Nah, he's just another annoying narcissist.

On Sat, 26 Jul 2008 08:09:30 -0400, "Amatus Cremona"
<..com> wrote:

>This guy is scary
>
><borat->

Give 'em enough rope.....

;-)
Steve

wrote:

> Nah, he's just another annoying narcissist.
>
>

O

>

>

>

>

>

>

>

>
> What did the occupational change have to do with anything? Chances are,
> she did *not* need surgery on her TMJ/s in the first place. "Need" is a
> funny "thing". Personally, I'd be very interested in knowing the name
> of the "TMJ surgery" that she was told she needed about ten years ago
> (making it around 1997-1999).
>

When a patient told me she needed TMJ surgery 10 years, I left it at
that. She said she changed jobs because she talked too much. By
not talking so much, she was able to deal with her symptoms. Rest can
cure many orthopedic problems. She seems fine and did not complain
to me that she still needed it. I asked her if she had any problem
sleeping, or if she had pressure point problems and she said no. She
wears no dental appliance.

In my practice, I see very few people with joint problems, and to see
2 people in the same week is rare. Most TMJ PROBLEMS, and you can
call it whatever you wish, is due to occlusion, followed by
fibromyaglia, and then to faulty tmj anatomy. And if you have faulty
anatomy, when is surgery necessary? Are people who have
fibromyaglia being misdiagnosed as anatomy problems? What percent of
adults have faulty anatomy?

I do discuss this in my book, "Insider's guide to gum disease,
orthodontics, and dentistry. What is not taught in dental school. "
David DiBenedetto, DMD

Writing a book takes alot of time. Anybody who has written one will
tell you. It gives me a foundation for what I believe and then
others can say they disagree with parts of it. There are alot of
unanswered questions in the book.

> And the 29 yr old who "has TMJ" ... what is her real diagnosis?
>
> Webby

In article
<f1b1eca9-b740-4dd5-9e6f->,
wrote:

> O

>

>
> When a patient told me she needed TMJ surgery 10 years, I left it at
> that. She said she changed jobs because she talked too much. By
> not talking so much, she was able to deal with her symptoms. Rest can
> cure many orthopedic problems. She seems fine and did not complain
> to me that she still needed it. I asked her if she had any problem
> sleeping, or if she had pressure point problems and she said no. She
> wears no dental appliance.
>
> In my practice, I see very few people with joint problems, and to see
> 2 people in the same week is rare. Most TMJ PROBLEMS, and you can
> call it whatever you wish, is due to occlusion, followed by
> fibromyaglia, and then to faulty tmj anatomy. And if you have faulty
> anatomy, when is surgery necessary? Are people who have
> fibromyaglia being misdiagnosed as anatomy problems? What percent of
> adults have faulty anatomy?
>
> I do discuss this in my book, "Insider's guide to gum disease,
> orthodontics, and dentistry. What is not taught in dental school. "
> David DiBenedetto, DMD
>
> Writing a book takes alot of time. Anybody who has written one will
> tell you. It gives me a foundation for what I believe and then
> others can say they disagree with parts of it. There are alot of
> unanswered questions in the book.
>

In other words, her problem is not *inside* her joint ... otherwise,
you'd have a more definitive diagnosis, wouldn't you? No wonder
"medical insurance" thinks joint disease of the TMJ is *bogus*. Would
you *know* the real thing if it came into your office?

Webby

In article
<f1b1eca9-b740-4dd5-9e6f->,
wrote:

>
> When a patient told me she needed TMJ surgery 10 years, I left it at
> that. She said she changed jobs because she talked too much. By
> not talking so much, she was able to deal with her symptoms. Rest can
> cure many orthopedic problems. She seems fine and did not complain
> to me that she still needed it.

I would have a hard time *not* asking what "it" (the surgery) was, as in
*the name of the surgical procedure*, at the very least!! I'm glad she
doesn't think she still *needs* it ... whatever "it" was ...

There are people who for very limited reasons have need for surgery on
the TMJ. As I wrote before, that is where the *real* dilemma begins.
What do you do with patients who come to you with a history of TMJ
surgery and for whom their troubles permanent chronic and/or
progressively degenerative?

I'm sincerely hoping that you don't have any in your practice. But if
you do, who do you manage their needs?

Webby

On Jul 27, 8:11 pm, The Webby <tmjiatroepide...@cox.net> wrote:

> In article
> <f1b1eca9-b740-4dd5-9e6f-1ec2603dc...@25g2000hsx.googlegroups.com>,
>
> oralhea...@comcast.net wrote:
>

>
> I would have a hard time *not* asking what "it" (the surgery) was, as in
> *the name of the surgical procedure*, at the very least!! I'm glad she
> doesn't think she still *needs* it ... whatever "it" was ...
>
> There are people who for very limited reasons have need for surgery on
> the TMJ. As I wrote before, that is where the *real* dilemma begins.
> What do you do with patients who come to you with a history of TMJ
> surgery and for whom their troubles permanent chronic and/or
> progressively degenerative?
>
> I'm sincerely hoping that you don't have any in your practice. But if
> you do, who do you manage their needs?
>
> Webby

I have seen one patient in 28 years of practice who came to see me who
had surgery on one TMJ by an oral surgeon. I saw her 10 years after
the fact. From what I remember, she had constant ringing in her
ears. The surgery helped her but did not cure her. She had surgery
on on TMJ. I was surprised when I saw her that she had what I called
bad occlusion: balancing side function. I took it away and put her in
anterior guidance. It helped her a little bit. I lost seeing her
because of fee dispute. I would have liked to have followed her. She
also traveled a good distance to see me.

Most dentists don't see enough TMJ surgery results. Dentists don't
follow orthodontic results, and you think they are going to follow tmj
surgery results. Is there any review of the literature about your
surgery and the results?

I would probably send you to physcal and occupational therapists.
For pain problems, that is a sticky problem.

I've seen chronic pain with apicoectomies near the sinus, sinus
surgery, and third molar extractions. Patients who have amputations
may have chronic pain. Vit D therapy may lessen pain for some.

In article
<ec6e916e-021e-4c43-8d66->,
wrote:

> On Jul 27, 8:11 pm, The Webby <tmjiatroepide...@cox.net> wrote:

>
>
> I have seen one patient in 28 years of practice who came to see me who
> had surgery on one TMJ by an oral surgeon. I saw her 10 years after
> the fact. From what I remember, she had constant ringing in her
> ears. The surgery helped her but did not cure her. She had surgery
> on on TMJ. I was surprised when I saw her that she had what I called
> bad occlusion: balancing side function. I took it away and put her in
> anterior guidance. It helped her a little bit. I lost seeing her
> because of fee dispute. I would have liked to have followed her. She
> also traveled a good distance to see me.
>
> Most dentists don't see enough TMJ surgery results. Dentists don't
> follow orthodontic results, and you think they are going to follow tmj
> surgery results. Is there any review of the literature about your
> surgery and the results?

My surgery? Dare I ask which one? As for the last bilateral TMJ
surgery, *yes*, there is review literature about the surgery and the
results.

>
> I would probably send you to physcal and occupational therapists.
> For pain problems, that is a sticky problem.
>
> I've seen chronic pain with apicoectomies near the sinus, sinus
> surgery, and third molar extractions. Patients who have amputations
> may have chronic pain. Vit D therapy may lessen pain for some.

Webby

Wishful thinking ?

On Sun, 27 Jul 2008 08:18:45 -0500, Steven Fawks
<> wrote:

>
>Give 'em enough rope.....
>
>;-)
>Steve
>
> wrote:

ROFLMAO!

Steve


Most TMJ PROBLEMS, and you can

> call it whatever you wish, is due to occlusion, followed by
> fibromyaglia, and then to faulty tmj anatomy.

On Sun, 27 Jul 2008 16:34:01 -0700 (PDT),
wrote:

Nope, construct an NTI.

Send them to an drug impaired physician ?

Refer out what you don't know how to treat ?


David, you really don't have a clue.
Here's a hint quit now to avoid lawsuits later.


Gotta go, just ruined another keyboard.