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dentistctscan · 5 months ago
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Check out latest GMB post to know about our CBCT scan Los Angeles service at competitive rates. To book your session, call 818.386.8562 today!
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kings-research · 3 years ago
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3D Dental Scan: Cost, Procedure, and Why You Need It
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3D scanning technologies are used to convert a physical model into digital 3D computer-aided design (CAD) file. This digital output is well used for designing and fabricating customised parts through additive manufacturing (AM) technologies. There is a need to identify the contemporary level of adoption of 3D scanning technology in the dental area. This structured literature review based research first tries to identify different types of scanning technologies and then the necessary steps as used to create a design and manufacture dental implant using the 3 D scanning. A large number of the relevant research papers on 3D scanning applications in dentistry are identified through Scopus and analysed using bibliometrics.
 Know more@ https://www.kingsresearch.com/post/global-3d-dental-scanners-market?utm_source=Atish
 This analysis indicates towards an increasing trend of research on 3D scanning applications in the field of dentistry. Different applications of this technology are discussed in the context of dentistry and observed that this technology create innovation in dental products for a dentistry lab. The dentist can take advantages of this technology towards designing custom teeth, crown, braces, dentures, veneers and aligner. 3D digital models also support teaching in dental education for better understanding and practice of the teeth anatomy. Along with the scanning of the complete denture of the patient, direct printing of the same is done by using AM technology produces denture which directly fits the mouth of the patient. It helps reduction of the complexity and production cycle time. 3D scanning technologies seem to have the potential for denture positioning and denture retention and improvement in existing dental implants.
 Why Digital Dentistry Advancements Are So Beneficial
 Remember how, just 26 years ago, there wasn’t a cure for chickenpox? It was almost a right of passage for a young child. Anyone over the age of thirty can attest to the absolute torture of those small, itchy dots that took over your entire body.
 In 1995, the CDC approved a vaccine for this nuisance. That’s why today, kids (and some adults) have been saved from ever having to experience this temporary, yet infuriating, event.
 We’ve come a long way in the world of medicine, and that includes the dental world. Today, with digital dentistry, you’re saved from similar uncomfortable scenarios like chickenpox.
 Most patients can bypass those annoying teeth impressions now because we have 3D dental scanners. At Lasry Dental Clinic in Los Angeles, we use the high-end CBCT scanner. Other providers, such as Invisalign, use the Itero scanner.
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alicecpacheco · 6 years ago
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Latest Innovation from Carestream Dental Help Doctors See the Full Story, Change Lives
COLOGNE, Germany—What’s the story behind the smile? A challenge accepted, an obstacle overcome, a workflow streamlined and a life significantly changed. At the International Dental Show 2019, Carestream Dental is showcasing the latest advancements in technology and the international dental healthcare professionals who make it possible to change patients’ lives.
To give attendees the full story of “what’s behind the smile,” Carestream Dental is hosting a series of live presentations in Booth T40 - U49, Hall 10.2, from Wednesday, March 13, through Saturday, March 16. More than 20 experts from various dental specialties are sharing their personal experiences of challenging cases and how digital technology helped them find the best outcomes. Between presentations, attendees are invited to explore the newest products and technology from Carestream Dental, from software to equipment. Attendees at IDS 2019 will experience the exciting pre-launch of the CS ScanFlow1 software platform that will completely redefine Carestream Dental’s intraoral scanning portfolio. CS ScanFlow will provide ultimate versatility, flexibility and scalability to users through a new workflow design. Users will be able to navigate freely among different workflows from a single scan and process datasets quickly and more accurately. A simplified user interface developed for touchscreen navigation allows users to enjoy a more direct and intuitive interaction with the software if desired. Additionally, the new software will provide mesh refinement options such as the addition of a base for printing and model cleaning tools; will allow for one-click export directly from the software; and will enhance the capture of challenging data with Hybrid Scanning restorative and implant-borne restorative workflows, to name just a few capabilities. As a bonus, current CS 3600 intraoral scanner users who are enrolled in CS Advantage will enjoy a complimentary upgrade to the new platform. Additionally, CS Model+, Carestream Dental’s modeling software that automatically segments, setups, analyzes and presents digital models, has been updated to further redefine the orthodontic workflow. Now, CS Model+ version 3.01 features, among other things, semi-automatic margin detection that eliminates the need to manually segment unidentified teeth. The update also includes new and improved setup options for both manual and aligner modes that save time and a completely redesigned manual mode that provides even more options for refinement. Carestream Dental is also providing IDS 2019 attendees an exclusive preview of the newest addition to its intraoral scanning portfolio, which includes the CS 3600 and CS 3600 Access: The CS 3700.1 Prestigiously designed in collaboration with Studio F. A. Porsche, the CS 3700 features the ergonomic curves and sleek style expected of a high-performance intraoral scanner. The new premium scanner will be available in Arctic White and Carbon Grey, so doctors can match the aesthetics of their practice. Advanced software with features exclusive to the CS 3700—such as smart shade matching that will provide automatic selection and recording of the patient’s tooth shade—will fuel the scanner’s high performance, allowing users to choose their own path. Ultimately, the scanner’s advanced design will drive better clinical outcomes. The CS 9600, Carestream Dental’s newest CBCT system that is so smart, yet so simple, also features prominently in the booth. This five-in-one unit combines 2D panoramic imaging, CBCT scanning, 3D model/impression scanning and 3D facial scanning, and can also be upgraded to include cephalometric imaging,2 and is available in three editions featuring multiple fields of view. Intelligent features and advanced software algorithms make capturing highly accurate images on the first try easier and more efficient. The CS 9600 is available with CS Advantage, a robust service package that includes the exclusive CS UpStream program. CS UpStream monitors the system’s operations to prevent downtime and maximize system availability. “Over the course of five busy and exciting days, attendees will experience our newest innovations,” Ed Shellard, D.M.D, chief dental officer, Carestream Dental, said. “However, as they learn more about this new technology we want them to be thinking in terms of future smiles and lives changed, not circuit boards and metal. After all, the devices themselves would be nothing without the passionate dental professionals who dedicate their careers to their patients.”    The International Dental Show takes place in Cologne, Germany, from March 12-16. To experience the live lecture series, get exclusive previews of products and explore Carestream Dental’s latest innovations, stop by Hall 10.2, Booth T40 - U49, or visit carestreamdental.com/IDS.    
  1Work In Progress–not offered or available for sale; pending medical device regulatory clearances and registrations. 2Option—work in progress; not offered or available for sale
###
About Studio F. A. Porsche
Studio F. A. Porsche is one of the leading design studios worldwide for product, mobility and interior design. Founded by Ferdinand Alexander Porsche in 1972, the Studio has stood for a perfect symbiosis of form and function ever since. For over 45 years the Studio has stayed true to its values: functionality, purism, perfection, relevance and passion. Today Studio F. A. Porsche creates products for select clients worldwide and premium design innovations for its own brand – Porsche Design. The Studio is a subsidiary of the Porsche Lizenz- und Handelsgesellschaft, with its main headquarters in Zell am See, Austria. Other subsidiaries are located in Berlin, Los Angeles and Singapore. Visit the Studio at: www.studiofaporsche.com
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ellymackay · 7 years ago
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Finding Focus in Dental Sleep Medicine: Rosemarie Rohatgi, DMD
Finding Focus in Dental Sleep Medicine: Rosemarie Rohatgi, DMD is available on https://www.ellymackay.com
Why Rosemarie Rohatgi, DMD, left general dentistry to open San Diego Sleep Therapy, where she exclusively works with patients who have obstructive sleep apnea.
By Greg Thompson | Photography by Susan Magre
Many people advised Rosemarie Rohatgi, DMD, that a dental sleep medicine-only practice would not succeed. But San Diego Sleep Therapy is now a thriving dental practice in which most patients are physician referrals.
General dentists often start with making a few oral appliances “here and there” when opportunity presents itself as a complement to their traditional practices. Far rarer is a dentist who jettisons the safety net of a traditional practice altogether to focus exclusively on dental sleep medicine.
Rosemarie Rohatgi, DMD, is one of those trailblazers. After almost two decades as a general dentist, she went looking for a new space to ply her trade. While she had no equipment, no physical location, and could not take any patients with her, she made it a point to lay a strong educational foundation, earning Diplomate status with three separate boards, the American Board of Dental Sleep Medicine, the American Sleep and Breathing Academy, and the American Board of Craniofacial Dental Sleep Medicine. Rohatgi previously had completed her undergraduate training at University of Oregon, Eugene, and graduate work at Oregon Health Sciences University School of Dentistry, Portland. She also completed a sleep medicine residency at the University of California, Los Angeles.
Rohatgi eventually took the bold step of opening the 1,300-sq-ft San Diego Sleep Therapy in San Diego, Calif, from scratch. At first, Rohatgi did everything herself. She answered phones, saw patients, and even handled the billing for a while before turning that over to experts. “The practice has grown significantly,” Rohatgi says, “so much so that a majority of my patients are physician referrals.”
It’s been a challenging road, and many colleagues, particularly at the beginning, discouraged the move. “A colleague even told me that a sleep only practice would never work, and I needed an existing [general] dental practice,” says Rohatgi. “Even my supporters were skeptical. It was too risky for them. Yet I took a loan out and pressed forward.”
Rohatgi’s plan to focus full time on oral appliance therapy in the treatment of sleep apnea began to crystallize during a dental sleep medicine seminar about 10 years ago in Irvine, Calif. She remembers: “I was pregnant at the time and ready to deliver at any moment. However, I drove up from San Diego for a 2-day weekend course. The instructor, Kent Smith, DDS, was impactful, and I was moved by the patient need. At the end of that session, I told myself, ‘I have to do this.’”
Many years before this epiphany, Rohatgi traced the first seeds of her interest in dental sleep medicine to a return trip home after completing dental school. “I visited my parents one weekend and I couldn’t believe my ears,” she remembers. “I started researching this undefined area [loud snoring] and found a simple device to fabricate for my dad. His experience of better sleep, and a restful night for my mother, was enough for me to become a believer in the field of dental sleep medicine. This is where it all originally began.”
While Rohatgi liked dentistry in the intervening years, she needed a new purpose. “I enjoyed some dental procedures such as extracting teeth, but I did not love dentistry,” she says with a chuckle. “I feel like dental sleep medicine is my calling. It gave me a purpose and revitalized my meaning of practice.”
Alternative to Gold Standard
Rohatgi and a medical office assistant review notes in the modern-styled reception area.
For people with obstructive sleep apnea (OSA), Rohatgi readily agrees that CPAP is remarkably effective. “CPAP is certainly the gold standard if patients are compliant,” she says. “Oftentimes, we see patients are more compliant with oral devices due to comfort. We can now personalize oral devices and make them smaller to allow for more tongue space.”
Medical providers who routinely treat patients with CPAP are willing to refer people who fail or refuse CPAP to Rohatgi because they know she is committed to patients. They know because she has communicated with many of them, often face to face. “There are no shortcuts in establishing referrals,” she says. “I spoke with many of my referring providers in person. I was persistent. I educated sleep labs and sleep physicians and informed them that oral appliances work effectively by showing them results and [having them] hear our patient testimonials, often directly from patients who attest that we are improving outcomes.”
Patients tell sleep physicians how they feel better with oral appliances, and their personal stories also build referrals. “Quite often we hear, ‘This is definitely working better than CPAP,’” Rohatgi says.
Rohatgi’s patient-first philosophy, along with her willingness to steer clear of turf wars, means that referrals are often a two-way street that can take unexpected detours. As an example, Rohatgi recalls the case of a stay-at-home mom who was referred by a sleep physician. She’d been diagnosed with OSA several years prior via in-lab polysomnography (PSG), but Rohatgi observed that another disorder might also coexist. “She would come in with injuries, and she was accumulating them while she was asleep,” she explains. “Naturally we tend to think of domestic violence, but she spoke of her husband highly and I was not sure what was going on.” 
Documenting the injuries in S.O.A.P. (subjective, objective, assessment, and plan) notes led to additional discussions with physicians during hospital sleep rounds. “I eventually referred her to a neurologist because we knew she was sleep walking, and her injuries were getting more serious,” says Rohatgi, who by then suspected REM sleep behavior disorder. “She did not want to go see another doctor and have another in-lab PSG, so I had to cajole her. He ordered an in-lab PSG.
“She was diagnosed with nocturnal epilepsy,” Rohatgi continues. “She had a seizure during the sleep study. We were fortunate to obtain this data during her study because it did not happen every night. They eventually found a hemangioma. When I came back for another sleep round, a colleague said: ‘Well of all people, it’s a dentist who found it.’” Rohatgi takes pride in getting patients such as this mother into the proper hands and in following up. In addition to having a network of sleep physicians to refer to, Rohatgi also maintains relationships with general dentists in her area to refer patients who need dental services that she no longer does herself.
Rohatgi laments that the broader medical profession still lacks respect for the full breadth of available sleep apnea treatments. Within her specialty of oral appliances, the biggest misconception is that they don’t work, she says. “But they do work,” counters Rohatgi. “I have data on hundreds of patients. I know oral appliance therapy works, and there is supporting literature. It’s a big disappointment when we are unable to get sleep labs or sleep physicians on board with us. We need to give patients the alternatives they deserve.”
Despite exponential growth in sleep apnea awareness over the last decade, there is a large population of potential patients who still have never even heard of oral appliance therapy. Rohatgi thinks reasons include that patients “are not informed about the oral appliance alternative” and that some sleep physicians lack the confidence in oral appliance efficacy.
Modern Technology
Rohatgi eschews polyvinyl siloxane impressions in favor of a Carestream intraoral scanner, which she demonstrates on a medical office assistant.
Patients who eventually find their way into Rohatgi’s office appreciate the practice’s modern architectural feel that gives a hint of what is to come; namely, the latest technology. Rohatgi counts herself as an early adopter of new technology, even if that means larger capital expenditures.
Rohatgi says, “We digitally scan patients’ mouths, so we are able to capture a three-dimensional image for CAD/CAM [computer-aided design/computer-aided manufacturing] technology. We use a Carestream scanner; it’s quick, accurate, and efficient. Everything is sent digitally to the manufacturers, so there is nothing to package and the order is sent out electronically, which means more efficiency and less room for error. I utilize oral appliance manufacturers that accept digital information, such as ProSomnus, Narval, and [Whole You] Respire, among others.”
Rohatgi demonstrates proper patient positioning for usage of the Orthophos SL 3D cone beam computed tomography imaging system.
  Rohatgi uses a Dentsply Sirona cone beam computed tomography system (an Orthophos SL 3D) in addition to the Carestream scanner. “I realize that view is captured while [patients] are awake, but it’s more of an educational tool for patients,” she says. “I’m not diagnosing with the cone beam, but at least they can see the area that is most constricted. A lot of people are visual, so when you show them, they see that the airway is not perfectly circular.”
Rohatgi uses CBCT as an educational tool, particularly since not all patients realize the airway isn’t perfectly circular.
With two young children (a 4-year-old girl and 6-year-old boy), Rohatgi and her husband are all too familiar with the challenges of getting enough sleep. Being a wife, mother, and full-time clinician/business owner is not easy and admittedly leaves little time for old pastimes such as playing the piano, travel, tennis, remodeling homes, and wine tasting. “The balance is the biggest challenge in my life. It is difficult and a constant ‘work in progress’ with trying to make time for everything,” she says.
And yet, Rohatgi is adamant that her bold career decision was the right move. That decision is repeatedly affirmed when new patients come through the doors, sometimes at their wit’s end. Whether it’s a new patient, or one who has put away his CPAP a decade ago and is still seeking alternatives, the possibility to make a positive influence remains a gratifying part of the job.
“One patient recently said he had a ‘new and extended lease on life’ and added that this ‘has been one of the best investments of time and money I’ve made in my lifetime. I wish I would have done it sooner,’” says Rohatgi. “It’s amazing how this small object, this custom-fitted device, can be such a life-changer for people. Their outlook can completely change for the better, and that’s a really satisfying part of my job.” 
youtube
Greg Thompson is a Fort Collins, Colo-based freelance writer.
from Sleep Review http://www.sleepreviewmag.com/2018/05/dental-sleep-rohatgi/
from Elly Mackay - Feed https://www.ellymackay.com/2018/05/10/finding-focus-in-dental-sleep-medicine-rosemarie-rohatgi-dmd/
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marclefrancois1 · 7 years ago
Text
Finding Focus in Dental Sleep Medicine: Rosemarie Rohatgi, DMD
The blog article e0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22eee0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22eepostlinke0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22eee0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22ee is republished from https://www.marclefrancois.net
Why Rosemarie Rohatgi, DMD, left general dentistry to open San Diego Sleep Therapy, where she exclusively works with patients who have obstructive sleep apnea.
By Greg Thompson | Photography by Susan Magre
Many people advised Rosemarie Rohatgi, DMD, that a dental sleep medicine-only practice would not succeed. But San Diego Sleep Therapy is now a thriving dental practice in which most patients are physician referrals.
General dentists often start with making a few oral appliances “here and there” when opportunity presents itself as a complement to their traditional practices. Far rarer is a dentist who jettisons the safety net of a traditional practice altogether to focus exclusively on dental sleep medicine.
Rosemarie Rohatgi, DMD, is one of those trailblazers. After almost two decades as a general dentist, she went looking for a new space to ply her trade. While she had no equipment, no physical location, and could not take any patients with her, she made it a point to lay a strong educational foundation, earning Diplomate status with three separate boards, the American Board of Dental Sleep Medicine, the American Sleep and Breathing Academy, and the American Board of Craniofacial Dental Sleep Medicine. Rohatgi previously had completed her undergraduate training at University of Oregon, Eugene, and graduate work at Oregon Health Sciences University School of Dentistry, Portland. She also completed a sleep medicine residency at the University of California, Los Angeles.
Rohatgi eventually took the bold step of opening the 1,300-sq-ft San Diego Sleep Therapy in San Diego, Calif, from scratch. At first, Rohatgi did everything herself. She answered phones, saw patients, and even handled the billing for a while before turning that over to experts. “The practice has grown significantly,” Rohatgi says, “so much so that a majority of my patients are physician referrals.”
It’s been a challenging road, and many colleagues, particularly at the beginning, discouraged the move. “A colleague even told me that a sleep only practice would never work, and I needed an existing [general] dental practice,” says Rohatgi. “Even my supporters were skeptical. It was too risky for them. Yet I took a loan out and pressed forward.”
Rohatgi’s plan to focus full time on oral appliance therapy in the treatment of sleep apnea began to crystallize during a dental sleep medicine seminar about 10 years ago in Irvine, Calif. She remembers: “I was pregnant at the time and ready to deliver at any moment. However, I drove up from San Diego for a 2-day weekend course. The instructor, Kent Smith, DDS, was impactful, and I was moved by the patient need. At the end of that session, I told myself, ‘I have to do this.’”
Many years before this epiphany, Rohatgi traced the first seeds of her interest in dental sleep medicine to a return trip home after completing dental school. “I visited my parents one weekend and I couldn’t believe my ears,” she remembers. “I started researching this undefined area [loud snoring] and found a simple device to fabricate for my dad. His experience of better sleep, and a restful night for my mother, was enough for me to become a believer in the field of dental sleep medicine. This is where it all originally began.”
While Rohatgi liked dentistry in the intervening years, she needed a new purpose. “I enjoyed some dental procedures such as extracting teeth, but I did not love dentistry,” she says with a chuckle. “I feel like dental sleep medicine is my calling. It gave me a purpose and revitalized my meaning of practice.”
Alternative to Gold Standard
Rohatgi and a medical office assistant review notes in the modern-styled reception area.
For people with obstructive sleep apnea (OSA), Rohatgi readily agrees that CPAP is remarkably effective. “CPAP is certainly the gold standard if patients are compliant,” she says. “Oftentimes, we see patients are more compliant with oral devices due to comfort. We can now personalize oral devices and make them smaller to allow for more tongue space.”
Medical providers who routinely treat patients with CPAP are willing to refer people who fail or refuse CPAP to Rohatgi because they know she is committed to patients. They know because she has communicated with many of them, often face to face. “There are no shortcuts in establishing referrals,” she says. “I spoke with many of my referring providers in person. I was persistent. I educated sleep labs and sleep physicians and informed them that oral appliances work effectively by showing them results and [having them] hear our patient testimonials, often directly from patients who attest that we are improving outcomes.”
Patients tell sleep physicians how they feel better with oral appliances, and their personal stories also build referrals. “Quite often we hear, ‘This is definitely working better than CPAP,’” Rohatgi says.
Rohatgi’s patient-first philosophy, along with her willingness to steer clear of turf wars, means that referrals are often a two-way street that can take unexpected detours. As an example, Rohatgi recalls the case of a stay-at-home mom who was referred by a sleep physician. She’d been diagnosed with OSA several years prior via in-lab polysomnography (PSG), but Rohatgi observed that another disorder might also coexist. “She would come in with injuries, and she was accumulating them while she was asleep,” she explains. “Naturally we tend to think of domestic violence, but she spoke of her husband highly and I was not sure what was going on.” 
Documenting the injuries in S.O.A.P. (subjective, objective, assessment, and plan) notes led to additional discussions with physicians during hospital sleep rounds. “I eventually referred her to a neurologist because we knew she was sleep walking, and her injuries were getting more serious,” says Rohatgi, who by then suspected REM sleep behavior disorder. “She did not want to go see another doctor and have another in-lab PSG, so I had to cajole her. He ordered an in-lab PSG.
“She was diagnosed with nocturnal epilepsy,” Rohatgi continues. “She had a seizure during the sleep study. We were fortunate to obtain this data during her study because it did not happen every night. They eventually found a hemangioma. When I came back for another sleep round, a colleague said: ‘Well of all people, it’s a dentist who found it.’” Rohatgi takes pride in getting patients such as this mother into the proper hands and in following up. In addition to having a network of sleep physicians to refer to, Rohatgi also maintains relationships with general dentists in her area to refer patients who need dental services that she no longer does herself.
Rohatgi laments that the broader medical profession still lacks respect for the full breadth of available sleep apnea treatments. Within her specialty of oral appliances, the biggest misconception is that they don’t work, she says. “But they do work,” counters Rohatgi. “I have data on hundreds of patients. I know oral appliance therapy works, and there is supporting literature. It’s a big disappointment when we are unable to get sleep labs or sleep physicians on board with us. We need to give patients the alternatives they deserve.”
Despite exponential growth in sleep apnea awareness over the last decade, there is a large population of potential patients who still have never even heard of oral appliance therapy. Rohatgi thinks reasons include that patients “are not informed about the oral appliance alternative” and that some sleep physicians lack the confidence in oral appliance efficacy.
Modern Technology
Rohatgi eschews polyvinyl siloxane impressions in favor of a Carestream intraoral scanner, which she demonstrates on a medical office assistant.
Patients who eventually find their way into Rohatgi’s office appreciate the practice’s modern architectural feel that gives a hint of what is to come; namely, the latest technology. Rohatgi counts herself as an early adopter of new technology, even if that means larger capital expenditures.
Rohatgi says, “We digitally scan patients’ mouths, so we are able to capture a three-dimensional image for CAD/CAM [computer-aided design/computer-aided manufacturing] technology. We use a Carestream scanner; it’s quick, accurate, and efficient. Everything is sent digitally to the manufacturers, so there is nothing to package and the order is sent out electronically, which means more efficiency and less room for error. I utilize oral appliance manufacturers that accept digital information, such as ProSomnus, Narval, and [Whole You] Respire, among others.”
Rohatgi demonstrates proper patient positioning for usage of the Orthophos SL 3D cone beam computed tomography imaging system.
  Rohatgi uses a Dentsply Sirona cone beam computed tomography system (an Orthophos SL 3D) in addition to the Carestream scanner. “I realize that view is captured while [patients] are awake, but it’s more of an educational tool for patients,” she says. “I’m not diagnosing with the cone beam, but at least they can see the area that is most constricted. A lot of people are visual, so when you show them, they see that the airway is not perfectly circular.”
Rohatgi uses CBCT as an educational tool, particularly since not all patients realize the airway isn’t perfectly circular.
With two young children (a 4-year-old girl and 6-year-old boy), Rohatgi and her husband are all too familiar with the challenges of getting enough sleep. Being a wife, mother, and full-time clinician/business owner is not easy and admittedly leaves little time for old pastimes such as playing the piano, travel, tennis, remodeling homes, and wine tasting. “The balance is the biggest challenge in my life. It is difficult and a constant ‘work in progress’ with trying to make time for everything,” she says.
And yet, Rohatgi is adamant that her bold career decision was the right move. That decision is repeatedly affirmed when new patients come through the doors, sometimes at their wit’s end. Whether it’s a new patient, or one who has put away his CPAP a decade ago and is still seeking alternatives, the possibility to make a positive influence remains a gratifying part of the job.
“One patient recently said he had a ‘new and extended lease on life’ and added that this ‘has been one of the best investments of time and money I’ve made in my lifetime. I wish I would have done it sooner,’” says Rohatgi. “It’s amazing how this small object, this custom-fitted device, can be such a life-changer for people. Their outlook can completely change for the better, and that’s a really satisfying part of my job.” 
Greg Thompson is a Fort Collins, Colo-based freelance writer.
from Sleep Review http://www.sleepreviewmag.com/2018/05/dental-sleep-rohatgi/
from https://www.marclefrancois.net/2018/05/10/finding-focus-in-dental-sleep-medicine-rosemarie-rohatgi-dmd/
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subluxationskill · 7 years ago
Text
Chiropractic Trigeminal Neuralgia Treatment
New Post has been published on https://drdrewhall.com/chiropractic-trigeminal-neuralgia-treatment/
Chiropractic Trigeminal Neuralgia Treatment
Our Los Angeles offices have been offering Blair Upper Cervical chiropractic trigeminal treatment for 16 years. Unlike medical care whose aims to prescribe painkilling to help mask the pain, Blair Upper Cervical care has the goal of increasing your bodies adaptive and healing potential by removing nerve irritation at the brainstem (upper neck) level. In this article, we will discuss how an injury to the upper cervical spine can cause a cascade of effects through the nervous system and how this can be a cause of trigeminal neuralgia and other chronic health conditions.
An interesting study was published in Dec. of 2001 in the Journal of Spinal Disorders, that looked at the correlation between whiplash trauma and trigeminal sensibility. The outcome of the study was whiplash trauma increased the sensitivity of the trigeminal nerve and it persisted over years following the trauma. Dr. Burcon chiropractic researcher in Michigan has drawn a correlation between whiplash type trauma and the onset of trigeminal neuralgia and Meniere’s disease. His research found that the trigeminal neuralgia and Meniere’s disease had an average onset of 13 years following a major whiplash trauma. It appears that neck injury damages the ligaments and soft tissue that support normal movement in the neck. When this occurs, it affects the brainstem and central nervous system. Over time a cascade of neurological effects evolves, and chronic degenerative disease processes can ensue. (1)
What is Trigeminal Neuralgia?
Trigeminal Neuralgia (TN), also called tic douloureux, is a condition that causes intermittent, shooting pain in the face. Trigeminal neuralgia affects the trigeminal nerve (cranial nerve 5). The trigeminal nerve controls sensations of touch, pain, pressure, and temperature to the brain from the face, gums, jaw, forehead, and eyes.
Trigeminal Neuralgia results in sudden, extreme, electric shocks, or stabbing pain that lasts seconds or minutes depending on the case. The pain can is felt on the face and around the lips, eyes, nose, head, and forehead. TN Symptoms may be brought by teeth brushing, putting on makeup, touching the face, swallowing, and even from a slight breeze. Attacks can vary in frequency from case to case but usually come in clusters. Some TN cases have long dormant periods between episodes.
Atypical Trigeminal Neuralgia
  According to Wikipedia “Atypical trigeminal neuralgia (ATN), or type 2 trigeminal neuralgia, is a form of trigeminal neuralgia, a disorder of the fifth cranial nerve. This form of nerve pain is difficult to diagnose, as it is rare and the symptoms overlap with several other disorders.[1] The symptoms can occur in addition to having migraine headache or can be mistaken for migraine alone, or dental problems such as temporomandibular joint disorder or musculoskeletal issues. ATN can have a wide range of symptoms and the pain can fluctuate in intensity from mild aching to a crushing or burning sensation, and also to the extreme pain experienced with the more common trigeminal neuralgia.
  TRIGEMINAL NEURALGIA SYMPTOMS:
Extreme episodes of shooting pain similar to electric shocks.
Spasms of pain that last from seconds to minutes.
Intermittent spasms of mild pain.
Pain in the gums, teeth, jaw, and forehead.
periods of pain which can be provoked by chewing, talking or gentle touching of the face.
Pain can be on one side or both sides of the face.
Some patients experience numbness in the face prior to the pain starting.
Trigeminal Neuralgia Causes:
  TN developing after Dental Procedures
There are many theories surrounding causation of trigeminal neuralgia. In our Los Angeles Blair Upper Cervical Chiropractic office, we see many TN cases that developed following dental implants, root canals, and oral maxillary facial surgeries. While this is not the only precipitating factor it is one of the major temporal associations. It is this authors opinion that it is not the dentist that cause TN, however, the forces involved during these procedures can set off an underlying cervical spine weakness. During anesthesia, the bodies muscular protective mechanisms are paralyzed making injury to an already structurally unstable neck susceptible to further joint injury. Also, dental and facial surgeries often require difficult head positions, and forces applied to the teeth and jaw that can exacerbate a latent structural problem. The brainstem, which runs through the top two vertebrae in the neck, also houses the trigeminal nucleus. Spinal misalignments in this area can result in mechanical traction of the spinal cord resulting in abnormal nervous system function.
TN Caused by Whiplash and Neck Injury?
An interesting study was published in Dec. of 2001 in the Journal of Spinal Disorders, that looked at the correlation between whiplash trauma and trigeminal sensibility. The outcome of the study was whiplash trauma increased the sensitivity of the trigeminal nerve and it persisted over years following the trauma. Dr. Burcon chiropractic researcher in Michigan has drawn a correlation between whiplash type trauma and the onset of trigeminal neuralgia and Meniere’s disease. His research found that the trigeminal neuralgia and Meniere’s disease had an average onset of 13 years following a major whiplash trauma. It appears that neck injury damages the ligaments and soft tissue that support normal movement in the neck. When this occurs, it affects the brainstem and central nervous system. Over time a cascade of neurological effects evolves and chronic degenerative disease processes can ensue. (1)
Whiplash trauma produces forces within the cervical spine that damage the supporting ligaments and soft tissue that are responsible for normal joint motion. Each joint in the neck houses millions of mechanoreceptors whose job is to relay information to the back part of the brain to maintain normal posture against gravity. When an injury occurs, joint motion is reduced, which results in the abnormal firing of the joint mechanoreceptors. This can cause a cascade of abnormal postural influences causing postural imbalance resulting in spinal cord irritation and interference. Dr. Dan Murphy out of the San Francisco bay Area has written numerous articles regarding whiplash and its global aberrant effects it can have on the central nervous system. (2,3,4) There are numerous case studies in the literature that indicate correcting upper cervical spine injuries, with manual correction can correct the underlying cause of trigeminal neuralgia. (5,6)
Medical Trigeminal Neuralgia Treatment
Current medical treatment is focused on pain alleviation NOT LOCATING CAUSATION. Medicine is looking to manage symptom which doesn’t ask the question why is this happening. With that said painkillers, seizure medications and other psychiatric drugs have produced relief in a percentage of cases.
The first line of treatment is medication.
The drug of choice is carbamazepine (Tegretol™), which eliminates or brings acceptable pain relief in 69 percent of patients.
Baclofen (Lioresal™) is the second drug of choice and may be more effective if used with low-dose carbamazepine.
Next, we will discuss a little-known procedure that has been found effective at helping the body heal from TN.
Blair Upper Cervical Chiropractic- What Is It? Chiropractic Trigeminal Neuralgia Treatment
In our Los Angles Blair Upper Cervical Chiropractic office, we take precise imaging to study exactly what is going on inside your spine. Many times, health professionals do not get imaging and end up with poor or no results. Most patients improve with upper cervical care because imaging is not only observed but rigorously studied. An architect builds the blueprint that the contractor executes in constructing a building. An upper cervical chiropractor uses imaging as a blueprint to determine how you are built, how your upper neck is out of alignment and how to correct it. Cone Beam Cat Scan (CBCT) is the new generation of imaging that allows for precision in upper cervical care like never before. At Upper Cervical Health Care in Los Angeles, we take our patients health seriously. Most of the patients we see are chronic, have seen over 20 different doctors, and are desperate for a health solution. While we do not have all the answers, we look at heath from a unique perspective.
We have imaging technology that can precisely detect spinal misalignments that are impacting the central nervous system, and most of the time correct the underlying cause of many chronic health problems. (fig.1)
Figure. 1 Precise imaging allows our doctors to determine exactly how the atlas or axis is out of alignment. This information is then used to make a precise correction with no twisting, popping, or pulling
Blair Upper Cervical Care uses precise techniques to correct – not manipulate – this highly sensitive area of the spine (upper neck). Upper Cervical Health Care of Los Angeles is one of very few upper cervical health centers in the country that utilizes advanced imaging to evaluate and understand the unique details that may be the difference in overcoming your health concern. With upper cervical care, there is never any bending, twisting, popping, cracking or pain with the corrections. Come give us a visit and you will see the CBCT Blair Upper Cervical Chiropractic difference.
Our offices have four passionate, well-trained doctors, who have the goal of improving the health and lives of the people we take care of. To schedule a FREE consultation in our office you can call 310 324-6172 for our Carson office or 213 399-7772 for our Los Angeles office (CBCT office). Or schedule online.
References
1. https://www.hindawi.com/journals/nri/2015/794829/
2. http://www.danmurphydc.com/wordpress/wp-content/uploads/archive/2005/Article_09-05.silber.pdf
3. http://www.danmurphydc.com/wordpress/wp-content/uploads/2011/01/AR-43-12-bogduk-WST-FACET.pdf
4. http://www.danmurphydc.com/wordpress/wp-content/uploads/archive/2001/Article_51-01.kulkarni.pdf
5.​https://www.researchgate.net/publication/305634735_Resolution_of_Trigeminal_Neuralgia_Following_Chiropractic_Care_to_Reduce_Cervical_Spine_Vertebral_Subluxations_A_Case_Study
6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921783/
7. https://www.ncbi.nlm.nih.gov/pubmed/11723396
Our Los Angeles office has been offering blair upper Cervical chiropractic services for 16 years. Unlike medical care whose aim is to cover up pain by using medication , blair upper Cervical Care’s aim is to restore normal function. In this article we will discuss how an injury to the upper neck can cause a cascade effects through the nervous system and body and how this can be a cause of trigeminal neuralgia and other chronic health conditions.
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