It is great that you and others are measuring muscle responses of your cases. This is a wonderful advancement to the field of dentistry. As you know many do not measure. Hats off to you. Objective measurement is a neuromuscular paradigm that the Father of NMD Bernard Jankelson always acknowledged and tried to convey in this dental profession. But as you and others may not realize there was tremendous push back by the some anti instrumentation antagonists who tried everything possible to prevent Myotronics and the Jankelson brothers (Dr. Robert Jankelson and his brother Roland) to convey a truth at the ADA and FDA levels about the validity of CMS (jaw tracking), low frequency Myomonitor TENS, EMG and ESG devices, but eventually they won and those who falsely made accusations actually lost their jobs at the ADA because of their undermining lies they spread to the FDA and Myotronics was exhonorated. Myotronics understands clearly this business today of physiologic scientific measurements when fighting the battle for accuracy and reliability.
You incorrectly make statements stating: “you make no measurement between the teeth? That is not truth. I do. smile emoticon Thank you for admitting that your method does not give you a trajectory.
I believe every clinician in their diagnosis should know whether their occlusal management is meeting the standards of physiologic health on a myo-trajectory especially if one is treating patients with the following: 1) joint derangement problems, 2) pain and 3) masticatory dysfunction. should really know.
Without it the clinician is making many false assumptions when using EMGs, even if they are timed and balanced. By the way, I do measure my cases with EMGs and timing but even more importantly I know exactly where my patients mandible is closing along an optimized myo-trajectory to synchronize the habitual voluntary closure patterns with the involuntary closure myo-trajectory. Don’t miss identifying your myo-trajectory, using your K7 and TENS while balancing your bites.
As we all know dentists do not measure objectively the functional movements of their patients jaw position. Faces can look great, but we feel terrible, our functional ability has been diminished, are muscles of our faces and neck, shoulder, etc are sore and tired….sure we can open and close our mouths more or less, but many of us have difficulty chewing and our jaw joints aren’t functioning as they are suppose to. Pictures do not tell us what our functional impairments are really about. Functional mandibular movements, velocity, speed, resting ability or inability, range of movement patterns when objectively are measured can give tremendous insight into the problems beyond MRI’s and static x-rays images.
– Clayton A. Chan, D.D.S. – Las Vegas, NV
