PATIENTS LIVING WITH TMJ DISORDERS, CHIROPRACTIC DISORDERS, HEADACHES AND MIGRAINES are alll suffering from the same underlying disorders. It is well recognized that it is impossible to achieve long term successful treatment without addressing both the dental, TMJ and Trigeminal components in conjunction with with the Chiropractic aspects of care.
Atlas Orthoganal Chiropractic or NUCCA chiropractic focus on the first two vertebrae. Both are excellent techniques but I usually prefer working with A/O chiropracters as they take a more universal approach to care. Many NUCCA chiropracters think that they can correct everything even though research at the prestegious Las Vegas Institue has shown that NUCCA adjustments DO NOT HOLD when the Neuromuscular Dental Occlusion is not corrected. A/o Chiropracters tend to be mor inclusive in care.
Atlas Orthoganal Chiropactic focuses on the first two vertebrae, the Atlas and the Axis. According to the website http://www.atlasorthogonality.com/index.htm the website of the Roy W Sweat Foundation:
"Atlas Orthogonal (SCALE—Stereotactic Cervical ALignment methods) is a spinal healthcare program developed by Dr. Roy Sweat in the late 1960’s based on scientific and biomechanical procedures. Dr. Sweat is considered by many to be one of the world’s foremost authorities on the cervical spine. After years of extensive research he developed a non-invasive, precision instrument to restore structural integrity from cervical vertebral malposition. The percussion instrument achieves postural restoration without manipulation or surgery. This precision treatment reduces cervical spine misalignment and its related symptomatology."
I work with two excellent A/O Chiropracters Dr Mark Freund in Lindenhurst and Dr David Menner in Lake Villa. I have also worked with severl NUCCA Chiropracters.
The connection between the Trigeminovascular system, the masticatory apparatus and the TM Joints was best described by a series ofg patients called "The Quadrant Theorem of Guzay" that describes how the actual center of rotation of the mandible (lower jaw) after accounting for both rotation and translation is on the Odontoid Process of the Axis found within the confines of the Atlas. The head rests on the Atlas on two fcets and it was named for Atlas in Greek Mythology who held the world on his shoulders.
Yoy can consider A/o Chiropracters and NUCCA Chiropracters as a herois Atlas managing the balance of the head on the top of the cervical column.
The neuromuscular Dentist is the navigator who assures that the head stays balanced so Atlas Axis stability is retained. The two treatments are intimately connected.
There are many other important areas of treatment in the body but these TOP Blocks are most important for anyone with Headaches, Migraines, TMJ, TMD, Spinal Problems, Tension-Type Headaches, SUNCY, Chronic Daily Headaches and non-infectious Sinus Pain and Sinus Headaches.
Additional information on Neuromuscular Dentistry is available at: http://www.sleepandhealth.com/neuromuscular-dentistry and at Dr Shapira's Delany Dental Care Ltd website at: http://www.delanydentalcare.com/neuromuscular.html
Saturday, April 9, 2011
Friday, April 8, 2011
NEUROMUSCULAR DENTISTRY: HOW DOES NEUROMUSCULAR DENTISTRY HELP PATIENTS WITH MIGRAINES, HEADACHES AND TMJ DISORDERS
The real beauty of Neuromuscular Dentistry in the treatment and prevention of headaches and TMJ disorders is the simplicity of treatment.
The aim of treatment is to
1. Relax the jaw muscles to their physiologic healthiest state
2. Correct the occlusion so that muscle will return to their healthiest state after function by establishing a healthy neuromuscular path of closure to a stable occlusal position.
3. Remove problems that prevent achievement of a healthy neuromuscular occlusion.
Neuromuscular Dentistry enables us to target treatment to a specific area of healthy neuromuscular function.
Please explore this site and other blog entries for specifics on how this is accomplished.
The aim of treatment is to
1. Relax the jaw muscles to their physiologic healthiest state
2. Correct the occlusion so that muscle will return to their healthiest state after function by establishing a healthy neuromuscular path of closure to a stable occlusal position.
3. Remove problems that prevent achievement of a healthy neuromuscular occlusion.
Neuromuscular Dentistry enables us to target treatment to a specific area of healthy neuromuscular function.
Please explore this site and other blog entries for specifics on how this is accomplished.
Thursday, April 7, 2011
Can Dentists Prevent Migraines? The Answer Is Yes According To New Research Out Of Germany.
The Journal of Neuroscience (J Neurosci. 2011 Feb 9;31(6):1937-43) recently published an article titled "Trigeminal nociceptive transmission in migraineurs predicts migraine attacks"
I have long advocated that the majority of Migraines and Tension-Type headaches are actually input-output errors. Nociceptive information entering the Trigeminovascular system are the pathology that triggers migraines and other headaches.
This study looked at fMRI or functional MRI studies of the brain.
They found that predicting migraine by trigeminal nociceptive activity could predict migraines.
Whers does most nociceptive trigeminal input arise?
In the Jaw Muscles, Muscle Spindles, Golgi Tendon Organs and periodontal ligaments of the teeth.
Neuromuscular Dentistry is very effective in eliminating and preventing migraines and muscular tension-type headaches. The majority of "sinus headaches" are actually referred muscle pain. The reason for the success of Neuromuscular Dentistry is the ability to eliminate nociceptive input.
Input/output errors are often described in computer lingo as Garbage In / Garbage Out.
The neurofeedback loops from periodontal ligaments , muscles, muscle spindles etc send nociceptive input (ie Garbage in) into the trigeminovascular system.
Migraines and other headaches are the "Garbage Out " part of the equation.
The article states that:
"Remarkably, the distance to the next headache attack was predictable by the height of the signal intensities in the spinal nuclei. Migraine patients scanned during the acute spontaneous migraine attack showed significantly lower signal intensities in the trigeminal nuclei compared with controls, demonstrating activity levels similar to interictal patients. Additionally we found-for the first time using fMRI-that migraineurs showed a significant increase in activation of dorsal parts of the pons, previously coined "migraine generator." Unlike the dorsal pons activation usually linked to migraine attacks, the gradient-like activity following nociceptive stimulation in the spinal trigeminal neurons likely reflects a raise in susceptibility of the brain to generate the next attack, as these areas increase their activity long before headache starts. This oscillating behavior may be a key player in the generation of migraine headache, whereas attack-specific pons activations are most likely a secondary event."
Another article in Neurology. 2011 Jan 18;76(3):206-7 states "Photophobia is an abnormal sensitivity to light experienced by migraineurs during attacks. The pathophysiology of photophobia is poorly understood. Nevertheless, 2 facts appear to have a link with photophobia: visual cortex hyperexcitability on the one hand and interactions between visual pathway and trigeminal nociception on the other."
The photophobia or sensitivity to light during a migraine attack is also due, in part to trigeminal nociception (Garbage in. The nociceptive input from the teeth,jaws, periodontal ligaments are the "garbage in" and the migraines and photophobia are the Garbage out".
Experimental studies on rats "J Neurosci. 2010 Oct 27;30(43):14420-9.
Changes of meningeal excitability mediated by corticotrigeminal networks: a link for the endogenous modulation of migraine pain." confirm the effect of trigeminanl nociception on meningeal migraines. The Trigeminovascular system is always paramount in migraine. The Trigeminal nerve controls the blood flow to the anterior 2/3 of the meninges of the brain.
Primary Stabbing Headaches are also trigeminally innervated as reported in"
J Headache Pain. 2011 Jan 6. [Epub ahead of print]
Incidence and influence on referral of primary stabbing headache in an outpatient headache clinic." The article states that "Primary stabbing headache (PSH) is a pain, as brief, sharp, jabbing stabs, predominantly felt in the first division of trigeminal nerve." The trigeminal nerve you will remember is the Dentist's nerve.
PubMed Abstract below:
J Neurosci. 2011 Feb 9;31(6):1937-43.
Trigeminal nociceptive transmission in migraineurs predicts migraine attacks.
Stankewitz A, Aderjan D, Eippert F, May A.
Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany.
Abstract
Several lines of evidence suggest a major role of the trigeminovascular system in the pathogenesis of migraine. Using functional magnetic resonance imaging (fMRI), we compared brain responses during trigeminal pain processing in migraine patients with those of healthy control subjects. The main finding is that the activity of the spinal trigeminal nuclei in response to nociceptive stimulation showed a cycling behavior over the migraine interval. Although interictal (i.e., outside of attack) migraine patients revealed lower activations in the spinal trigeminal nuclei compared with controls, preictal (i.e., shortly before attack) patients showed activity similar to controls, which demonstrates that the trigeminal activation level increases over the pain-free migraine interval. Remarkably, the distance to the next headache attack was predictable by the height of the signal intensities in the spinal nuclei. Migraine patients scanned during the acute spontaneous migraine attack showed significantly lower signal intensities in the trigeminal nuclei compared with controls, demonstrating activity levels similar to interictal patients. Additionally we found-for the first time using fMRI-that migraineurs showed a significant increase in activation of dorsal parts of the pons, previously coined "migraine generator." Unlike the dorsal pons activation usually linked to migraine attacks, the gradient-like activity following nociceptive stimulation in the spinal trigeminal neurons likely reflects a raise in susceptibility of the brain to generate the next attack, as these areas increase their activity long before headache starts. This oscillating behavior may be a key player in the generation of migraine headache, whereas attack-specific pons activations are most likely a secondary event.
PMID: 21307231 [PubMed - indexed for MEDLINE]
Neurology. 2011 Jan 18;76(3):213-8. Epub 2010 Dec 9.
A PET study of photophobia during spontaneous migraine attacks.
Denuelle M, Boulloche N, Payoux P, Fabre N, Trotter Y, Géraud G.
Service de Neurologie et Explorations Fonctionnelles du Système Nerveux, CHU Rangueil, Toulouse, France. denuelle.m@chu-toulouse.fr
Comment in:
* Neurology. 2011 Jan 18;76(3):206-7.
Abstract
BACKGROUND: Photophobia is an abnormal sensitivity to light experienced by migraineurs during attacks. The pathophysiology of photophobia is poorly understood. Nevertheless, 2 facts appear to have a link with photophobia: visual cortex hyperexcitability on the one hand and interactions between visual pathway and trigeminal nociception on the other.
METHODS: We used H(2)(15)O PET to study photophobia induced by continuous luminous stimulation covering the whole visual field in 8 migraineurs during spontaneous migraine attacks, after headache relief by sumatriptan and during attack-free interval. The intensity of the luminous stimulation provoking photophobia with subsequent headache enhancement was specifically determined for each patient.
RESULTS: We found that low luminous stimulation (median of 240 Cd/m(2)) activated the visual cortex during migraine attacks and after headache relief but not during the attack-free interval. The visual cortex activation was statistically stronger during migraine headache than after pain relief.
CONCLUSION: These findings suggest that ictal photophobia is linked with a visual cortex hyperexcitability. The mechanism of this cortical hyperexcitability could not be explained only by trigeminal nociception because it persisted after headache relief. We hypothesize that modulation of cortical excitability during migraine attack could be under brainstem nuclei control.
PMID: 21148120 [PubMed - indexed for MEDLINE]
J Neurosci. 2010 Oct 27;30(43):14420-9.
Changes of meningeal excitability mediated by corticotrigeminal networks: a link for the endogenous modulation of migraine pain.
Noseda R, Constandil L, Bourgeais L, Chalus M, Villanueva L.
Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, USA.
Abstract
Alterations in cortical excitability are implicated in the pathophysiology of migraine. However, the relationship between cortical spreading depression (CSD) and headache has not been fully elucidated. We aimed to identify the corticofugal networks that directly influence meningeal nociception in the brainstem trigeminocervical complex (Sp5C) of the rat. Cortical areas projecting to the brainstem were first identified by retrograde tracing from Sp5C areas that receive direct meningeal inputs. Anterograde tracers were then injected into these cortical areas to determine the precise pattern of descending axonal terminal fields in the Sp5C. Descending cortical projections to brainstem areas innervated by the ophthalmic branch of the trigeminal nerve originate contralaterally from insular (Ins) and primary somatosensory (S1) cortices and terminate in laminae I-II and III-V of the Sp5C, respectively. In another set of experiments, electrophysiological recordings were simultaneously performed in Ins, S1 or primary visual cortex (V1), and Sp5C neurons. KCl was microinjected into such cortical areas to test the effects of CSD on meningeal nociception. CSD initiated in Ins and S1 induced facilitation and inhibition of meningeal-evoked responses, respectively. CSD triggered in V1 affects differently Ins and S1 cortices, enhancing or inhibiting meningeal-evoked responses of Sp5C, without affecting cutaneous-evoked nociceptive responses. Our data suggest that "top-down" influences from lateralized areas within Ins and S1 selectively affect interoceptive (meningeal) over exteroceptive (cutaneous) nociceptive inputs onto Sp5C. Such corticofugal influences could contribute to the development of migraine pain in terms of both topographic localization and pain tuning during an attack.
J Headache Pain. 2011 Jan 6. [Epub ahead of print]
Incidence and influence on referral of primary stabbing headache in an outpatient headache clinic.
Guerrero AL, Herrero S, Peñas ML, Cortijo E, Rojo E, Mulero P, Fernández R.
Neurology Department, Hospital Clínico Universitario, Avda Ramón y Cajal 3, 47005, Valladolid, Spain, gueneurol@gmail.com.
Abstract
Primary stabbing headache (PSH) is a pain, as brief, sharp, jabbing stabs, predominantly felt in the first division of trigeminal nerve. Population studies have shown that PSH is a common headache. However, most people suffer attacks of low frequency or intensity and seldom seek for medical assistance. There are few clinic-based studies of PSH, and its real influence as a primary cause for referral to neurology outpatient offices is to be determined. We aim to investigate the burden of PSH as main complaint in an outpatient headache clinic. We reviewed all patients with PSH (ICHD-II criteria), attended in an outpatient headache clinic in a tertiary hospital during a 2.5-year period (January 2008-June 2010). We considered demographic and nosological characteristics and if PSH was main cause of submission. 36 patients (26 females, 10 males) out of 725 (5%) were diagnosed of PSH. Mean age at onset 34.1 ± 2.9 years (range 10-72). Mean time from onset to diagnosis 68.8 ± 18.3 months. Twenty-four patients fulfilled ICHD-II criteria for other headaches (14 migraine, 6 tension-type headache, 2 hemicrania continua, 1 primary cough headache and 1 primary exertional headache). 77.7% of patients were submitted from primary care. In 14 patients (39%), PSH was main reason for submission, its intensity or frequency in 5 (35.7%) and fear of malignancy in 9 (74.3%). Only two patients of those who associated other headaches were submitted due to PSH. In conclusion, PSH is not an uncommon diagnosis in an outpatient headache office. However, and according to our data, it is not usually the main cause of submission to a headache clinic.
PMID: 21210176 [PubMed - as supplied by publisher]
I have long advocated that the majority of Migraines and Tension-Type headaches are actually input-output errors. Nociceptive information entering the Trigeminovascular system are the pathology that triggers migraines and other headaches.
This study looked at fMRI or functional MRI studies of the brain.
They found that predicting migraine by trigeminal nociceptive activity could predict migraines.
Whers does most nociceptive trigeminal input arise?
In the Jaw Muscles, Muscle Spindles, Golgi Tendon Organs and periodontal ligaments of the teeth.
Neuromuscular Dentistry is very effective in eliminating and preventing migraines and muscular tension-type headaches. The majority of "sinus headaches" are actually referred muscle pain. The reason for the success of Neuromuscular Dentistry is the ability to eliminate nociceptive input.
Input/output errors are often described in computer lingo as Garbage In / Garbage Out.
The neurofeedback loops from periodontal ligaments , muscles, muscle spindles etc send nociceptive input (ie Garbage in) into the trigeminovascular system.
Migraines and other headaches are the "Garbage Out " part of the equation.
The article states that:
"Remarkably, the distance to the next headache attack was predictable by the height of the signal intensities in the spinal nuclei. Migraine patients scanned during the acute spontaneous migraine attack showed significantly lower signal intensities in the trigeminal nuclei compared with controls, demonstrating activity levels similar to interictal patients. Additionally we found-for the first time using fMRI-that migraineurs showed a significant increase in activation of dorsal parts of the pons, previously coined "migraine generator." Unlike the dorsal pons activation usually linked to migraine attacks, the gradient-like activity following nociceptive stimulation in the spinal trigeminal neurons likely reflects a raise in susceptibility of the brain to generate the next attack, as these areas increase their activity long before headache starts. This oscillating behavior may be a key player in the generation of migraine headache, whereas attack-specific pons activations are most likely a secondary event."
Another article in Neurology. 2011 Jan 18;76(3):206-7 states "Photophobia is an abnormal sensitivity to light experienced by migraineurs during attacks. The pathophysiology of photophobia is poorly understood. Nevertheless, 2 facts appear to have a link with photophobia: visual cortex hyperexcitability on the one hand and interactions between visual pathway and trigeminal nociception on the other."
The photophobia or sensitivity to light during a migraine attack is also due, in part to trigeminal nociception (Garbage in. The nociceptive input from the teeth,jaws, periodontal ligaments are the "garbage in" and the migraines and photophobia are the Garbage out".
Experimental studies on rats "J Neurosci. 2010 Oct 27;30(43):14420-9.
Changes of meningeal excitability mediated by corticotrigeminal networks: a link for the endogenous modulation of migraine pain." confirm the effect of trigeminanl nociception on meningeal migraines. The Trigeminovascular system is always paramount in migraine. The Trigeminal nerve controls the blood flow to the anterior 2/3 of the meninges of the brain.
Primary Stabbing Headaches are also trigeminally innervated as reported in"
J Headache Pain. 2011 Jan 6. [Epub ahead of print]
Incidence and influence on referral of primary stabbing headache in an outpatient headache clinic." The article states that "Primary stabbing headache (PSH) is a pain, as brief, sharp, jabbing stabs, predominantly felt in the first division of trigeminal nerve." The trigeminal nerve you will remember is the Dentist's nerve.
PubMed Abstract below:
J Neurosci. 2011 Feb 9;31(6):1937-43.
Trigeminal nociceptive transmission in migraineurs predicts migraine attacks.
Stankewitz A, Aderjan D, Eippert F, May A.
Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, D-20246 Hamburg, Germany.
Abstract
Several lines of evidence suggest a major role of the trigeminovascular system in the pathogenesis of migraine. Using functional magnetic resonance imaging (fMRI), we compared brain responses during trigeminal pain processing in migraine patients with those of healthy control subjects. The main finding is that the activity of the spinal trigeminal nuclei in response to nociceptive stimulation showed a cycling behavior over the migraine interval. Although interictal (i.e., outside of attack) migraine patients revealed lower activations in the spinal trigeminal nuclei compared with controls, preictal (i.e., shortly before attack) patients showed activity similar to controls, which demonstrates that the trigeminal activation level increases over the pain-free migraine interval. Remarkably, the distance to the next headache attack was predictable by the height of the signal intensities in the spinal nuclei. Migraine patients scanned during the acute spontaneous migraine attack showed significantly lower signal intensities in the trigeminal nuclei compared with controls, demonstrating activity levels similar to interictal patients. Additionally we found-for the first time using fMRI-that migraineurs showed a significant increase in activation of dorsal parts of the pons, previously coined "migraine generator." Unlike the dorsal pons activation usually linked to migraine attacks, the gradient-like activity following nociceptive stimulation in the spinal trigeminal neurons likely reflects a raise in susceptibility of the brain to generate the next attack, as these areas increase their activity long before headache starts. This oscillating behavior may be a key player in the generation of migraine headache, whereas attack-specific pons activations are most likely a secondary event.
PMID: 21307231 [PubMed - indexed for MEDLINE]
Neurology. 2011 Jan 18;76(3):213-8. Epub 2010 Dec 9.
A PET study of photophobia during spontaneous migraine attacks.
Denuelle M, Boulloche N, Payoux P, Fabre N, Trotter Y, Géraud G.
Service de Neurologie et Explorations Fonctionnelles du Système Nerveux, CHU Rangueil, Toulouse, France. denuelle.m@chu-toulouse.fr
Comment in:
* Neurology. 2011 Jan 18;76(3):206-7.
Abstract
BACKGROUND: Photophobia is an abnormal sensitivity to light experienced by migraineurs during attacks. The pathophysiology of photophobia is poorly understood. Nevertheless, 2 facts appear to have a link with photophobia: visual cortex hyperexcitability on the one hand and interactions between visual pathway and trigeminal nociception on the other.
METHODS: We used H(2)(15)O PET to study photophobia induced by continuous luminous stimulation covering the whole visual field in 8 migraineurs during spontaneous migraine attacks, after headache relief by sumatriptan and during attack-free interval. The intensity of the luminous stimulation provoking photophobia with subsequent headache enhancement was specifically determined for each patient.
RESULTS: We found that low luminous stimulation (median of 240 Cd/m(2)) activated the visual cortex during migraine attacks and after headache relief but not during the attack-free interval. The visual cortex activation was statistically stronger during migraine headache than after pain relief.
CONCLUSION: These findings suggest that ictal photophobia is linked with a visual cortex hyperexcitability. The mechanism of this cortical hyperexcitability could not be explained only by trigeminal nociception because it persisted after headache relief. We hypothesize that modulation of cortical excitability during migraine attack could be under brainstem nuclei control.
PMID: 21148120 [PubMed - indexed for MEDLINE]
J Neurosci. 2010 Oct 27;30(43):14420-9.
Changes of meningeal excitability mediated by corticotrigeminal networks: a link for the endogenous modulation of migraine pain.
Noseda R, Constandil L, Bourgeais L, Chalus M, Villanueva L.
Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, USA.
Abstract
Alterations in cortical excitability are implicated in the pathophysiology of migraine. However, the relationship between cortical spreading depression (CSD) and headache has not been fully elucidated. We aimed to identify the corticofugal networks that directly influence meningeal nociception in the brainstem trigeminocervical complex (Sp5C) of the rat. Cortical areas projecting to the brainstem were first identified by retrograde tracing from Sp5C areas that receive direct meningeal inputs. Anterograde tracers were then injected into these cortical areas to determine the precise pattern of descending axonal terminal fields in the Sp5C. Descending cortical projections to brainstem areas innervated by the ophthalmic branch of the trigeminal nerve originate contralaterally from insular (Ins) and primary somatosensory (S1) cortices and terminate in laminae I-II and III-V of the Sp5C, respectively. In another set of experiments, electrophysiological recordings were simultaneously performed in Ins, S1 or primary visual cortex (V1), and Sp5C neurons. KCl was microinjected into such cortical areas to test the effects of CSD on meningeal nociception. CSD initiated in Ins and S1 induced facilitation and inhibition of meningeal-evoked responses, respectively. CSD triggered in V1 affects differently Ins and S1 cortices, enhancing or inhibiting meningeal-evoked responses of Sp5C, without affecting cutaneous-evoked nociceptive responses. Our data suggest that "top-down" influences from lateralized areas within Ins and S1 selectively affect interoceptive (meningeal) over exteroceptive (cutaneous) nociceptive inputs onto Sp5C. Such corticofugal influences could contribute to the development of migraine pain in terms of both topographic localization and pain tuning during an attack.
J Headache Pain. 2011 Jan 6. [Epub ahead of print]
Incidence and influence on referral of primary stabbing headache in an outpatient headache clinic.
Guerrero AL, Herrero S, Peñas ML, Cortijo E, Rojo E, Mulero P, Fernández R.
Neurology Department, Hospital Clínico Universitario, Avda Ramón y Cajal 3, 47005, Valladolid, Spain, gueneurol@gmail.com.
Abstract
Primary stabbing headache (PSH) is a pain, as brief, sharp, jabbing stabs, predominantly felt in the first division of trigeminal nerve. Population studies have shown that PSH is a common headache. However, most people suffer attacks of low frequency or intensity and seldom seek for medical assistance. There are few clinic-based studies of PSH, and its real influence as a primary cause for referral to neurology outpatient offices is to be determined. We aim to investigate the burden of PSH as main complaint in an outpatient headache clinic. We reviewed all patients with PSH (ICHD-II criteria), attended in an outpatient headache clinic in a tertiary hospital during a 2.5-year period (January 2008-June 2010). We considered demographic and nosological characteristics and if PSH was main cause of submission. 36 patients (26 females, 10 males) out of 725 (5%) were diagnosed of PSH. Mean age at onset 34.1 ± 2.9 years (range 10-72). Mean time from onset to diagnosis 68.8 ± 18.3 months. Twenty-four patients fulfilled ICHD-II criteria for other headaches (14 migraine, 6 tension-type headache, 2 hemicrania continua, 1 primary cough headache and 1 primary exertional headache). 77.7% of patients were submitted from primary care. In 14 patients (39%), PSH was main reason for submission, its intensity or frequency in 5 (35.7%) and fear of malignancy in 9 (74.3%). Only two patients of those who associated other headaches were submitted due to PSH. In conclusion, PSH is not an uncommon diagnosis in an outpatient headache office. However, and according to our data, it is not usually the main cause of submission to a headache clinic.
PMID: 21210176 [PubMed - as supplied by publisher]
Sunday, April 3, 2011
HEADACHES AND MYOFASCIAL TRIGGER POINTS: HIGH POWER ULTRASOUND VS TRIGGER POINT INJECTIONS EQUIVILANT FOR TRAPEZIUS MUSCLE TPs
I have found that trigger point injections are extremely effective in reducing tension-type headaches and frequently can completely eliminate them when combined with a neuromuscular orthotic. This current study from the Archives of Physical Medicine and Rehabilitation shows high-power ultrasound as effective as trigger point injections in treating the Trapezius muscle.
The Trapezius muscle is a large easily treated muscle that can cause referred headache pain. Trigger point injections took less therapy sessions but there was equal effectiveness to both treatments. When treating headaches many of the muscles that cause tension-type headaches are not good candidates for high-power ultrasound. Treating headaches without medication usually requires elimination of muscle trigger points. Neuromuscular Dentistry uses Ultra-Low Frequency TENS to eliminate the underlying cause of Trigger Points and headaches. Trigger Point injections and and Spray and Stretch as described by Travell and Simons is extremely effective in eliminating and preventing re-occurence of trigger points that cause tension-type headaches.
This new study (see abstract below) shows that high-power ultrasound was as effective as trigger point injections when treating trapezius pain and reduction in motion. Treatment of headaches is usually much more effective with trigger point injections. Ultrasound is of little use in treating medial and lateral pterygoid muscles, TMJ oints, Temporalis Muscles, and supra and ifra hyoid muscles.
Tension-Type headaches and Myofascial trigger points are frequently triggers for Migraines.
The use of a diagnostic neuromuscular orthotic is a safe and effective method to evaluate patient's response to Neuromuscular Dentistry. I sometimes consider utilizing trigger point injections, spray and stretch techniques, SPG blocks and other treatment modalities as cheating. Neuromuscular dentistry is such a powerful tool but utilizing these other procedures can drastically enhance the therapeutic effect.
Arch Phys Med Rehabil. 2011 Apr;92(4):657-62.
Comparison of high-power pain threshold ultrasound therapy with local injection in the treatment of active myofascial trigger points of the upper trapezius muscle.
Unalan H, Majlesi J, Aydin FY, Palamar D.
Department of Physical Medicine and Rehabilitation, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Abstract
Unalan H, Majlesi J, Aydin FY, Palamar D. Comparison of high-power pain threshold ultrasound therapy with local ınjection in the treatment of active myofascial trigger points of the upper trapezius muscle.
OBJECTIVE: To compare the effects of high-power pain threshold ultrasound (HPPTUS) therapy and local anesthetic injection on pain and active cervical lateral bending in patients with active myofascial trigger points (MTrPs) of the upper trapezius muscle.
DESIGN: Randomized single-blinded controlled trial.
SETTING: Physical medicine and rehabilitation department of university hospital.
PARTICIPANTS: Subjects (N=49) who had active MTrPs of the upper trapezius muscle.
INTERVENTIONS: HPPTUS or trigger point injection (TrP).
MAIN OUTCOME MEASURES: Visual analog scale, range of motion (ROM) of the cervical spine, and total length of treatments.
RESULTS: All patients in both groups improved significantly in terms of pain and ROM, but there was no statistically significant difference between groups. Mean numbers of therapy sessions were 1 and 1.5 in the local injection and HPPTUS groups, respectively.
CONCLUSIONS: We failed to show differences between the HPPTUS technique and TrP injection in the treatment of active MTrPs of the upper trapezius muscle. The HPPTUS technique can be used as an effective alternative to TrP injection in the treatment of myofascial pain syndrome.
Copyright © 2011 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
PMID: 21440713 [PubMed - in process]
The Trapezius muscle is a large easily treated muscle that can cause referred headache pain. Trigger point injections took less therapy sessions but there was equal effectiveness to both treatments. When treating headaches many of the muscles that cause tension-type headaches are not good candidates for high-power ultrasound. Treating headaches without medication usually requires elimination of muscle trigger points. Neuromuscular Dentistry uses Ultra-Low Frequency TENS to eliminate the underlying cause of Trigger Points and headaches. Trigger Point injections and and Spray and Stretch as described by Travell and Simons is extremely effective in eliminating and preventing re-occurence of trigger points that cause tension-type headaches.
This new study (see abstract below) shows that high-power ultrasound was as effective as trigger point injections when treating trapezius pain and reduction in motion. Treatment of headaches is usually much more effective with trigger point injections. Ultrasound is of little use in treating medial and lateral pterygoid muscles, TMJ oints, Temporalis Muscles, and supra and ifra hyoid muscles.
Tension-Type headaches and Myofascial trigger points are frequently triggers for Migraines.
The use of a diagnostic neuromuscular orthotic is a safe and effective method to evaluate patient's response to Neuromuscular Dentistry. I sometimes consider utilizing trigger point injections, spray and stretch techniques, SPG blocks and other treatment modalities as cheating. Neuromuscular dentistry is such a powerful tool but utilizing these other procedures can drastically enhance the therapeutic effect.
Arch Phys Med Rehabil. 2011 Apr;92(4):657-62.
Comparison of high-power pain threshold ultrasound therapy with local injection in the treatment of active myofascial trigger points of the upper trapezius muscle.
Unalan H, Majlesi J, Aydin FY, Palamar D.
Department of Physical Medicine and Rehabilitation, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Abstract
Unalan H, Majlesi J, Aydin FY, Palamar D. Comparison of high-power pain threshold ultrasound therapy with local ınjection in the treatment of active myofascial trigger points of the upper trapezius muscle.
OBJECTIVE: To compare the effects of high-power pain threshold ultrasound (HPPTUS) therapy and local anesthetic injection on pain and active cervical lateral bending in patients with active myofascial trigger points (MTrPs) of the upper trapezius muscle.
DESIGN: Randomized single-blinded controlled trial.
SETTING: Physical medicine and rehabilitation department of university hospital.
PARTICIPANTS: Subjects (N=49) who had active MTrPs of the upper trapezius muscle.
INTERVENTIONS: HPPTUS or trigger point injection (TrP).
MAIN OUTCOME MEASURES: Visual analog scale, range of motion (ROM) of the cervical spine, and total length of treatments.
RESULTS: All patients in both groups improved significantly in terms of pain and ROM, but there was no statistically significant difference between groups. Mean numbers of therapy sessions were 1 and 1.5 in the local injection and HPPTUS groups, respectively.
CONCLUSIONS: We failed to show differences between the HPPTUS technique and TrP injection in the treatment of active MTrPs of the upper trapezius muscle. The HPPTUS technique can be used as an effective alternative to TrP injection in the treatment of myofascial pain syndrome.
Copyright © 2011 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
PMID: 21440713 [PubMed - in process]
Saturday, April 2, 2011
NEUROMUSCULAR DENTAL INSTITUTE: ANNOUNCING A NEW NEUROMUSCULAR DENTAL TRAINING INSTITUE IN CHICAGO AREA
NEUROMUSCULAR DENTAL INSTITUTE: ANNOUNCING A NEW NEUROMUSCULAR DENTAL TRAINING INSTITUTE IN CHICAGO AREA. TMJ patients in Chicago will benefit from the combined expertise of Neuromuscular Clinicians.
Treatment of Migraines, Chronic Daily Headache, TMJ, SUNCT, TMD, Tension Type Headaches, Facial Pain and Sleep Disorders
Treating patients with Migraines, Chronic Daily Headaches, Tension-Type Headache,TMJ, TMD, TMJ disorders, Fibromyalgia, Facial Pain has long been a major emphasis of my Gurnee practice, Delany Dental Care Ltd. NEUROMUSCULAR DENTAL INSTITUTE: ANNOUNCING A NEW NEUROMUSCULAR DENTAL TRAINING INSTITUTE IN CHICAGO AREA. TMJ patients in Chicago will benefit from the combined expertise of Neuromuscular Clinicians.
Treatment of Migraines, Chronic Daily Headache, TMJ, SUNCT, TMD, Tension Type Headaches, Facial Pain and Sleep Disorders
Treating patients with Migraines, Chronic Daily Headaches, Tension-Type Headache,TMJ, TMD, TMJ disorders, Fibromyalgia, Facial Pain has long been a major emphasis of my Gurnee practice, Delany Dental Care Ltd.
http://www.delanydentalcare.com/neuromuscular.html
http://www.ihateheadaches.org
http://www.ihatecpap.com
I am pleased to announce the opening of "THE INSTITUTE FOR THE STUDY NEUROMUSCULAR DENTISTRY". I have been treating patients utilizing Neuromuscular Dentistry Techniques for over 30 years after being trained by Dr Barney Jankelson the Father of Neuromuscular Dentistry, DR DAYTON KRAJAC, DR JIM GARRY, DR BARRY COOPER, DR ED DUNCAN, DR NORMAN THOMAS, DR BOB JANKELSON, DR HAROLD GELB, DR BRENDAN STACK, DR PETER NEFF are just a few of the Dental Greats I can thank for advanced training in treatng TMJ disorders over the last 34 years
I currently teach my two day sleep apnea course to small groups of dedicated dentists. I have found that true education is best in small group sessions and have limited my class size to 6 new doctors per course. (All doctors can take repeat sessions at future courses). I have given introduction to many facets of Neuromuscular Dentistry, Trigger Point Injections, Treatment of Myofascial pain during my courses. My Dental Sleep Medicine courses have always included lectures by Dr Alexander Golbin MD, PhD D,AASM and visits to the sleep lab at the Sleep and Behavioral Medicine Institute.
My exciting new development is that I have just talked to Dr Barry Cooper who has agreed to to join me and the Neuromuscular Dentistry Institute as an instructor. Dr Cooper currently teaches Neuromuscular Occlusion Workshop NOW® in New York. I have frequently referred my students to Dr Cooper as the best way to be introduced to the exciting field of Neuromuscular Dentistry. My partner Dr Mark Amidei and I are currently preparing to move into our new offices that will be better suited for educational purposes. Dr Amidei is one of the finest technical dentists who utilizes Neuromuscular Dentistry in creating exceptional cosmetic results.
Common Symptoms of Neuromuscular Dysfunction of the head and neck that can be alleviated or eliminated through Neuromuscular Dentistry include the following TMJ/TMD Symptoms:
Headaches
Migraines
Tension-type headaches
Sinus Pain and stuffiness
Facial Pain
Jaw Pain
Ear Pain
Pressure in the ears and sinuses
Clicking/Popping in Jaw Joints
Snoring
Sleep Apnea
Upper Airway Resistance Syndrome UARS or RERA's
Difficulty Chewing
Limited Mouth Opening
Uncomfortable bite
Changing bite
Tinnitus
Muffled Ears
Worn-down Teeth
Clenching/Bruxing
Neck Pain
Dizziness
Numbness in hands and arms
Myofascial Pain
Fibromyalgia
Swallowing problems
Equilibrium problems
Tics and Twitches of facial muscles
Dyskinesias
and numerous other symptoms
Dr Amidei and I have both trained at the Las Vegas Institute and the Neuromuscular Dental Institute will not be competing with LVI but rather will give doctors a jump start at achieving excellence in Neuromuscular Dentistry. We hope that many of our doctors will continue to seek out the advanced educational opportunities at the Las Vegas Institute. To understand how important I consider the addition of Dr Cooper to the Neuromuscular Dental Institute I am including his Curriculum Vitae below:
BARRY C. COOPER, DDS, First and most important Barry is a good friend and long term colleague who has been both a mentor and confidant. He is internationally recognized in the field of electronic measurements used in the treatment of TMJ / TMD, is a uniquely respected practitioner, author, researcher and educator. An innovator in the treatment of TMJ / TMD, Dr. Cooper has contributed to the knowledge and practice of dentistry as it enters a new era of advanced technology.
His accomplishments in the field of Neuromuscular Dentistry are unsurpassed including the following academic and professional appointments:
*Clinical Associate Professor, (1999-present), Department of Oral Biology & Pathology, School of Dental Medicine, SUNY, Stony Brook
*Clinical Associate Professor of Dentistry (1991-1994), Department of Prosthodontics, Temple University School of Dentistry
Associate Professor of Clinical Otolaryngology (1982-1994), Department of Otolaryngology, New York Medical College
Director, Center for Myofacial Pain/TMJ Therapy (1982-1993), Department of Otolaryngology, Head and Neck Surgery, New York Eye and Ear Infirmary
*Assistant Clinical Professor of Dentistry (1964-1970), Division of Stomatology, Columbia Univ. School of Dental & Oral Surgery
International President (1993-1999), International College of Cranio-Mandibular Orthopedics
Editorial Board of The Journal of Craniomandibular Practice (1993-96) (2000-03) (2007-present)
Co-chairman of the American Alliance of TMD Organizations (2000-4 )
Guest Consultant to U.S. FDA Dental Advisory Panel 1997
Medical Staff Appointment as Consultant: South Nassau Communities Hospital, Oceanside, NY
Medical Staff Appointment as Consultant: Manhattan Eye, Ear & Throat Hospital, New York, NY
Barry belongs to the follwing distinguished professional organizations:
American Dental Association
The New York State Dental Association
Nassau County & New York County Dental Societies
International College of Cranio-Mandibular Orthopedics
American Equilibration Society
American Academy of Pain Management
Alpha Omega Dental Fraternity
FELLOWSHIPS AND AWARDS
Fellow of the American College of Dentists (FACD)
Fellow of the International College of Dentists (FICD)
Fellow of the International College of Cranio-Mandibular Orthopedics
Mastership International College of Cranio-Mandibular Orthopedics
Diplomate of the American Academy of Pain Management
DR COOPER HAS BEEN A LIFELONG RESEARCHER AND HAS PUBLISHED THE FOLLOWING SCIENTIFIC PUBLICATIONS
Cooper, B. et al: Myofacial Pain Dysfunction: Analysis of 476 Patients. Laryngoscope: Oct 1986, 96:1099-1106. Presented at the Eastern Section of the American Laryngological, Rhinological and Otological Society, January 1986 (Phila., PA) American Equilibration Society Compendium 21:155-162, 1988
Cooper, B. and Rabuzzi, D.: Myofacial Pain Dysfunction Syndrome: A Clinical Study of Asymptomatic Subjects: Laryngoscope, 1984, 94(1). Presented at the Eastern Section Meeting of the American Laryngological, Rhinological, and Otological Society, January 1983 (New York, NY)
Cooper, B. and Mattucci, K.: Myofacial Pain Dysfunction: A Clinical Examination Procedure. International Surgery, 1985, 70:165-9.
Cooper, B.: Myofacial Pain Dysfunction: Cause, Clinical Appearance, Current Therapy. Primary ENT, Fall 1987 3(3):2-7. Reprinted in Compendium Vol 21, American Equilibration Society 1988, p.57-62
Cooper,B.: Craniomandibular Diseases. in Essentials of Otolaryngology, 3rd edition, eds. Lucente, F. and Sobel, S. New York, Raven Press 1993
Cooper, B. and Lucente F., eds. Management of Facial, Head and Neck Pain, Philadelphia: W.B.Saunders Company, April 1989
Cooper, B.C.: Craniomandibular Disorders, In: Cooper, B. and Lucente F., eds. Management of Facial, Head & Neck Pain, Phila.: W.B.Saunders Co., April 1989
Cooper, B.C.: Intraoral Pain, In: Cooper, B. and Lucente F., eds. Management of Facial, Head & Neck Pain, Philadelphia: W.B.Saunders Company, April 1989
Cooper, B.: Orofacial Development and Nasal Obstruction. in Otolaryngologic Clinics of North America (Nasal Obstruction issue), Kimmelman, C. ed., Philadelphia, W.B.Saunders Company, April 1989
Lunn,R., Cooper, B., Coy, R., et.al. White Paper of the Committee on Principles, Concepts and Procedures, Management of Craniomandibular Diseases. American Equilibration Society-Compendium, 20:177-237,1987
Cooper, B.: Guest Editorial. Journal of Craniomandibular Practice July 1988.
Cooper, B.: Myofacial Pain Dysfunction: A Case Report. Journal of Craniomandibular Practice 6: (4) 346-351, October 1988
Cooper, B.: Letter. Journal of Prosthetic Dentistry .61 (3):388-390, 1989
Cooper, B. and Cooper, D.: Multidisciplinary approach to the management of facial, head and neck pain. Presented at the Sixth Annual Convocation of the International College of Cranio-Mandibular Orthopedics, Florence, Italy April 1989. Pathophysiology of Head and Neck Musculoskeletal Disorders, Frontiers of Oral Physiology Volume 7, Bergamini,M. and Prayer Galletti, S. eds, Basil, Karger 1990, 76-82
Thomas, M. and Cooper, B.: Recognition of Craniomandibular Disorders. New York State Dental Journal 55(10)26-28, 1989
Cooper, B.: Neuromuscular Occlusion: Concept and Application. New York State Dental Journal 56:(4) 24-28, 1990
Cooper, B. and Cooper, D.: Electromyography of masticatory muscles in craniomandibular disorders. Presented at the American Laryngological, Rhinological and Otological Society, Palm Beach, FL, May 1990 Laryngoscope, 101:(2) 150-157, 1991.
Cooper, B. and Cooper D.: Multidisciplinary Approach to the Management of Facial Head and Neck Pain. The Journal of Prosthetic Dentistry 66(1). In Coy, R.E ed Anthology of Craniomandibular Orthopedics, Seattle, International College of Cranio-Manidibular Orthopedics, Vol.3.
Cooper, B.: Recognition and Management of Craniomandibular Disorders. in Otolaryngologic Clinics of North America (Otolaryngologic Office Evaluation and Management issue), Kimmelman, C.P. ed., Philadelphia, W.B.Saunders Company, 25(4) 867-887, August 1992
Cooper, B.: Electromyography of Masticatory Muscles in Craniomandibular Disorders. Presented at the 7th Convocation of the International College of Craniomandibular Orthopedics and the 5th Annual Congress of the Japan Association of Cranio-Mandibular Orthopedics, September 1991 (Osaka, Japan) in Coy, R.E ed Anthology of Craniomandibular Orthopedics, Seattle International College of Cranio-Mandibular Orthopedics, 2:127-144, 1992. In American Equilibration Society Compendium, 25: 70-77, Chicago, 1992
Cooper, B.C. Cooper, D.L.: Differentialdiagnostik bei Gesichts,- Kopf- und Nackenschmerzen. Philip Journal Vol 10 p337-344, July/August 1993 (in German)
Moses, A.J. & Cooper, B.C.: Understanding Temporomandibular Disorders and Whiplash. 2 part article CLAIMS July and September 1993
Cooper, B.C., Cooper, D.L.: Recognizing Otolaryngologic Symptoms in Patients with Temporomandibular Disorders. The Journal of Craniomandibular Practice: 11(4)260-267, October 1993. Presented at the 8th International Congress of the International College of Cranio-Mandibular Orthopedics. October 10, 1993 Banff, Alberta, Canada. In Coy, R.E ed Anthology of Craniomandibular Orthopedics, Seattle International College of Craniomandibular Orthopedics, Vol.3 , 1994
Cooper, B.C.: Objective Documentation of Post-Traumatic Craniomandibular (TMJ) Disorders. Trial Lawyers Quarterly, N.Y.State Trial Lawyers Institute., Vol.24, No.4 Summer 1994, p. 12-15
Cooper, B.C.: The Role of Bioelectronic Instruments in the Management of TMD. New York State Dental Journal, 61 (9) 48-53,November 1995
Cooper, B.C.: Who represents the TMD practitioner, Guest Editorial, The Journal of Craniomandibular Practice 14 (4) 251-253, 1996
Cooper, B.C.: Chronic Pain and Temporomandibular Disorders, in A Practical Approach to Pain Management, Lefkowitz, M. and Lebovits, A., eds. Little, Brown and Co. Boston, New York, Toronto, London, 1996, Chapter 28, 248-254.
Cooper, B.C.: Intraoral Pain, in A Practical Approach to Pain Management, Lefkowitz, M. and Lebovits, A., eds. Little, Brown and Co. Boston, New York, Toronto, London, 1996, Chapter 30, 259-264
Cooper, B.C. TMJ , in Lawyers' Guide to Medical Proof, Chapter 1106, Matthew Bender Publisher, October 1996
Cooper, B.C.: The Role of Bioelectronic Instrumentation in Documenting and Managing Temporomandibular Disorders. JADA 127 (11) 1611-1614, 1996
Cooper, B.C.: The Role of Bioelectronic Instrumentation in the Documentation and Management of Temporomandibular Disorders. Oral Surgery, Oral Pathology, Oral Medicine, Oral Radiology and Endodontics, Mosby- Yearbook, Inc. 83 (1) 91-100, 1997
Cooper, B.C.: Temporomandibular Disorders, Healthline, December 1997
Cooper, B.C.: The Role of Bioelectronic Instrumentation in the Management of TMD, Dentistry Today, 17 (7) 92-97, July 1998
Cooper, B.C.: Scientific Rationale for Biomedical Instrumentation. Neuromuscular Dentistry-The Next Millennium, Anthology V, D. Hickman,ed., The International College of Cranio-Mandibular Orthopedics, Seattle, WA 11-32, 1999
Cooper, B.C.: Temporomandibular Disorders Module, Otolaryngology National Resident Curriculum, Amer. Acad. of Otolaryngology, Head & Neck Surgery Foundation, November 2002, Revised 2007.
Cooper, B.C.: The Role of Bioelectronic Instruments in the Management of TMD. New York State Dental Journal, 61 (9) 48-53, November 1995
Cooper, B.C.: Parameters of an Optimal Physiological State of the Masticatory System: The Results of a Survey of Practitioners Using Computerized Measurement Devices. The Journal of Craniomandibular Practice, 22 (3), 220-233 July 2004
Cooper, B.C.: Dental Records Chapter, Medical Legal Aspects of Medical Records, Iyer Levin & Shea Editors, Lawyers & Judges Publishing Company, Fall 2005.
Cooper, B.C. and Kleinberg I.: Examination of a large patient population for presence of symptoms and signs of temporomandibular disorders. The Journal of Craniomandibular Practice 2007; 25 (2): 114-126.
Cooper, B.C. and Kleinberg I.: Establishment of a Temporomandibular Physiological State with Neuromuscular Orthosis Treatment Affects Reduction of TMD Symptoms in 313 Patients. . The Journal of Craniomandibular Practice April 2008; 26(2): 104-117
Cooper,B.C and Kleinberg, I: Relationship of Temporomandibular Disorders to Muscle Tension-Type Headaches and a Neuromuscular Orthosis Approach to Treatment, The Journal of Craniomandibular Practice, April 2009; 27 (2): 101-108
SCIENTIFIC PRESENTATIONS
Cooper, B. and Mattucci, K.: Myofacial Pain Dysfunction in Children and Adolescents. Presented at the Eastern Section Meeting of the American Laryngological, Rhinological, and Otological Society, January 1985 (Syraúcuse, NY).
Cooper, B C: Otolaryngologic Implications of Myofacial Pain Dysfunction. Presented at the 4th Convocation of the International College of Cranio-Mandibular Orthopedics 1985 (Kyoto, Japan)
Cooper, B C, et al: Recovering Lost Vertical Dimension of the Face Due to Occlusal Position. Presented at the Eastern Section of the American Academy of Facial Plastic and Reconstructive Surgery, January 1987 (Boston, Mass) and at the 5th Convocation of the International College of Craniomandibular Orthopedics, Honolulu, Hawaii, March 1987
Cooper, B C : Neuromuscular Concepts and the Utilization of Bioelectronics in Prosthetic Treatment. Presented at the 6th International Meeting of the College National D'Occlusodontologie March 1989 (Paris, France)
Cooper, B C: Orofacial Development and Nasal Obstruction. Presented to the Department of Otolaryngology of Mt. Sinai Medical College, New York, Dec. 1989
Cooper, B C: Neuromuscular Occlusion incorporated into everyday dental practice. Presented at the 66th Annual Greater New York Dental Meeting, Nov. 1990
Cooper, B., Cooper, D. and Lucente, F.: The importance of recognizing Myofacial Pain Dysfunction in the otolaryngologic population. Presented at the Meeting of the American Laryngological, Rhinological and Otologiúcal Society, February 2, 1991
Cooper, B C: The use of electronic data to determine Rest Position of the Mandible and the Neuromuscular Occlusal Position. Presented at the 7th Convocation of the International College of Craniomandibular Orthopedics & 5th Annual Congress of the Japan Assoc. of Cranio-Mandibular Orthopedics, Sept. 1991 (Osaka, Japan)
Cooper, B C: Neuromuscular Occlusion in Restorative Dentistry and the Treatment of Craniomandibular Disorders. Presented at the Graduate Prosthodontics Department of Temple University School of Dentistry, October 16, 1991
Cooper, B C: Neuromuscular Occlusion in Restorative Dentistry and the Treatment of Craniomandibular Disorders. Presented at the Second District Dental Society, Brooklyn, New York, October 25, 1991
Cooper, B C: Electromyography-Computerized Mandibular Scan-Sonography. Presented at the 9th Annual International Symposium on Clinical Management of Head, Facial Pain & TMJ Disorders. American Academy & Board of Head, Neck Facial Pain & TMJ Orthopedics. July 24, 1993 Anaheim, CA.
Cooper, B C & Duncan W E: Electronic Testing for TMJ Disorders. Presented at the Annual Conference of the American Academy of Pain Management. October 15, 1993 Knoxville, TN.
Cooper, B C: Neuromuscular Occlusion in Restorative Dentistry and in the Treatment of Temporomandibular Disorders. Presented at the Greater New York Dental Meeting. December 1, 1993 New York, NY
Cooper, B C: The Role of Electronic Measurement in the Documentation and Management of TMD. Presented at the International Workshop on TMDs and Related Pain Conditions. Sponsor: NIDR/NIH Baltimore, MD April 17-21, 1994
Cooper, B C: The Role of Electronic Instruments in the Management of Temporomandibular Disorders. Presented to the US Food and Drug Administration Dental Products Panel Hearing on "Muscle Monitoring Devices" October 13, 1994, Gaithersburg, MD
Cooper, B C: Otolaryngologic Symptoms in Patients with TMD and Their Treatment. Presented at the 40th Annual Meeting/Scientific Session of the American Equilibration Society, February 23, 1995, Chicago, Illinois.
Cooper, B C: Differential Diagnosis of Temporomandibular Disorders: Presented at the 40th Annual Meeting/Scientific Session of the American Equilibration Society, February 23, 1995, Chicago, Illinois.
Cooper, B C: Temporomandibular Disorders, Clinical Presentation, Cause and Current Therapy. Presented as a Grand Rounds Lecture, Department of Otolaryngology, Manhattan Eye, Ear & Throat Hospital, April 23, 1995, New York.
Cooper, B C: The Use of Bioelectronic Instrumentation in the Management of Temporomandibular Disorders (TMD) and Restorative Dentistry. Presented at the Greater Long Island Dental Meeting, April 27, 1995, Melville, New York.
Cooper, B C: The Use of Bioelectronic Instrumentation in the Management of Temporomandibular Disorders (TMD) and in Restorative Dentistry. Presented at the American Equilibration Society and Greek Prosthodontic Society Joint Satellite Program, July 1, 1995, Athens, Greece.
Cooper, B C: Otologic Symptoms in Patients with TMD and Their Treatment. Presented at the Ninth International Congress of The International College of Cranio-Mandibular Orthopedics, October 14, 1995, Toulouse, France.
Cooper, B C: Developing a TMD Treatment Protocol. Presented at the Ninth Annual Bernard Jankelson Memorial Forum of the International College of Cranio-Mandibular Orthopedics, November 18, 1995 Phoenix, Arizona.
Cooper, B C: The Use of Electronic Instrumentation in TMD Management. Presented at the Greater New York Dental Meeting. November 25, 1995, New York, NY
Cooper, B C: The Role of Bioelectronic Instrumentation in the Documentation and Management of Temporomandibular Disorders. Presented at the NIDR/NIH Technology Assessment Conference on the Management of Temporomandibular Disorders, National Institutes of Health, Bethesda, MD April 29, 1996
Cooper, B C :The ADA Seal Program for Measurement Devices used as diagnostic aids in TMD, Presented to ADA Council on Scientific Affairs, Chicago Sept. 19, 1996
Cooper, B C: Introduction of The ICCMO Protocol for the Management of Temporomandibular Disorders. Presentation at the 10th Annual Bernard Jankelson Forum of the American Section of the International College of Cranio-Mandibular Orthopedics, Arlington Va. October 18, 1996
Cooper, B C: Otolaryngologic Symptoms in a TMD Population, Neuromuscular Occlusion in Restorative Dentistry and in the management of TMD, The Role of bioelectronic instruments in the documentation and management of TMD, Presented as the Lectio Magistralis at the joint meeting of the Academia Italiana di Kinesiografia ed Elettromiografia Cranio Mandibolare & Italian section of The International College of Cranio-Mandibular Orthopedics, Alessandria, Italy. November 17, 1996
Cooper, B C: The Role of Neuromuscular Occlusion in the Treatment of Temporomandibular Disorders: Presented at the 42nd Annual Meeting/Scientific Session of the American Equilibration Society, Feb. 20, 1997, Chicago, Illinois
Cooper, B C: Neuromuscular Occlusion and Bioelectronic Instrumentation in the Treatment of Temporomandibular Disorders: Presented at the 10th International Congress of The International College of Cranio-Mandibular Orthopedics, Osaka, Japan April 13, 1997
Cooper, B C: Restoring the Compromised Dentition: Through Neuromuscular Occlusion, Presented at Cordent Trust Conference, London,England, June 6-7, 1997
Cooper, B C: The Role of Bioelectronic Measurement and Neuromuscular Occlusion in the Management of Temporomandibular Disorders: Presented at the Greater New York Dental Meeting, New York, NY, November 30, 1997.
Cooper, B C: Temporomandibular Disorders: Concepts and Current Management, Presented at the Department of Otolaryngology Manhattan Eye, Ear & Throat Hospital, New York, December 3, 1998. Presented at the Department of Otolaryngology SUNY Downstate College of Medicine, September 26, 2002.
Cooper, B C: Temporomandibular Disorders and Orofacial Pain: Clinical and Research Findings, Presented: Eastern Pain Assoc. Conference, NY, Dec.11, 1998
Cooper, B C: Temporomandibular Disorders and Electronic Instrumentation. Presented at the American College of Dentists Lecture Program Series at:
Columbia Univ. School of Dental & Oral Surgery, New York, February 10, 1999.
State University of NY, Stony Brook, School of Dental Medicine, March 25, 1999.
New York University School of Dentistry, April 14, 1999.
Cooper, B C: Neuromuscular Occlusion & Bioelectronic Instruments in TMD Management & in Restorative Dentistry. Greater NY Dental Meeting, Nov. 2000.
Cooper, B C: Integrating Neuromuscular Occlusion into a Dental Practice. 15th Annual Bernard Jankelson Forum of the American Section of the International College of CranioMandibular Orthopedics, Vancouver, BC, November 2, 2002.
Cooper, B C: Temporomandibular Disorders: Current Concepts and Management, Presented at the Department of Otolaryngology SUNY Downstate College of Medicine, July 8, 2004.
Cooper, B C: Temporomandibular Disorders: Cause, Clinical Presentation and Conservative Treatment. Presented at the Department of Otorhinolaryngology, New York Presbyterian Hospital, Weill Medical College of Cornell University, August 5, 2004.
Cooper, B C: Successful Integration of Neuromuscular Occlusion into the General Practice, Myotronics, Inc., 38th Anniversity Seminar, Seattle, WA, August 16, 2004.
Cooper, B C: Documenting Efficacy of Neuromuscular Dentistry, International College of Craniomandibular Orthopedics, 17th Annual Jankelson Memorial Lecture Forum, Newport Beach, CA, October 16, 2004.
Cooper, B C: Neuromuscular Occlusion in TMD and Restorative Dentistry, Greater New York Dental Meeting, New York, NY, November 30, 2004.
Cooper, B C,: Quantitive Valuation of TMD Patients from Basic Research to Clinical Application, Advances in Oral Physiopathology, University of Turin, Congresso Internazionale, Turin, Italy, December 11, 2004.
Cooper, B: Neuromuscular Occlusion in Restorative Dentistry & The Treatment of TMD. Presented at the Nassau County Dental Society, April 5, 2006
Cooper, B: Temporomandibular Disorders: Concepts and Current Management. Presented at the Department of Otolaryngology of New York Eye & Ear Infirmary, New York Medical College, April 19, 2006
Cooper, B C: Integrating Neuromuscular Occlusion into a Dental Practice. 18th Annual Bernard Jankelson Forum of the American Section of the International College of CranioMandibular Orthopedics, Orlando, FL, October 27, 2006.
Cooper, B C: Neuromuscular Occlusion in TMD and Restorative Dentistry. Greater New York Dental Meeting, New York, NY, November 26, 2006.
Cooper, B C: Neuromuscular Occlusion Workshop: Neuromuscular Dentistry TMJ/TMD & Restorative Dentistry. The Center for Occlusal Studies, Parkersburg, WV., March 8-10, 2007.
Cooper, B C: Neuromuscular Occlusion in TMD and Restorative Dentistry, AGD College Station, Texas, November 2, 2007.
Cooper, B C: Examination of a large patient population for presence of symptoms and signs considered to characterize temporomandibular disorders, and Integrating Neuromuscular Dentistry into a Dental Practice Change. 14th International Congress of The College of CranioMandibular Orthopedics, Vicenza, Italy, November 16-18, 2007.
Cooper, BC: Integrating Neuromuscular Dentistry (NMD) Into a Dental Practice. Myotronics 42nd Anniversary Seminar, Seattle, WA July 19,2008
Cooper, B.C: Introduction to Neuromuscular Dentistry. Presentation at the 20th Annual Bernard Jankelson Memorial Forum of the American Section of the International College of Cranio-Mandibular Orthopedics, Denver, CO September 25, 2008
Cooper,B.C: Temporomandibular Disorders, Grand Rounds Lecture Department of Family Practice, South Nassau Communities Hospital, Oceanside, NY, December 19, 2008
Treatment of Migraines, Chronic Daily Headache, TMJ, SUNCT, TMD, Tension Type Headaches, Facial Pain and Sleep Disorders
Treating patients with Migraines, Chronic Daily Headaches, Tension-Type Headache,TMJ, TMD, TMJ disorders, Fibromyalgia, Facial Pain has long been a major emphasis of my Gurnee practice, Delany Dental Care Ltd. NEUROMUSCULAR DENTAL INSTITUTE: ANNOUNCING A NEW NEUROMUSCULAR DENTAL TRAINING INSTITUTE IN CHICAGO AREA. TMJ patients in Chicago will benefit from the combined expertise of Neuromuscular Clinicians.
Treatment of Migraines, Chronic Daily Headache, TMJ, SUNCT, TMD, Tension Type Headaches, Facial Pain and Sleep Disorders
Treating patients with Migraines, Chronic Daily Headaches, Tension-Type Headache,TMJ, TMD, TMJ disorders, Fibromyalgia, Facial Pain has long been a major emphasis of my Gurnee practice, Delany Dental Care Ltd.
http://www.delanydentalcare.com/neuromuscular.html
http://www.ihateheadaches.org
http://www.ihatecpap.com
I am pleased to announce the opening of "THE INSTITUTE FOR THE STUDY NEUROMUSCULAR DENTISTRY". I have been treating patients utilizing Neuromuscular Dentistry Techniques for over 30 years after being trained by Dr Barney Jankelson the Father of Neuromuscular Dentistry, DR DAYTON KRAJAC, DR JIM GARRY, DR BARRY COOPER, DR ED DUNCAN, DR NORMAN THOMAS, DR BOB JANKELSON, DR HAROLD GELB, DR BRENDAN STACK, DR PETER NEFF are just a few of the Dental Greats I can thank for advanced training in treatng TMJ disorders over the last 34 years
I currently teach my two day sleep apnea course to small groups of dedicated dentists. I have found that true education is best in small group sessions and have limited my class size to 6 new doctors per course. (All doctors can take repeat sessions at future courses). I have given introduction to many facets of Neuromuscular Dentistry, Trigger Point Injections, Treatment of Myofascial pain during my courses. My Dental Sleep Medicine courses have always included lectures by Dr Alexander Golbin MD, PhD D,AASM and visits to the sleep lab at the Sleep and Behavioral Medicine Institute.
My exciting new development is that I have just talked to Dr Barry Cooper who has agreed to to join me and the Neuromuscular Dentistry Institute as an instructor. Dr Cooper currently teaches Neuromuscular Occlusion Workshop NOW® in New York. I have frequently referred my students to Dr Cooper as the best way to be introduced to the exciting field of Neuromuscular Dentistry. My partner Dr Mark Amidei and I are currently preparing to move into our new offices that will be better suited for educational purposes. Dr Amidei is one of the finest technical dentists who utilizes Neuromuscular Dentistry in creating exceptional cosmetic results.
Common Symptoms of Neuromuscular Dysfunction of the head and neck that can be alleviated or eliminated through Neuromuscular Dentistry include the following TMJ/TMD Symptoms:
Headaches
Migraines
Tension-type headaches
Sinus Pain and stuffiness
Facial Pain
Jaw Pain
Ear Pain
Pressure in the ears and sinuses
Clicking/Popping in Jaw Joints
Snoring
Sleep Apnea
Upper Airway Resistance Syndrome UARS or RERA's
Difficulty Chewing
Limited Mouth Opening
Uncomfortable bite
Changing bite
Tinnitus
Muffled Ears
Worn-down Teeth
Clenching/Bruxing
Neck Pain
Dizziness
Numbness in hands and arms
Myofascial Pain
Fibromyalgia
Swallowing problems
Equilibrium problems
Tics and Twitches of facial muscles
Dyskinesias
and numerous other symptoms
Dr Amidei and I have both trained at the Las Vegas Institute and the Neuromuscular Dental Institute will not be competing with LVI but rather will give doctors a jump start at achieving excellence in Neuromuscular Dentistry. We hope that many of our doctors will continue to seek out the advanced educational opportunities at the Las Vegas Institute. To understand how important I consider the addition of Dr Cooper to the Neuromuscular Dental Institute I am including his Curriculum Vitae below:
BARRY C. COOPER, DDS, First and most important Barry is a good friend and long term colleague who has been both a mentor and confidant. He is internationally recognized in the field of electronic measurements used in the treatment of TMJ / TMD, is a uniquely respected practitioner, author, researcher and educator. An innovator in the treatment of TMJ / TMD, Dr. Cooper has contributed to the knowledge and practice of dentistry as it enters a new era of advanced technology.
His accomplishments in the field of Neuromuscular Dentistry are unsurpassed including the following academic and professional appointments:
*Clinical Associate Professor, (1999-present), Department of Oral Biology & Pathology, School of Dental Medicine, SUNY, Stony Brook
*Clinical Associate Professor of Dentistry (1991-1994), Department of Prosthodontics, Temple University School of Dentistry
Associate Professor of Clinical Otolaryngology (1982-1994), Department of Otolaryngology, New York Medical College
Director, Center for Myofacial Pain/TMJ Therapy (1982-1993), Department of Otolaryngology, Head and Neck Surgery, New York Eye and Ear Infirmary
*Assistant Clinical Professor of Dentistry (1964-1970), Division of Stomatology, Columbia Univ. School of Dental & Oral Surgery
International President (1993-1999), International College of Cranio-Mandibular Orthopedics
Editorial Board of The Journal of Craniomandibular Practice (1993-96) (2000-03) (2007-present)
Co-chairman of the American Alliance of TMD Organizations (2000-4 )
Guest Consultant to U.S. FDA Dental Advisory Panel 1997
Medical Staff Appointment as Consultant: South Nassau Communities Hospital, Oceanside, NY
Medical Staff Appointment as Consultant: Manhattan Eye, Ear & Throat Hospital, New York, NY
Barry belongs to the follwing distinguished professional organizations:
American Dental Association
The New York State Dental Association
Nassau County & New York County Dental Societies
International College of Cranio-Mandibular Orthopedics
American Equilibration Society
American Academy of Pain Management
Alpha Omega Dental Fraternity
FELLOWSHIPS AND AWARDS
Fellow of the American College of Dentists (FACD)
Fellow of the International College of Dentists (FICD)
Fellow of the International College of Cranio-Mandibular Orthopedics
Mastership International College of Cranio-Mandibular Orthopedics
Diplomate of the American Academy of Pain Management
DR COOPER HAS BEEN A LIFELONG RESEARCHER AND HAS PUBLISHED THE FOLLOWING SCIENTIFIC PUBLICATIONS
Cooper, B. et al: Myofacial Pain Dysfunction: Analysis of 476 Patients. Laryngoscope: Oct 1986, 96:1099-1106. Presented at the Eastern Section of the American Laryngological, Rhinological and Otological Society, January 1986 (Phila., PA) American Equilibration Society Compendium 21:155-162, 1988
Cooper, B. and Rabuzzi, D.: Myofacial Pain Dysfunction Syndrome: A Clinical Study of Asymptomatic Subjects: Laryngoscope, 1984, 94(1). Presented at the Eastern Section Meeting of the American Laryngological, Rhinological, and Otological Society, January 1983 (New York, NY)
Cooper, B. and Mattucci, K.: Myofacial Pain Dysfunction: A Clinical Examination Procedure. International Surgery, 1985, 70:165-9.
Cooper, B.: Myofacial Pain Dysfunction: Cause, Clinical Appearance, Current Therapy. Primary ENT, Fall 1987 3(3):2-7. Reprinted in Compendium Vol 21, American Equilibration Society 1988, p.57-62
Cooper,B.: Craniomandibular Diseases. in Essentials of Otolaryngology, 3rd edition, eds. Lucente, F. and Sobel, S. New York, Raven Press 1993
Cooper, B. and Lucente F., eds. Management of Facial, Head and Neck Pain, Philadelphia: W.B.Saunders Company, April 1989
Cooper, B.C.: Craniomandibular Disorders, In: Cooper, B. and Lucente F., eds. Management of Facial, Head & Neck Pain, Phila.: W.B.Saunders Co., April 1989
Cooper, B.C.: Intraoral Pain, In: Cooper, B. and Lucente F., eds. Management of Facial, Head & Neck Pain, Philadelphia: W.B.Saunders Company, April 1989
Cooper, B.: Orofacial Development and Nasal Obstruction. in Otolaryngologic Clinics of North America (Nasal Obstruction issue), Kimmelman, C. ed., Philadelphia, W.B.Saunders Company, April 1989
Lunn,R., Cooper, B., Coy, R., et.al. White Paper of the Committee on Principles, Concepts and Procedures, Management of Craniomandibular Diseases. American Equilibration Society-Compendium, 20:177-237,1987
Cooper, B.: Guest Editorial. Journal of Craniomandibular Practice July 1988.
Cooper, B.: Myofacial Pain Dysfunction: A Case Report. Journal of Craniomandibular Practice 6: (4) 346-351, October 1988
Cooper, B.: Letter. Journal of Prosthetic Dentistry .61 (3):388-390, 1989
Cooper, B. and Cooper, D.: Multidisciplinary approach to the management of facial, head and neck pain. Presented at the Sixth Annual Convocation of the International College of Cranio-Mandibular Orthopedics, Florence, Italy April 1989. Pathophysiology of Head and Neck Musculoskeletal Disorders, Frontiers of Oral Physiology Volume 7, Bergamini,M. and Prayer Galletti, S. eds, Basil, Karger 1990, 76-82
Thomas, M. and Cooper, B.: Recognition of Craniomandibular Disorders. New York State Dental Journal 55(10)26-28, 1989
Cooper, B.: Neuromuscular Occlusion: Concept and Application. New York State Dental Journal 56:(4) 24-28, 1990
Cooper, B. and Cooper, D.: Electromyography of masticatory muscles in craniomandibular disorders. Presented at the American Laryngological, Rhinological and Otological Society, Palm Beach, FL, May 1990 Laryngoscope, 101:(2) 150-157, 1991.
Cooper, B. and Cooper D.: Multidisciplinary Approach to the Management of Facial Head and Neck Pain. The Journal of Prosthetic Dentistry 66(1). In Coy, R.E ed Anthology of Craniomandibular Orthopedics, Seattle, International College of Cranio-Manidibular Orthopedics, Vol.3.
Cooper, B.: Recognition and Management of Craniomandibular Disorders. in Otolaryngologic Clinics of North America (Otolaryngologic Office Evaluation and Management issue), Kimmelman, C.P. ed., Philadelphia, W.B.Saunders Company, 25(4) 867-887, August 1992
Cooper, B.: Electromyography of Masticatory Muscles in Craniomandibular Disorders. Presented at the 7th Convocation of the International College of Craniomandibular Orthopedics and the 5th Annual Congress of the Japan Association of Cranio-Mandibular Orthopedics, September 1991 (Osaka, Japan) in Coy, R.E ed Anthology of Craniomandibular Orthopedics, Seattle International College of Cranio-Mandibular Orthopedics, 2:127-144, 1992. In American Equilibration Society Compendium, 25: 70-77, Chicago, 1992
Cooper, B.C. Cooper, D.L.: Differentialdiagnostik bei Gesichts,- Kopf- und Nackenschmerzen. Philip Journal Vol 10 p337-344, July/August 1993 (in German)
Moses, A.J. & Cooper, B.C.: Understanding Temporomandibular Disorders and Whiplash. 2 part article CLAIMS July and September 1993
Cooper, B.C., Cooper, D.L.: Recognizing Otolaryngologic Symptoms in Patients with Temporomandibular Disorders. The Journal of Craniomandibular Practice: 11(4)260-267, October 1993. Presented at the 8th International Congress of the International College of Cranio-Mandibular Orthopedics. October 10, 1993 Banff, Alberta, Canada. In Coy, R.E ed Anthology of Craniomandibular Orthopedics, Seattle International College of Craniomandibular Orthopedics, Vol.3 , 1994
Cooper, B.C.: Objective Documentation of Post-Traumatic Craniomandibular (TMJ) Disorders. Trial Lawyers Quarterly, N.Y.State Trial Lawyers Institute., Vol.24, No.4 Summer 1994, p. 12-15
Cooper, B.C.: The Role of Bioelectronic Instruments in the Management of TMD. New York State Dental Journal, 61 (9) 48-53,November 1995
Cooper, B.C.: Who represents the TMD practitioner, Guest Editorial, The Journal of Craniomandibular Practice 14 (4) 251-253, 1996
Cooper, B.C.: Chronic Pain and Temporomandibular Disorders, in A Practical Approach to Pain Management, Lefkowitz, M. and Lebovits, A., eds. Little, Brown and Co. Boston, New York, Toronto, London, 1996, Chapter 28, 248-254.
Cooper, B.C.: Intraoral Pain, in A Practical Approach to Pain Management, Lefkowitz, M. and Lebovits, A., eds. Little, Brown and Co. Boston, New York, Toronto, London, 1996, Chapter 30, 259-264
Cooper, B.C. TMJ , in Lawyers' Guide to Medical Proof, Chapter 1106, Matthew Bender Publisher, October 1996
Cooper, B.C.: The Role of Bioelectronic Instrumentation in Documenting and Managing Temporomandibular Disorders. JADA 127 (11) 1611-1614, 1996
Cooper, B.C.: The Role of Bioelectronic Instrumentation in the Documentation and Management of Temporomandibular Disorders. Oral Surgery, Oral Pathology, Oral Medicine, Oral Radiology and Endodontics, Mosby- Yearbook, Inc. 83 (1) 91-100, 1997
Cooper, B.C.: Temporomandibular Disorders, Healthline, December 1997
Cooper, B.C.: The Role of Bioelectronic Instrumentation in the Management of TMD, Dentistry Today, 17 (7) 92-97, July 1998
Cooper, B.C.: Scientific Rationale for Biomedical Instrumentation. Neuromuscular Dentistry-The Next Millennium, Anthology V, D. Hickman,ed., The International College of Cranio-Mandibular Orthopedics, Seattle, WA 11-32, 1999
Cooper, B.C.: Temporomandibular Disorders Module, Otolaryngology National Resident Curriculum, Amer. Acad. of Otolaryngology, Head & Neck Surgery Foundation, November 2002, Revised 2007.
Cooper, B.C.: The Role of Bioelectronic Instruments in the Management of TMD. New York State Dental Journal, 61 (9) 48-53, November 1995
Cooper, B.C.: Parameters of an Optimal Physiological State of the Masticatory System: The Results of a Survey of Practitioners Using Computerized Measurement Devices. The Journal of Craniomandibular Practice, 22 (3), 220-233 July 2004
Cooper, B.C.: Dental Records Chapter, Medical Legal Aspects of Medical Records, Iyer Levin & Shea Editors, Lawyers & Judges Publishing Company, Fall 2005.
Cooper, B.C. and Kleinberg I.: Examination of a large patient population for presence of symptoms and signs of temporomandibular disorders. The Journal of Craniomandibular Practice 2007; 25 (2): 114-126.
Cooper, B.C. and Kleinberg I.: Establishment of a Temporomandibular Physiological State with Neuromuscular Orthosis Treatment Affects Reduction of TMD Symptoms in 313 Patients. . The Journal of Craniomandibular Practice April 2008; 26(2): 104-117
Cooper,B.C and Kleinberg, I: Relationship of Temporomandibular Disorders to Muscle Tension-Type Headaches and a Neuromuscular Orthosis Approach to Treatment, The Journal of Craniomandibular Practice, April 2009; 27 (2): 101-108
SCIENTIFIC PRESENTATIONS
Cooper, B. and Mattucci, K.: Myofacial Pain Dysfunction in Children and Adolescents. Presented at the Eastern Section Meeting of the American Laryngological, Rhinological, and Otological Society, January 1985 (Syraúcuse, NY).
Cooper, B C: Otolaryngologic Implications of Myofacial Pain Dysfunction. Presented at the 4th Convocation of the International College of Cranio-Mandibular Orthopedics 1985 (Kyoto, Japan)
Cooper, B C, et al: Recovering Lost Vertical Dimension of the Face Due to Occlusal Position. Presented at the Eastern Section of the American Academy of Facial Plastic and Reconstructive Surgery, January 1987 (Boston, Mass) and at the 5th Convocation of the International College of Craniomandibular Orthopedics, Honolulu, Hawaii, March 1987
Cooper, B C : Neuromuscular Concepts and the Utilization of Bioelectronics in Prosthetic Treatment. Presented at the 6th International Meeting of the College National D'Occlusodontologie March 1989 (Paris, France)
Cooper, B C: Orofacial Development and Nasal Obstruction. Presented to the Department of Otolaryngology of Mt. Sinai Medical College, New York, Dec. 1989
Cooper, B C: Neuromuscular Occlusion incorporated into everyday dental practice. Presented at the 66th Annual Greater New York Dental Meeting, Nov. 1990
Cooper, B., Cooper, D. and Lucente, F.: The importance of recognizing Myofacial Pain Dysfunction in the otolaryngologic population. Presented at the Meeting of the American Laryngological, Rhinological and Otologiúcal Society, February 2, 1991
Cooper, B C: The use of electronic data to determine Rest Position of the Mandible and the Neuromuscular Occlusal Position. Presented at the 7th Convocation of the International College of Craniomandibular Orthopedics & 5th Annual Congress of the Japan Assoc. of Cranio-Mandibular Orthopedics, Sept. 1991 (Osaka, Japan)
Cooper, B C: Neuromuscular Occlusion in Restorative Dentistry and the Treatment of Craniomandibular Disorders. Presented at the Graduate Prosthodontics Department of Temple University School of Dentistry, October 16, 1991
Cooper, B C: Neuromuscular Occlusion in Restorative Dentistry and the Treatment of Craniomandibular Disorders. Presented at the Second District Dental Society, Brooklyn, New York, October 25, 1991
Cooper, B C: Electromyography-Computerized Mandibular Scan-Sonography. Presented at the 9th Annual International Symposium on Clinical Management of Head, Facial Pain & TMJ Disorders. American Academy & Board of Head, Neck Facial Pain & TMJ Orthopedics. July 24, 1993 Anaheim, CA.
Cooper, B C & Duncan W E: Electronic Testing for TMJ Disorders. Presented at the Annual Conference of the American Academy of Pain Management. October 15, 1993 Knoxville, TN.
Cooper, B C: Neuromuscular Occlusion in Restorative Dentistry and in the Treatment of Temporomandibular Disorders. Presented at the Greater New York Dental Meeting. December 1, 1993 New York, NY
Cooper, B C: The Role of Electronic Measurement in the Documentation and Management of TMD. Presented at the International Workshop on TMDs and Related Pain Conditions. Sponsor: NIDR/NIH Baltimore, MD April 17-21, 1994
Cooper, B C: The Role of Electronic Instruments in the Management of Temporomandibular Disorders. Presented to the US Food and Drug Administration Dental Products Panel Hearing on "Muscle Monitoring Devices" October 13, 1994, Gaithersburg, MD
Cooper, B C: Otolaryngologic Symptoms in Patients with TMD and Their Treatment. Presented at the 40th Annual Meeting/Scientific Session of the American Equilibration Society, February 23, 1995, Chicago, Illinois.
Cooper, B C: Differential Diagnosis of Temporomandibular Disorders: Presented at the 40th Annual Meeting/Scientific Session of the American Equilibration Society, February 23, 1995, Chicago, Illinois.
Cooper, B C: Temporomandibular Disorders, Clinical Presentation, Cause and Current Therapy. Presented as a Grand Rounds Lecture, Department of Otolaryngology, Manhattan Eye, Ear & Throat Hospital, April 23, 1995, New York.
Cooper, B C: The Use of Bioelectronic Instrumentation in the Management of Temporomandibular Disorders (TMD) and Restorative Dentistry. Presented at the Greater Long Island Dental Meeting, April 27, 1995, Melville, New York.
Cooper, B C: The Use of Bioelectronic Instrumentation in the Management of Temporomandibular Disorders (TMD) and in Restorative Dentistry. Presented at the American Equilibration Society and Greek Prosthodontic Society Joint Satellite Program, July 1, 1995, Athens, Greece.
Cooper, B C: Otologic Symptoms in Patients with TMD and Their Treatment. Presented at the Ninth International Congress of The International College of Cranio-Mandibular Orthopedics, October 14, 1995, Toulouse, France.
Cooper, B C: Developing a TMD Treatment Protocol. Presented at the Ninth Annual Bernard Jankelson Memorial Forum of the International College of Cranio-Mandibular Orthopedics, November 18, 1995 Phoenix, Arizona.
Cooper, B C: The Use of Electronic Instrumentation in TMD Management. Presented at the Greater New York Dental Meeting. November 25, 1995, New York, NY
Cooper, B C: The Role of Bioelectronic Instrumentation in the Documentation and Management of Temporomandibular Disorders. Presented at the NIDR/NIH Technology Assessment Conference on the Management of Temporomandibular Disorders, National Institutes of Health, Bethesda, MD April 29, 1996
Cooper, B C :The ADA Seal Program for Measurement Devices used as diagnostic aids in TMD, Presented to ADA Council on Scientific Affairs, Chicago Sept. 19, 1996
Cooper, B C: Introduction of The ICCMO Protocol for the Management of Temporomandibular Disorders. Presentation at the 10th Annual Bernard Jankelson Forum of the American Section of the International College of Cranio-Mandibular Orthopedics, Arlington Va. October 18, 1996
Cooper, B C: Otolaryngologic Symptoms in a TMD Population, Neuromuscular Occlusion in Restorative Dentistry and in the management of TMD, The Role of bioelectronic instruments in the documentation and management of TMD, Presented as the Lectio Magistralis at the joint meeting of the Academia Italiana di Kinesiografia ed Elettromiografia Cranio Mandibolare & Italian section of The International College of Cranio-Mandibular Orthopedics, Alessandria, Italy. November 17, 1996
Cooper, B C: The Role of Neuromuscular Occlusion in the Treatment of Temporomandibular Disorders: Presented at the 42nd Annual Meeting/Scientific Session of the American Equilibration Society, Feb. 20, 1997, Chicago, Illinois
Cooper, B C: Neuromuscular Occlusion and Bioelectronic Instrumentation in the Treatment of Temporomandibular Disorders: Presented at the 10th International Congress of The International College of Cranio-Mandibular Orthopedics, Osaka, Japan April 13, 1997
Cooper, B C: Restoring the Compromised Dentition: Through Neuromuscular Occlusion, Presented at Cordent Trust Conference, London,England, June 6-7, 1997
Cooper, B C: The Role of Bioelectronic Measurement and Neuromuscular Occlusion in the Management of Temporomandibular Disorders: Presented at the Greater New York Dental Meeting, New York, NY, November 30, 1997.
Cooper, B C: Temporomandibular Disorders: Concepts and Current Management, Presented at the Department of Otolaryngology Manhattan Eye, Ear & Throat Hospital, New York, December 3, 1998. Presented at the Department of Otolaryngology SUNY Downstate College of Medicine, September 26, 2002.
Cooper, B C: Temporomandibular Disorders and Orofacial Pain: Clinical and Research Findings, Presented: Eastern Pain Assoc. Conference, NY, Dec.11, 1998
Cooper, B C: Temporomandibular Disorders and Electronic Instrumentation. Presented at the American College of Dentists Lecture Program Series at:
Columbia Univ. School of Dental & Oral Surgery, New York, February 10, 1999.
State University of NY, Stony Brook, School of Dental Medicine, March 25, 1999.
New York University School of Dentistry, April 14, 1999.
Cooper, B C: Neuromuscular Occlusion & Bioelectronic Instruments in TMD Management & in Restorative Dentistry. Greater NY Dental Meeting, Nov. 2000.
Cooper, B C: Integrating Neuromuscular Occlusion into a Dental Practice. 15th Annual Bernard Jankelson Forum of the American Section of the International College of CranioMandibular Orthopedics, Vancouver, BC, November 2, 2002.
Cooper, B C: Temporomandibular Disorders: Current Concepts and Management, Presented at the Department of Otolaryngology SUNY Downstate College of Medicine, July 8, 2004.
Cooper, B C: Temporomandibular Disorders: Cause, Clinical Presentation and Conservative Treatment. Presented at the Department of Otorhinolaryngology, New York Presbyterian Hospital, Weill Medical College of Cornell University, August 5, 2004.
Cooper, B C: Successful Integration of Neuromuscular Occlusion into the General Practice, Myotronics, Inc., 38th Anniversity Seminar, Seattle, WA, August 16, 2004.
Cooper, B C: Documenting Efficacy of Neuromuscular Dentistry, International College of Craniomandibular Orthopedics, 17th Annual Jankelson Memorial Lecture Forum, Newport Beach, CA, October 16, 2004.
Cooper, B C: Neuromuscular Occlusion in TMD and Restorative Dentistry, Greater New York Dental Meeting, New York, NY, November 30, 2004.
Cooper, B C,: Quantitive Valuation of TMD Patients from Basic Research to Clinical Application, Advances in Oral Physiopathology, University of Turin, Congresso Internazionale, Turin, Italy, December 11, 2004.
Cooper, B: Neuromuscular Occlusion in Restorative Dentistry & The Treatment of TMD. Presented at the Nassau County Dental Society, April 5, 2006
Cooper, B: Temporomandibular Disorders: Concepts and Current Management. Presented at the Department of Otolaryngology of New York Eye & Ear Infirmary, New York Medical College, April 19, 2006
Cooper, B C: Integrating Neuromuscular Occlusion into a Dental Practice. 18th Annual Bernard Jankelson Forum of the American Section of the International College of CranioMandibular Orthopedics, Orlando, FL, October 27, 2006.
Cooper, B C: Neuromuscular Occlusion in TMD and Restorative Dentistry. Greater New York Dental Meeting, New York, NY, November 26, 2006.
Cooper, B C: Neuromuscular Occlusion Workshop: Neuromuscular Dentistry TMJ/TMD & Restorative Dentistry. The Center for Occlusal Studies, Parkersburg, WV., March 8-10, 2007.
Cooper, B C: Neuromuscular Occlusion in TMD and Restorative Dentistry, AGD College Station, Texas, November 2, 2007.
Cooper, B C: Examination of a large patient population for presence of symptoms and signs considered to characterize temporomandibular disorders, and Integrating Neuromuscular Dentistry into a Dental Practice Change. 14th International Congress of The College of CranioMandibular Orthopedics, Vicenza, Italy, November 16-18, 2007.
Cooper, BC: Integrating Neuromuscular Dentistry (NMD) Into a Dental Practice. Myotronics 42nd Anniversary Seminar, Seattle, WA July 19,2008
Cooper, B.C: Introduction to Neuromuscular Dentistry. Presentation at the 20th Annual Bernard Jankelson Memorial Forum of the American Section of the International College of Cranio-Mandibular Orthopedics, Denver, CO September 25, 2008
Cooper,B.C: Temporomandibular Disorders, Grand Rounds Lecture Department of Family Practice, South Nassau Communities Hospital, Oceanside, NY, December 19, 2008
Monday, March 21, 2011
Shooting pains in the head and face. Is Trigeminal Neuralgia the Cause? Why did MVD brain surgery not help?
Melanie: I have had root canals, anti seizure meds I could not tolerate, and on 12/30/10 I had MVD brain surgery. I still have pain and shocks in my facial area, teeth, ears and the back of my head (cannot lay down). Am currently seeing a doctor that is giving me occipital nerve block injections. Just saw the doctor at Duke who did the MVD surgery and he admitted that his surgery did not fix the problem and they don't have anything else to offer me. I am seeing an oral surgeon in Vinton, VA on 3/28 for a TMJ consultation, but I went to UNC-Chapel Hill school of dentistry last year for an evaluation and was told that my TMJ is not causing the neuralgia and shocks. I am so light sensitive I cannot go outside or watch TV. I cannot talk on the phone without getting shocked so please do not call me. I cannot chew without causing an increase in shocks. Sometimes by the evening hours I cannot talk but have to write notes to communicate with my husband. I have had neck problems fo r years, treated by chiropractic. In fact the shocks started after a rather aggressive chiropractic neck adjustment (in June 2010).
Dr Shapira Response: Dear Melanie,
I am sorry you are having to bear so much pain. I know it is not easy. Are the occipital nerve blocks helping? The fact that the Microvascular decompression did not help probably means it was not the source of the problem.
Have you tried a spenopalatine ganglion block? The SPG block can be done as an injection or through the nose. It addresses the autonomic potion of the trigeminal nerve. The nasal block can be easily and painlessly self administered on a daily basis for 20 minutes (one or more times a day) and can give miraculous results for some patients.
It is unlikely that you will find an oral surgeon who understands neuromuscular (NMD) dentistry. I have seen incredible results with NMD but it can be a problem depending on where your trigger locations are. You may not have a "TMJ" problem but have problem with masticatory system and trigeminal nerves. CRPS (chronic regional pain syndrome) is also a possibility.
Do you have a specific trigger area or spots that can be identified? It is also possible that a medially displce disk can be pressing on the trigeminal nerve. This could be addressed surgically.
How long ago did this problem begin? Did the Chiropractic adjustment exacerbate or start the problem? If it really stated immediately after chiro adj you might want to consider having a stellate ganglion block.
I usually try to avoid surgical procedures initially as frequently surgery can make problems more severe. Did the severity change following surgery, for better or worse or was the pain just unchanged?
Dr Shapira Response: Dear Melanie,
I am sorry you are having to bear so much pain. I know it is not easy. Are the occipital nerve blocks helping? The fact that the Microvascular decompression did not help probably means it was not the source of the problem.
Have you tried a spenopalatine ganglion block? The SPG block can be done as an injection or through the nose. It addresses the autonomic potion of the trigeminal nerve. The nasal block can be easily and painlessly self administered on a daily basis for 20 minutes (one or more times a day) and can give miraculous results for some patients.
It is unlikely that you will find an oral surgeon who understands neuromuscular (NMD) dentistry. I have seen incredible results with NMD but it can be a problem depending on where your trigger locations are. You may not have a "TMJ" problem but have problem with masticatory system and trigeminal nerves. CRPS (chronic regional pain syndrome) is also a possibility.
Do you have a specific trigger area or spots that can be identified? It is also possible that a medially displce disk can be pressing on the trigeminal nerve. This could be addressed surgically.
How long ago did this problem begin? Did the Chiropractic adjustment exacerbate or start the problem? If it really stated immediately after chiro adj you might want to consider having a stellate ganglion block.
I usually try to avoid surgical procedures initially as frequently surgery can make problems more severe. Did the severity change following surgery, for better or worse or was the pain just unchanged?
Monday, March 14, 2011
Are there tmj specialists? Is neuromuscular dentistry a specialty? Are neuromuscular Dentists Headache Specialists?
The answer to all of the above is no. There is no specialty in treatmrnt of TMJ disorders (TMD). Specialties are decided by the American Dental Society and individual state laws. There are however many trained Neuromuscular Dentists who devote a major part of their practice to treating TMJ patients, chronic pain patients, headache patients etc.
Neuromuscular Dentistry is unique in that it uses biomedical instrumentation to aid in the diagnosis and treatment of TMJ disorders, TMD, Myofascial pain (MPD) and referred head and neck pain.
Should there be a TMJ or orofcial pain specialty? Absolutely not!
There are often many approaches to dealing with a chronic pain problem involving the teeth and jaws. Research has shown that different approaches can be successful. Creation of a specialty is almost certain to prevent patients from a full choice of therapeutic options. There are many educational and scientific societies dedicated to treating chronic pain. The Alliance of TMD organizations has taken a stand against specialty.
I firmly believe that neuromuscular dentistry is the best method for treating most fuctional disorders of the masticatory system including MPD, TMJ, TMD and occlusion. I will be happy to respond to specific questions on this blog why I believe it is the best approach.
I am a Fellow of ICCMO the group representing Neuromuscular Dentistry but I also go to yearly meetings of the AES or American Equilibration society. I belong to the American Academy of craniofaciall pain and have attended many meetings over the years. I also belong to IACA, the international academy of comprehensive esthetics that combines function and esthetics and I am a Diplomate of the academy of pain management.
Many of these groups overlap and share common goals and ideas and there are also major disagreements between groups as to what is the best treatment.
Almost universally they show great success in treatment.
Neuromuscular Dentistry is unique in that it uses biomedical instrumentation to aid in the diagnosis and treatment of TMJ disorders, TMD, Myofascial pain (MPD) and referred head and neck pain.
Should there be a TMJ or orofcial pain specialty? Absolutely not!
There are often many approaches to dealing with a chronic pain problem involving the teeth and jaws. Research has shown that different approaches can be successful. Creation of a specialty is almost certain to prevent patients from a full choice of therapeutic options. There are many educational and scientific societies dedicated to treating chronic pain. The Alliance of TMD organizations has taken a stand against specialty.
I firmly believe that neuromuscular dentistry is the best method for treating most fuctional disorders of the masticatory system including MPD, TMJ, TMD and occlusion. I will be happy to respond to specific questions on this blog why I believe it is the best approach.
I am a Fellow of ICCMO the group representing Neuromuscular Dentistry but I also go to yearly meetings of the AES or American Equilibration society. I belong to the American Academy of craniofaciall pain and have attended many meetings over the years. I also belong to IACA, the international academy of comprehensive esthetics that combines function and esthetics and I am a Diplomate of the academy of pain management.
Many of these groups overlap and share common goals and ideas and there are also major disagreements between groups as to what is the best treatment.
Almost universally they show great success in treatment.
Subscribe to:
Posts (Atom)