Dr. Robert Garelick graduated in 1980 from New York University with a Doctorate of Dental Surgery Degree. He completed his residency at Montefiore Hospital and Medical Center in 1981. Over the last thirty six years Dr. Garelick has built an enormously successful dental practice based in Lindenhurst, NY. The practice has thrived, resting on a foundation of clinical excellence and a profound commitment to the care and overall wellbeing of patients. One of the hallmarks of Dr. Garelick’s career and practice has been his vision of dentistry and its expansive role in promoting a patients quality of life and general health. This career long vision and commitment provided the impetus for his growing focus on dental and sleep health.
Dr. Garelick actively pursues continuing his education in all branches of dentistry, and strives to build strong relationships with his patients. Dr. Garelick believes that the more informative a patient has, the easier it is to diagnose problems and the smoother the transition to prevention and remedy, not to mention the added benefit that comes for the patient who is knowledgeable.
In a study conducted by the Oxford Radcliffe Hospital Charitable Funds and the ResMedUK and the the National Institute for Health Research Oxford Biomedical Research Centre, 25 adults with OSA included in the study had all been using CPAP successfully for over a year at the time of recruitment. The double-blinded, cross-over design required that CPAP be withdrawn for 14 nights during each treatment arm, during which time participants received supplemental oxygen or regular air (sham) overnight via a face mask or nasal cannula.
The primary outcome was the change in home morning blood pressure following CPAP withdrawal for 14 nights, oxygen versus air. Secondary outcomes included oxygen desaturation index (ODI), apnea hypopnea index (AHI), and subjective (Epworth sleepiness score) and objective (Oxford sleep resistance test) sleepiness.
“As expected, supplemental oxygen significantly and markedly attenuated measures of intermittent hypoxia, with a median reduction in ODI of -23.8/h (P<0.001; IQR -31.0 to -16.3), and an absolute median reduction of the percentage time with oxygen saturations <90% of -9.8% (P<0.001; IQR -16.7 to -4.3), compared to air," the researchers wrote.
"There was a small significant reduction in the heart rate rises index (a measure of autonomic arousals), with a median reduction of -3.7/h (P=0.006; IQR -9.1 to -0.8), oxygen versus air. The small reduction in median AHI of -3.6/h (P=0.98; IQR -10.2 to 10.1), oxygen versus air, was not statistically significant."
No significant differences in either subjective or objective sleepiness were seen with oxygen versus air, and neither were there any significant differences seen in change in mean overnight urinary volume or overnight urinary creatinine concentration.
Thus, while it can be said that Oxygen eliminates morning BP spike in Sleep Apnea, it is yet to be determined through additional study, if the most likely candidates for supplemental oxygen therapy - those with the most severe hypoxia, will benefit from it.
Dr. Robert B. Garelick, DDS, is committed to providing excellent dental care in Lindenhurst, NY across the greater Suffolk County, Long Island area. As part of that dedication, we provide comprehensive sleep apnea treatment. Our goal is not only to help you improve your dental health, but to improve your overall health. We will work with you to determine which oral appliance will best treat your obstructive sleep apnea, ultimately helping you to get a healthier, better night’s sleep.
If you are having difficulty falling asleep, come talk to us. Sleep apnea can become very serious if not diagnosed and treated properly. Dentist Lindenhurst NY | Dr. Robert B. Garelick D.D.S.
Thank you for visiting our website. On these pages you will find valuable information about us and our services. Whether you are a new or existing patient, if you have any questions feel free to contact us. We also offer sleep apnea treatment services. We look forward to hearing from you.
For a dentist office you can trust to help you achieve a healthy smile, contact Dr. Robert B. Garelick D.D.S. today!
Comments
Post a Comment