by Clayton A. Chan, D.D.S. (General Dentist: Purposely chooses not to have political affiliation with any particular group or organization)
At “Occlusion Connections” there are two categories of Neuromuscular Dentistry: “NM dentistry” and “GNM dentistry”. NM stands for Neuromuscular Dentistry and GNM stands for Gneuromuscular Dentistry. I will briefly describe some of the differences dentists are realizing.
- NM brings to light the importance of measuring physiologic jaw responses as well as helps doctors appreciate the science of muscle health, temporomandibular joints as well as establishing a physiologic terminal contact position to which an occlusion (bite) can be established – It is foundational for all doctors to fully appreciate dental occlusion beyond the habitual occlusion, recognizing the musculoskeletal occlusal signs and symptoms.
- Gneuromuscular (GNM) Dentistry is really a combined approach, understanding and application of skill sets required to effectively treat the more complex TMD cases – It goes beyond establishing a myocentric target. Gneuromuscular (GNM) is a blend of both gnathological concepts as well as neuromuscular (NM) dentistry principles.
- GNM brings both the significant value of objective measuring technology with advanced clinical occlusal application to the next level in understanding and treatment for our doctors at OC.
- GNM takes these NM principles to the next level by implementing advanced clinical techniques in refining the NM trajectory (shortens treatment time and office visits), refining how the anatomical lower orthotic should be designed to get maximum dental improvement (speeding up patient resolution), as well as refines the doctors understanding of vertical dimensions for both the restorative and orthodontic treatment (more conservative and effective to prevent relapse problems).
- GNM also enhances the importance of all the anterior functional tooth contacts, excursive movements and anterior discluding schemes that are critical in improving head position, TMJ positioning and muscle function/stability which are missed detailed concepts in the NM teachings.
Because there has been a historical battle between CR (gnathological) and NM (neuromuscular) teachings, the term GNM (gneuromuscular) has been created to convey a blended approach that makes sense to both sides of the political arena in concepts to help further the value of objective measuring instrumentation technology (K7, kineseograph, jaw tracking) in the dental arena of occlusion. Many have recognize that I am a strong advocate and believer of Neuromuscular and the K7, but many have also realized that I value the gnathological concepts all dentists have received from traditional dental school education and training. Because I have been asked to further our experienced and advanced K7 doctors understanding, their technical diagnostic and treatment skills and to also help answer their legitimate clinical questions that have not adequately been answered from their CR and NM training/education, I have developed a proven training curriculum along with newer understanding that brings to light the value of using NM instrumentation and the next level in conjunction with proper application of the gnathic occlusal teachings. Our advanced doctors have now realized that GNM is a combined approach for effective diagnosis and treatment. These advanced experience clinicians recognize the principles and concepts we teach can no longer be ignored (they can’t practice without them). This is why Occlusion Connections (OC) exists as an teaching center here in the U.S. Advanced NM K7 users can get the training that is required to meet their patient’s needs at the next level and find further confidence in the precision and accuracy of the K7 technology and NM diagnostic and treatment principles.
From a marketing perspective, I have found that by combining the gnathological concepts with neuromuscular teachings the centric relation (CR) minded dentists are better able to accept NM teachings easier due to credibility of our gnathological approach and understanding. The political environment of anti-instrumentation and anti-NM amongst the gnathologically minded dentists here in North America are alleviated once they realize that electronic computerized instrumentation is just a means to objectively measure physiologic responses of the human body and masticatory system like any physician who uses EKG or ECG technology to monitor the heart.
GNM is also good marketing means to convey the validity of the Myomonitor J5 TENS and the K7 technology based on neuromuscular science combined with terminology and principles are gnathic CR colleagues can also appreciate and realize that dentistry is truly a blended approach, not one way or the other.
I would like to remind all our blog readers what we believe in:
We are committed to clinical excellence and the blossoming of business entrepreneurship, building a foundation upon which core values shape this organization’s vision and mission. The values of this organization include:
- Respect for others who share the same values and interests in learning and educating themselves in the art and science of dentistry.
- Atmosphere of positive exchange of ideas and concepts that stimulate new learning and knowledge that will bring others to new levels of proficiency.
- Teachers who are role models who demonstrate with mastery these shared values that inspire others to walk the talk.
- Love for family, friends and community.
- Deeply held spirituality, consistent with personal behavior that reflects health.
- Honesty, openness and willingness.
- A commitment to excellence.
- And most of all, gratitude to our creator God in whom we trust.
Our Mission and Goal is to support the dentists and laboratory dental technicians with advanced education (knowledge), and up to date training (techniques, protocols, skills as well as an increased awareness) in the arena of advanced gnathologics, neuromuscular and the use of diagnostics instrumentation. Implementing effective treatment protocols and techniques relating to TMD/orofacial pain, restorative/prosthetics and orthodontic/orthopedic dentistry is highly valued.
Being leaders and a unifying factor to bridge our dental professions understanding and appreciation of both the gnathic occlusal and neuromuscular principles.
Our teaching promotes and encourages a positive exchange of innovative ideas and learning which supports open discovery, support, and guidance to our course attendees.
Las Vegas, NV – Dentist
© 2013 Clayton A. Chan, DDS. All Rights Reserved.