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Dental Economics Magazine

Your $100 Million Advertising Campaign

Excerpts from Dental Economics, December 2013

By Louis Malcmacher, DDS, MAGD

Note: Dr. Malcmacher is one of the premier experts in utilizing Botox® for patient headaches. While this is one method of addressing headache symptoms, his general commentary on the need for dentists to diagnose and treat headaches is appropriate for all treatment approaches including TruDenta.

Some of you may be thinking, “But I am a dentist; I don’t treat headaches.” The answer to that is, “Yes you do. You’ve been treating headaches since the day you opened your dental practice.” You’ve been treating all sorts of facial pain, whether it’s a toothache, jaw aches, temporomandibular joint disorder, bruxism, occlusal dysfunction, and many other contributory and causal factors to headaches, especially migraines and temporomandibular disorders. Many patients with headaches and migraines have TMJ disorders and vice versa—they are all multifactorial and oftentimes interrelated.

Dentists are the single primary and frontline healthcare provider for any kind of facial pain, including all kinds of headaches. You will be amazed at what you can accomplish as a general dentist with what you already know, plus some additional training in proper diagnosis.

Why do you have questions about headahces and migraines on your medical history form? Let’s be honest—most of you see that the patient has checked it, yet you don’t even bring it up in conversation. Why would you ignore it when you, the dental professional, can and should be the frontline provider of myofascial pain treatment? It just takes a little bit of training and the skills you already have to treat patients in a systematic approach. This approach will help many of your patients find relief and will open up a whole new area of your practice.

Just Ask Your Patients

During the next week, ask all patients about their headaches and migraines and you will be amazed at the number of patients in your office who would welcome immediate treatment.

Yes, thousands of patients are now looking for health care professionals to get help with their facial pain. If your office has openings in your schedule, if you are looking to expand your office by offering more services, if you’re interested in really helping your patients, friends, and family find some real relief for their myofascial pain, then it’s time to get some training in frontline TMJ, headaches and facial pain treatment.

Note: Dr. Malcmacher is not compensated by TruDenta® and his opinions are his own.

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Assessment & Treatment
  • Assessment Process
  • Treatment Process
  • Only Dental Professionals
  • Assessing DMSD
  • Bite Force Analysis
  • Mandibular Range of Motion
  • Cervical Range of Motion

Only Dental Professionals

In many cases, only dental professionals can help the estimated 80 million Americans suffering from the painful symptoms caused by improper dental forces, called dentomandibular sensorimotor dysfunction (DMSD).

READ MORE "...it is imperative to include the training for orofacial pain, particularly those from temporomandibular joint and musculoligamentous tissues.” JADA Cover Story, 10/2015, Vol. 146, Issue 10, Pg. 721-728

Assessing DMSD

20% of your existing patients suffer from DMSD, as do 20% of all Americans. Your team members quickly assess patients for "red flags" (which indicate DMSD), utilizing TruDenta's patented technologies.

The National Institutes of Health estimate that over 80 million Americans suffer from one or more of the symptoms of DMSD, including:
• Chronic Headache
• Migraine
• Tinnitus
• TMJ/D
• Vertigo
READ MORE

Bite Force Analysis

TruDenta uses digital force measurement technology, powered by Tekscan®, for evaluating the amount of bite force that is present during closure, at closure, and while chewing. The technology is so advanced that it actually calculates the bite force and motion on a tooth-by-tooth basis. This digital exam literally shows a movie of the bite force in action revealing abnormal forces in the nerves, muscles and ligaments that are often the cause of symptoms.

Bite balance is also calculated to identify potential issues within the overall chewing system. READ MORE

Mandibular Range of Motion

A normal opening for an adult is 53 mm to 57 mm. Limited or restricted range of motion (less than 40 mm) is a reduction in an individual’s ability for normal range of movement. Along with opening movement, an individual should be able to slide their jaw to the left and to the right at least 25 percent of their total mouth opening in a symmetrical fashion.

When restricted movement exists, an imbalance in the system is present, and breakdown of the system is likely to occur. READ MORE

Cervical Range of Motion

The TruDentaROM is a system of hardware and software that digitally measures cervical range of motion (ROM) impairment based upon AMA guidelines. This directly affects the proprioceptive feedback system of the dental occlusion, TMJ, and the muscles of mastication.

ROM impairment is another “red flag” which assists doctors in accurately diagnosing symptoms that are often dental force related. This data enhances medical insurance collections and the collaboration with referring medical doctors. READ MORE

  • Doctor Chair Time
  • Therapeutic Ultrasound
  • Microcurrent Stimulation
  • Low-Level Cold Laser

Less Than One Hour Doctor Chair Time

A typical case requires less than one hour of doctor time in the diagnosis and minor occlusal adjustments during the rehabilitation period.

Treatments are performed by a trained team member once per week, in less than one hour. The most severe cases require 12 treatments. Therapies are spa-like, non-invasive and require no drugs or needles. Most patients report dramatic results after the very fist treatment. Note: The majority of patients utilize an orthotic only during the treatment period, up to a maximum of 12 weeks. READ MORE

Therapeutic Ultrasound

The goal of therapeutic ultrasound treatment is to return circulation to sore, strained muscles through increased blood flow and heat. Another goal is to break up scar tissue and deep adhesions through sound waves.

Therapeutic exposure to ultrasound reduces trigger point sensitivity and has been indicated as a useful clinical tool for managing myofacial pain. Additionally, ultrasound also has been shown to evoke antinociceptive effects on trigger points. READ MORE

Microcurrent Stimulation

Sub-threshold microcurrent stimula¬tion reduces muscle spasm and referral pain through low electrical signal. It also decreases lactic acid build-up and encourages healthy nerve stimulation. In particular, microcurrent electrotherapy has been shown to help increase mouth opening significantly.

• Reduces muscle spasm and referral pain through low electrical signal
• Decreases lactic acid build-up
• Encourages healthy nerve stimulation
• Increases mouth opening significantly
READ MORE

Low-Level Cold Laser

Low level laser/light therapy is one of the most widely used treatments in sports medicine to provide pain relief and rehabilitation of injuries. Over 200 randomized clinical trials have been published on low level laser therapy, half of which are on pain.

Low level laser/light therapy decreases pain and inflammation, accelerates healing of muscle and joint tissue 25 to 35 percent faster than without treatment, and reconnects neurological pathways of nerves to the brain stem, thereby inhibiting pain. READ MORE

Additional Content & Resources
Download this eBook on The Hidden Causes of Head Pain
DRSdoctor training
Download this eBook on The Hidden Causes of Head Pain
Download this eBook on The Hidden Causes of Head Pain
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