November 2018 – The Commander in Sleep

November 2018

Spotlight of the Month

Dr. Howell A Goldberg, DDS
Quietsleep South Florida, FL

Quietsleep South Florida is located in Plantation, Florida. Dr. Howell Goldberg, a 1974 graduate of New York University College of Dentistry, has been treating sleep patients for over 20 years. He is presently Adjunct Professor at Nova Southeastern College of Dental Medicine, where he teaches the sleep sections of a multidisciplinary course combining TMD, occlusion and sleep.

Favorite Success Stories:

  • • A favorite success story happened in the late 1990s when I was treating an airline pilot. His long flights took him from the US to China. Not only was treatment successful in helping him get refreshing snore-free sleep on the crew area of the plane, we also obtained a letter from the FAA certifying that an oral appliance properly for and verified with a sleep study could be used as an alternative to CPAP.

Tips for Treating Patients:

  • • If during my initial exam we see issues with nasal valve collapse, we like to get the patient engaged immediately by fitting them with a nasal dilator to take home. This creates a willingness and enthusiasm for the upcoming treatment.
  • • When sleep posture is evaluated, we often suggest a full body pillow for the patient to wrap their arms and legs around, to help with positional therapy recommendations.

For many dentists who become involved in dental sleep medicine, successful treatment outcomes in treating snoring and sleep apnea often approaches or surpasses the greatest self-satisfaction of cosmetic cases you’ve done. Not only for the patient’s self-esteem but also because it improves quality of life issues.

Dr. Howell A Goldberg, DDS

American Football players face risk of future sleep breathing issues, study finds

“The journal of Sport Rehabilitation reveals that college football players undergo sleep apnea – particularly in linemen.”

“Although the sleep apnea risks identified in college-age linemen are not as high as those previously identified in older players, the findings suggest higher future risks and the need to consider the potential outcomes of college training, specifically for linemen who stop conditioning training after their football career.

Linemen have more body fat compared to players of other positions. Based on the overall size of the athlete, linemen feature a high percentage of lean mass, but the crucial factor is the fat mass in the region around the neck and torso, seen most notably in linemen. The combination of the athlete’s mass in these anatomical regions lead to the increased risk of sleep apnea, explained Marino.

While no studies have been conducted on the risks for sleep apnea in college football players after college, the scientists emphasis football players face a risk in later life; for college-only players, that may increase over their lifetime.

Screening the players with this system can help with the combination of survey and non-invasive methods that can target the players who are at higher risk and make them aware of the future risks to prompt them to change. This can lead to a potential outcome, said Marino.”

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