The knowledge that dentist from Holistic Dental Melbourne have learned from continuing modern certification programs, to examination patients oral health and with advances and investment in technology, have made it possible for our dentists to do a significantly more beneficial job of diagnosing patients. Having said that, as with most things, the fundamental key to excellence lies in the basics. Basic health history co-discovery interviews as well as a fundamental knowledge of the complexities of the entire body are answer to offering our patients with the opportunity to accept dental care that benefit their quality of life. It is the foundation that provides the dental team the skills to offer treatment that changes lives every single day.
Whilst both symptoms and signs are extremely important to investigate, it usually is the symptoms, for example, pain, that push the patient to do something and see a dentist.
In fact, in both modern day medicine and dentistry it has been proven that it is both the elimination of pain or avoidance of pain that initiate a patient to action. Understanding how the emotional trauma of pain symptoms motivates the patient and the logical connection of the signals give the functional excuse to move forward which is very important in the discussion of comprehensive care.
Some of the most common are also most commonly misdiagnosed. Myofacial pain and headache and migraine are significant issues in the general public and are commonly discussed with the medical physician who usually seek a pharmaceutical (taking pain killers) or anxiety management formula. The problem is that it is a physiologic health consequence of improper muscle function being driven by a sub optimal teeth contact position. This is actually an excellent thing as with a known trigger there is usually an alternative. Restoring the muscles to physiologic rest is usually that answer to the problem, and it is the responsibility of the holistic dentist to make sure that happens. As much research have shown, 90% of pain in the body is muscle in origin and the muscles in the head and neck are responsible for bite, airway, and head healthy posture. Those three concerns are critical to address and are closely inter-related.
One more typical symptom that is reported is grinding. This had previously been thought to be untreatable, however, 1000s of patients have had their bruxism stopped by completing Neuromuscular therapy. As it works out, the bruxism is the assisting musculature continually looking for homeostasis and doing all they can do to find, they grind away interferences to arrive at a morephysiologically acceptable relaxing state. The unfortunate truth is that the proper position is without a doubt more open rather than more closed. As the teeth brux, the vertical collapses, and as often as not, the patient arrives at an end point that is further from a proper bite rather than closer.
Along with bruxism is numbness or a parasthesia in the fingers and hands. Without the mentality to appreciate the connection, it would seem ludicrous to assume that a dental problem would be driving the patient’s numbness. On thorough health history reviews, it is often repeatedly demonstrated that the numbness in the finger tips is less important to grinding and with nearly 80% of adult patients being grinders, it is important to recognize the connection and share that with our patients. Normally as a part of the bruxing cascade of activities is long-term contraction of the muscles in the cervical area. Also among the many characteristics of the muscles of mastication and stomatognathic system, is the support and protection of the airway. Should this be compromised it leads to unusual long-term contraction of the cervical band of muscles. These conditions lead to muscles that lie alongside the brachial plexus to chronically push and contract. This force on the nerve plexus results in modification of feeling towards the end of the nerves distribution – or the hands and fingers.
You will discover literally hundreds of signs and symptoms that are directly and indirectly related to bad bites. The appreciation and thoughtful examination is essential in optimal patient care. In future blogs we will explore other common symptoms that the dental team need to screen for and manage with a comprehensive approach; managed with a Neuromuscular Dentistry Approach.