Dear Colleague:
The SOT Dental Research Update is a
service offered by SOTO-USA to keep doctors who are familiar with sacro
occipital technique (SOT) aware of the latest TMD related research
related events, papers, and concepts. Please contact Dr Blum directly
at drcblum@aol.com if you are aware of others who might be interested
in receiving this newsletter.
Please don't miss SOTO-USA's 8th
Annual CLINICAL SYMPOSIUM, October 25-28th, 2007, in Nashville,
Tennessee at the Double Tree - Nashville (615) 244-8200. Rooms are
still available but are going quickly, so please make reservations now.
The discount rate for early registration for the symposium
will only be available
until September 30, 2006 - so sign up NOW and save! Please go to www.SOTO-
USA.org to begin the process of registration.
This year's symposium will feature
TMD Dentists as well as Chiropractors who specialize in TMD co-
treatment. Presenters will discuss multiple co-
treatment models for conditions including forward head posture (FHP)
and its relationship to both the fields of dentistry and chiropractic.
This symposium is an excellent place to network, as chiropractors are
looking for dentists to whom they can refer patients in the treatment
of TMD.
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Dental Chiropractic TMD CoTreatment Teaching Staff
Includes:
Richard Gerardo, DC, Bruce Johnson, DDS, Joe Kerwin, DDS, Jeffrey
Mersky, DC, Tony Simeome, DDS, Steve Tatevassian, DDS and others...
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Call NOW to register at 336-793-6524
Register for the symposium by fax at 336-372-1541 - download
form by clicking
here
Register for the symposium online NOW by clicking
here
Please reserve your space NOW. When you call the hotel, make
sure you mention "SOTO-USA" to get the discounted rate (you must call
BEFORE September 30):
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A Randomised Controlled Pilot
Study of Chiropractic Craniomandibular Treatment for Chronic TMD
Kalamir A, International Conference on Chiropractic
Research. Vilamoura, Portugal - May 17-19, 2007: CM14.
30 blinded chronic TMD sufferers were randomized into 3
groups (control, Rx, and Rx plus self care/ education). Rx intervention
involved osseous adjustments to the TMJs, along with intraoral
craniomandibular soft tissue releases (involving ischemic pressure, and
PIR). No spinal treatment was performed. Practitioner was blinded to
outcomes and assessor was blinded to group assignment.
Results showed statistically and clinically significant
differences in resting pain, clenching pain, inter- incisal opening,
maximum opening pain between both Rx groups and control over 6 weeks
and 6 months. No statistical difference between the 2 RX groups at this
stage. It is proposed that chiropractic treatment of the masticatory
apparatus may be of benefit in cases of chronic TMD.
A
Randomised Controlled Pilot Study of Chiropractic Craniomandibular
Treatment for Chronic TMD
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Neuroplasticity of
Neck/Craniofacial Pain Mechanisms: A Review of Basic Science Studies
Vernon H, Hu J. Journal of the Neuromusculoskeletal
System . 1999 Sum;7(2): 51-64.
Facial, head and neck pain are very common complaints in
Western society and are highly prevalent in chiropractic practice. The
physiologic basis of the association between neck pain and headaches
(if not also some forms of facial and/or jaw pain) lies in the fact
that the nociceptive afferents from upper cervical and posterior
cranial structures terminate in the same second-order neuron pool,
termed the "medullary dorsal horn," by Gobel et al. and the
"trigemino-cervical nucleus" by Bogduk.
A series of experiments beginning in the mid-1980's by
Sessle and his colleagues has investigated these interactions in an
exploration of craniofacial pain mechanisms. This article first
presents a review of current pain physiology as a background to a
serial review of the relevant experiments by Sessle and his colleagues.
These studies are reviewed qualitatively, in order to inform the reader
about their breadth and scope. Our work has confirmed the complex
patterns of sensorimotor processing underlying the phenomena associated
with craniofacial pain, and that various named clinical syndromes such
as "upper cervical dysfunction, " "greater occipital neuralgia,"
"cervicogenic headache," "neck-tongue syndrome," and some forms of
temporomandibular joint pain may all share at least some aspects of
this common mechanism.
The clinical manifestations of disturbances in this
mechanism are likely to include referred pain and muscular
hypertonicity which are so common in myofascial pain syndromes in the
craniofacial region. The astute clinician is then presented with much
greater diagnostic complexity, but is also given expanded opportunities
for therapeutic intervention in the challenging area of craniofacial
pain.
Neuroplasticity
of Neck/Craniofacial Pain Mechanisms: A Review of Basic Science Studies
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Chiropractic Treatment of Temporomandibular Joint
Pain: A Case Series - Integrative Dental and Chiropractic Care
Appiano PRN, Suzuki MA, Kouri M,Depintor JDP, Fagundes
DJ, Bracher ESB.,International Conference on Chiropractic Research.
Vilamoura, Portugal - May 17-19, 2007: CM54.
Introduction: Integrated treatment procedures by dentists
and chiropractors may improve outcomes for this condition. In this
study, a protocol for the treatment of patients with TMJ pain was
tested in a series of patients treated at a university-based center for
orofacial pain.
Methods: Patients with primary TMJ pain for more than six
months were selected for the study at São Paulo University
School of Dentistry Department of Occlusion and TMJ, Brazil, undergoing
an initial triage by a Doctor of Dental Surgery. Standardized treatment
protocol consisted of four weekly sessions with the following
procedures: cervical and TMJ joint mobilization; cervical joint
manipulation; intra and extra-oral myofascial release and ischemic
compression of muscles of mastication and cervical muscles; postural
orientation and a home exercise program.
Results: Eleven patients (10 women and one man), with an
average age of 36.8 years participated of the study. Pain intensity,
measured by the Modified Chronic Pain Graded Scale (CPGS) revealed a
shift from high-intensity to low-intensity pain between the beginning
and end of treatment (decrease of high- intensity pain from 63.6% to
18.2%, of patients, p=0.025). A significant change of mouth opening
range was also observed between the beginning and end of treatment,
from an average value of 37.55 mm (SD= 11.41) to 42.36 mm (SD=8.04)
(p=0.03).
Conclusions: This study showed an improvement of symptoms
and objective measures after a four-session standardized Chiropractic
treatment for patients with chronic TMJ pain. Comparative studies with
longer follow-up periods are necessary to confirm the present findings.
Chiropractic
Treatment of Temporomandibular Joint Pain: A Case Series
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Sacro Occipital Technique
Organization - USA is a non-profit, professional organization formed to
promote the awareness, understanding and utilization of the Sacro
Occipital Technique method of chiropractic as founded and developed by
Dr. Major Bertrand DeJarnette.
Interdisciplinary co-treatment of TMD
is an important part of SOTO-USA's focus since TMD is a complex
condition. For the chiropractor this necessitates their understanding
of the descending influences of occlusion, condylar position and airway
disorders on posture. For the dentist this involves gaining an
awareness of ascending postural influences on craniomandibular function
helping to guide treatment prior to making any permanent occlusal or
condylar modifications.
Thank you for your dedication and interest, I hope to see
you at this year's symposium.
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