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View Full Version : Terrence Spahl and Brendan Stack


 

 

 
grapes
03-22-2005, 02:47 AM
I already know these are famous top-tier practitioners, who publish, give lectures, and have good reputations.

What I'd LIKE to know is how many of you have had personal experience of these two individuals? How many of you know somebody who's been treated by either of these dentists?

I'm having a very hard time deciding which one of the two to consult with. Both will entail airplane and motel.

I don't have a clear sense of how each of these dentists obtains the corrective occlusion and translates that to a splint. I don't have a clear sense of which types of splints they favor. I'd like to know more about their ability to listen and their chairside manner. I'd like to know more about their "Stage II". I'd especially like to know how their approaches DIFFER from each other.

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Raindrop1
03-23-2005, 11:36 AM
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Hi I just read your post. I am actually going to become a patient of Dr. Stack I met with him yesterday and he really seemed to know alot about this condition. He did a 20 minute physcial exam on my head, neck and jw. I have to say I was impressed. He wants me to get a MRI first before he decides what plan he will put me on. I am very leary about surgery and he said he does not jump to surgery first he will exhaust all avernues first. I liked hearing that. I will probably have to wear a upper and lower splint, but they fit right behind the teeth. Well I know the upper one does he showed me one yesterday. My husband went with me and he really like his attitude alot. My last question to Dr. Stack was... is this fixable and he said yes, you just have to listen and do everything I tell you to do during your treatment. I hoping for the best. :wave:

grapes
03-23-2005, 02:02 PM
Raindrops, did the entire appointment last 20 minutes, or just the exam part? Did you have time to ask your questions? Was he very clear about the financial end of things? Did you sign a contract?

Also, is bruxism a big issue for you? Do you have all your teeth? What's your main tmj issue? Have you seen many other dentists?

Sorry for all the questions. Answer any you feel comfortable answering. And, good luck, please keep me posted.

Raindrop1
03-23-2005, 04:11 PM
No the entire appointment took about 1 hour. He explained everything so well that I really only had a few questions. I am paying out of pocket becasue I have Kaiser and they really don't recongnize TMJ. So for the initial consult which was 1 hour I paid little over $150.00. We really didn't speak about the finance part yet. He wanted me to get a MRI first so he can see exactly what is going on first with the joint then we will go from there. I told him I am paying out of pocket and where I am going for my MRI gives a great discount for people who pay cash. So instead of paying 1600.00 for a MRI which is what they would charge an insurance company I am only paying 585.00

I had 4 teeth teeth pulled when I was in 8th grade to get ready for braces then I had 2 wisdom teeth pulled in my early twenties, they were my lower wisdom teeth. My husband tells me that he hears me at night grinding and he usually wakes me up to stop. I also tend to hold all my stress in my neck and jaws.

My main issues are tight facial and neck muscles and throat bothers me and my jawing popping and cracking everytime I open it.

I started with my dentist that I have been seeing for years and he did give me a splint the acrylic hard kind that goes on the bottom teeth, but it seemed after a while of wearing it that it was not working becasue he did not adjust it at all. So I got aggervated with him on the TMJ issue and that is when I found Dr. Stack.

Thanks and I will keep you posted!

Raindrop

grapes
03-23-2005, 07:24 PM
Thanks Raindrop.

Are you going to the place that Stack uses for MRI"s, or are you going somewhere else? Stack told me that he really prefers the place he sends people for MRI's because the radiologists there are from NIH, and are really well-trained. He said some places don't take good pictures, or they don't give good interpretations. I think he told me that he relies somewhat on the picture reading report of the radiologist, but he looks at the MRI as well.

Also, are you local to Stack's office or do you travel long-distance? Just curious.

Raindrop1
03-24-2005, 01:07 PM
Grapes,

I am only 30 minutes aways from Dr. Stack which is nice. Since I guess I will be seeing alot of him. I am going to have my MRI done at the place he recommends that is right near his office. Have you seen Dr. Stack yet?

grapes
03-24-2005, 05:24 PM
No. I've just emailed him my history. I'm not sure he's my dentist, because I have very extensive DENTAL issues (failed full-mouth reconstructions), and he's more ortho and surgery. Still, he's been nice to consult with, and so I'll see what he has to say.

LVMYDASH
04-04-2005, 12:33 PM
Grapes,

I am only 30 minutes aways from Dr. Stack which is nice. Since I guess I will be seeing alot of him. I am going to have my MRI done at the place he recommends that is right near his office. Have you seen Dr. Stack yet?

LVMYDASH
04-04-2005, 01:00 PM
My 17 year old daughter was recently diagnosed with TMJ. She has been having numerous problems the last three months and was misdiagnosed as having a chronic sinus problem by four military primary care and one ER doctors. One of the doctors gave her a referral for a CT scan and a visit to the ENT clinic to seek treatment. Fortunately, a young internist, after reviewing her CT scan and examining her, diagnosed her as not having sinus problems at all, but TMJ. He recommended that we go to our dentist. Our journey began to find out what we could do and who to seek TMJ treatment from. Our dentist recommended that we go to Dr. Stack for a very qualified TMJ specialist. My husband and I took our daughter to see him last week. He gave her a very detailed exam and also sent her to receive an MRI next door to his office. She had the MRI on Saturday, and we also received a reduced rate since Dr. Stack referred us. We have a follow-up appt next Monday. He was very personable, answered our questions and we were pleased with our consultation with him. My daughter is having the following symptoms: facial pain, severe headaches, earaches, ringing in the ears, hearing loss and vertigo. She has missed a lot of school lately suffering from all of these. She is hearing impaired and wears a hearing aid in her right ear (diagnosed with a hearing loss at age 5). The young internist referred her to the Audiology clinic for a new hearing test because he was concerned that she may have suffered more hearing loss over the last few months due to TMJ. She did have a hearing test and she has suffered some more hearing loss. Dr. Stack had my husband and I feel the two bones behind her ears to see how much they were out of alignment. One is much higher than the other. Also, if you look at her from the front you can see that one ear is slightly higher than the other. We are hoping that Dr. Stack can treat her successfully. We are very concerned that we are going to have a long road ahead of us and an expensive on at that in getting this resolved. We do not know much about Dr. Stack other than the recommendation we received from our dentist, but from looking at his credentials etc. we feel that we have found the right person. He has a wealth of knowledge and experience in treating TMJ patients. I would love to hear from others who have been treated by him or are currently in treatment. :)

grapes
04-05-2005, 10:13 PM
Dr. Stack's office mailed me a long list of referrals. I've spoken to 8 of the people on his list. Ask his office to send you the referrals list.

LVMYDASH
04-06-2005, 12:59 PM
Grapes

Thanks for letting me know that Dr. Stack's office provides a referral list. I will be taking my daughter back to him on Monday to go over the results of her MRI. I will request a copy then. :) Do you planning on having a consulation with him? I wish you luck in your search to find someone who can help with you complex dental problems!

sjeffery
05-04-2009, 02:22 PM
Hello,
several of you in this thread were either in treatment with or considering treatment with Dr. Stack. I would be so appreciative if you could update us as to your current conditions. Are you much improved? I am considering a consultation w/Dr. Stack. Everything is out of pocket for me, so your recommendations/experiences are so helpful. Thank you, Stephanie

Pegala
07-16-2009, 09:44 PM
I had a consultation with Dr. Stack. I was impresses with his wealth of knowledge and his bedside manner. Dr. Stack does not take insurance and for me that was a deal breaker. I then looked into dental schools. I've found that at dental schools, some (all?)of the professors take private patients. My feeling is that the professors at the dental schools are teaching the nation's young dentists, so they'll be on the cutting edge of TMJ treatment. In Richmond there's a dental school at the Medical College of Virginia/Virginia Commonwealth of Virginia. In Washington there's Howard University, and in Baltimore there's the University of Maryland. I hope this helps someone. Peggy





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