Re: Serious mandible problem - looking for help
- From: The Webby <tmjiatroepidemic@xxxxxxx>
- Date: Fri, 01 Feb 2008 08:51:24 -0800
My suggestion is that you contact Dr. Giuseppe Stradaioli via email. I
am certain that he will be more than happy to communicate directly with
you and will be in a better position to explain A.G.E.LK to you in a
manner that addresses your specific issues.
giustrad@xxxxxxxxxx
Good luck to you both,
Webby
In article
<be03bb6d-ccd5-4306-8085-47bae1a80cb6@xxxxxxxxxxxxxxxxxxxxxxxxxxxx>,
pietrro@xxxxxxxxx wrote:
Amatus Cremona wrote:.
First you need to understand a "horseshoe" type splint vs an NTI type one.
then, you need to understand what each type of splint is capable of
accomplishing.
Well, I do understand what the difference between the two is. 2 years
ago I corresponded with dr James Boyd, the developer of NTI, and he
explained how both types of splints work. For example, he explained,
if I remember correctly, that NTI is much safer than a regular splint
as it influences the muscles bringing back their balance so an NTI
splint is not likely to do any harm.
The topic can be huge, so I need some way of figuring out what your level of
knowledge is first.
I realize that. When I was young, I myself was treated with both a
regular and NTI splint. But frankly, my mother's experience and
knowledge in this matter is much greater than mine.
I doubt very much the [occlusive splint] caused permanent damage to any
joints. However, muscle activity while wearing the appliance might "mess
things up a bit".
Well, my mom is unable to wear any splint now as they make the pain
unbearable and sensations much worse.
She wears dentures whose role is to be a replacement for the missing
back teeth but today another doctor said that the dentures fulfills no
function in this case as 'everything is hanging in the air anyway' as
he put it.
Dartos wrote:
Was the NTI made for the upper incisors or the lower?
For the upper ones.
How long was it worn before it was decided it was of no value?
About six months.
How tall was the bite opening?
Hmm.. My mom says it was minimal.
The Webby wrote:
There is a lot to discuss about this situation so I
hope you'll be patient with the post/reply process involving so many
time zones!
Thank you, Webby. Patience and perseverance are our last bastions :)
Mark & Steven Bornfeld wrote:
In the U.S., I would send you to an oral and maxillofacial surgeon to
evaluate her mandibular function. While it is possible she just needs
the "right" splint, the duration and severity of her symptoms suggest
she needs a comprehensive evaluation by someone who knows about these
conditions.
I am afraid the situation in Poland, regarding TMJ, is dramatically
worse than in the U.S. The whole problem has been noticed relatively
recently and seems like doctors' knowledge of it is still
insufficient.
My mom visited such a surgeon twice, maybe three times, but he treated
her so horribly, he shouted at her and did not want to listen to a
word she was saying claiming that she should see a psychiatrist as she
is perfectly healthy, according to him. I am afraid we cannot find
much help in our country.
I assume you are accompanying your mom to these doctors?
I often do but I always stay in the waiting room so I don't hear what
the doctors actually say. My mom tells me everything later.
Forget about the x-rays--can she be guided into a normal bite by a
dentist?
I am afraid not :( Dentists don't even know what she is talking about.
If not, something is probably amiss with the joint, and I'm at
a loss to explain why the docs can't help her. This is NOT a rare
condition.
Well, looks like something is wrong with the joint itself, as you say.
Maybe it is not rare in the U.S., but the Polish doctors behave as if
they had no idea how to act :(
The Webby wrote:
I am thinking that this woman might be a candidate for the A.G.E.LK.
I've read what you wrote about AGELK in some forum and found out that
it is another appliance which is used by some doctor in Italy with
good results. If you could write something about this method, I would
be glad to find out more.
I thank you all for the replies and if you could take a look at this x-
ray:
http://tinyurl.com/2e9387
This is how my mom's mandible looked like when the first condyle had
got displaced from its original position (I mean the left condyle).
Presently, both condyles look like the one on the left. I think the
deformity is clearly visible.
Both heads of the mandible have been somehow taken out of their spots
making the jaw "hang" freely.
Thank you all once again.
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