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By Mark W. Montgomery, DMD and Richard Amy, DC.
This book, Understanding, Assessing & Treating Dentomandibular Sensorimotor Dysfunction, presents dentists and their team members with the scientific background, technology overview, and treatment implications of a complete system. The system assesses and addresses destructive force related dental problems, including headache pain. Germane to this discussion is an understanding of the evolution and application of technology in dental practice, as well as the necessity for a growing knowledge base. This base is focused on the neurophysiology of dental forces and its effects on the oral environment and health.
Chapter 1 succinctly reviews our profession’s diagnostics and discoveries, as well as how they have contributed to dentistry’s expanding role in our patient’s health. It is that knowledge base that has broadened our understanding of the full impact of unbalanced or overloaded muscle forces, which are related to sensorimotor and somatosensory proprioceptive or nociceptive physiology. This is otherwise known as dentomandibular sensorimotor dysfunction. The role of this disorder, along with the spectrum of conditions and symptoms generally described by it, are thoroughly explained in Chapter 2.
In Chapter 3, readers begin to realize the role of dentistry in conservatively treating this disorder. The rationale for the development and use of the TruDenta system is detailed. Also, an outline of its systematic and objective assessment, monitoring, and therapeutic technology is provided. Chapter 4 reviews the manner in which the technology can be incorporated into dental practice to provide care for patients suffering with the symptoms of many types of dentomandibular sensorimotor dysfunction and force imbalances in the dental foundation.
In the book’s final chapter, Chapter 5, the significance of providing patients with comprehensive and modern treatments is reinforced. This provision is achieved by using properly integrated technology that is inherently objective, therapeutic, and conservative. Overall, the text provides essential information to help the entire dental team wisely incorporate the new technology. It also establishes a clinical and medical reference for the necessity of treating the physiological causes of force related dental problems by following an objective approach to assessment, as well as providing straightforward and conservative care.
In closing, today’s wonderful dental technologies can reinvigorate a dental practice with excitement and bring fresh perspectives to existing services. At a time when dentists and their team members are faced with simultaneously optimizing the potential of their practices and providing enhanced patient care, the right technological addition can also enable them to experience professional growth and personal satisfaction.
Patients search online for relief from the symptoms of force imbalance 297% more often than for all dental services combined!
TruDenta will add $100,000 to your practice in the first year. Some add more than $1,000,000 per year from TruDenta alone.
Elements of TruDenta are being used by orthodontists in every case start, adult and pedi, conventional braces and Invisalign.
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
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
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
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
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
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
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
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
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