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To: bovik@CS.CMU.EDU
Reply-To: mleone@CS.CMU.EDU
Subject: Dental: TMJ Syndrome
Date: Fri, 23 Aug 91 15:48:06 -0400
Message-ID: <568.682976886@CURRY.ERGO.CS.CMU.EDU>
From: Mark_Leone@CURRY.ERGO.CS.CMU.EDU

Here are the results of a recent inquiry I made about dentists with
experience treating temporomandibular joint syndrome.

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Date: Fri, 23 Aug 1991 15:26-EDT
To: Mark.Leone@CURRY.ERGO.CS.CMU.EDU
Reply-to: Tim Freeman <tsf@CS.CMU.EDU>
Subject: TMJ
Date: Thu, 22 Aug 91 14:21:03 -0400
Message-ID: <9770.682885263@U.ERGO.CS.CMU.EDU>
From: Timothy_Freeman@U.ERGO.CS.CMU.EDU


Beware that a Tempromandibular Joint Syndrome diagnosis has been used
in the past as a way to get lots of money from healty people.  I have
been diagnosed as having it, the dentist wanted to put me in braces
among many other things.  A reference book I have at home says you
don't have TMJ if you can open your mouth wide enough for the distance
between your teeth to exceed three finger widths; I can fit four
fingers in, and the dentist still said I had TMJ.  Needless to say, I
have changed dentists.

Tim

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To: Mark.Leone@CURRY.ERGO.CS.CMU.EDU
Subject: re: TMJ
Date: Thu, 22 Aug 91 15:46:08 EDT
From: Charles Myers <crm@SEI.CMU.EDU>


My recommendation would be that you see a good chiropractor.  My older son
was suffering from a severe case of TMJ, and we went from pillar to post
(dentists, MDs) trying to find someone we felt good about.  We got all
kinds of proposals, including wearing a device in the mouth, surgery,
grinding down teeth, etc., all of which were extremely invasive, and my
wife and I just weren't comfortable with any of it.

I happened to mention my son's condition to my chiropractor (we were living
on Long Island at the time) and he told me that, interestingly enough, the
trigger point for the problems of TMJ is somewhere over the back of the
opposite hip.  Fix the structural problem, and the TMJ problem goes away.

We took my son in, and the doc had him pretty well stabilized after three 
visits.  All the symptoms were gone for probably $100 worth of bills (paid
by insurance, in our case) vs anywhere from $1500 to $4000 estimates with
the other folks we went to.

Another interesting thing the chiropractor told me is that, while the
invasive route may fix the TMJ for a while, it may recur with a vengence
after taking the invasive treatment route.  What happens is that the
structural problem that caused the TMJ syndrome to start with will very
probably end up causing back pain later in life.  If the person then goes
to a chiropractor and has that problem fixed, re-aligning things properly
for the back now means that it is improperly aligned as far as the jaw
is concerned.  The result is a recurrence of the TMJ problem.

Hope this helps.  Good luck.

Chuck

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Date: Thu, 22 Aug 91 16:52:23 -0400 (EDT)
From: Phyllis Reuther <pr0z+@andrew.cmu.edu>
To: Mark.Leone@CURRY.ERGO.CS.CMU.EDU
Subject: Re: Temporomandibular joint syndrome
Cc:  
In-Reply-To: <Added.0cgyufS00UkTAO7U4K@andrew.cmu.edu>
References: <Added.0cgyufS00UkTAO7U4K@andrew.cmu.edu>

I went to Dr H. Stern and I think he did a fine job. 

Phyllis Reuther

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To: Mark.Leone@CS.CMU.EDU
cc: sford@MAPS.CS.CMU.EDU
Subject: TMJ syndrome
Date: Fri, 23 Aug 91 09:58:47 -0400
Message-ID: <17586.682955927@MAPS.CS.CMU.EDU>
From: Stephen_Ford@MAPS.CS.CMU.EDU


My wife and her partner perform physical therapy on TMJ patients.  Their TMJ
patients are referred to them by various dentists and oral surgeons in the
Pittsburgh area.  I asked her for a name and she recommended Dr. Dattilo 
on Locust St (near Mercy Hospital).  Good Luck.

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From: Joe.Mattis@ISL1.RI.CMU.EDU
To: Mark.Leone@CURRY.ERGO.CS.CMU.EDU
Subject: Re: Temporomandibular joint syndrome
Message-Id: <682965340/jam@ISL1.RI.CMU.EDU>
In-Reply-To: Mark.Leone's bboard message of 22-Aug-91 13:03

> Anyone know of a dentist (or oral surgeon) in Pittsburgh who has
> experience treating temperomandibular joint syndrome?  

Yep.  I liked the guys who work out of Central Medical Pavilion, above
the Civic Arena.  I forget their names, but I'll mail them to you in a
few hours.

About two years ago, something popped in my TMJ, and I could barely open
my mouth enough to eat.  One of the three oral surgeons there (they all
practice together) managed to calm me down, took x-rays showing that no
bone damage had occurred, and prescribed massive ibuprophen before doing
anything else.  The problem (mostly) went away without further treatment.

If it hadn't, they were going to make a plastic bite-piece for me, which
would hold my jaw in a "healthy" position to give it a better chance at
healing.  They believe that surgery is a last resort, and use it rarely.

-Joe

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From: Joe.Mattis@ISL1.RI.CMU.EDU
To: mleone@CS.CMU.EDU
Subject: Re: Temporomandibular joint syndrome 
Message-Id: <682975607/jam@ISL1.RI.CMU.EDU>
In-Reply-To: mleone's mail message of Fri, 23 Aug 91 12:48:34 -0400

Mark,
    The doctors' names were:
			Michael R. Kahn, D.M.D.
			Raymond C. Trop, D.M.D.
			Martin E. Eichner, D.D.S.
Their main place of business is the Central Medical Center, 1200 Centre
Ave (above the Civic Arena), 562-3140.  I was briefly seen by Kahn, and
closely examined by Eichner.  If memory serves, folks recommended Trop,
but he was also the busiest, so I never saw him.
    Good luck!
-Joe
