Our Blog

Kickoff to PAANNY

April 3rd, 2018

Dr. Lamberg has launched Pediatric and Adult Airway Network of New York, PAANNY, where dentists and physicians collaborate on treating patients in an effort to prevent many diseases and disorders by managing the patient’s airway and overall health.

[caption id="attachment_215" align="alignleft" width="300"] Dr. Zaghi and Dr. Lamberg at the day portion of the Airway Management Event @JurimDentalAcademy[/caption]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Recently, with support from fellow dentist and Oral Surgeon Dr. Scott Siegel and Orthodontist Dr. Inna Gellerman, PAANNY had an all day kick off Airway Symposium with clinicians from around the country. Dr. Won Moon presented new ways to expand the nasal sinus with his non- surgical expander utilizing micro implants, while Dr. Soroush Zaghi painted a picture of using a more logical "functional" approach as compared with what we had been doing up until recently....the "guidelines" approach. As we learn more ways to evaluate the specific causes of airway restriction, we are seeing opportunities to offer more precise treatment modalities that could obviate the need for CPAP or OAT or at least make them more effective. Of course the interdisciplinary approach takes time to organize in our local areas but if we are to move beyond the "one size fits all" approach to "management and control" of airway problems, it is incumbent upon us to blaze this trail. It was exciting to see so many like minded individuals at the inaugural event and Dr. Lamberg hopes to build this community in New York with the help of all the talented and concerned professionals who attended.

“Please know that I am grateful for what you all are bringing to the table. We need each other to advance our patient care to the next level.” –Dr. Steven Lamberg, DDS, DABDSM on PAANNY kickoff event 3/29/18

For more images of the PAANNY event, please visit Dr. Lamberg's facebook page @ https://www.facebook.com/stevenlambergdds

Best of Long Island BECAUSE OF OUR PATIENTS!

March 7th, 2018

To our loyal patients,

We would like to thank you for your trust and loyalty especially in  2017 and for having confidence in our team to care for you. With the new year already here, we have some exciting new offers and humbling news to share.

  • New Name, Same Doctor. Thank you for all the suggestions and to everyone who participated in our in-office contest in choosing our new practice name. This name change came at the right time, Dr. Lamberg was recently appointed Scientific Advisor for Airway Management at the prestigious Kois’ Center, a top ranking postgraduate dental teaching facility in the world.

  • Many of you already know that we offer general and cosmetic dentistry procedures but we also treat many patients who suffer from snoring and sleep apnea. We are humbled to share that we’ve won Pulse Magazine’s Best of Long Island competition in the Best Sleep Care Center category.  We can’t thank you all enough for helping the office take top prize this year by voting for us. We are still thrilled to have been nominated in the categories of Best Dentist and Best Cosmetic Dentist as well.

  • We now offer state-of-the-art 3D airway digital imaging with Cone Beam Scan Technology. This will help with planning the least invasive, most affordable treatment available.

  • Lastly, we are now offering several procedures including Laser Periodontal Therapies, Myo Functional Therapies, Pediatric Airway Evaluations, Laser Frenectomies, non-surgical palatal expansion (to expand the sinuses) and Teeth Whitening.    

We will continue to provide you with the highest level of care and expertise. Please don’t hesitate to speak with any member of our team with questions or concerns you may have. We look forward to seeing you and wish you health, happiness and prosperity in the new year.

Sincerely,

Steven B. Lamberg, DDS, DABDSM and Team

 

[caption id="attachment_207" align="alignleft" width="300"] Dr. Lamberg Best Sleep Care Center[/caption]

#thankful #thankyou to everyone who nominated and then voted for us! Dr. Lamberg’s Dental Health & Wellness of Long Island won for best sleep center #teamlamberg #bestof2018 #bestofli #bestoflongisland#bestoflongisland2018 #best #sleep #carecenter

 

 

It Is Plausible That Breathing Slower And Deeper During The Day Could Lead To A Sounder Sleep At Night

March 6th, 2018

Steve Lamberg DDS, DABDSM

"This “yoga style” of breathing may help you sleep better at night."

The relationship between stress, Cyclic Alternating Pattern “CAP”, balance of the Autonomic Nervous System “ANS”, fragmented sleep, and breathing reveal a new pathway for healing.

Stress, exogenous or endogenous, activates the Hypothalamic-pituitary-adrenal “HPA” axis and results in the release of Corticotropin Hormone “CRH”,  Adrenocorticotropic Hormone “ACTH”, and Cortisol.  There is strong evidence that elevated CRH tone increases sleep EEG frequency, thereby decreasing slow wave (deep) sleep “SWS”, increasing light sleep and increasing wakefulness.  CRH also reciprocally activates the locus coeruleus/norepinephrine system, one of the most important components of the arousal systems. The sympathetic nervous system can also react to stress by stimulating the adrenal medulla directly and effecting the release of epinephrine (adrenaline), norepinephrine (noradrenaline).

On the Parasympathetic Nervous System “PSNS” branch of the Autonomic “ANS”, stimulating the vagus nerve sends acetylcholine (acetylcholine plays a part in learning and memory) throughout the body, not only making us feel relaxed, but reducing inflammation. The vagus nerve is a very long nerve running from the hypothalamus area and interfaces with parasympathetic control of the heart and digestive tract.  Studies of the ANS during breathing reveal that inhalation stimulates the Sympathetic Nervous System “SNS” while  exhalation stimulates the vagus nerve and thus the PSNS.  The vagus nerve can be stimulated by conscious breathing, yoga, and emotional and positive mental frameworks and has been shown to have an anti-inflammatory effect.

Cyclic alternating pattern “CAP” is the EEG marker of unstable sleep.  CAP can appear spontaneously in non-REM sleep, but it can occur also in association with identifiable sleep pathologies.  CAP involves not only cerebral activities during sleep, but paces, and is thought to be reciprocally influenced by ongoing autonomic and motor functions.  While CAP causes fragmented sleep which has been shown to increase SNS, HPA activity, and inflammation, it is also believed that increase chronic activation of the SNS could increase CAP.   Several articles postulate that shallow non-diaphragmatic breathing could increase sympathetic tone, and it would follow that CAPs may be increased.  It is also plausible that deeper, slower, diaphragmatic breathing (with exhales longer than inhales) would stimulate PSNS by way of the vagus and acetylcholine release.

In patients with Functional Somatic Syndrome “FSS” and Anxiety Disorders, Sleep Disordered Breathing “SDB” serves as a chronic physical stress or “allostatic challenge”.  This activates the hypothalamic-pituitary-adrenal (HPA) axis and causes the symptoms of FSS and anxiety disorders as a manifestation of chronic allostatic challenge.

It is very plausible that poor breathing during the day can create a chronic physical stress or “allostatic challenge”, similar to that seen with SDB.  Activation of the HPA axis, increased sympathetic activity, and sleep fragmentation can increase CAP which further impairs sleep quality and may even be causally related to the many FSS conditions as well as Anxiety Disorders.

Finally, one should consider that the peripheral vascular effects of sympathetic activation can be significantly improved by nasal breathing which increases the production of nitric oxide and thus relaxes the blood vessels.

More research is needed on this very important topic.  In the meantime, breath slow and deep through your nose to stimulate the vagus nerve, turn on the PSNS, and reduce cortisol.  This “yoga style” of breathing may help you sleep better at night.

10 Things to Hate About Sleep Loss

March 5th, 2018

With Sleep Awareness Week 2018 coming up soon, we thought this video on how lack of sleep can affect you - whether you work the night shift, snore too loud (or your partner does) or have a sleeping disorder.

Dr. Lamberg was recently named Best of Long Island for his Sleep Care Center in Northport. If you or anyone you know is not waking up refreshed or is experiencing lack of sleep, please call to reserve a consultation. Sleep Deprivation is nothing to laugh at!

(631) 261-6014

You know lack of sleep can make you grumpy and foggy. You may not know what it can
do to your sex life, memory, health, looks, and even ability to lose weight. Here are 10
surprising -- and serious -- effects of sleep loss.

1. Sleepiness Causes Accidents
Sleep deprivation was a factor in some of the biggest disasters in recent history: the
1979 nuclear accident at Three Mile Island, the massive Exxon Valdez oil spill, the 1986
nuclear meltdown at Chernobyl, and others.

But sleep loss is also a big public safety hazard every day on the road. Drowsiness can
slow reaction time as much as driving drunk. The National Highway Traffic Safety
Administration estimates that fatigue is a cause in 100,000 auto crashes and 1,550
crash-related deaths a year in the U.S. The problem is greatest among people under 25
years old.

Studies show that sleep loss and poor-quality sleep also lead to accidents and injuries
on the job. In one study, workers who complained about excessive daytime sleepiness
had significantly more work accidents, particularly repeated work accidents. They also
had more sick days per accident.

2. Sleep Loss Dumbs You Down
Sleep plays a critical role in thinking and learning. Lack of sleep hurts these cognitive
processes in many ways. First, it impairs attention, alertness, concentration, reasoning,
and problem solving. This makes it more difficult to learn efficiently.

Second, during the night, various sleep cycles play a role in “consolidating” memories in
the mind. If you don’t get enough sleep, you won’t be able to remember what you
learned and experienced during the day.

3. Sleep Deprivation Can Lead to Serious Health Problems

Sleep disorders and chronic sleep loss can put you at risk for:
Heart disease
Heart attack
Heart failure
Irregular heartbeat
High blood pressure

Stroke
Diabetes

According to some estimates, 90% of people with insomnia -- a sleep disorder
characterized by trouble falling and staying asleep -- also have another health condition.
4. Lack of Sleep Kills Sex Drive
Sleep specialists say that sleep-deprived men and women report lower libidos and less
interest in sex. Depleted energy, sleepiness, and increased tension may be largely to
blame.
For men with sleep apnea, a respiratory problem that interrupts sleep, there may be
another factor in the sexual slump. A study published in the Journal of Clinical
Endocrinology & Metabolism in 2002 suggests that many men with sleep apnea also
have low testosterone levels. In the study, nearly half of the men who suffered from
severe sleep apnea also secreted abnormally low levels of testosterone during the
night.

5. Sleepiness Is Depressing
Over time, lack of sleep and sleep disorders can contribute to the symptoms of
depression. In a 2005 Sleep in America poll, people who were diagnosed with
depression or anxiety were more likely to sleep less than six hours at night.
The most common sleep disorder, insomnia, has the strongest link to depression. In a
2007 study of 10,000 people, those with insomnia were five times as likely to develop
depression as those without. In fact, insomnia is often one of the first symptoms of
depression.

Insomnia and depression feed on each other. Sleep loss often aggravates the
symptoms of depression, and depression can make it more difficult to fall asleep. On
the positive side, treating sleep problems can help depression and its symptoms, and
vice versa.

6. Lack of Sleep Ages Your Skin
Most people have experienced sallow skin and puffy eyes after a few nights of missed
sleep. But it turns out that chronic sleep loss can lead to lackluster skin, fine lines, and
dark circles under the eyes.
When you don’t get enough sleep, your body releases more of the stress hormone
cortisol. In excess amounts, cortisol can break down skin collagen, the protein that
keeps skin smooth and elastic.
Sleep loss also causes the body to release too little human growth hormone. When
we’re young, human growth hormone promotes growth. As we age, it helps increase
muscle mass, thicken skin, and strengthen bones.

“It’s during deep sleep -- what we call slow-wave sleep -- that growth hormone is
released,” says sleep expert Phil Gehrman, PhD. “It seems to be part of normal tissue
repair -- patching the wear and tear of the day.”

7. Sleepiness Makes You Forgetful
Trying to keep your memory sharp? Try getting plenty of sleep.
In 2009, American and French researchers determined that brain events called “sharp
wave ripples” are responsible for consolidating memory. The ripples also transfer
learned information from the hippocampus to the neocortex of the brain, where long-
term memories are stored. Sharp wave ripples occur mostly during the deepest levels of
sleep.

8. Losing Sleep Can Make You Gain Weight
When it comes to body weight, it may be that if you snooze, you lose. Lack of sleep
seems to be related to an increase in hunger and appetite, and possibly to obesity.
According to a 2004 study, people who sleep less than six hours a day were almost 30
percent more likely to become obese than those who slept seven to nine hours.
Recent research has focused on the link between sleep and the peptides that regulate
appetite. “Ghrelin stimulates hunger and leptin signals satiety to the brain and
suppresses appetite,” says Siebern. “Shortened sleep time is associated with decreases
in leptin and elevations in ghrelin.”

Not only does sleep loss appear to stimulate appetite. It also stimulates cravings for
high-fat, high-carbohydrate foods. Ongoing studies are considering whether adequate
sleep should be a standard part of weight loss programs.

9. Lack of Sleep May Increase Risk of Death
In the “Whitehall II Study,” British researchers looked at how sleep patterns affected the
mortality of more than 10,000 British civil servants over two decades. The results,
published in 2007, showed that those who had cut their sleep from seven to five hours
or fewer a night nearly doubled their risk of death from all causes. In particular, lack of
sleep doubled the risk of death from cardiovascular disease.

10. Sleep Loss Impairs Judgment, Especially About Sleep
Lack of sleep can affect our interpretation of events. This hurts our ability to make
sound judgments because we may not assess situations accurately and act on them
wisely.

Sleep-deprived people seem to be especially prone to poor judgment when it comes to
assessing what lack of sleep is doing to them. In our increasingly fast-paced world,
functioning on less sleep has become a kind of badge of honor. But sleep specialists say if you think you’re doing fine on less sleep, you’re probably wrong. And if you work
in a profession where it’s important to be able to judge your level of functioning, this can
be a big problem.

“Studies show that over time, people who are getting six hours of sleep, instead of
seven or eight, begin to feel that they’ve adapted to that sleep deprivation -- they’ve
gotten used to it,” Gehrman says. “But if you look at how they actually do on tests of
mental alertness and performance, they continue to go downhill. So there’s a point in
sleep deprivation when we lose touch with how impaired we are.”

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