Search

Dr. Ronald Goldstein, Mississauga, Ontario, Canada

170 Queensway W. Suite 110
Mississauga, ON L5B 3A8

http://www.drronaldgoldsteinandassociates.com

Phone (905) 277-8673

info@DrRonaldGoldsteinAndAssociates.com

 

Dr. Ron Goldstein graduated in 1971 from the University of Toronto with B.Sc. and D.D.S. degrees

 

  • in private dental practice in Mississauga for 43 years
  • developed an interest in Temporomandibular Joint Disorders and Sleep Apnea, andconsequently took Mini and Advanced Residency courses presented by Dr. Steven Olmos through his TMJ and Sleep Therapy Centre in San Diego, California

 

  •  Continually furthering training in these areas through membership in The American Academy of Craniofacial Pain Canadian Chapter, The American Academy of Dental Sleep Medicine, The Canadian Academy of Sleep Disorders Disciplines and The Medibyte Users group (for home sleep tests).

 

  • Also applies the treatment of Temporomandibular Joint Dysfunction to movement disorders such as Parkinson’s and Tourette’s Syndrome using oral appliances to reduce tremors, stiffness and improve mobility.

 

  • Invited speaker to various groups, including Purolator Couriers, about the health consequences of sleep apnea, the availability of home sleep tests and the highly accepted treatment with oral appliances in place of CPAP.

 

  • Dedicated to improving the quality of life, reducing health problems and increasing life expectancy of my patients through the treatment of obstructive sleep apnea.
Saturday
Dec062014

Snoring Associated With Sleep Apnea

Snoring Associated With Sleep Apnea, With Dr. Ron Goldstein, Mississauga (greater Toronto), Canada from Sequence Media on Vimeo.

In this report, Dr. Ron Goldstein, a dentist in Mississauga (greater Toronto), Canada with Dr. Ron Goldstein and Associates, discusses snoring and sleep apnea.

 

Dr. Goldstein says that snoring is mostly a bad thing when it comes to health. Mild snoring can occur without apnea, and some people with apnea do not snore. However, the two things are usually associated.

Often, it is a bed partner who reports the snoring problem. (In many cases, the partner is in a different bed, which is certainly a social problem.) The partner may report that the patient stops breathing during snoring episodes and actually counts how many seconds the episodes last. Snoring causes sleep problems for both partners.

The first step in determining if sleep apnea is the problem is to do a home test. Dr. Goldstein notes that some of the things that are checked in a lab test are not really necessary for a diagnosis of sleep apnea. For example, when someone’s head is wired, the purpose is to read brain waves to see what stage of sleep someone is getting into. If one’s sleep is interrupted so that deep sleep is not reached, that will show up.

However, in the home test that Dr. Goldstein would do, the testing discloses the volume of snoring, any cessation of breathing, attempts to breathe, blood oxygen level, and pulse rate. That test provides all the data required to diagnose the problem.

As Dr. Goldstein repeats, indentations on the side of the tongue (scalloping) is strongly indicative of sleep apnea. This will lead to a discussion of a patient’s sleeping: getting to sleep, getting enough sleep, awakening rested, snoring, etc. This may lead to home testing. Once sleep apnea has been diagnosed, treatment can proceed. Some people do not want to use a CPAP device. Many times, a dentist can offer a more appealing option by using a dental appliance. These items are comfortable, wearable, and very portable.

Dr. Ron Goldstein graduated in 1971 from the University of Toronto with B.Sc. and D.D.S. degrees. He is an expert in sleep apnea issues and treatment, and he spoke with Sleep Better TV, providing online sleep breathing disorder video news content. Sleep Better TV is a featured network of Sequence Media Group.

Saturday
Dec062014

Negative Effects of Untreated Sleep Apnea

Negative Effects of Untreated Sleep Apnea, With Dr. Ron Goldstein, Mississauga (greater Toronto), Canada from Sequence Media on Vimeo.

In this report, Dr. Ron Goldstein, a dentist in Mississauga (greater Toronto), Canada with Dr. Ron Goldstein and Associates, discusses the negative health effects of undiagnosed and untreated sleep apnea.

Dr. Goldstein notes that the list of negative side effects keeps getting longer. The significant problems include increasing risks of high blood pressure, heart attack, atrial fibrillation, and strokes. Acid reflux can be a side effect of fighting for breath in one’s sleep. Sexual dysfunction can be an effect, as can type two diabetes. Another possible problem can be an increased risk of developing cancer because the body’s chemistry changes when its oxygen level is reduced.

Many people who are being treated for some of these problems have more difficulty with the treatment because they are also fighting the effects of sleep apnea. The net result of untreated sleep apnea can be a decreased life expectancy and a loss of both quality and quantity of life.

Successful treatment of sleep apnea can make a big difference in the treatment of all the problems associated with it.

Dr. Ron Goldstein graduated in 1971 from the University of Toronto with B.Sc. and D.D.S. degrees. He is an expert in sleep apnea issues and treatment, and he spoke with Sleep Better TV, providing online sleep breathing disorder video news content. Sleep Better TV is a featured network of Sequence Media Group.

Saturday
Dec062014

Sleep Apnea Diagnosis and Treatment

In this report, Dr. Ron Goldstein, a dentist in Mississauga (greater Toronto), Canada with Dr. Ron Goldstein and Associates, discusses the diagnosis and treatment of sleep apnea by dentists.

 

One thing that a dentist can do to initiate a discussion of a patients sleep is to look down the side of the tongue for indentations, referred to as scalloped tongue. The presence of this condition is 70% predictive of sleep apnea. If Dr. Epstein sees this condition in a patient, he discusses their sleep with them, asking if they feel they are getting proper rest.

There are other diagnostic steps that can be undertaken that don’t involve having a patient go to a lab that, in Dr. Epstein’s opinion, gives a more realistic result. Dentists in Canada may not make a diagnosis themselves, but they can send the results of the testing to a site where a sleep doctor will read the results and send back a medical interpretation.

As to treatment, a dentist can make an oral appliance for the patient. This is a highly accepted form of treatment. The effect of such an appliance is to hold the jaw forward, effectively “taking the plug out of somebody’s throat.” Patients breathe more easily, don’t snore, and awaken better rested. This may be an alternative to machines that supply continuous positive airway pressure (CPAP).

Whether a patient goes directly to the oral appliance depends on a clinic’s diagnosis whether a patient has mild, moderate, or severe sleep apnea. That determination is based on how many times per hour a patient has breathing problem episodes. There are three forms of treatment that will then be discussed: surgery (which one might want to avoid), oral appliances, or CPAP. A clinic may direct a patient directly to CPAP, even in a case of only mild or moderate apnea.

The American Academy of Sleep Medicine, an organization that sets many of the standards in this field, has for the last six years recommended oral appliances in cases of mild to moderate sleep apnea as the first line of treatment. Follow-up testing will be required to diagnose effectiveness. However, if the patient wakes up feeling rested and a bed partner comments that there was no snoring overnight, that is a 95% indicator that the problem has been successfully treated. The appliances can be adjusted by a dentist until a perfect result is achieved.

Dr. Ron Goldstein graduated in 1971 from the University of Toronto with B.Sc. and D.D.S. degrees. He is an expert in sleep apnea issues and treatment, and he spoke with Sleep Better TV, providing online sleep breathing disorder video news content. Sleep Better TV is a featured network of Sequence Media Group.

Friday
Dec052014

What Is Sleep Apnea, With Dr. Ron Goldstein, Mississauga (greater Toronto), Canada

Sleep apnea is stopping breathing in one’s sleep or taking breaths that are much more shallow than normal. Sleep apnea episodes of concern are those that last at least ten seconds and may last as long as sixty seconds. As to shallow breathing, or hypoxia, an episode may last as long as a minute-and-a-half to two minutes, explains Dr. Ron Goldstein, a dentist in Mississauga (greater Toronto), Canada with Dr. Ron Goldstein and Associates.

One of the main causes is the jaw falling back during sleep and the tongue falling back as well, putting a block in the airway. There will be a restricted or uneven air flow, and often snoring, something a bed partner will notice (and likely comment on).

Patients without a bed partner, Dr. Goldstein notes, will perhaps become aware of sleep apnea because they get up without feeling rested, and as the day wears on, beginning to fade. Some patients who have afternoon meetings will have to drink a lot of coffee to stay awake.

Dr. Goldstein explains that another indicator may be waking up in the morning with a headache. There is a very good chance that a headache like that is the result of sleep apnea. Other symptoms might be feeling depressed and cranky.

The people who are most likely candidates for sleep apnea include males over age 50. Being overweight can contribute to sleep apnea, but slender people can develop it as well. About 24% of men and 10% of women are at risk for sleep apnea.

Dr. Ron Goldstein graduated in 1971 from the University of Toronto with B.Sc. and D.D.S. degrees. He is an expert in sleep apnea issues and treatment, and he spoke with Sleep Better TV, providing online sleep breathing disorder video news content. Sleep Better TV is a featured network of Sequence Media Group.