "fix."  Today, we must move from "diagnose and treat" to "predict and preempt". 

Thousands of dentists are missing an ideal opportunity to help their patients sleep better and live fuller, healthier lives, while adding an ideal revenue stream to their practices.

An important key to a successful practice is maintaining a motivated, knowledgeable, and capable staff!

Our Metz Center Staff Speaker, Chris Takacs consistently gets rave reviews for his presentations at our Step Up Continuums! He is experienced as both a treatment coordinator in the Sleep practice, and a laboratory technician in the fabrication of Metz Appliances. He is brilliant at melding the laboratory and clinical aspects of oral appliance therapy for OSA patients.

Metz Center Staff Speakers (from left): Megan Bacome, Chris Takacs & Angie Rock
Continuum participants have said:
"Of the staff members, Chris Takacs was the top speaker in my eyes! He was confident and knowledgeable. I learned the most from him and felt so comfortable asking questions!

" Chris Takacs & Angie Rock broke it down to the point where I could understand & explain this to a patient with more confidence."

"What I found most helpful was the fact that I brought my was great to introduce them to the world of sleep and encourage my drive towards sleep medicine! Thanks Metz team!"

"My favorite speaker was Chris Takacs because he was really on top of his role and was a strong communicator.

Register Now for the October 21-22, 2016
Step Up to Introductory & Advanced Sleep Dentistry Continuum!
The evaluation of possible differences in the distribution or characteristics of palpation-induced pain in the masticatory muscles could be valuable in terms of diagnostic assessment. The purpose of this study was to...
"I have crafted an extended educational course with the end goal of true Competence in Sleep Dentistry!  My signature course will take you to the level that I personally consider outstanding."
James E. Metz, DDS
The Metz Competency Study Series will include:
  • 13 days of Training within ten months in 2017
  • Attending 2 sessions of the Metz Center's Step Up to Introductory & Advanced Sleep Dentistry Continuum
  • Empowering Your Staff! An important key to a successful practice is maintaining a motivated and capable staff! 
    *The course fee allows participants to bring 1 staff member to our 2017 Step Up Continuums at no additional charge.

Do not delay!
Contact Angie at 614-252-4444 or to Enroll.

The 2017 Study Series schedule is:
January 20-22, 2017 ; April 7 & 8, 2017 - Step Up Continuum;
June 2-4, 2017; September 8-10, 2017; October 20 & 21, 2017 -
Step Up Continuum
All sessions will be held in Columbus, Ohio.
The future dates for the Step Up to Advanced Sleep Dentistry Continuum thru 2017 have been confirmed.
April 7 & 8, 2017
October 20 & 21, 2017

Dentists and their staff play a vital role in the team approach to the screening and treatment of Obstructive Sleep Apnea - a condition that affects as many as 100 million Americans and their families. 
Contact Angie at 614-252-4444 or  for more information.
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The Metz Appliance
Download the order form for our FDA approved, patented device for treatment of obstructive sleep apnea.

View DVD sets, flip charts and books available to increase your knowledge about sleep dentistry and sleep medicine.

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Read a review of the 2016 AADSM meeting.

For more information about sleep dentistry, visit
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Learn more about the

Dentists Welcome at American Thoracic Society's Conference 2016.
Read this recent article.

View the SRN Assembly Spring 2016 newsletter

ATS, renowned professional society of pulmonologists, has reached out to dentists to explore how sleep breathing therapy can be enhanced by working together.
Read more.

  An Official American Thoracic Society Statement:  The Importance of Healthy Sleep: Recommendations and Future Priorities
Read more
Association between Obstructive Sleep Apnea andCancer Incidence in a Large Multicenter Spanish Cohort
Read more

Meta-analysis of Randomized Controlled Trials of Oral Mandibular Advancement Devices and Continuous Positive Airway Pressure for Obstructive Sleep Apnea-hypopnea
Read more

Impact of Sleep-Disordered Breathing on Long-Term Outcomes in Patients With Acute Coronary Syndrome Who Have Undergone Primary Percutaneous Coronary Intervention
Read more

Headache Attributed to Masticatory Myofascial Pain
Read more

The effect of sex and age on the comorbidity burden of OSA: an observational analysis from a large nationwide US health claims database.
Read more

Novel Porous Oral Patches for Patients with Mild Obstructive Sleep Apnea and Mouth Breathing
Read more

Determinants of Objective Compliance During Oral Appliance Therapy in Patients With Sleep-Related Disordered Breathing: A Prospective Clinical Trial
Read more

Dentists Welcome at American Thoracic Society's Conference 2016
Read more

Personalized Therapy for Sleep Apnea: An Interview with Dr. David White
Read more

The Pathogenesis of Obstructive Sleep Apnea Advances in the Past 100 Years
Read more

Read more

Tinnitus and its Relationship with Muscle Tenderness in Patients with Headache and Facial Pain
Read more

Oral Appliance Therapy: Challenges, Solutions, and a Suggested Decision Tree
Read more

Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy
Read more

Oral Health-Related Quality of Life in Patients with Temporomandibular Disorders
Read more

Combination Therapy TMD/OSA
a case study by Dr. James Metz
Read more

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Metz Center for Sleep Dentistry
1271 East Broad Street, Columbus, OH 43205
 phone 614.252.4444 | fax: 614.252.6474