{"id":2444,"date":"2017-05-19T15:31:01","date_gmt":"2017-05-19T15:31:01","guid":{"rendered":"http:\/\/caugheydds.com\/?p=2444"},"modified":"2024-06-29T00:21:33","modified_gmt":"2024-06-29T00:21:33","slug":"pt-dentist-referral","status":"publish","type":"post","link":"https:\/\/caugheydds.com\/2017\/05\/19\/pt-dentist-referral\/","title":{"rendered":"PT to Dentist Referral"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">First and foremost, many patients demonstrating symptoms of R TMCC patterning will <b>NOT<\/b> need dental intervention! But it is helpful to know how to recognize those who will. We hope this stepwise chart will aid in decision making.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>STEP 1: LOCATION OF SYMPTOMS FROM HISTORY<\/b><\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s1\">Headache &#8211; almost always!<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Neck pain &#8211; possibly. Depends on chronicity.<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Hx of fracturing back teeth without apparent reason<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Hx of multiple other dental interventions<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Hx of unrelenting pain regardless of working with excellent therapist<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\"><b>STEP 2: OBJECTIVE FINDINGS FROM CLINICAL EVALUATION<\/b><\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s1\">Narrow infrasternal angle \u2013 this necessitates use of accessory breathing via neck<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Bite distortions: Anterior open bite\/open posterior bite\/cross-bite<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Tongue tie, V-shaped palates, maxillary cant<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Negative L ADT test on first visit!<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\"><b>STEP 3: CONFIRM USING TESTING IN VARYING POSITIONS:<\/b><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">After brachial chain intervention resulting in bilateral 90 degrees HG-IR, refer to dentist if any of the following other limitations persist:<\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s1\">L HG-HAbD<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">limitation in cervical lordosis<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">limitation in cervical-axial rotation<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Limitation in mid-cervical lateral flexion<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Or, patient can maintain BC and TMCC neutrality but symptoms persist<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\"><b>STEP 4: SETTING UP YOUR DENTIST FOR MANAGING EXPECTATIONS<\/b><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Alert your dentist to have his cell phone handy, when you are seeing patients; this open line of communication is critical. Taking the following photos will help your dentist to prepare any complications that need to be discovered prior to treatment planning:<\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s1\">Full face, resting.<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Profile face, relaxed.<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Zoomed mouth baring teeth.<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Zoomed mouth, side view of teeth.<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Upper and lower arches.<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">Open mouth with tongue to roof of mouth.<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\">**Try taking these both with and without the flash**<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>S<\/strong><b>TEP 5: SETTING PATIENT UP FOR MANAGING EXPECTATIONS<\/b><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">When referring, you may be asked: \u201ccan\u2019t my regular dentist make a bite guard for me?\u201d There are several easy answer options:<\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s1\">\u201cIf this issue were simply a dental issue, I have no doubt that would work.\u201d<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">\u201cThere are dental specialists who can make a bite guard that manage both your clenching\/bruxism\/TMJ problem\/airway issue as well as how your head and neck need to move on your body.\u201d<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\">Patients will sometimes ask this difficult question: \u201cShouldn\u2019t my dentist have caught on to this?\u201d<\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s1\">answer: \u201cyou see a general dentist? This is something recognized and treated by a dental bite specialist.\u201d<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\">Other information is very helpful, regarding the business relationship with the dental office: for example, <\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s1\">\u201cDr C\u2019s office is fee for service, and the initial visit is $.\u201d<\/span><\/li>\n<li class=\"li1\"><span class=\"s1\">\u201cDr X will likely want to see a copy of your dental x-rays, along with these photos, prior to scheduling your initial visit.\u201d<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>First and foremost, many patients demonstrating symptoms of R TMCC patterning will NOT need dental intervention! But it is helpful to know how to recognize those who will. We hope this stepwise chart will aid in decision making. STEP 1: LOCATION OF SYMPTOMS FROM HISTORY Headache &#8211; almost always! Neck pain &#8211; possibly. Depends on&hellip;<\/p>\n","protected":false},"author":3,"featured_media":2445,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[16,23,25],"tags":[155,245,269],"class_list":["post-2444","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-integrative-postural-therapy","category-referrals","category-resource-links","tag-integrative-postural-therapy","tag-splint-therapy","tag-tmj-treatment-atlanta"],"gutentor_comment":0,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>PT to Dentist Referral - www.caugheydds.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/caugheydds.com\/2017\/05\/19\/pt-dentist-referral\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PT to Dentist Referral - www.caugheydds.com\" \/>\n<meta property=\"og:description\" content=\"First and foremost, many patients demonstrating symptoms of R TMCC patterning will NOT need dental intervention! 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