The Link between Alzheimer's and OSA

Plus: the Dental Growth Flywheel

Good morning. This is More Than Teeth. The newsletter that helps dental sleep professionals get 1% better every week.

Good morning.

Many of us have personal connections to people with dementia.

And like many, we wish we knew about the connection between OSA and that terrible affliction.

Hopefully today’s information can help avoid heartache in the furture as we spread it to our patients!

In Today’s Edition:

  • A Hidden Threat to Memory: OSA [Free download below]

  • A Dental Practice Growth Flywheel

  • Industry Events

  • [Video] Sleep & Alzheimer’s Disease

6-minute read👇

Clinical Corner

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Key Takeaways🔑

REM Sleep Impact on Memory: OSA during REM sleep, indicated by high AHI and ODI, significantly impairs verbal memory, particularly in individuals with severe REM-related OSA. Memory performance on the RAVLT test declines with increasing severity of REM-related sleep apnea.

Age and Genetic Risk Factors: Older adults and APOE4 allele carriers are more vulnerable to memory decline from REM sleep apnea. These groups exhibit marked reductions in total learning and delayed recall abilities, highlighting the need for targeted intervention.

Critical Focus on REM vs. NREM OSA: REM sleep apnea poses a greater threat to memory than non-REM sleep apnea due to longer apneas and more severe oxygen desaturations. Dental sleep professionals should prioritize diagnosing and treating REM sleep disturbances to mitigate cognitive decline in at-risk patients.

In the bustling world of dental sleep medicine, understanding the intricate relationship between sleep disorders and cognitive decline is essential. Recent studies reveal a profound connection between obstructive sleep apnea (OSA) during REM sleep and verbal memory impairments, especially in individuals at heightened risk for Alzheimer's disease (AD).

Obstructive sleep apnea is a common disorder characterized by repeated airway blockages during sleep, leading to fragmented sleep and intermittent hypoxemia. Research has consistently shown that OSA can increase the risk of Alzheimer's disease. The study at hand explored how OSA, particularly during REM sleep, affects verbal memory—a critical marker of cognitive function often impacted early in AD.

Key Findings from the Study

A recent study involving 81 adults, primarily in their 60s and 70s, with a significant portion carrying genetic and familial risks for Alzheimer's, provides valuable insights:

REM Sleep Impact: The severity of OSA during REM sleep, measured by indices such as the apnea-hypopnea index (AHI) and oxyhemoglobin desaturation index (ODI), was strongly linked to poorer performance on the Rey Auditory Verbal Learning Test (RAVLT). This suggests that memory impairments were notably worse in individuals with more severe REM-related OSA.

Age and Genetic Factors: The negative effects of REM sleep apnea on memory were particularly pronounced in older adults and those with the APOE4 allele, a known genetic risk factor for Alzheimer's. These individuals showed significant declines in both total learning and delayed recall abilities.

REM vs. NREM OSA: The study highlighted that REM sleep, with its unique physiological demands, posed a greater threat to memory than non-REM sleep. OSA events in REM sleep led to longer apneas, more severe oxygen desaturations, and increased memory impairments.

Practical Takeaways for Dental Sleep Professionals

Given the critical findings, dental sleep professionals can play a pivotal role in identifying, educating on and managing OSA, particularly focusing on REM sleep. Here are practical steps to implement in your practice:

Comprehensive Screening: Ensure thorough screening for OSA, paying close attention to REM sleep disturbances. Work closely with your patients’ sleep physician to identify potential risks.

Targeted Interventions: For patients at higher risk for Alzheimer's, especially older adults and APOE4 carriers, proactive management of REM-related OSA is crucial. CPAP and/or Oral appliance therapy should be recommended for frontline treatment.

Patient Education: Educate patients and caregivers about the importance of treating OSA to potentially delay cognitive decline. Highlight the specific risks associated with REM sleep and the benefits of adhering to treatment plans.

OSA and Dementia Hand outFree patient education handout!46.27 KB • PDF File

Collaboration with Neurologists: Work together with neurologists and other healthcare providers. This way, you can create a complete care plan that looks after both sleep problems and brain health.

Conclusion

The connection between REM sleep apnea and memory problems in people at risk for Alzheimer's disease is important. Dental sleep experts help identify and treat this condition, which is key to protecting brain health. By using thorough screenings, specific treatments, and teamwork, we can help reduce memory loss linked to sleep apnea and Alzheimer's disease.

Which group is particularly vulnerable to memory decline due to REM sleep apnea according to recent studies?

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Business of Sleep

📈Better businesses = more lives saved!

The Growth Flywheel Model: Transform Your Dental Practice's Marketing Strategy

Marketing isn't just a luxury—it's a necessity.

It's the engine that drives predictable, scalable growth. With rising interest rates, the need to boost revenue, and ambitions to add specialties or expand to new locations, a robust marketing strategy is more crucial than ever.

But not all marketing strategies are created equal. Some practices scatter their efforts, hoping something sticks. Others invest in single areas like ads but fail at conversion, resulting in wasted budgets.

Don't be one of those practices.

By adopting a comprehensive growth flywheel model, you can create a reliable system to attract, engage, and delight patients, ensuring sustained growth and success.

Attract: Generating Leads with Precision

Search Engine Marketing (SEM):

Paid Search: Utilizing Google Ads, you can target top keywords potential patients use. This pay-per-click (PPC) model ensures you only pay when someone clicks on your ad, making it a cost-effective way to attract new patients. For example, targeting "dentist near me" can drive immediate traffic to your site.

Organic Search: SEO helps your practice rank highly on search results without paying for ads. While it takes time to see results, optimizing your website and producing valuable content can improve your organic search visibility.

Social Media Marketing:

Paid Ads on Facebook: Unlike national brands, local dental practices benefit more from targeted paid ads. These ads can reach local users, driving new patient growth effectively.

Engage: Converting Leads into Patients

Conversion Optimization:

Record and analyze patient phone calls to improve conversion rates. Many practices lose up to 60% of leads due to poor phone conversion. By training your team and working with conversion coaches, you can boost your conversion rate to 80% or better.

Scheduling Efficiency:

Ensure new patients are seen within 72 business hours to reduce no-show rates. Blocking specific slots for new patients can help achieve this, maintaining flexibility for returning patients.

Addressing No-Shows:

Double-book appointments if patients don’t confirm. Additionally, having doctors personally call new patients can build rapport and reduce cancellations.

Implant Lead Nurturing:

Implant patients often take longer to decide on treatment. Implement a lead nurturing system to maintain contact through phone follow-ups and drip email campaigns. Consider live events in retirement communities to reach potential implant patients.

Delight: Retaining Patients and Encouraging Referrals

Recare and Retention:

Building strong relationships with patients is key. Listen to their concerns and show genuine care. Ensure they schedule their next appointment before leaving and send reminders to reduce no-shows.

Generating Reviews:

More 5-star Google reviews build trust and improve SEO. Encourage your team to ask satisfied patients for reviews and make it easy for them to leave feedback.

Referrals:

Encourage happy patients to refer friends and family. Framing the request as a favor ("Would you do me a favor?") can increase follow-through. Consider offering incentives like gift cards for successful referrals.

Tracking Key Data

To optimize your marketing strategy, you need to track performance metrics throughout each stage of the flywheel:

Attract: Number of leads generated, cost per lead.

Engage: Conversion rates, cost per new patient, no-show rates.

Delight: Retention rates, number of reviews.

This data provides insights into your practice's performance, helping you identify problem areas and optimize your patient journey. By continually refining your approach based on these metrics, you can lower costs and boost growth.

Conclusion

Implementing the growth flywheel model can revolutionize your dental practice's marketing strategy. By attracting the right leads, engaging them effectively, and delighting them with excellent service, you can create a self-sustaining cycle of growth. This not only boosts your revenue but also ensures long-term success in an increasingly competitive market. Take these actionable steps today to enhance your practice's efficiency and patient outcomes.

Something Sweet

🍭Stuff so sweet you might get a cavity..

Industry Events

Event

Dates

Location

Link

ProSleep 2024 Users Conference

Aug 1-3

San Francisco, CA

Click Here

Society of Behavioral Sleep Medicine 6th Annual Scientific Conference

Sep 12 - 15

Chicago, IL

Click Here

Collaboration Cures 2024

Sep 12-14

Reno, NV

Click Here

Transform Dental Sleep Symposium

Jan 31 - Feb 1, 2025

Scottsdale, AZ

Click Here

Have an event you would like to post? (free) [ click here ]

Miscellaneous

😅P.S. … I forgot something

Explore the crucial link between sleep and Alzheimer's disease, and learn how better sleep can impact cognitive health!

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