Hamidreza Nassery , DMD, FICOI, FAGD, FICCMO  
Male, 54
Miami Beach, FL

Interests: My family, Dentistry, all sports, Travel
Miami Beach, FL
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TMJ, Orthodontics (tooth movement) and dentistry’s Dark Cosmetic Secret

May 31, 2011 - 5 comments

I was reading an email on my Gmail account the other day and one of the corner ads got my attention. A fellow colleague was advertising as a “Holistic Dentist”.  Though I had heard it before, I have never put much thought into what it really means.

I suppose that the most basic tenets of “holistic dentistry” should be to do no harm and for the dentist to look at the mouth , teeth, gums and the jaws as an integral part of a larger, whole body system.  Interestingly, in most countries around the world, medical students recite an oath equivalent to “the oath of Hippocrates”, sadly though no student of our profession undertakes such oath upon graduation. I do however believe that we are implicitly bound to honor the trust placed in us as “medical professionals”.

Considering the above we all should be holistic dentists. The reality is different though.  Case point is the orthodontic profession in that it has veered away from being a health science, and has become more pre-occupied with being purely cosmetic at the expense of our health.  Our orthodontic colleagues have been perfectly positioned to be at the forefront of TMJ/TMD treatments. However, not only there has been a total void of leadership on their part, there have been well orchestrated attempts to stop the progress of science.

An example of this is the prevalence of premolar (bicuspid) extractions in private practice. Data is not clear on this but it is estimated that as much as 25-85% our children get their healthy teeth removed in the name orthodontics.

The rational behind this methodology goes back to a 1954 paper by P.R. Begg, which has been proven wrong soundly many times since. Subsequent studies have shown that these cases have less than 10% stability over a 10 year period. This alone should suffice to explain, never mind that we are encroaching on the tongue space and therefore compromising the patient’s airway, creating persons with great susceptibility to sleep breathing disorders. Talk about “do no harm”.

Here we are in 2011 and biomedical instrumentation is available to dentistry. Rather than subjectively guess the position of jaw and move teeth, we can now objectively and scientifically find the position of the jaw and move the teeth according to the patient’s physiology.  Everything we do in the mouth must reflect a healthy echo to the rest of the body.

Many patients often ask what has caused their particular malocclusion (their incorrect bite), on this matter literature supports muscle function and posture. Regretfully, though there are no active teaching programs connecting the two together. (Mainly due to politics, another sad testament to our profession)

If dentistry aspires to be taken seriously as a medical profession, then it must put aside its antiquated ways of the past and re-orient itself towards more objective and scientific ways that are health oriented and less subjective.

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1698834 tn?1306867133
by Samia01, May 31, 2011
Oh how I wish I had had an ethical knowledgable dentist like Dr. Nassery from the time I was a child having so many fillings done with no local anesthetic to having my pre-molars removed to spending years and years in braces with 4 different orthodontists.  The above article might as well be my life story.  I'm so relieved to have a dentist to count on now that is pain free and helps me to the do the best with what I have been left with .  You're the best Dr. Nassery!

                                                                           Karis Fahrer


Thank you for your kind words, Karis. I hope that in a small way I can make a change in the mindset of the profession.
Best regards.
H.Nassery, DMD

1698908 tn?1306987125
by far1120, May 31, 2011
I hope with a new generation of well educated and caring dentists like you,this will happen very soon,and our children will have much better options that we did, good luck Dr. Nassery :)

784382 tn?1376931040
by turkee23, May 31, 2011
i am one of those childern who had all the bicuspids removed plus wisdom teeth before my braces could be put on. but my teeth have been perfect ever since...luckily i never had to deal with the horror stories that you hear about dentist not using lidocane and such.

we could use alot more dentist like you in the world....thank you for sharing.....

current dental student =)

746512 tn?1388807580
by Tammy2009, Jun 01, 2011
Although getting a good dentist does not always help .... great dentist really in tune with proper bite (uses scans and tens machine when making bite guards, using chiro for many jaw patients etc etc) but through the orthodonist he recommended the oral surgeron was crap.  :(

Now my TMJ joint pain is 10 times worse, my neck is out 6 degreees which is causing tons and tons of issues everywhere else in my body from severe muscle/joint pain and bad concentration.  And this is 10 months after breaking the jaw to realign the bite.

So lesson for everyone else .... make sure you research ALL doctors and don't just take recommendations at face value

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