NEWS 
                          ARCHIVE
                          November 
                          18, 1998
                        TOPIC: 
                          
                          TMJ Disorder: An Example of How Extremely Complex Orofacial 
                          Anatomy & Physiology Really Is. Burt Reynold's: 
                          3 Years of TMJ--Temporo Mandibular Joint Disorder (Jaw 
                          Joint Dysfunction)
                        PAST: 
                          Organized Excerpts from Burt Reynold's Interview by 
                          N Collins in ELLE Magazine, April 1987: Here He Goes 
                          Again After Too Long an Absence, One of Hollywood's 
                          Favorite Sons Is Back On The Screen--And He's Looking 
                          Better Than Ever.
                        TMJ 
                          disorder is magnified by trauma: Burt Reynolds got hit 
                          on the jaw. He didn't work for three years, he lost 
                          weight down to 140 pounds which later went up to around 
                          190. People thought he had AIDS which kept him from 
                          making movies.... What he actually had was tempormandibular 
                          joint disorder--TMJ.
                        TMJ 
                          is painful and debilitating: When your jaw, your bite, 
                          goes off your equilibrium goes off, too. You're in a 
                          kind of brain pain that comes up and whips your eyeballs 
                          out. Then the nausea starts. It‘s like being seasick 
                          all the time. You throw up, can't lie down, can't take 
                          any light. If the phone rang, I'd fall on the floor 
                          with a pillow over my head because of the pain. I had 
                          tubes in my ears and I didn't eat--just drank soup. 
                          I kept getting thinner and thinner. It was scary. I 
                          got these real carved cheekbones.
                        TMJ 
                          sufferers are often referred for psychoanalyisis: Finally, 
                          some friends suggested I see a psychiatrist." One 
                          month in a support group.....had things in perspective.
                        TMJ 
                          is not rare: Is TMJ disorder a rare disease? No, lots 
                          of people have it but there are thousands of dentists 
                          who don't know how to treat it. I saw 13 of them. Finally, 
                          I found a guy in Florida and spent weeks--10 hours a 
                          day--in a dental chair while he rebalanced every tooth 
                          in my head. I didn't work for three years. (just as 
                          he had traumatic TMJ dysfunction, everyday 200 lbs. 
                          of chewing force can create similar chronic TMJ dysfunction 
                          in susceptible individuals)
                        TMJ 
                          can be overcome: Asked when he finally decided to take 
                          control of life again? He said, "The moment I woke 
                          up and was no longer nauseated."
                        
                        PRESENT: 
                          There have been a number of highly contested philosophical 
                          approaches to diagnosing and treating TMJ. Unfortunately, 
                          that dilemma shows the great blockade standing in the 
                          way of understanding both the importance of orofacial 
                          development in the first 10+ years of life and the balance 
                          of function of the left and right jaw joints, muscles, 
                          bone and related anatomy and physiology structure throughout 
                          life.
                        Fortunately 
                          for patients, medical science recently has taken an 
                          interest in learning more about nasal airway development 
                          and function. So the upper and lower jaws which can 
                          significantly affect the nasal airway as well as the 
                          oral airway route will become increasingly recognized, 
                          studied and accepted for the major important role played 
                          as The Airway Gateway to Life.
                        
                        FUTURE: 
                          Even as nasal function and nitric oxide function are 
                          increasingly explored, so will infant airway formation 
                          and reformation. Functional Jaw Orthopedics will become 
                          recognized as a means to evaluate, diagnose and treat 
                          airway obstruction and malformation. And exploring the 
                          frontier will increasingly center on affecting proper 
                          growth and development of The Airway Gateway.
                        Take 
                          Care,
                          Dr. David Page
                        
                        
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