Teeth, NTI: Beginning Tx, not ending

NTI: Beginning Tx, not ending

Author	Message
James P. Boyd, DD #1 / 19	NTI: Beginning Tx, not ending A recent post regarding TMD therapy suggested seeing a dentist who has "been to Dawson or Pankey"...and I couldn't agree more! Although I'm not entirely familiar with Dr. Dawson's teachings, I am with the Pankey concept. Essentially, it is all good conceptual dentistry: 1) In the event of tense, hyperactive musculature, relax the musculature. Only then can you procede to #2... 2) Establish optimum jaw relationship. When you can achieve a reproduceable and stable jaw relationship, only then can you procede to #3... 3) Restore the case An NTI simply gets you through #1 and #2 quickly and easily, which is usually the most difficult part. Once the patient is asymptomatic and stable, restoration becomes a predicable excercise. There are even situations where after #1 and #2, no restoration is required. The real no-brainers is when there's no need for #1 and #2...no matter what you do, it seems to perform just fine. But for the most part, intitial treatment, stabilization and maintenance of parafuncitional musculature with an NTI is the beginning of good dentistry, not the end of it. Just thought I throw that in here. El Jimno~
Mon, 20 Aug 2001 03:00:00 GMT

#2 / 19	NTI: Beginning Tx, not ending
Fri, 19 Jun 1992 00:00:00 GMT

Hans Lennro #3 / 19	NTI: Beginning Tx, not ending Hi El J~ No one seems to respond to this (or any) of your post so I just thought I write a little something if it is cold out there... Hans PS: Or maybe you made everybody think so hard about what you wrote that they are still in the process of thinking out what the heck you are talking about Quote: >A recent post regarding TMD therapy suggested seeing a >dentist who has "been to Dawson or Pankey"...and I >couldn't agree more! >Although I'm not entirely familiar with Dr. Dawson's teachings, >I am with the Pankey concept. >Essentially, it is all good conceptual dentistry: >1) In the event of tense, hyperactive musculature, > relax the musculature. Only then can you > procede to #2... >2) Establish optimum jaw relationship. When you > can achieve a reproduceable and stable jaw > relationship, only then can you procede to > #3... >3) Restore the case >An NTI simply gets you through #1 and #2 quickly and easily, which >is usually the most difficult part. Once the patient is asymptomatic >and stable, restoration becomes a predicable excercise. There are >even situations where after #1 and #2, no restoration is required. >The real no-brainers is when there's no need for #1 and #2...no matter >what you do, it seems to perform just fine. >But for the most part, intitial treatment, stabilization and maintenance of >parafuncitional musculature with an NTI is the beginning of good dentistry, >not the end of it. >Just thought I throw that in here. >El Jimno~
Tue, 21 Aug 2001 03:00:00 GMT

Sandr #4 / 19	NTI: Beginning Tx, not ending Hi Hans; I would take the silence as a sign of agreement. The people in SMD seem to speak up loud and clear when they disgree with something.:-) Sandra Quote: >Hi El J~ >No one seems to respond to this (or any) of your post so I just thought I >write a little something if it is cold out there... >Hans >PS: Or maybe you made everybody think so hard about what you wrote that they >are still in the process of thinking out what the heck you are talking about >>A recent post regarding TMD therapy suggested seeing a >>dentist who has "been to Dawson or Pankey"...and I >>couldn't agree more! >>Although I'm not entirely familiar with Dr. Dawson's teachings, >>I am with the Pankey concept. >>Essentially, it is all good conceptual dentistry: >>1) In the event of tense, hyperactive musculature, >> relax the musculature. Only then can you >> procede to #2... >>2) Establish optimum jaw relationship. When you >> can achieve a reproduceable and stable jaw >> relationship, only then can you procede to >> #3... >>3) Restore the case >>An NTI simply gets you through #1 and #2 quickly and easily, which >>is usually the most difficult part. Once the patient is asymptomatic >>and stable, restoration becomes a predicable excercise. There are >>even situations where after #1 and #2, no restoration is required. >>The real no-brainers is when there's no need for #1 and #2...no matter >>what you do, it seems to perform just fine. >>But for the most part, intitial treatment, stabilization and maintenance of >>parafuncitional musculature with an NTI is the beginning of good dentistry, >>not the end of it. >>Just thought I throw that in here. >>El Jimno~
Tue, 21 Aug 2001 03:00:00 GMT

Bruce Cha #5 / 19	NTI: Beginning Tx, not ending Quote: >Hi Hans; >I would take the silence as a sign of agreement. The people in SMD seem to >speak up loud and clear when they disgree with something.:-) >Sandra I'm posting this on behalf of the Webby who wants the El Jimno~ to know that his little web angel is always watching over him. ****************************************************************************** How do people stand up to the nine-hundred pound gorillas of our society? The answer seems to always be the same: most people just cannot do it. A few will try and ultimately fail, and a few will ultimately take the gorilla down! We believe the TMJ Iatroepidemic population will take this Nine-Hundred Pound Gorilla all the way down! The dentists online did not like it that we appeared to have a gorilla bigger than theirs. Our friend saw what was happening as she watched those who seemed so comfortable looking the other way while their "colleagues" attempted to destroy our integrity and our efforts. To date, no more than a fistful of people online have been willing to stand in defense of us for our willingness to tackle this terrible crisis. It is possible that the Language of Silence by some was intended to be supportive, though we refuse to take much encouragement from mere acts of omission. Time will tell what the silence was all about. This image in {filter}space is just another reflection of the real world. For decades, only a few of the many who stood to gain financially from the unidentified TMJ Iatroepidemic have also stood in defense of the innocents who were harmed by the plague caused by organized dentistry and the plague that was allowed to exist by our United States government. They all know who they are, regardless of which side of the line they are found to be standing. Fortunately, some dentists-surgeons have switched sides over the years upon the realization that they had errored in their initial selection of sides for whatever reasons they had. It is never too late to make the change for what is morally and ethically in the interest of humanity. For all of those on or off line who have supported me or us over the years in this relentless pursuit of what is right... we thank you. You know who you are and you are the good people who do not require public recognition in order to do the right thing. The following was part of the email I sent to our friend today: ... All I can say is this: It's been an exhausting road to travel. It is impossible for me not to be humbled by the experiences of my life and all that has touched me along the way. And for that reason, I am deeply grateful for this almost bizarre life which is mine, as painful a thought as it may be. I've known for a long time that the journey over all these years was what allowed me to find the meaning of my life and, for that reason, I am at peace with the life which is mine. ************************************************************************ Regards, El Chango~
Wed, 22 Aug 2001 03:00:00 GMT

Hans Lennro #6 / 19	NTI: Beginning Tx, not ending Hi Sandra, Quote: >I would take the silence as a sign of agreement. The people in SMD >seem to speak up loud and clear when they disgree with something. I think some (most) readers don't understand what the heck he (Dr Boyd) is talking about. If they did they would not let the "Sounds of Silence" be their sign of agreement. What Dr Boyd says makes sense but it includes a shift of paradigm within dentistry. With that I mean a total re-evaluation of everything dentists as of today have been taught on the topic. In short: Dr Boyd says the role of occlusion is not the cause, it is the muscular hyperactivity. Some dentists would interviene by saying: Yes, but the hyperactivity is caused by something wrong in the occlusion. Boyd's answer would be: whatever that is wrong in occusion it wouldn't have any effect until the patienet starts occluding. And some patinents occlude on a perfect occlusion and still develops tmj + other symptoms similar to those with not perfect occlusion. Therefore the occlusion cannot be the cause. The NTI is a way to treat this condition BASED ON THE NEW CONCEPT on what causes the condition. So in short: the NTI device should not be introduced to any dentists who do not accept the concept of cause. Patients, however, they do not care why they get better as long as they do get well. Dentists do. An analogy to the fixed idas in dentistry would be; you would never get a pair of glasses until the cause of your impaired vision is treated .... no matter if the new glasses would help you or not. Hope this clarifies something of what the heck he is talking about. Bye for now, Hans Lennros DDS :-) Quote: >Sandra >>Hi El J~ >>No one seems to respond to this (or any) of your post so I just thought I >>write a little something if it is cold out there... >>Hans >>PS: Or maybe you made everybody think so hard about what you wrote that >they >>are still in the process of thinking out what the heck you are talking >about >>>A recent post regarding TMD therapy suggested seeing a >>>dentist who has "been to Dawson or Pankey"...and I >>>couldn't agree more! >>>Although I'm not entirely familiar with Dr. Dawson's teachings, >>>I am with the Pankey concept. >>>Essentially, it is all good conceptual dentistry: >>>1) In the event of tense, hyperactive musculature, >>> relax the musculature. Only then can you >>> procede to #2... >>>2) Establish optimum jaw relationship. When you >>> can achieve a reproduceable and stable jaw >>> relationship, only then can you procede to >>> #3... >>>3) Restore the case >>>An NTI simply gets you through #1 and #2 quickly and easily, which >>>is usually the most difficult part. Once the patient is asymptomatic >>>and stable, restoration becomes a predicable excercise. There are >>>even situations where after #1 and #2, no restoration is required. >>>The real no-brainers is when there's no need for #1 and #2...no matter >>>what you do, it seems to perform just fine. >>>But for the most part, intitial treatment, stabilization and maintenance >of >>>parafuncitional musculature with an NTI is the beginning of good >dentistry, >>>not the end of it. >>>Just thought I throw that in here. >>>El Jimno~
Thu, 23 Aug 2001 03:00:00 GMT

David DiBenedett #7 / 19	NTI: Beginning Tx, not ending Dear Hans, Quote: > In short: Dr Boyd says the role of occlusion is not the cause, it is the > muscular hyperactivity. A "bad" occlusion can be a problem for some people. Make fillings high or make the lingual cusps of upper molars very long on crowns and then tell me how the patient feels. I guarantee I can cause TMD problems for many people. Some dentists would interviene by saying: Yes, Quote: > but the hyperactivity is caused by something wrong in the occlusion. > Boyd's answer would be: whatever that is wrong in occusion it wouldn't > have any effect until the patienet starts occluding. And some patinents > occlude on a perfect occlusion and still develops tmj + other symptoms > similar to those with not perfect occlusion. Another question, how long does a bad occlusion take until it bothers someone? Also, how long after a car accident or severe trauma do problems appear? Or, how long does a bad knee take to go bad? Also, if a patient has balancing side interferences caused by 3rd molars, and then the 3rd molars are removed, could the patient have problems later along in life caused by the old interferences? Quote: > Therefore the occlusion cannot be the cause. > The NTI is a way to treat this condition BASED ON THE NEW CONCEPT > on what causes the condition. > So in short: the NTI device should not be introduced to any dentists who > do not accept the concept of cause. > Patients, however, they do not care why they get better as long as they do > get well. Dentists do. An analogy to the fixed idas in dentistry would be; > you would never get a pair of glasses until the cause of your impaired > vision is treated .... no matter if the new glasses would help you or not. > Hope this clarifies something of what the heck he is talking about. In January, I placed the NTI appliance in a 47 year old man with a very long history of migraines. I saw him in the last week of February, and I asked him if he still wears it, when he wears it, and how much does it help. His occlusion is good. First, he wears it all during the day when he is awake. He doesn't wear it at night. He says it helps relieve his headaches 10%. I asked him if it helps only 10%, why wear it? That 10% helps. There are many causes of headaches, migraines, TMD, and for me, placing an appliance before a physian's work up, would seem out of place. It reminds me of a patient who had undiagnosed lung cancer, and the physian called me and suggested the patient had "TMJ" problems. I told him I believed not and that he should do a complete work up. The patient died 4 months later. The patient was 48. Whether its implants, porcelain veneers,or NTI appliances, just because we can do them, doesn't mean everyone should get one. Sincerely, David - Hide quoted text - - Show quoted text - Quote: > :-) > >Sandra > >>Hi El J~ > >>No one seems to respond to this (or any) of your post so I just thought I > >>write a little something if it is cold out there... > >>Hans > >>PS: Or maybe you made everybody think so hard about what you wrote that > >they > >>are still in the process of thinking out what the heck you are talking > >about > >>>A recent post regarding TMD therapy suggested seeing a > >>>dentist who has "been to Dawson or Pankey"...and I > >>>couldn't agree more! > >>>Although I'm not entirely familiar with Dr. Dawson's teachings, > >>>I am with the Pankey concept. > >>>Essentially, it is all good conceptual dentistry: > >>>1) In the event of tense, hyperactive musculature, > >>> relax the musculature. Only then can you > >>> procede to #2... > >>>2) Establish optimum jaw relationship. When you > >>> can achieve a reproduceable and stable jaw > >>> relationship, only then can you procede to > >>> #3... > >>>3) Restore the case > >>>An NTI simply gets you through #1 and #2 quickly and easily, which > >>>is usually the most difficult part. Once the patient is asymptomatic > >>>and stable, restoration becomes a predicable excercise. There are > >>>even situations where after #1 and #2, no restoration is required. > >>>The real no-brainers is when there's no need for #1 and #2...no matter > >>>what you do, it seems to perform just fine. > >>>But for the most part, intitial treatment, stabilization and maintenance > >of > >>>parafuncitional musculature with an NTI is the beginning of good > >dentistry, > >>>not the end of it. > >>>Just thought I throw that in here. > >>>El Jimno~
Sat, 25 Aug 2001 03:00:00 GMT

James P. Boyd, DD #8 / 19	NTI: Beginning Tx, not ending Quote: > A "bad" occlusion can be a problem for some people. Make fillings high or > make the lingual cusps of upper molars very long on crowns and then tell me > how the patient feels. I guarantee I can cause TMD problems for many > people. But you don't know which ones... and that's the point... There are patients in every practice with high fillings, but since they have accomodated and don't complain, you don't figure that into your observation (because you haven't observed it). I agree totally that a high spot, etc, can result in TMD. But it's the parafunctional muscularture that generates the destructive force. Quote: > Another question, how long does a bad occlusion take until it bothers > someone? Never, unless they have intense occlud-ING... and if they do, it doesn't matter how "bad" their occlusal scheme is. Quote: > Also, how long after a car accident or severe trauma do problems appear? Sometimes never, sometimes right away, sometimes a week or so. It is usually a sympathetic protective tension reflex to trauma. Their pre-existing muscular tone dictates when/if symptoms result. Quote: > Also, if a patient has > balancing side interferences caused by 3rd molars, and then the 3rd molars > are removed, could the patient have problems later along in life caused by > the old interferences? Are you suggesting that, say, left joint damage caused by right 3rd molar interferences long after the 3rds are gone? If so, of course not. But then again, it was the left lateral pterygoid that had insisted in banging the 3rds together in the first place, thereby straining the joint. Lots of people have balancing side interferences without symptoms, but since their L.P. muscle doens't seem on insisting on pressing them together there's no problem. Quote: > In January, I placed the NTI appliance in a 47 year old man with a very > long history of migraines. I saw him in the last week of February, and I > asked him if he still wears it, when he wears it, and how much does it > help. His occlusion is good. > First, he wears it all during the day when he is awake. He doesn't wear it > at night. Then he is wasting his time. There is no parafunction during the day intense enough to cause anything. Only enough to irritate a pre-existing condition that is caused during sleep. Quote: > He says it helps relieve his headaches 10%. Figures. Quote: > I asked him if > it helps only 10%, why wear it? That 10% helps. Hey, Dave, how about having him wear it at night? Is there another problem, or did he not understand the protocol? Quote: > There are many causes of headaches, migraines, TMD, Actually, there are many unproven hyptheses... Quote: > and for me, placing an > appliance before a physian's work up, would seem out of place. In the last 4 years, I have treated over 1,200 headache and migraine patients. The average length of time they have suffered was 9 years. If a patient has been having headaches for less than six months (or even a year) without a work-up, by all means, get them to an M.D. But absolutely every patient I've seen is taking some kind of (or had been taking) pain med. or preventive med...so they've already seen an M.D. Quote: > Whether its implants, porcelain veneers,or NTI appliances, just because we > can do them, doesn't mean everyone should get one. What brought on that response? The only reason a patient would get an NTI is if they were symptomatic... every patient. Thanks, David, for keeping it lively. ;-) -El~ Quote: > Sincerely, David > > :-) > > >Sandra > > >>Hi El J~ > > >>No one seems to respond to this (or any) of your post so I just thought > I > > >>write a little something if it is cold out there... > > >>Hans > > >>PS: Or maybe you made everybody think so hard about what you wrote that > > >they > > >>are still in the process of thinking out what the heck you are talking > > >about > > >>>A recent post regarding TMD therapy suggested seeing a > > >>>dentist who has "been to Dawson or Pankey"...and I > > >>>couldn't agree more! > > >>>Although I'm not entirely familiar with Dr. Dawson's teachings, > > >>>I am with the Pankey concept. > > >>>Essentially, it is all good conceptual dentistry: > > >>>1) In the event of tense, hyperactive musculature, > > >>> relax the musculature. Only then can you > > >>> procede to #2... > > >>>2) Establish optimum jaw relationship. When you > > >>> can achieve a reproduceable and stable jaw > > >>> relationship, only then can you procede to > > >>> #3... > > >>>3) Restore the case > > >>>An NTI simply gets you through #1 and #2 quickly and easily, which > > >>>is usually the most difficult part. Once the patient is asymptomatic > > >>>and stable, restoration becomes a predicable excercise. There are > > >>>even situations where after #1 and #2, no restoration is required. > > >>>The real no-brainers is when there's no need for #1 and #2...no matter > > >>>what you do, it seems to perform just fine. > > >>>But for the most part, intitial treatment, stabilization and > maintenance > > >of > > >>>parafuncitional musculature with an NTI is the beginning of good > > >dentistry, > > >>>not the end of it. > > >>>Just thought I throw that in here. > > >>>El Jimno~
Sat, 25 Aug 2001 03:00:00 GMT

Bruce Cha #9 / 19	NTI: Beginning Tx, not ending Hey El J~, This is mail only.. I meant to send you that one but figured you would see it.. I was talking to the webby last nite about it and we both said the same thing you did, he's wasting his time and either the patient is non-compliant or the doctor don't get the protocol.. anyway glad you put it to him like he did, and BTW, that little story about the cancer patient, it didn't come from him, but we'll not let on that we know ok... El Chango~ On Tue, 09 Mar 1999 01:54:48 -0800, "James P. Boyd, DDS" Quote: >> A "bad" occlusion can be a problem for some people. Make fillings high or >> make the lingual cusps of upper molars very long on crowns and then tell me >> how the patient feels. I guarantee I can cause TMD problems for many >> people. >But you don't know which ones... >and that's the point... There are patients in every practice with high fillings, >but since they have accomodated and don't complain, you don't figure >that into your observation (because you haven't observed it). >I agree totally that a high spot, etc, can result in TMD. But it's the >parafunctional muscularture that generates the destructive force. >> Another question, how long does a bad occlusion take until it bothers >> someone? >Never, unless they have intense occlud-ING... and if they do, it doesn't >matter how "bad" their occlusal scheme is. >> Also, how long after a car accident or severe trauma do problems appear? >Sometimes never, sometimes right away, sometimes a week or so. It is usually >a sympathetic protective tension reflex to trauma. Their pre-existing >muscular tone dictates when/if symptoms result. >> Also, if a patient has >> balancing side interferences caused by 3rd molars, and then the 3rd molars >> are removed, could the patient have problems later along in life caused by >> the old interferences? >Are you suggesting that, say, left joint damage caused by right 3rd molar >interferences long after the 3rds are gone? If so, of course not. But then >again, it was the left lateral pterygoid that had insisted in banging the 3rds >together in the first place, thereby straining the joint. Lots of people have >balancing side interferences without symptoms, but since their L.P. muscle >doens't seem on insisting on pressing them together there's no problem. >> In January, I placed the NTI appliance in a 47 year old man with a very >> long history of migraines. I saw him in the last week of February, and I >> asked him if he still wears it, when he wears it, and how much does it >> help. His occlusion is good. >> First, he wears it all during the day when he is awake. He doesn't wear it >> at night. >Then he is wasting his time. There is no parafunction during the >day intense enough to cause anything. Only enough to irritate >a pre-existing condition that is caused during sleep. >> He says it helps relieve his headaches 10%. >Figures. >> I asked him if >> it helps only 10%, why wear it? That 10% helps. >Hey, Dave, how about having him wear it at night? >Is there another problem, or did he not understand the protocol? >> There are many causes of headaches, migraines, TMD, >Actually, there are many unproven hyptheses... >> and for me, placing an >> appliance before a physian's work up, would seem out of place. >In the last 4 years, I have treated over 1,200 headache and migraine patients. >The average length of time they have suffered was 9 years. >If a patient has been having headaches for less than six months (or even a >year) without a work-up, by all means, get them to an M.D. >But absolutely every patient I've seen is taking some kind of (or had >been taking) pain med. or preventive med...so they've already seen an M.D. >> Whether its implants, porcelain veneers,or NTI appliances, just because we >> can do them, doesn't mean everyone should get one. >What brought on that response? >The only reason a patient would get an NTI is if they were symptomatic... >every patient. >Thanks, David, for keeping it lively. ;-) >-El~ >> Sincerely, David >> > :-) >> > >Sandra >> > >>Hi El J~ >> > >>No one seems to respond to this (or any) of your post so I just thought >> I >> > >>write a little something if it is cold out there... >> > >>Hans >> > >>PS: Or maybe you made everybody think so hard about what you wrote that >> > >they >> > >>are still in the process of thinking out what the heck you are talking >> > >about >> > >>>A recent post regarding TMD therapy suggested seeing a >> > >>>dentist who has "been to Dawson or Pankey"...and I >> > >>>couldn't agree more! >> > >>>Although I'm not entirely familiar with Dr. Dawson's teachings, >> > >>>I am with the Pankey concept. >> > >>>Essentially, it is all good conceptual dentistry: >> > >>>1) In the event of tense, hyperactive musculature, >> > >>> relax the musculature. Only then can you >> > >>> procede to #2... >> > >>>2) Establish optimum jaw relationship. When you >> > >>> can achieve a reproduceable and stable jaw >> > >>> relationship, only then can you procede to >> > >>> #3... >> > >>>3) Restore the case >> > >>>An NTI simply gets you through #1 and #2 quickly and easily, which >> > >>>is usually the most difficult part. Once the patient is asymptomatic >> > >>>and stable, restoration becomes a predicable excercise. There are >> > >>>even situations where after #1 and #2, no restoration is required. >> > >>>The real no-brainers is when there's no need for #1 and #2...no matter >> > >>>what you do, it seems to perform just fine. >> > >>>But for the most part, intitial treatment, stabilization and >> maintenance >> > >of >> > >>>parafuncitional musculature with an NTI is the beginning of good >> > >dentistry, >> > >>>not the end of it. >> > >>>Just thought I throw that in here. >> > >>>El Jimno~
Sat, 25 Aug 2001 03:00:00 GMT

Hans Lennro #10 / 19	NTI: Beginning Tx, not ending Hi El J~~ Quote: >I agree totally that a high spot, etc, can result in TMD. But it's the >parafunctional muscularture that generates the destructive force. Interference -> TMD? or Interference -> parafunctional musculature -> destructive force -> TMD? Doesn't that mean that traditional anti-interference treatment (so called occlusal equilibration) is the treatment of choice.... Wheater it is, or not, I am a true believer that not many dentists can perform the equilibration and the NTI is a short-cut to freedom from symptoms - which is really what the patinets are looking for. Please agreee!!!!! ;-))) Hans
Sat, 25 Aug 2001 03:00:00 GMT

Hans Lennro #11 / 19	NTI: Beginning Tx, not ending Hi David, Quote: >I guarantee I can cause TMD problems for many people. I believe you. And many dentists do just that. The problem occurs when they have no knowledge of the fact that they can (and do). Quote: >Another question, how long does a bad occlusion take until >it bothers someone? Hours -> days -> weeks -> months -> years -> never Quote: >Also, if a patient has balancing side interferences caused by 3rd >molars, and then the 3rd molars are removed, could the patient >have problems later along in life caused by the old interferences? Yes, yes. The molars may be the initiation of habitual para/hyper- function. And then, when the patient seeks another (or even the former) dentist; what happens. The cause is gone, the conditions remains. If the dentist fail to recognise/diagnose that the dentist will think it is something else wrong with the poor patient. This is, IMHO, a common onset of a TMJ sufferer (i.e. a TMJ:er who doesn't get adequate help). Quote: >In January, I placed the NTI appliance in a 47 year old man with a >very long history of migraines.<snip> His occlusion is good. I have come to the understanding that migraine related tension headache (so called mixed migraine - which per se may cover most migraine cases) has nothing to do with the occlusion scheme but is more a total temoralis casue (will probably be machine gunned by Boyd...) Quote: >First, he wears it all during the day when he is awake. He doesn't >wear it at night. He says it helps relieve his headaches 10%. >I asked him if it helps only 10%, why wear it? That 10% helps. Sometimes it is great that patients have the right to decide about themselves ultimately and more than any professional .... Quote: >There are many causes of headaches, migraines, TMD, and for me, >placing an appliance before a physian's work up, would seem out >of place. I think that any skilled dentist can (or at leas should be able to) diagnose weather a condition is solely TMJ related or not. If this wasn't the case what about tooth-ache? May it be caused by a tumor close to the sensory nerves coming from the teeth in that area where the patinet has pain? Quote: >It reminds me of a patient who had undiagnosed lung cancer, and the >physian called me and suggested the patient had "TMJ" problems. That proves my statement! And you (the skilled dentist) told him you believed not and that he should do a complete work up. However, it was in this case appearently too late. Why? Had a more accurate and swift diagnose by the doctor prevented the death of the patienet 4 months later? Quote: >Whether its implants, porcelain veneers,or NTI appliances, just >because we can do them, doesn't mean everyone should get one. I can stand on my head. It doesn't mean I do that regularly either. (symbolic expression for not understanding your statement) Bye for now, Hans Lennros DDS
Sat, 25 Aug 2001 03:00:00 GMT

Sandr #12 / 19	NTI: Beginning Tx, not ending Hi Hans; Quote: >Hi El J~~ >>I agree totally that a high spot, etc, can result in TMD. But it's the >>parafunctional muscularture that generates the destructive force. >Interference -> TMD? or >Interference -> parafunctional musculature -> destructive force -> TMD? >Doesn't that mean that traditional anti-interference treatment (so called >occlusal equilibration) is the treatment of choice.... >Wheater it is, or not, I am a true believer that not many dentists can >perform the equilibration and the NTI is a short-cut to freedom from >symptoms - which is really what the patinets are looking for. >Please agreee!!!!! ;-))) >Hans Simply from a patients perspective, NTI would treat night time clenching where equilibration would only allow a person to clench more effectively simalar to those wonderful traditional splints that for me made things worse. Finding a doctor who knows about and understands the NTI is another story. Just my 2 cents worth. Sandra - Hide quoted text - - Show quoted text -
Sat, 25 Aug 2001 03:00:00 GMT

Hans Lennro #13 / 19	NTI: Beginning Tx, not ending Hi Sandra, Quote: >Simply from a patients perspective, NTI would treat night time >clenching where equilibration would only allow a person to clench >more effectively simalar to those wonderful traditional splints that >for me made things worse. Finding a doctor who knows about and >understands the NTI is another story. So far I am with you (only change the word 'treat' in above with 'prevent'). Hans
Sun, 26 Aug 2001 03:00:00 GMT

Bruce Cha #14 / 19	NTI: Beginning Tx, not ending Quote: >Hey El J~, >This is mail only.. Obviously this wasn't just e-mail, but they were my thoughts at the time and Webby was telling me to be nice. But now I'm gonna say what I was really thinking. I guess I just don't get what David is trying to say about this lung cancer/tmj situation. Quote: >There are many causes of headaches, migraines, TMD, >and for me, placing an appliance before a physian's work up, >would seem out of place. It reminds me of a patient who had >undiagnosed lung cancer, and the physian called me and >suggested the patient had "TMJ" problems. I told him I >believed not and that he should do a complete work up. >The patient died 4 months later. The patient was 48. I have read it and re-read it and I just don't understand. What kind of tmj are we talking about? Are we talking about some minor tmj problem(non-surgical) or are we talking about some serious tmj problem (surgical)? How about the patient with 15 or more surgeries? Are we going to call that TMJ too? Are we talking about treatable conditions affecting the tmj or untreatable ones? Why are we even talking about tmj if we don't even know what it is we're talking about? David you need to define what kind of tmj it is you're talking about if we are to even begin to understand what it is your trying to tell us. Bruce who just doesn't get it....
Sun, 26 Aug 2001 03:00:00 GMT

James P. Boyd, DD #15 / 19	NTI: Beginning Tx, not ending Quote: > Hi El J~~ > >I agree totally that a high spot, etc, can result in TMD. But it's the > >parafunctional muscularture that generates the destructive force. > Interference -> TMD? or > Interference -> parafunctional musculature -> destructive force -> TMD? > Doesn't that mean that traditional anti-interference treatment (so called > occlusal equilibration) is the treatment of choice.... > Wheater it is, or not, I am a true believer that not many dentists can > perform the equilibration and the NTI is a short-cut to freedom from > symptoms - which is really what the patinets are looking for. > Please agreee!!!!! ;-))) > Hans I am referring to an iatrogenically placed interferences. -Say someone is tolerating whatever parafunctinal activity they have. -Then, a "high" filling is placed. -The pattern of parafunction doesn't change, but the occlusal scheme has. -Vector forces could be re-directed to structures that weren't designed to absorb them...like articular discs. -So in this situation, the high spot "trigger" TMD signs and symptoms, and reducing the high spot seems to "cure" the TMD. But of course, if the underlying parafunction wasn't there, it wouldn't have mattered... -El Gotta-give-the-other-side-their-minor-"victories"-now-and-again-O~ ;-)
Sun, 26 Aug 2001 03:00:00 GMT

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