Archive for March, 2010

Correlation between Stress and Sleep Bruxism

March 30, 2010 Leave a comment

Correlation between stress, stress-coping and current sleep bruxism

M Giraki, C Schneider, R Schäfer, P Singh, M Franz, W Raab, and M Ommerborn

Head Face Med. 2010; 6: 2.

BBMD Appliance

BBMD device worn by subjects during the experiment

This interesting paper, just published online in the Head & Face Medicine journal, studies the relationship between stress and sleep bruxism.

We are, I’m sure, all fairly confident in this association, based on our clinical experience. There is, however, still a lack of decent evidence for a causal relationship between stress and sleep bruxism.

This paper does add another level of confidence in that association, but the authors still fall short of claiming that this is evidence of a direct causal relationship. It’s worth a read though and may be useful for those of you who see patients on referral from GPs, neurologists, etc.- download the full article free here:

3D Head and Neck Anatomy for Dentistry DVD-ROM

March 26, 2010 Leave a comment

oral cavity illustration

I’ve only just installed this new DVD-ROM on my iMac, but I can already tell you it’s the new “must have” for all dentists, especially anyone with an interest in the anatomy and function of the muscles of mastication and the TMJs.

The impressive roll call of authors includes Prof Patricia Reynolds, Director of Flexible Learning at King’s Dental Institute, along with Barry Berkovitz and Bernie Moxham, who had the difficult task of teaching me 2nd BDS anatomy and physiology in the 1970s at Bristol Dental School. They have also published a number of beautifully illustrated and very popular dental anatomy and physiology text books over the years.

Here’s the link to the web site:

Priced at £180 this is something of a bargain for a very comprehensive DVD-ROM (PC and Mac compatible) of this quality. I can’t begin to imagine the number of potential uses there are for this product, but it will be invaluable not only for dentists’ own education, and also a great aid to communicating with dental nurses, hygienists and, most importantly perhaps, patients.

Roy and I use many of the animations  already in our lectures, but there are some new ones included here that will make to job of explaining the anatomy and function of the masticatory system considerably easier in the future. What will be particularly invaluable though will be the chance for our delegates to review what they have learned back at home or in the practice.

New SDS TMD Questionnaire available for download

March 25, 2010 3 comments

The result of many hours of consultation with colleagues and trials on hundreds of patients, we can now release what we hope is the definitive document for recording signs and symptoms in cases where you suspect occlusal disease and/or temporomandibular disorders (TMD).



You can download the SDS TMD Questionnaire by clicking this link, save it and print off as many copies as you require.

Clearly, this is never going to be ideal for everyone, but we would ask you to give it a try because it fits in with the way Roy and I teach the subject, laid out in what we hope s a logical sequence that should help you to reach a provisional diagnosis.

There are also very good medico-legal reasons why this data should be recorded in this manner and if you have this data available it will be much easier to defend your actions should problems arise later. Hopefully though, using forms like this to collect data will help to prevent problems anyway.

We are quite open to suggestions on how this form could be improved, so please let us know what you think – we need your feedback to help us improve and respond to your needs.

Higgy at the NEC Dentistry Show

March 23, 2010 Leave a comment

I hear Roy went down a storm as the final speaker at the NEC Dentistry Show last weekend.
Apparently three or four hundred dentists were inspired by his talk on occlusion.
If that was YOU please add a comment here! We’d love to hear your feedback.

Roy promised to let people have a copy of our Occlusal Screening Questionnaire – click on this link to open the pdf file.

Intro Part 2 (Wakefield) in June – just 4 places left

March 20, 2010 Leave a comment

STOP PRESS: another two today – so just 4 places left for June.

Two more bookings this morning means we’re down to the final six places to make up the 20, and this BEFORE any unsolicited advertising has been done. Optident are printing some flyers for us and will distribute to their customers, along with West One (Komet distributors in the UK), so we expect even more demand then. If you’re thinking about attending please make sure you don’t miss the boat.

Link to the booking form/flyer here: Intro 2 Flyer

SDS Occlusion Komet Preparation Kit

March 19, 2010 Leave a comment

SDS are pleased to announce the launch of our special bur kit from Komet, which is designed to complement our teaching on both the IRS and ARS courses. IRS delegates arriving at Poole this weekend will be the first to receive their kits as part of the course.

SDS Prep Kit

SDS Komet Burs Prep Kit

The kits come supplied in an attractive blue alloy bur block, with a safety lid.

For your convenience the description and re-order number for each bur in the kit is etched onto the surface.

We have a number of these kits available at a launch price of £80 +vat; please call on 01457 821800 to order yours.

Remember, we also carry a stock of Huffman Leaf Gauges, Madam Butterfly articulating silk (red and green) and Vagantin tablets. These are available in single strips of 10, a half box (50) or as a full box of 100. Again, just call 01457 821800 to order.

List of Burs in the SDS Prep Kit

List of Burs in the SDS Preparation Kit

This kit has been designed to simplify bur selection as much as possible, reducing the number of burs you need to keep in the practice, and ensuring you always have the ones you need readily available. Copies of the relevant pages from the IRS course relating to how these burs are used are available on request.

There are nine burs in the kit, covering crown, veneer and bridge preparations, along with 2 burs for refining provisional restorations.

The veneer burs are chosen to be used in conjunction with the Magne technique, the 1mm round bur used at half depth for gingival margin reduction/refinement, and the 0.7 depth cut bur for the facial surfaces.

The crown and bridge burs are designed for use with both porcelain fused to metal and ceramic (eMax) restorations.

Dental Hypothesis: The Non-Conformist Journal for Dentists

March 11, 2010 Leave a comment

Dental Hypothesis: The Non-Conformist Journal for Dentists.

A new independent, international dental journal, Dental Hypotheses, will soon hit the web and the press. Like many dentistry publications, this journal will provide peer-reviewed articles for the professional dental community. However, Editors-In-Chief Edward F. Rossomando (Director of the Biodontics® Program at the University of Connecticut School of Dental Medicine., United States)and Jafar Kolahi (Torabinejad Research Center, Isfahan University of Medical Sciences,Isfahan, Iran, Islamic Republic) and their editorial team seek submissions about controversial and out-of-the-ordinary issues. For example, nano-dentistry, biodontics, dental specialties, community dental health, and the economy of dentistry are ideal topics for submission.

Dental Hypotheses is not supported by any institution, commercial company, or advertisers, and authors are not charged for publication. The magazine supports academic freedom for presentation and criticism of challenging, thought-provoking ideas in the dental field. Expect to see radical, speculative and non-mainstream concepts in the pages of this journal.

If you’d like to submit an article for review, see guidelines here. You can also read about the peer review process at Articles are accepted by online submission.

Bruxism in the news again

March 9, 2010 6 comments

Bruxism and clenching are certainly hot news recently, so our patients will certainly be asking for more information over the coming weeks and may be much more receptive to treatment.

This time it’s the Grindcare device, available from S4S, in the Daily Mail.

I still haven’t found a suitable case for this treatment, but maybe that’s because our standard appliances, properly made and adjusted, seem to do the job so well.

As the Daily Mail article states:

The treatment is not cheap – a four-week Grindcare loan trial costs £180. After this, patients can buy one of the devices for £850 (this compares with a decent mouthguard, which costs £300 to £400).

Have any of our readers tried this technology? We’d love to hear your comments.

“Orofacial Pain” by Joanna M. Zakrzewska (Editor)

March 3, 2010 2 comments

Orofacial Pain CoverI hope to bring you a full review of this book when I’ve finished reading it, but it looks a very good read and an essential reference for anyone involved in the diagnosis and management of orofacial pain. It’s a comprehensive and timely review of the current state of play in this field, written from a British perspective (for once!) but with an internationally renowned group of contributors from Sweden, Australia, Canada and the USA.

You’ll find it here on Amazon
Orofacial Pain

I got my copy for about £26 delivered, so you couldn’t say it was expensive for the type of book it is.

Well worth considering IMHO – in-depth review to follow.

Chapter Headings:

  1. Epidemiology of orofacial pain
  2. History and examination
  3. Investigations
  4. Classification and diagnosis of orofacial pain
  5. Overall management of facial pain
  6. Dental causes of facial pain
  7. Burning mouth syndrome (BMS)
  8. Persistent idiopathic facial pain (atypical facial pain)
  9. Temporomandibular disorders
  10. Trigeminal neuralgia
  11. Neuropathic pain
  12. Trigeminal autonomic cephalgias
  13. Orofacial pain disorders – linking phenotype to genotype
  14. Appendix

BBC News Story about Bruxism

March 2, 2010 Leave a comment

Expect lots of  interest in bruxism and appliances from your patients after the BBC coverage today.

There are some remarkably positive comments below the article. I’m not sure where the person who reckons it would cost £5K to fix their TMJ problem got their information from, but it should make any treatment we offer look like good value at least!