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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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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