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Wednesday, February 27, 2013

Re: [ACEsthetics] Denture issue- medical

This is outside my realm but I would be very cautious here . You don't want to be
Sucked into the blame game here. You said he has been a train wreck his entire life..and it's the dentures fault for all these issues?? Acrylic allergy maybe, but a bite issue causing all these 
Symptoms??? A stretch for me...be careful

Sent from Stuart's I pad


On Feb 27, 2013, at 9:06 AM, Howard Hoffman <smilestylers@gmail.com> wrote:

John,
I haven't seen Brendan Stack in years. Wasn't aware of any of his work in this area. I think I will call him today. I used to use his NP intake pamphlets for all of my TMJ patients, until Rose computerized it all.
Also going to speak to the neurologist. Must tread very softly here. 
Almost forgot, patient has also lost a lot of his short term memory recently, too.

My first inclination is to put the denture into some hot water before anything else. (after speaking to neurologist)
Neuromuscular bite and NM massage, making sure that the anterior neck is worked, especially after his accidents. Most PT's only do the posterior neck, which leads to an even more exaggerated forward head posture months down the road. (that was the basis of my thesis when I did my Master's degree in BioMechanical Trauma).

WIll try to keep posting on this if anything happens.
Howard
 
On Wed, Feb 27, 2013 at 8:39 AM, Rick Coker <riccoker@gmail.com> wrote:
I think this is a valid concern, but it is of the "my-ship-is-sinking-and-I-gotta-do-something" sort of thinking, which will lead to the higher possibility of errors and misjudgments, don't you think? What if he had ozone applied to his oral mucosa, or had his blood ozonated and he got better? What if someone used a cold laser on his joints and photobiomodulation done? What if you had a Trudenta guy get hold of him and fix him according to that system? Or a sleep guy made him a sleep appliance? Or he started eating a Paleo diet?

Obviously, some diagnostic time would need to be spent before throwing out different fixes, and our jobs as science based practitioners seems to require that we resist the sort of throwing stuff against the wall type of thinking, and use some variation of cause and effect. People with multiple symptoms are difficult to be with, and my preference is to find something, give it to them, or apply it and have them go away happy, no question. But that seems mostly to be a variant of Voltaire's thought that: " A physician's job is to entertain the patient until nature heals them".

Rick


On Wed, Feb 27, 2013 at 7:06 AM, Rod Strickland <rod@faceliftdentureseminars.com> wrote:
great point Shahin



On Feb 27, 2013, at 6:39 AM, safariandmd@aim.com wrote:

Rod,

Not sure how well that works in function. Trimming the bite is a good idea but for full affect of orthotic and it's benefits will be hard in my opinion. Thus this in fact might give you the idea that NM won't work where in fact it might.

Shahin Safarian DMD, MBA, LVIF | Irresistible Smiles
Carmel Valley/Del Mar 858.755.8993 | Chula Vista/Eastlake 619.656.6785
WEBSITE | FACEBOOK | LINKEDIN | YOUTUBE | THEBATTLEGUARD



-----Original Message-----
From: Rod Strickland <rod@nichepracticeseminars.com>
To: smilestylers <smilestylers@gmail.com>
Cc: stricklands-facelift-denture-group <stricklands-facelift-denture-group@googlegroups.com>; Ace <ACEsthetics@googlegroups.com>
Sent: Wed, Feb 27, 2013 2:32 am
Subject: Re: [ACEsthetics] Denture issue- medical

Howard, I think you and the patient are on to something... I'm thinking bite more than acrylic.... is it possible to tens him, shoot a bite and then trim the bite so he can wear it as a temproary orthotic over the denture... then see if that helps.  that will rule out the acrylic.


Rod Strickland, DDS
rod@nichepracticeseminars.com
mobile: (843) 290-8584






On Feb 26, 2013, at 6:33 PM, Howard Hoffman wrote:
I heard from a patient today who I haven't seen since making him a set of dentures about 2 years ago. Lower has 2 implants with locators.Medically, this guy has been a mess his entire life. In his 50's, on borrowed time for last 30 years. Several open heart surgeries. Septicemia, thyroid ca, and on and on. A few months ago he started having issues with tingling of the fingers. Computer programmer- he thought it was carpal tunnels.He researches EVERYTHING, big time. Carpal tunnels was ruled out. Then he had a major slip and fall. Messed him up, followed by being broadsided and totalling his car. Laid him up. It just keeps going. Then a GI blockage. They thought Ca. Ruled out. Then tremors. Tongue tingles.Dry mouth (for years).
 Neurologist thought MS, Vision blurry. Then ruled it out for Parkinson's, now they have no idea.
Last week he took the denture out  and stuck in an old one. Tremors went away. Other symptoms subsided.
He thinks that maybe the acrylic wasn't completely cured.
Perhaps he is overclosed.
I am seeing him tomorrow just before his neurologist appointment.
Perhaps opening him up with neuromuscular bite, allowing more blood flow to the brain. (There are some really interesting findings out there re: occlusion and MS). Major stuff coming out of Edmonton.
Perhaps, just pressure cooking the denture will help.
Any thoughts???
Thanks,
Howard


--
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Aventura, FL 33180
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ph: 305-933-3070 (o)
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Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
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Howard J. Hoffman, DDS, PA
21110 Biscayne Blvd, Ste 402
Aventura, FL 33180
ph: 305-933-3070 (o)
ph: 305-467-6343 (m)
fax: 305-933-2230

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