Ivan Valcarenghi, DDS, fa*gD, D.ABDSM - Associates For Dental Sleep Medicine on LinkedIn: What doctors wish patients knew about sleep apnea (2024)

2

I’m happy to share that I’m starting a new position as Managing Director at ADSM, Associates For Dental Sleep Medicine!

This content isn’t available here

Access this content and more in the LinkedIn app

11

2 Comments

Very excited to announce the roll out of a new sleep business model which should make testing, treatment and delivery way more effective and efficient in the years to come. As an early adopter of dental sleep medicine, over 25 years, have loved the growth we are seeing and how OAT is now accepted by our physician brothers as a viable alternative to CPAP. Very gratifying to see dentists and physicians collaborating on helping patients with this simple, non surgical, mostly non obtrusive treatment for a health problem that has reaches into every aspect of life and health. While attending the Chicago MWM representing an oral appliance company, and talking to hundreds of general dentists, most of whom knew very little about DSM. So we have a lot of work yet to do and it begins with education and getting our colleagues to do sleep screenings on their recare patients. As for delivery, I would say there are two basic models of practice, the prevailing dental model where dentists are offering OAT in their offices with perhaps some medical collaboration, and the very few businesses/practices devoted to the medical model which is heavily dependent on our physician brothers to get patients treated with OAT. This is fraught w/ much red tape, delays and inefficiencies. What if we were to meld the two and take advantage of the efficiencies, professionalism and value of both? There is another, albeit marginal 3rd model out there that is attempting to centralize all functions and "hire" dentists to scan patients for oral appliances. I don't believe this model will work as the dentist is marginalized, yet holding all the risk and liability. I don't think dentists are going to accept this model of business. So keep your eyes peeled as this type of new model blending the dental and medical models, will be rolled out soon. Best, Ivan

6

3 Comments

Dental Sleep medicine should grow when you see the enthusiasm patients have for an alternative to CPAP and the potential market. Delivery of care has been basically two major models of OA therapy in DSM what I call the "medical" and "dental" models of delivery. In parts of the country the dental model, where dentists provide the therapy from their offices, can work. This is much more difficult in busy, urban setting, especially where a dental sleep center operates utilizing the AASM/AADSM guidelines in the medical model, where they collaborate with physicians who prefer this model and provide the testing, diagnosis and referral for OAT. Medical billing and insurance are much more important in the medical model at the expense of efficiency and difficulty getting patients appointed and treated in a timely manner. While recently I consulted for a direct-to-consumer third model that is in the initial stages, where all business, testing and diagnostic functions are centralized and dentists are contracted to provide the complete clinical management direct to consumer, I believe the risk management for dentists in this model is too high, but time will tell. So the question becomes, "can we accomplish the success of the medical model in a manner more expeditious and efficiently? Yes! Stay Tuned!

6

After years of avoiding the CDS MWM, it was absolutely a great weekend seeing classmates and friends I haven't seen in decades. I was super honored to represent two companies, Intelliscan 3D, which I have in my office, and is the best digital oral scanner for the money, and Open Airway oral appliance for sleep apnea. Most MAD appliances have one function: mandibular advancement. After speaking w/ my critical care pulmonologist brother, Gerard, and Dr. Sat Sharma, also a Canadian pulmonologist and sleep MD, as well as the patent holder, it became very clear from the abstracts and research how the Open Airway Optima and xVent add another level to improve airway and ventilation pressures in mandibular advancement. With the hinge devices soon coming out, and PDAC approval, this appliance could increase the success of MAD's even more and promising for severe OSA sufferers who are intolerant to CPAP. I am excited to be involved in the research and development of this oral appliance that will help an increasing number of patients and perhaps put a dent in the 80% of patients untreated. As a director of the largest physician only referred dental sleep centers, with a database of nearly 20K patients, we know the standards that need to be met when treating patients with oral appliances that must last 5 years and I predict the Optima from Open Airway will adequately meet those standards. If you have an questions, please don't hesitate to drop me a note. Best, Ivan Valcarenghi, DDS, fa*gD, D.ABDSM, D.ASBA

3

2 Comments

Really excited to be representing Intelliscan at the Chicago MidWinter Meeting in February. Intelliscan, probably the best, most affordable digital dental scanner unknown by most dentists, has asked me to tell dentists about this terrific scanner with features that rival or surpass the most common scanners out there. Intelliscan has unlimited support! Come introduce yourself to us and tell them you heard about it from Ivan. I will be at booth #5027 on and off throughout Friday and Saturday. Best scanner for the money and they are a loyal supporter of the Chicago AGD.

5

2 Comments

Consulting for a new oral appliance that I think could rise to the top in OAT for OSA and excited to help roll it out over the weeks and months ahead. This appliance assists in one additional airway issue that is not addressed in most MADs. Keep your eyes and ears open. Best, IV

2

A conversation w/ Dr. Ivan Valcarenghi at The Dental Briefhttps://lnkd.in/gpBgbEWqIvan Valcarenghi, DDS, fa*gD, D.ASBA, D.ABDSMRadiante’ Dental & FacialDirector Midwest Dental Sleep CentersILAGD, CAGD Board MemberAADSM, ISI Committee Member

4

2 Comments

A conversation w/ Dr. Ivan Valcarenghihttps://lnkd.in/gpBgbEWq

A conversation w/ Dr. Ivan Valcarenghi https://lnkd.in/gpBgbEWq

2