Orthotics can break, if it breaks then one has to to repay the cost,it is not expected to last more than 3 months.However some times much longer lasting have been reported.The purpose of an orthotic is to establish an ideal bite as an evidence only.Patient: Why do chronic back or other body pains like Knee Pains happen doctor?
Dr. Sanjay Arora: Head is a 6kg organ approximately, and when it shifts from its COG- center of gravity it behaves almost 30 kg, although literature says 20. I will explain a little later why higher, and probably much higher than the figure I have given. This in physics is described as "apparent weight increase".
Try holding a brick near your chest, feel the weight, now try to take the brick away from your chest to one side, you will experience that the brick has become much heavier. Now try holding that brick with two fingers and you will notice that the brick has further become heavier almost 1.5 to 2 times. This has happened because the holding organ was unstable, that is the fingers. Now the neck is similar to the fingers in this experiment. A child takes almost 4 months to balance his head on the neck-t this is the reason I insist as a hypothesis that the head becomes heavier then what is normally thought in the literature. This heavier head now puts a lot of load on the rest of the body. Muscles of the body are not trained to continuously take such kind of load hence they get tired. Tired muscles loose there are minimal tone scale at rest. This leads to a situation where they are no more capable to support major joints and this leads to either muscle spasm pain or the compression pain in the joint due to inflammation of the structures of the joint or compression on the nerves around because of bulging disc of the compressed joint.
Patient: Ok, it's clear now as to how the head malposition causes back pains, why does it cause let's say shoulder or knee or neck pains.
Dr. Sanjay Arora: The answer is same as above. It has been found in top universities of the world and according to principles of Physics, people with a straighter frame, like famous actor ShahRukh Khan, will have their backs troubled first, and the ones with a curved back frame will have knees and neck pains first. It's just the angles of forces.
Dr. Sanjay Arora: It is an interesting question that you asked. The malposition takes place because the muscles that control the head position on the Shoulders are sternocleidomastoid and Trapezius. These muscles when they perform at an abnormal rate or are irritated then or when their tone scale is altered then the head repositions itself.
Patient: Ok it's clear, but why do these muscles perform abnormally? I can see that you are not leaving the chain of events midway like most allopath's. You are consistent in why. I hope to find the ultimate solution soon.
Dr. Sanjay Arora: These muscles function abnormally because of the irritation of the nerve that supply to these muscles. This nerve is called as the accessory nerve or the number 11 cranial nerve. This exits the skull just next to the medial border of the glenoid fossa/ mandibular fossa, a fossa that houses the jaw joint ball part also called as the condyle. It is just. 0.5 cms away from the medial border of the glenoid fossa. Summing up this joint lies just in front of the middle of one's ear. If one puts a finger there and opens the mouth one can feel the joint moving. Just under this joint lies the entire gamut of important structures like nerves and blood vessels to and fro from the brain.
Dr. Sanjay Arora: When teeth grind more on one side compared to the other then the joint tilts and develops residual pressure. Because there is a tilt in the joint this causes the disc to slip into the Infratemporal fossa. On a Kinematic MRI, a special MRI that captures a video, one can be clearly seen that the disc slips almost an inch into the Infratemporal fossa and it is described in Dr. Sanjay Arora's hypothesis called as "Infratemporal catastrophe". This slipping disc irritates almost all the 17 structures that lie within 1 cubic inch of the Infratemporal fossa.
Dr. Sanjay Arora: Good question. No not due to habit really, unless the habit is because of pain on one side or absence of some teeth on one side. Mainly it's due to tangential forces in the teeth, also called as the angular forces. Angular forces increase the wear and tear of the fitting surface of the teeth. Now this wear and tear will be more on one side whichever side will have more of these angular forces. The same effect will happen when one has lost teeth on one side. Also if a dentist doesn't use digital tools and a CT scan to measure the amount of tooth material restored by a filling or crowns and bridges.
Dr. Sanjay Arora: No there are many possibilities, and that's a huge science in itself. Fundamentally, if there are pressures conducive to slippage in one direction, then the slippage will happen in that direction. For example, if the disc slips to front or anteriorly or front and inside that antero-medially then there are local signs in the form of pain and difficulty in opening of mouth because it's like a piece of cloth stuck in a door hinge. Painful because that area has pain receptors. This is also called as MPDS or Myofacial pain dysfunction syndrome. In this the pains are local and located around the joint and sometimes extend upto the head and ear. If neck is involved too then the displacement is anteromedially.
The pain control center, explores various treatment modalities based on what might be suitable for you according to the experience team of Doctors, Physiotherapists, Chiropractors and Osteopaths. Alternative treatments may also be provided at the center which may not be certified by Medical boards. We have an attached dental division too where TMJD and body pains may receive dental attention if its part of the requirement. We basically deal in all chronic body pains where no specific cause is found. TMJD is much more understood than the body pains.
At our Dental Center We are fundamentally against Smile Designing, and prefer functional changes, which may or may not improve smile. This is part of Neuromuscular or simply called TMJ friendly dentistry and if a patient comes in for smile design, we almost always motivate you for functional changes rather than esthetic changes. They can possibly rid your body of most pains. Most unaesthic smiles have these pains. When you step in, please do ask us more questions on this