Dentaltown January 2020 - 71
And as mind (our mind or mind like ours) reappears to us
in our study of Nature-Nature being everywhere formed
after a method which we can well understand, and all the
parts, to the most remote, allied or explicable-therefore our
own organization is a perpetual key, and a well-ordered mind
brings to the study of every new fact or class of facts a certain
divination of that which it shall find.
This reduction to a few laws, to one law, is not a choice of
the individual, it is the tyrannical instinct of the mind.
- Ralph Waldo Emerson1
The diseases of dentistry are largely
understood by modern science. As a result,
dentistry is spoiled by its science.
We know what factors are involved with
periodontal disease; we understand decay.
When patients are presented with treatment
plans, rarely is "prognosis" considered or
discussed because it's clear that if the patients
play the limited role that is required of them,
and if our treatment is well delivered, the
treatment plan will be successful. If there
are difficulties during the treatment process,
both the dentist and the patient tend to
attempt to determine where the "fault"
lies. As a result, we expect to understand
mechanisms of disease, we expect that all
the disease processes are understood, and
we feel responsible to cure our patients of
those diseases and create ideal dental health.
Patients who receive quality dental care
from quality dentists die with their teeth.
Patients who receive quality medical care
from quality physicians ... still die.
Therefore, when considering odontogenic
matters, dentistry is burdened by the expectation of perfection and success. This burden
may in fact be largely responsible for dental
burnout and consummate dissatisfaction
within the profession.
The move from
odontogenic dentistry
Over the years, dentistry has moved
from attempting to separate the teeth and
the supporting structures from the rest of
the body to understanding that there are
intricate relationships between these dental
structures and other components of the
cranial-cervicomandibular system.
It's not surprising that both function and
dysfunction of these complicated systems
are not quite as "finite" as the anatomy and
physiology of the teeth and the periodontium.
Unfortunately, dentistry tended to take
the model of relative simplicity in terms of
function and dysfunction involved in their
odontogenic world into their understanding
of these nonodontogenic structures. Dr. J.N.
Campbell made this observation in 1957:
Time passed and it slowly dawned
upon us that the problem of facial
pain was bigger than we had thought,
and that it could not be completely
explained in terms of mechanics.
Dentists have every reason to believe
in their mechanical arts. They have
developed a system of oral engineering
of which they can be justly proud.
However, their concentration on the
by Drs. Barry Glassman and Don Malizia
Dr. Barry Glassman is a diplomate
of the American Board of
Craniofacial Pain, the American
Academy of Pain Management
and the American Board of Dental
Sleep Medicine, and a fellow
of the International College of
Craniomandibular Disorders. He
is on staff of the Lehigh Valley
Hospital network and serves as
clinical instructor in craniofacial pain and sleep disorders.
Among his recent publications are "The Effect of Regional
Anesthetic Sphenopalatine Ganglion Block on Self-Reported
Pain in Patients With Status Migrainosus" in Headache,
and "The Curious History of Occlusion in Dentistry" in
Dentaltown. He teaches and lectures internationally on
orofacial pain, joint dysfunction and sleep disorders.
Dr. Don Malizia's practice is
limited to upper-quarter chronic
pain and sleep-disturbed
breathing at the Allentown Pain
& Sleep Centers in Allentown and
Wilkes-Barre, Pennsylvania.
dentaltown.com \\ JANUARY 2020
71
http://www.dentaltown.com
Dentaltown January 2020
Table of Contents for the Digital Edition of Dentaltown January 2020
Dentaltown January 2020 - Intro
Dentaltown January 2020 - Cover1
Dentaltown January 2020 - Cover2
Dentaltown January 2020 - 1
Dentaltown January 2020 - 2
Dentaltown January 2020 - 3
Dentaltown January 2020 - 4
Dentaltown January 2020 - 5
Dentaltown January 2020 - 6
Dentaltown January 2020 - 7
Dentaltown January 2020 - 8
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Dentaltown January 2020 - Cover3
Dentaltown January 2020 - Cover4
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