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TruDenta has been featured in numerous dental industry trade journals, including: COMPENDIUM, Dentistry Today, Dental Economics, Inside Dentistry, ORTHONDONTIC PRACTICE US, Dental Tribune, DentalTown, The Progressive Dentist and The Profitable Dentist.
Prevalence of pain in the orofacial regions in patients visiting general dentists in the Northwest Practice-based Research Collaborative in Evidence-based dentistry research network. Pain in the muscles and temporomandibular joints was reported as frequently as that in the teeth and surrounding tissues in patients visiting general dentists. Although the dental curriculum is concentrated on the diagnosis and management of pain and related conditions from teeth and surrounding tissues, it is imperative to include the training for other types of orofacial pain, particularly those from temporomandibular joint and musculoligamentous tissues.
By Ben Strauss, Nov. 9, 2015
The United States Soccer Federation unveiled a series of safety initiatives Monday aimed at addressing head injuries in the sport, including a policy that sets strict limits on youth players heading the ball. The new guidelines, which resolve a proposed class-action lawsuit filed against U.S. Soccer and others last year, will prohibit players age 10 and younger from heading the ball and will reduce headers in practice for those from age 11 to 13.
By Scott Stump, Today, November 10, 2015
The days of kids 10 years old or younger heading the ball in a soccer game or practice are over. In resolving a class-action lawsuit regarding the large number of concussions in the sport, the U.S. Soccer Federation has issued new guidelines either banning or limiting players heading the ball depending on their age. Children 10 years or under will no longer be allowed to head the ball in practice or games, while players ages 11 to 13 will only be allowed to do it during practice, not games.
By Allison DiMatteo, BA, MPS
Sheila Birth, DDS, had been practicing orthodontics for more than 25 years when she began longing to do more for her patients. Her four orthodontic practices (located in North Fort Worth, Southwest Fort Worth, Arlington, and Burleson, Texas) were thriving by serving a 75% pediatric and 25% adult patient mix, and her staff was well-trained and extremely efficient. Yet, she became increasingly interested in providing care to patients suffering from temporomandibular joint disorder (TMJ/D) and associated headaches. However, she felt unsure and uncomfortable with proceeding, particularly considering the level of difficulty such cases can present.
By Charles W. Martin, DDS
Among the most prevalent reasons that patients visit the dental office are treatment for toothaches, broken or chipped teeth, and bleeding gums. Patients also frequently visit dentists seeking relief from headaches, many of which could be the result of dentomandibular sensorimotor dysfunction, a disorder of the head and neck, temporomandibular joints (TMJ), jaw function, and dental forces. This dysfunction is the underlying cause of both symptomatic and asymptomatic conditions, which may include tooth wear, bruxism, repeatedly fracturing restorations, TMJ disorders, chronic headaches and migraines, and numerous other problems.1-3
By Sheila Birth, DDS, MS
Orthodontists are, by profession, specialists. We have chosen to narrow our scope of care to those patients requiring additional treatment to perfect their smiles. However, as I quickly learned, practicing a specialty does not limit our ability to provide life-changing care. Rather, broadening the application of relevant treatment technologies can prove beneficial to patients and practitioners as well.
by Dr. Sheila Birth
(NewsUSA) - Too often, chronic headaches, including migraines, are the result of anything from a simple fender bender to a more major motor vehicle accident. For many, relief is as close as their dentist's office -- even years later.
"We recently helped a 106-year-old patient who had suffered from decades of chronic headaches resulting from an auto accident in 1964. She had seen multiple specialists without relief. She has not had a single headache since her TruDenta care," reported Dr. Sheila Birth of Birth-Stewart-Fletcher Orthodontics, Ft. Worth, Texas.
By Robert L. Harrell, DDS
Dentomandibular sensorimotor dysfunction (DMSD) is associated with such conditions as chronic headaches, migraines, temporomandibular joint (TMJ) disorders, and numerous other symptoms. When no definitive pathology exists, more emphasis has been devoted to the masticatory muscles, soft tissues in the head and neck area, and altered central nervous system pain processing in the trigeminal area. Dentists are trained and expert in assessing and treating the anatomical areas affected by these conditions and can provide patients with dental headache care, pain resolution, and treatment of force related problems.
By Dr. Steffany Mohan
I was recently challenged to develop my success formula for achieving growth and ensuring that all of my team members are healthy, happy, and secure in their jobs, and that includes me. To explain to others my vision for the practice, my goals, and how we'll achieve them in 2013, I've identified five key things we do that have led to our success, and how I've applied these key things to my business plan for 2013 and '14. As you move further into 2013 and look ahead to next year, there are things that you can do to realize growth and prosperity.
By Ronald G. Ritsco, DMD, MS
A 51-year-old woman presented with the chief complaint of an uneven bite and pain in the right mandible and the side of her head, as ell as pain and pulsation distal to her right ear. After following the TruDenta diagnostic protocol, it was determined that the patient's dentomandibular sensorimotor dysfunction was caused by dental malocclusion related to loss of posterior teeth on her right side. It also was determined that she would benefit from TruDenta treatment in combination with a partial reconstruction of her lower left and right sides, using conventional and implant-supported crowns. The loss of posterior support resulted in an internal derangement of the right TMJ, compensated for years by excessive muscle contraction.
By Dr. Ronald Cohen
Dentomandibular sensorimotor dysfunction (DMSMD) is a frequently painful disorder of the head and neck, temporomandibular joints (TMJ), jaw function, and dental forces. It stems from misalignments in the physiology of the skull and mandible that result in problems with bite force, muscle movement, and/or balance of joints, leading patients to experience extreme amounts of force or improper/unbalanced dental forces.1,2
By Christian Yaste, DDS
In 2009, our growing cosmetic practice was dying. We were told it was the economy. Yes, the economy was a mess, and people were holding on to their money. But now what? This is the “comeback story” of how our practice recovered. I’ve synthesized the essence of what we did into suggestions that might benefit others who are facing the same challenges I did. As a disclaimer, I mention several different companies and people in this article, because they helped us along the way and are responsible for the success we enjoy today.
The TruDenta® System is a state-of-the-art, complete system for assessing, treating, and managing dynamic force imbalances in the mouth (Figure 1). It incorporates patented assessment and treatment technology and software, supplemented by extensive clinical training and ongoing practice implementation assistance.
By Shane Sykes, DMD
Within the past 10 years, increasing public awareness of the benefits of oral health and what today's dentistry can achieve has raised the profile of the profession from one of "drilling and filling" to one of "care and comprehensiveness."1 A more well-read and astute dental patient population recognizes that maintaining their oral health equates to better overall health. Concurrently, these individuals seek the advantageous and most often elective (i.e., pay out of pocket) dental treatments that enhance their lifestyle and self-esteem, such as whitening and veneers.2
By Robert L. Harrell, DDS
We’ve experienced professional growth, and I’ve expanded my practice in previously unimaginable ways, all by assessing and treating dental force related conditions and their symptoms, including headache/migraine pain. We’ve gained personal satisfaction by making a difference in people's lives, and my practice has witnessed increased financial growth. I truly believe dental headache care, and a headache clinic within a practice, is a model for success that my dental colleagues may want to consider.
By Louis Malcmacher, DDS, MAGD
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.
By Cheyanne Frank, DMRT
Looking to offer an exciting new way to do your job even more effectively and profitably while also providing your patients with care-focused pain relief? There are more than 80 million Americans suffering from symptoms that dentists and their teams can now treat. An innovative assessment and treatment system (TruDenta, Dental Resource Systems, Fort Lauderdale, FL www.DRSdoctor.com) is available that enables dental practices to offer patients an objective evaluation of muscle and force dysfunction, as well as pain management through physical rehabilitation of the musculoskeletal physiology.
If you asked physicians to name one of the most common afflictions from which Americans suffer, chances are they will say “headaches.” Chronic headaches are an overwhelming problem in the United States, with an average of 40 percent of Americans reporting chronic headache pain on a daily basis.1,2 While many people (in the general public and among the healthcare community) have traditionally assigned headaches and their respective care to the purview of physicians and specialists, it is becoming increasingly clear that dentists have a greater part to play in providing comprehensive pain relief.
LAURA GIBBS’ PAIN WAS INTENSE. Her temporomandibular joint disorder (TMJ/D) had left her barely able to carry out routine chores around the house. Some days, the pain kept her in bed all day. She feared that surgery would be the next step. Having worked as a dental hygienist, she had seen the many unwanted after-effects of surgery. When pain management seemed like her only other option, Gibbs became hopeless and depressed. “I asked God to just help me to live with this condition,” Gibbs recalled. “Then my prayers were answered.”Gibbs heard about a new treatment called TruDenta. “I didn’t want to get my hopes up, but it sounded good,” said Gibbs. “I HAD ABSOLUTELY NOTHING TO LOSE, AND I WAS DESPERATE.”
Morrison Migraine Center, Ira Goldstein, DDS, Robert Morrison, DMD, Jacob Hartley, DMD
Everyday people all around the world chew, grind, tear andwork their head and neck muscles as strenuously as athletes. The significant forces generated by clenching your jaws and grinding your teeth put the mouth and the masticatory system, (muscles, bones, and joints in the head and neck), under constant stress.
By Dr. Robert Harrell
Countless numbers of people suffer from headaches on a weekly or even daily basis. For many years, common headache treatments have overlooked the role that the mouth, jaws and bite alignment can play in triggering this type of pain. The misalignment of teeth, is a prominent contributor to headaches. When biting or chewing, the teeth exert tremendous pressure on their opposing counterparts. If the bite pattern is disturbed even slightly, this pressure can result in radiant pain throughout the head.
By Dr. Jodi Danna
When Jenna's 34th birthday rolled around, there was no feeling of celebration in the air. She had been in nonstop pain for more than four weeks resulting from neglected dental problems and, after being laid off for the second time in two years, there was no money left to see a dentist. Jenna was thankful that her three young daughters were safe and healthy, but prayed for an answer to her painful dilemma. Then, she saw a news story on television about a dental practice in Plano that was hosting a day of free dental care for the local community and she knew her prayers had been answered.
Don't see the link between the dentist's office and getting rid of persistent headaches? Anastasia Turchetta, RDH, connects the dots. For Anastasia Turchetta, RDH, everything in the dental practice begins with the patient's health history form. That includes the possibility of the dental practice being the place where a patient can finally rid themselves of migraine headaches. "It all begins with communication," Turchetta said. "We don't know what has been going on with the patient before he or she walks into the practice. And we won't know unless we ask. Until then, the patient doesn't even know what we as dentists and hygienists can do to help."
Dr. Cole Fortenberry Answers Your Questions
There are over 80 million Americans that suffer from chronic temporomandibular joint (TMJ) pain, chronic headaches, and migraines. Many of these conditions have dental force related imbalances that either cause or aggravate these issues. Patients suffering from these symptoms should not only see their physician, but should also consider seeing their dentist.
By Dr. Boyd Whitlock, III
Dr. Boyd Whitlock III felt his patients’ pain. Having worn orthodontic braces for years, he was totally dedicated to finding a way to improve their experiences while straightening their teeth with greater effectiveness. He sought an alternative to traditional therapy that often requires many office visits over extended treatment times. That’s when he introduced SureSmile, the state-of-the art digital orthodontic treatment system, to his two offices in Springdale and Fayetteville. Today, he is the only orthodontist in Arkansas to offer this innovative alternative to conventional treatment.
By Dr. Melina Cozby
When she first heard a Fox News report describing a medical breakthrough for headache and migraine relief offered only throught dentists – Dr. Melina Cozby of Forney Family Dentistry was skeptical. "I've suffered from chronic, daily headaches for as long as I can remember," she says. "It sounded too good to be true!"
By Sheila Birth, DDS, MS
It was in the summer before seventh grade that I visited an orthodontist for the first time. “Your teeth are perfectly straight,” the doc proclaimed while surveying my mouth. My bite, however, was rather wonky, which hinted at possible jaw problems down the road. Thus, the parental verdict was made: braces. I wore them pretty much without incident for nearly two years — as did lots of kids in my grade.
By Dr. Christian Yaste
During the past few months, a variety of dental publications – including The Profitable Dentist– have published articles about an assessment and treatment system called TruDenta (www.DRSdoctor.com). Introduced in 2011, this system includes objective digital assessment technologies, such as cervical range of motion devices (TruDenta ROM) and force analysis devices (TruDenta Scan), as well as therapeutic modalities such as low level laser, ultrasound, and micro-current stimulation.
By Dr. Robert L. Harrell
Dentistry is more sophisticated than it was years ago. New techniques are available for diagnosing and treating a multitude of oral health-related problems, from cavities to edentulism, and from periodontal disease to xerostomia. And, as the association between oral—particularly periodontal—and systemic diseases has become clearer in recent years, so too has the dentist’s importance in helping patients maintain their overall well being.
By Cheyanne Autumn LaRue Frank, DMRT
The statistics are eye-opening: The National Institutes of Health estimates that between 15 and 45 million Americans show some type of temporomandibular joint disorder (TMJD) issues; the National Headache Foundation declares that more than 45 million Americans experience recurring headaches, and of these about 28 million suffer from migraines. A recent survey estimates that almost 10 million Americans also suffer from tinnitus (ringing of the ears), and additional research suggests that dental force related problems may account for up to 80 percent of headaches.
By Jodi Danna, DDS, FAGD
TruDenta is an emerging technology that measures and treats the dynamic forces of the mouth (musculature, tendons, nerves, teeth, joints) and accurately pinpoints imbalances and/or improper forces to assisty in addressing conditions such as migraines/chronic headaches, TMD, malocclusion, and trauma (i.e. accident). Practitioners can now create comprehensive treatment plans using a variety of methods to relieve the discomfort and symptoms of many of these conditions.
By Charles W. Martin, DDS
Providing patients with the most comprehensive and modern treatments distinguishes progressive dentists from other practices and enables the entire dental team to derive personal satisfaction. Diagnosing and treating patients suffering from the ymptoms of dentomandibular sensorimotor dysfunction further differentiates innovative and complete-care dentists from thos who merely provide dental restorations. It also affords dentists and their practices with opportunities for enhanced profitability.
By Mark W. Montgomery, DDS
For far too long, the well understood anatomy and physiology of the head and neck has been only loosely associated with the dental treatment of patients. For many reasons, dentists have isolated the teeth and the pathology of dentition from the functional, dysfunctional, and parafunctional physiology that can cause wear, damage, fracture, abfractions, failure of restorations, and pain for their patients. These traumas and degenerations are but the signs and symptoms of an underlying problem. In the attempt to offer patients the opportunity for the best possible outcome, clinicians will be required to get to the foundational cause of these manifestations of disease, dysfunction, and, too often, despair.
By Allison M. DiMatteo, BA, MPS; and Terri Rafferty, BA, MA
"As Dentists, our expertise involves not only treating the teeth, gingival tissues, and oral cavity, but also caring for the muscles of the head, neck and jaw, as well as the nervous system of these areas," explains Charles W. Martin, DDS, a private practitioner in Richmond, Virginia, who diagnoses and treats patients with dentomandibular sensorimotor dysfunction. "The trigeminal nerve transmits pain impulses, as well as the majority of sensations originating from the head and neck region. Dentists know the sites where these impulses can be modified and arrested."
Jeff Thorfinnson, a dentomandibular rehabilitation therapist, uses ultrasound technology to break up scar tissue and deep adhesions as part of TruDenta, a therapy to relieve chronic headaches that Chris Langei of East Grand Forks, Minn., has after a serious car accident.
With Forward by Roger P. Levin, DDS
This book presents dentists and their team members with the scientific background, technology overview, and treatment implication of a complete system. The system accesses 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.
The time may be right to invest in that pricey business equipment or software you’ve been eyeing. In the 2013 tax year, the IRS Section 179 Tax Deduction—which applies to businesses that purchase, finance, and/or lease less than $2,000,000 in new or used business equipment—allows these businesses to deduct the full purchase price of qualifying equipment and/or software purchased, leased, or financed—up to a maximum of $500,000.
By Anthony Stefanou, DMD
The National Institute of Dental and Craniofacial Research (NIDCR) estimates that more than 10 million American suffer from TMJ disorders, but a recent report from the National Institutes of Health (NIH) suggests more staggering numbers: between 15 and 45 million patients have some form of TMJ issues. Additionally, according to the National Headache Foundation, more than 45 million American suffer from chronic recurring headaches and, of these, 28 million suffer from migraines. Alarmingly, 20% of children and adolescents suffer fom headaches as well. It is estimated that up to 80% or more of headache are caused by dental force related problems.
Local dentist, Dr. Robert Harrell, Adult Dentistry in Ballantyne, has been implementing the TruDenta system with such dramatic success that he has opened a separate practice, The Charlotte Headache Center, to focus exclusively on treating patients with headaches, migraines and TMJ dysfunction.
INSIDE DENTISTRY (ID): How do you define your approach to product integration and customer service?
John Harris (JH): Dental Resource Systems, Inc. (DRS) supplies complete equipment and training for identifying, assessing, and treating dental-force–related disorders. Imbalanced or improper dental forces often result in symptoms of chronic headaches, migraines, and temporomandibular joint dysfunction. To be truly complete, we have developed teaching modules and hands-on methods that are simple and have allowed hundreds of dentists and their team members to easily master our system through clinical workshops at major US dental schools. In fact, our system is designed for use first by the dentists to objectively assess dentomandibular sensorimotor dysfunction, then by the dental team to provide the rehabilitation therapy.
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