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many other issues, whether short term or long term. Recently I REFERENCES
saw a patient who had two high quality PFM bridges done else- 1. Albandar JM, Brunelle JA, Kingman A. Destructive periodontal dis-
where to replace lower first molars. She was complaining about ease in adults 30 years of age and older in the United States 1988-1994.
food trapping in the mesial areas of the second molars, along with J Periodontal 1999; 70:13-29.
pain and inflammation. Both second molars were endodontically 2. Eke PI, Thornton-Evans GO, Wei L, Borgnakke WS, Dye BA.
treated. However, since they were both mesially drifted, they Accuracy of NHANES periodontal examination protocols. J Dent Res
could not properly support occlusal forces which are now even 2010;89:1208-1213.
worse with the bridge. No engineer makes a bridge with support- 3. https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&
ing poles which are tilted towards the center of the bridge, NOT cd=1&ved=0ahUKEwiAw46-h-7QAhVEyyYKHWcwAdIQFggaMAA
even by one degree of tilt. Why would we want to create such &url=http%3A%2F%2Fwww.sapub.org%2Fglobal%2Fshowpaperpdf.as
poor structures in the mouth with such poor engineering? This px%3Fdoi%3D10.5923%2Fj.ijsr.20120103.01&usg=AFQjCNFIc2kXV
will result in failure of many more teeth and causes more peri- 4Dqr79du-ZO4TTQDwSEMQ&cad=rja
odontal, jaw and neuromuscular problems for the patient both in 4. https://www.youtube.com/watch?v=Z7XSFfyzBp0&feature=youtu.be
the short-term and long-term. Research indicates the ongoing cost &t=14
of pain management in such patients is staggering for both the 5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1492574/
patients and the insurance companies. The economic loss is yet 6. http://www.blog.migrainepal.com/blog/2014/07/17/how-i-halved-my-
another loss due to lack of productivity since such patients have medication-cost-without-changing-my-dose
constant pain and discomfort or grind and cannot even get a good 7. http://www.dentistryinphiladelphia.com/headaches
night’s sleep. 8. http://www.icnr.com/cs/cs_28.html

9. https://www.youtube.com/watch?v=XyVXs5YDYWA
Poor occlusion is certainly very damaging to the TMJ and will
cause jaw joint deterioration leading to TMD, which in many Dr. Noor is a 2001 graduate of the Temple
cases may require expensive and risky surgery. Simply stated, the
TMJ in the presence of poor occlusion is the same as door hinges University School of Dental Medicine. He is
in the presence of a door that is very poorly aligned with its frame. not only a cosmetic dentist, but a leading
®
In such a state, the door and its frame are always contacting and provider of Invisalign treatment. He main-
rubbing in the wrong areas. Hence hinges get so worn out and tains a private practice in Manhattan.
eventually pop off and break away. A new hinge is needed in
addition to a new frame. Therefore, if orthodontics is not per-
formed early in life, the TMJ can simply become too worn out Disclaimer
over the years, hence the need for jaw surgery. If patients and The author is neither paid by any company, nor endorses any
medical insurance companies could understand such concepts, appliances, such as any types of braces or Invisalign , and is
®
they would happily pay for orthodontics and implants in order to merely expressing his findings and opinion to help both providers

save themselves from long-term medical costs. It is therefore our and patients prevent and find a cure for chronic head and neck
job to educate patients and fight for medical insurance to eventu- related issues from which millions suffer.
ally pay to prevent and to correct medical issues caused by ortho-
dontic problems.
Since medical orthodontics is a mystery, we spend a lot of time
educating patients as to why we always discuss orthodontics as an
integral part of their overall dental treatment to ensure long-term
medical health. By publishing such articles and presenting lec-
tures with many specific cases we have treated, I hope we can
educate both dentists and physicians so that they can better edu-
cate their patients. More importantly, we can better educate med-

ical insurance companies to give them incentives to pay for such
treatments which prevent countless medical issues and astronom-
ical medical expenses by patients who suffer from migraines,
headaches, jaw problems, earache, sinus issues, sleep apnea and
possible ADD as a result of airway obstruction and poor sleep,

etc.

Medical insurance companies spend a significant amount of
money managing chronic pain from migraine, jaw issues, and Facebook: https://www.facebook.com/NYSAGD/

unexplainable discomfort in the head and neck area. If not a LinkedIn: https://www.linkedin.com/groups/7073994/

majority, a significant portion of these patients can certainly ben- Instagram: https://www.instagram.com/nysagd/
efit from medical orthodontic treatment and they can certainly
benefit once medical insurance companies understand and pay for

orthodontic procedures. When medical insurance companies real- Follow our s oci al media pages and stay update d!

ize they will indeed save money both short term and long term, What’s the best way to stay involved and up to date?

they will be more than happy to pay for medical orthodontics Follow the NYSAGD Social media pages and stay in

treatment. the loop, you’ll be the first to hear about the fantastic
events and courses the NYSAGD has to offer!
www.nysagd.org | Spring 2017 | GP 29