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
10th Annual CLINICAL SYMPOSIUM, October
22-25th, 2009, in Las Vegas,
Nevada at the The
Palace Station 800-634-3101.
Rooms are still available at special
conference rates so call now.
The discount rate for early conference
registration for the
symposium will only be available
until September 30, 2009 - 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
body posture and occlusion with their
relationship to 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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Chiropractic Perspective at the AATMD Meeting
American Alliance of TMD Organization
Founded in 1995 on behalf of patients' well
being, the American
Alliance of TMD (AATMD)
Organizations' mission is to support and
protect the right and freedom of clinicians
to practice in the field of TMD
(temporomandibular disorders) within the
scope of their care, skill, judgment, and
scientific information. The American Alliance
of TMD Organizations has been created to
represent the broad interests of professional
organizations and their member practitioners
who understand the importance of effective
diagnosis and treatment of craniofacial
disorders.
The Sacro Occipital Technique Organization
(SOTO) -USA joined the AATMD in 2005 and is
the only chiropractic-based member of this
essentially dental alliance representing over
15,000 dentists that treat TMD conditions
nationally. As a chiropractic representative
my focus has been on developing cotreatment
models for dentistry and chiropractic in the
treatment of TMD conditions. Attending these
meetings I have learned things I believe are
of value to the chiropractic profession.
There are two factions within the dental
field that appear to have differing opinions
regarding the etiology, diagnosis, and
treatment of TMD. One faction believes that
TMD is primarily a biopsychosocial issue and
predominately will respond to medication,
psychological stress intervention, and
lifestyle modification [1]. The other
faction, represented by the AATMD, believes
that dental occlusion, condylar position, and
airway space plays an important part in the
etiology of TMD [2] and therefore needs to be
addressed in a dentist's diagnosis and treatment.
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Who is Right?
Likely everyone is right and sometimes some
may be wrong. With multifactorial
conditions, relating to the spine or TMJ,
some patients may have varied pain thresholds
or levels of when they will become
symptomatic. Some subsets of patients may
well respond to specific chiropractic
techniques for their spinal condition or
specific dental methods for their TMD. But
it is also likely that many patients may well
respond to multiple types of care and not
have conditions that are technique or method
specific. As we study our methods in greater
detail we all hope to have more answers.
From a chiropractic perspective it seems to
me self-evident that if we see our bodies as
a neuromusculoskeletal kinematic chain that
the TMJ and its function is important. Since
posture [3,4] has been found to have an
affect on dental occlusion, condylar
position, and airway space as well as dental
occlusion [5], condylar position [6], and
airway space [7] has been found to have an
affect on posture, ... posture and the TMJ seem
to be linked kinematically [8]. The field of
chiropractic is beginning to open the doors
to dental chiropractic cotreatment of the TMD
and at the 2009 chiropractic research
conferences: RAC/ACC [9] in Las Vegas and the
WFC/FCER [10,11] in Montreal, there were
papers presented discussing how the dental
and chiropractic field can work together to
help patients presenting with TMD conditions.
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References.
1. Greene CS, Mohl ND, McNeill C, Clark GT,
Truelove EL. Temporomandibular disorders and
science: a response to the critics. Am J
Orthod Dentofacial Orthop. 1999
Oct;116(4):430-1.
2. Simmons HC 3rd, Talley RL, Kilpatrick SR;
American Academy of Craniofacial Pain
Specialty Committee. Craniofacial pain as a
dental specialty: a white paper by the
American Academy of Craniofacial Pain.
Cranio. 2001 Oct;19(4):302-4.
3. Fink M, Wahling K, Stiesch-Scholz M,
Tschernitschek H. The functional relationship
between the craniomandibular system, cervical
spine, and the sacroiliac joint: a
preliminary investigation. Cranio. 2003
Jul;21(3):202-8.
4. Nicolakis P; Nicolakis M; Piehslinger E;
Ebenbichler G; Vachuda M; Kirtley C;
Fialka-Moser V. Relationship between
craniomandibular disorders and poor posture.
Cranio 2000 Apr;18(2):106-12.
5. Bergamini C. Dental occlusion and body
posture: a surface EMG study. Cranio. 2008
Jan;26(1):25-32.
6. Olmos SR, Kritz-Silverstein D, Halligan W,
Silverstein ST. The effect of condyle fossa
relationships on head posture. Cranio. 2005
Jan;23(1):48-52.
7. Cuccia AM, Lotti M, Caradonna D. Oral
breathing and head posture. Angle Orthod.
2008 Jan;78(1):77-82.
8. Sakaguchi K, Mehta NR, Abdallah EF,
Forgione AG, Hirayama H, Kawasaki T, Yokoyama
A. Examination of the relationship between
mandibular position and body posture. Cranio.
2007 Oct;25(4):237-49.
9. Blum CL, Panahpour A. TMD - Chiropractic
and Dentistry: Two Case Reports. J Chirop Ed.
2009;21(1): 104.
10. dal Bello F, Borilli F. A Research on the
Effects of the Chiropractic Treatment on
Individuals with Malocclusion as an aid to
the Orthodontic Treatment. WFC'S 10th
Biennial Congress. International Conference
of Chiropractic Research. Montreal, Canada.
Apr 30 - May 2, 2009: 257-8.
11. dal Bello F, Borilli F. Pain Alterations
on the Temporo Mandibular Joint in
Individuals with Malocclusion after
Chiropractic Treatment. WFC'S 10th Biennial
Congress. International Conference of
Chiropractic Research. Montreal, Canada. Apr
30 - May 2, 2009: 287-8.
The above article by Charles L. Blum, DC
will be published an October issue of the Dynamic
Chiropractic Magazine in an edited
format.
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SOT Research Conference
TMJ Related Accepted Papers
Patient with severe tremors, migratory
fibromyalgia, and migraines co-treated with
dental and SOT chiropractic care: A case
report.
Richard C. Gerardo, DC
Dental Chiropractic Co-Treatment of Patient
Presenting with Chronic Severe Fibromyalgia,
Head, Neck, and Jaw Pain with Depression.
Jeffrey A. Mersky, DC, William Halligan, DDS
Unity of Form and Function - A New Dental
Paradigm: A Case Series
Albert S. Chinappi, Jr., D.D.S.
Sacro occipital technique treatment of
patient with pervasive craniofacial and body
pains secondary to chronic TMD: A Case
Report.
Albert R. Salem, DC
Cervicocranial and craniocervical syndromes:
A case report.
I. Harvey Getzoff, D.C.
SOT Cranial and TMJ therapy for unresolved
BPPV: A case report.
Thomas Bloink, DC
Pain Alterations on
the Temporo Mandibular Joint in Individuals
with Malocclusion after Chiropractic
Treatment.
Fabio dal Bello, F.
Borilli
A Research on the
Effects of the Chiropractic Treatment on
Individuals with Malocclusion as an aid to
the Orthodontic Treatment.
Fabio dal
Bello, F. Borilli
SOT Research Conference
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Chiropractic and Dentistry in the 21st Century.
Cranio View, Volume 18, No 1: (Summer 2009)
The article entitled, "Blum
CL, Chiropractic and Dentistry in the 21st
Century: Guest Editorial The Journal of
Craniomandibular Practice Jan 2004; 22(1):
1-3." will be republished from the
Journal of Craniomandibular Practice
in the Cranio View.
The Cranio View is a publication of
the Cranial
Group. Formed in 1991, the Cranio
Group's membership comprises primarily
dentists and orthodontists (70%), plus
chiropractors, craniopaths, osteopaths and
physical therapists, etc., all of whom have
an interest in or involvement with the
cranio/mandibular/cervical complex,
especially with the management and treatment
of cranio-mandibular disorders. They have
members in the UK, several European
countries, USA and Canada, and Australia.
Chiropractic and Dentistry in the 21st Century
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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.
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Thank you for your dedication and interest, I hope to see you at this year's symposium.
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