David. I have known Fred a long time. Nm is not anything new to me. If I feel there is a need. I will do so. Right now it is still a diagnostic phase. No decisions on tx. Keep yall psoted.
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From: "David R. Boag, DDS" <spikedds@gmail.com>
Date: Tue, 4 Jun 2013 07:58:19 -0400
To: arunnayyardmd@gmail.com<arunnayyardmd@gmail.com>
Cc: safariandmd@aim.com<safariandmd@aim.com>; Ace<ACEsthetics@googlegroups.com>
Subject: Re: [ACEsthetics] New patient with bilateral TMJ surgery 16 yrs ago
P.S. I might recommend Fred Abeles for help with the NM therapy. He has helped me with more than one patient, and I have no regrets. Again, no disrespect intended toward you, my friend. On the contrary, all the respect in the world. Remember, I am NOT NM-trained, so I've not drunk any Kool-Aid. You might consider at least talking to him.
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My $.02:This sounds to me like a case best managed with an NM approach, Arun. Traditional, or "CR", or whatever you want to call it, it a hard-tissue-foundational approach. But what do you do me when that foundation is ripped out? Find an established foundation that remains. The muscles seem to be a reasonable alternative, and I cannot think of a better one that doesn't involve "guessing."I realize that your vast experience might make your guesses a bit more guided than the average practitioner, but I think we would agree on principle that foundational to success is to attempt to discover or reveal a reference point which one can build upon the achieve it. In my mind, the muscles would seem to be the most logical choice of what remains.As something further to chew on, I know that Bill Hang has had a lot of success with Wolford in Dallas with condylar replacement/reconstructive surgeries when the time comes. You might want to consider speaking with one or both of them when the time comes. But if it were me, I'd strongly consider letting Fred Abeles have a look at this patient and see if he might not be able to help you establish a comfortable foundation from which to work.Just my thoughts.DRB
Sent from my iPadRespect your comment.NM is a good platform to work with,Known Bill since he started adopting the methodology and others before himI have had considerable success with TMJ management with more traditional techniques and they work well,Several of my former students are very succesful users of NM technics Nelson Clements leads the rat pack!Arun.--On Mon, Jun 3, 2013 at 10:52 PM, <safariandmd@aim.com> wrote:Arun with NM we let the muscles guide and that would be my suggestion. EMG's are a big help.
Shahin Safarian DMD, MBA, LVIF | Irresistible Smiles
Carmel Valley/Del Mar 858.755.8993 | Chula Vista/Eastlake 619.656.6785
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-----Original Message-----
From: arunnayyardmd@gmail.com
To: Ace
Sent: Mon, Jun 3, 2013 2:26 pm
Subject: [ACEsthetics] New patient with bilateral TMJ surgery 16 yrs ago
--Hi FriendsNew referral 46yr old female, bilateral condylectomies 16 yrs ago. Had endo 6m ago and restorative.... long appt. Now she has pain in her muscles and is blaiming her Dentist caused it by keeping her mouth open a long time.SO all the occlusodontists here.. how would you manage this patient.??I will appreciate your guidance
Arun
--
Arun Nayyar DMD,MS. Atlanta, Georgia
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Arun Nayyar DMD,MS. Atlanta, Georgia
Private practice limited to Prosthodontics - Imagix Dental Group
Former Director of Fixed Prosthodontics - MCG School of Dentistry
Principle Research Scientist ( Adjunct ) @ GaTech -GTRI
Clinical Director - Center for Dental Technology @ GaTech - GTRI
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