Re: Avascular necrosis of TMJ

From: The Webby (nospamattmjiatroepidemicnospam_at_san.rr.com)
Date: 03/23/05 

Date: Wed, 23 Mar 2005 02:14:26 GMT

In article <Hs30e.23485$hU7.179@newssvr33.news.prodigy.com>,
 <kureforcrohns@sbcglobal.net> wrote:

> "The Webby"
> Not to complicate things further, but curious as to how the subject of
> phen-fen ties in with the subject of TMJ avascular necrosis etc. as written
> in your post.
> The connection is what? Would appreciate a simple answer as
> technically it may be difficult to understand. However, any explanation
> would be appreciated and attempted to understand. I hope this is not
> putting you out too much or is considered to be of no interest to someone
> who does not have technical knowledge. It is of interest, really.
> Maybe Joel can explain it. I do wish to understand it. Thank You.
> Gail

There has been an unplanned progression of ideas and that may have
confused you. I'll try to straighten it out.

1. I was considering the Blog as a new avenue for me to organize
various writings and to encourage feedback at the same time. So I asked
for input from those who might be familiar with this publishing tool.

2. Joel Eichen offered up some ideas right away. As he tried to put
some expression to how newsgroups, the web, and specific Blogs
interelate, he came up with some material that archival materials, of
which contained the subject of Fen-Phen as a matter that concerns
dentistry and dental patients. Further posting resulted in Joel
Eichen's posting of recent legal rounds in the matter. Fen-Phen is
associated with cardiac valve disorder and certain type of lung disease.
Dentists should take into consideration a patient's use of (past use of)
Fen-Phen in case any precautionary measures should be needed to protect
the patient.

3. Osteonecrosis of the jaw, also called ONJ, has been associated with
the use of certain drugs for the treatment of certain types of cancer
and also for osteoporosis. The public is just now learning from the
research being completed that there is concern about these drugs
destroying jaw bone. At first, it was thought that only the IV
(intravenous) drug was implicated but now there is good reason to be
very aware that alendronate (Fosamax) among others is capable of causing
this destruction of bone. It is important to dentistry because oral
surgery is (apparently) not a good idea for people taking any of the
drugs.

4. Avascular necrosis of the TMJ. The end result of joint destruction
of the TMJ is serious. The joint/s can be destroyed with or without
loss of muscles function too. In my case, and any cases like mine,
where there is serious loss of muscle function and joint function,
dentistry and oral health become difficult to manage. In my case, I
have endured countless surgeries in attempts to remedy the damage done
not only to the joints but also to other maxillofacial structures. For
cases like mine, there is always a greater concern about the need for
future oral surgery (for teeth) and maxillofacial surgery because of the
prosthetic joints. I have osteoporosis most probably because of
inadequate nutrition/very low weight for about 22 years. Specific to
me, the avascular necrosis, loss of natural temporomandibular joints and
the loss of adequate jaw function. My medical doctors prescribed
Fosamax beginning in autumn 2000 for treatment of osteoporosis. I took
it briefly, and decided against treatment for fear of the future
unknowns of a relatively young drug.

5. This, in a round about way, brings us to the point of care and
treatment issues such as the history and physical, diagnosis and
recommendation/prescriptions for treatment of illness, disease, and
injury. Informed consent is a two-way street and being an informed
patient in this very complex and high tech world is very difficult.

I hope this removes at least some of the confusion that I take
responsibility for causing. Mainly, all of these items are loosely
related and only until someone puts a spin on it. Thank you for taking
time to read.

Webby

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