Dental Sleep Medicine Insider December 2015 | Page 11

ABOUT DR. STEVEN LAMBERG Dr. Steve Lamberg has been practicing all phases of dentistry in New York for over 30 years with an emphasis on cosmetic, reconstructive and implant dentistry, and has developed a passion for dental sleep medicine over the last 11 years. He lectures nationally on topics including: occlusion, esthetic dentistry and dental sleep medicine. Most recently, Dr. Lamberg created Lamberg Seminars, offering complete didactic and clinical courses in dental sleep medicine for the entire team. He is the inventor of the Lamberg SleepWell Appliance “LSW”, which is a patented, FDA cleared intraoral device for the treatment of both snoring and OSA. He contributes articles regularly to Dental Sleep Practice and Dental Economics magazines on topics related to dental sleep medicine. Dr. Lamberg is a Diplomate of the American Board of Dental Sleep Medicine and is a faculty member for their board examination review course. Additionally he is a Diplomate of the Academy of Clinical Sleep Disorders Disciplines. He lives and practices general dentistry in Northport, New York. THE BASIS OF YOUR APPLIANCE DECISION: 1- DURABILITY (3-5 years) 2- EASE OF USE AND CLEANING BY THE PATIENT (stains or retains odors) 3- COST 4- FREEDOM OF MOTION both laterally and vertically 5- ABILITY TO CONTROL OCCLUSAL STOPS (anterior), relates to TMJ health 6- Ability to control occlusal stops (posterior), relates to TMJ health 7- The smallest vertical possible interocclusal space 8- The ability to limit the vertical opening 9- If the appliance is suitable for parafunction (strong enough or permissive enough) 10- The esthetic nature of the design 11- Where the advancement mechanism is (lateral or anterior palate) 12- Can the patients manage using the parts and or adjustment tools 13- Is the appliance medicare approved (meets definition of DME) 14- Length of time it takes to receive appliance back in office 15- Ability to be milled or printed from digital acquisition 16- Quality consistency of your laboratory 17- Possible allergies to materials 18- Ease of modifying appliance if dental work becomes necessary 19- Ability to adapt device to use implant attachments as necessary 20- Effectiveness at controlling sleep metrics 21- Issues of retention based on number and location of teeth 22- Impact the appliance will have on nasal breathing 23- Comfort for patients sleeping on their side 24- Amount of tongue space consumed by the adjustment mechanism 25- Does the appliance accommodate lip seal