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Old 04-09-2010, 09:46 AM   #1
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Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bite

Hey Jill, it sounds like you really know what to look for in a doctor. I would like your help in finding an good, experienced one in the Raleigh, NC area (zip 27511).
I am 19 years old and have had tmj problems for years. I was told by a Maxillofacial surgeon initially to not chew gum and come back in a year. Still have problems after 3 years!
Can I get insurance to cover TMJ usually. Right now I've been seeing Dr. Pei Fei Lim from the University of North Carolina School of Dentistry, mostly because they have a little cheaper fees for paying out of pocket. But she does not have the credentials for experience for a practitioner as you described. She seems very nice. Is Orofacial pain doctor the same as Neuromuscular dentist?
Please help me find a doctor/dentist if you can.

Last edited by hb-mod; 04-09-2010 at 02:52 PM. Reason: Removed Quote of immediately preceding post. Please use "Quick" Reply rather than "Quote" Reply. Thanks!

 
Old 04-25-2010, 06:04 PM   #2
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Re: Total Joint Replacement Surgery - What to expect? Yes? No?

Stick with Oral-Max Surgeon-they are Doctors! Neuro-Muscular Dentist get their traing in Vegas-
The TMJ is the most complex joint in your body-

 
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Old 04-26-2010, 09:05 AM   #3
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Re: Total Joint Replacement Surgery - What to expect? Yes? No?

Hi Leetx---the American Academy of Orofacial pain is an association that some dentists belong to. The people that primarily come from this association do flat plane splints, and non-invasive practice for tmjd. Flat plane splints do nothing to stabilize the mandible---they let it slide all over it constantly making your jaw try to "find" it's bite...The people that understand the jaw/teeth relationship are the ones that belong to the American Academy of Craniofacial pain, and are neuromuscular dentists who practice Functional Jaw orthodontics. There is a big difference...I disagree with TMJC's comment that Neuromuscular dentists seem to get all their schooling from "Las Vegas"....Yes, the institute is located there, but what they are practicing IMO is the most important aspect of dentistry, especially in regards to the TMD patient. It's one of the only TMD treatments that can actually "measure" the muscle functions, with diagnostic testing that most dentists do not do....They can find the mandible position to the nearest 10th of a mm...there is no guesswork in what they are doing. The K-7 testing, EMG testing, X-rays, CMS testing, and using the tens are iMO the most effective way and spot on accuracy to find the jaw position out there. (I've tried many more...believe me..) I've had tmd for 20yrs., and NM dentistry is what saved my life..it brought me out of a pain level off the charts, to about a 5 within months. Oral surgeons do not practice NM dentistry to my knowledge, and this way is far less invasive than how they treat tmd. I know many people have gone the surgery route, and have had success, but there are many many more that have not...it should only be left for the extreme cases, and most of the time they are trauma cases. (about 4% of tmd patients actually need surgery). You may find there are no dentists in your area that meet those credentials,,,,and you may have to travel out of state to get to the right doctor. I did research NC a few months ago, and I did not have much luck for my friend. What you can do is simply call whoever is in your area and ask them if they practice NM dentistry and Functional Jaw orthodontics...They should devote at least 35% of their practice to strictly TMD treatment, and hopefully have practiced at least 10yrs., IMO. I can't post the associations here anymore for people, so you may look on the "Great tmj doctor's thread" at the top of the tmj page, and find my post regarding those. Good luck....don't limit yourself in traveling out of state....My doctor is in Wi. and he has patients from Alaska come in for treatment. IT's that important. Especially since you're spending money on all this, you want to do it right the first time... good luck. J. BTW----Neuromuscular has been around way before the LVI came to fruition.

Last edited by Jill 227; 04-27-2010 at 07:23 AM.

 
Old 04-27-2010, 09:08 AM   #4
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Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bite

I am looking for a TMJ cure with the left side of my face. It clicks and has pain on one side. I think my face is a little off symmetry because of it in the chin and jaw. I live in Raleigh, NC and it is hard to find a doctor.

How to find a dentist with training in Functional Jaw Orthotics? Is that the same as "Orthotropics" or Orthodontics?

How much training in the Las Vegas Institute is necessary?

It seems to hard to find a good dentist? Should I get a splint made, see a chiropractor, or osteopath?
Lower or upper splint?

 
Old 04-27-2010, 10:25 AM   #5
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Re: Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bit

Leetx,
You may find that you have to travel out of state to get to a NM dentist that is a FJO. This stands for Functional Jaw orthodontics...Look at the Great tmj doctors thread at the top of this page...recently I typed in the associations that you have to look under to find these doctors. I am not allowed to post them. Also, an orthodic is what they make for you if need be.....an orthodontist is someone who does braces....As far as LVI----in my opinion, I always like to have a dentist have at least 9-10 yrs. experience practicing neuromuscular dentistry. One way to find someone is to simply google tmj specialists, see who comes up in your area, and call and see if they practice NM dentistry, and are a funtional Jaw Orthodontist. IF not, move on, IMO. LIke I said, you may need to travel out of state to find one that fits these credentials.
As far as upper vs. lower splints, splints are usually non-measured, and flat plane in nature and do nothing to correct tmd especially if the mandible position is bad. You need to probably be fitted for a Neuromuscular orthodic. Upper splints do nothing to stabilize jaw position either. They can cause more harm than good honestly, I don't know anyone on this forum that has worn an upper splint 24/7 and has been cured by it. NM orthodics are "bumpy" and hold your jaw into a new position that will give you better function, and then phase 2 of the treatment is correcting the bite to the new jaw position. Usually with Functional Braces....expanders if need be, or crowns if your teeth are damaged or worn.

 
Old 04-27-2010, 01:12 PM   #6
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Re: Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bit

who would be my best bet in NC? I cannot travel out of state at this time, with all that is going on in my life.

 
Old 04-27-2010, 02:09 PM   #7
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Re: Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bit

I"ll have to look into that for you tomorrow.....I will get back to you as soon as I can.

 
Old 04-28-2010, 07:26 PM   #8
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Re: Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bit

ok much thanks!

 
Old 04-29-2010, 08:02 AM   #9
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Re: Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bit

Hi Leetx----didn't forget about you...still working on it. There's a lot of LVI fellows in your area, but they dont' do Functional Jaw orthodontics.....Later, J.

 
Old 04-29-2010, 05:12 PM   #10
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Re: Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bit

is functional jaw orthodontics the same as "Orthotropics?" I agree with you in believing that having them both as qualifications would help.

 
Old 04-29-2010, 05:15 PM   #11
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Re: Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bit

HI Leetx---No, it's not the same....

 
Old 05-02-2010, 06:59 AM   #12
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Re: Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bit

HI Leetx....I've looked at the LVI guys online, and the "1" dentist listed under the International College of Craniomandibular Orthopedics, and he's not mainly TMJD....I do not feel comfortable posting anyone yet for you. You may want to just consider traveling out of state..IF you were my relative, I would suggest that. Many of my friends travel out of state for treatment. THere simply aren't enough qualified tmj specialist in every state, unfortunately. I could not find a Functional Jaw Orthodontist who was NM as well.

Last edited by Jill 227; 05-02-2010 at 07:00 AM.

 
Old 05-03-2010, 09:48 AM   #13
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Re: Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bit

what would be a good out of state practioner? Near NC. Will I have to travel a lot?

 
Old 05-04-2010, 09:30 AM   #14
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Re: Find a Neuromuscular Dentist with LVI, functional jaw orthotics training, and bit

Hi Leetx.....Initially, you would be going once a month, unless you had a problem or something, otherwise, when you get the orthodic, it's usually every 6-7 weeks for adjustments, and checkups...I would have to look into the surrounding states for you, but I know there are some in Illinois, Wisconsin, NY, Michigan, and Ca. and NV.

 
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