Guest guest Posted July 6, 2004 Report Share Posted July 6, 2004 This is from a newsletter on tmj; snipped. One can sign up for the monthly newsletter at TMJPatient.com After signing up there is a lengthy questioneer; but one does not need to give out this personal info to receive the newsletter; unless one wants to of course. ------ .... 3 RULES OF TMJ TREATMENT Rule #1 - Take control of your own treatment. Rule #2 - Focus on reversible and non- invasive procedures. Go easy and keep it simple. Rule #3 - Obtain several independent opinions before agreeing to invasive and non-reversible procedures... Survey Results What are the top rated causes of TMJ. Survey results show the following: #1 - Clenching or grinding of the teeth #2 - Stress #3 - Trauma #4 - Occlusion #5 - Whiplash #6 - Orthodontics/Braces Q. What do stress, trauma, occlusion, whiplash and orthodontics have in common? A. Each can cause or increase teeth clenching and grinding (bruxing) resulting in TMJ symptoms. Stress, trauma, occlusion, whiplash, and orthodontics are all initiators of an elevated bruxing level. Both TMJ injury and/or bruxing may be responsible for initial TMJ symptoms. Once bruxism is started, bruxing perpetuate the TMJ symptoms and the associated pain. As pain increases, bruxing also increases, making the problem worse. A bruxing pain cycle develops perpetuating the TMJ problem. The pain cycle continues until external intervention acts to decrease the bruxing behavior... FACT: Many TMJ patients have been injured for life, through non-reversible procedures that were unnecessary and ineffective. FACT: Nightguards, splints, appliances do not control nighttime clenching and grinding habits... Two great tragedies have occurred in the treatment of TMJ. The first was the implant disaster. This disaster has been well documented and publicized. Unfortunately over 100,000 TMJ patients became victims before the problem was identified. For more information about TMJ implants: http://www.fda.gov/cdrh/consumer/tmjupdate.html http://cbc.ca/consumers/market/files/health/jawimpl.html http://www.priory.com/den/implant2.htm The second TMJ disaster has yet to be widely publicized. It is the pain and suffering caused by unnecessary and irreversible procedures that have been performed on TMJ patients. Everything from reconstruction to joint replacement. The number of TMJ patients affected has yet to be determined... " Obtain several independent opinions before agreeing to invasive and non-reversible procedures. " The key here is SEVERAL and INDEPENDENT. You will want to talk with at least 3 doctors/specialist before agreeing to invasive care. It will be both time and money well spent. The work they will perform will be irreversible in most cases. The second item is INDEPENDENT opinions. Go to someone other then who the first doctor recommends. Seek out unrelated and unaffiliated practitioners for independent evaluation and opinion... Patients who control bruxing before invasive care will have better results. Controlling bruxing will simplify, decrease or eliminate the need for invasive care. Bruxism control should be continued through invasive care and post recovery as directed by attending doctor. If a patient does NOT control clenching and grinding before invasive care, they will clench and grind after invasive care and retain symptoms being caused or perpetuated by bruxing. Bruxism can defeat required invasive care properly executed... TMJ implants failed in TMJ patients, because of bruxing. Product and material testing was originally performed in animals, specifically dogs. The testing that was performed should have provided adequate protection to the consumer. The FDA accepted the material and animal testing as substantial equivalence to other implants successfully being used. The error by both the primary researchers and the FDA was not considering, or underestimating: 1) the frequency of bruxism in the TMJ patient population, 2) the effects of bruxism on the TMJ implants, and 3) the force generated during bruxing. This same underestimation of the effects of bruxism continues today. TMJ patients are treated everyday without any thought to controlling bruxing. TMJ patients routinely receive unnecessary and inappropriate treatment. We will never know how many of the 100,000 implant victims could have avoided tragedy if they had controlled bruxism before and after surgery. Or how many could have avoided surgery altogether... Quote Link to comment Share on other sites More sharing options...
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