TMJ 'dysfunction' - Health implications

Before delving into the significant developments in patient care and protection, it is essential to provide some background information. A few decades ago, an orthodontic specialist worked for me for five years and provided consultations to patients, teaching me the techniques of using removable and fixed appliances, which I practised extensively. The specialist's prescription was simple: two upper premolar extractions, four premolar extractions - one in each quadrant - and often wisdom teeth extractions followed by removable appliance therapy, which we provided under the NHS to all patients. Unfortunately, this appeared to be the accepted norm in orthodontics, and I'm sorry to say it still is.

As time passed, I began to notice that the children's results were disastrous, which the specialist blamed on the NHS not paying for fixed appliances, hindering us from getting good results. However, when dental models were submitted to the Dental Estimates Board, the Board paid on the submission of third-rate results. This, as I later discovered, seemed to be the norm throughout the country. When the NHS finally approved fixed appliances in 1988, I hoped the situation would improve, but the results were still disastrous.
The welfare of the children concerned me greatly. I noticed that many adult patients who had extraction orthodontics at other practices also looked terrible and appeared "dish faced" with retrognathic maxillae and mandibles, looked unwell, and often had various symptoms which, at the time, I never related to the state of their jaws.

Challenging the professor did not bring about any change in his treatment methodology. I decided not to extract any teeth and opted to do the work without extractions, which the parents of the patients readily consented to as it was less traumatic, and I assured them that if I failed, we could always extract the teeth as per the professor's recommendations. To conduct treatment without extracting teeth against the specialist's advice, I took on the self-imposed challenge and had gained considerable competence in removable and fixed appliances. Not only was the treatment finished with excellent results, but it was also much shorter.

As a skilled dental technician with my own dental lab, I always did my own crown and bridge work meticulously, worrying about the slightest fault in the fit of restorations and obsessing over a tenth of a millimetre to get the best aesthetics. The specialist was taking teeth out of place by a full tooth width and retruding jaws rather than advancing them while meticulously following the defunct (my finding) Angle's classifications and other misleading (my conclusion) concepts of "dento-alveolar disproportion," as per the findings of the great Professor Leighton of King's College Hospital. I grew bold enough to dismiss the specialist for bad orthodontics.

After terminating the orthodontist's services, I immediately signed up for a course in non-extraction orthodontics with Dr Skip Truit, of Dallas. I spent a couple of years following his philosophy, which resonated with my findings, and a week in Dallas at his clinic and lab in Oklahoma to learn the lab work, so I could construct the appliances myself.

My concerns were 100% bona fide, and I later attended many other courses in the USA. The most important one was with a chiropractor, Mr Robert Walker, who I met by chance at a dental show in Minneapolis. He invited me to his clinic in St. Louise, Missouri, where I was astounded that he was working closely with orthodontists and had figured out precisely what kind of occlusal/TMJ problems caused what kind of organic and physical symptoms in patients, e.g., neck pain, sciatic nerve pain, gastrointestinal disturbances, and so forth. I attended many seminars given by him, which were only open to eight invited participants, and I was lucky enough to be one of them.

I had already noticed that my patients were reporting various improvements, e.g., their migraines had disappeared, the numbness in their foot had gone away, or their IBS had disappeared, purely from the non-extraction orthodontic interventions. Now, I could anatomically figure out how the various discrepancies in the jaws were the root cause of their illnesses and explain how it caused their problems. I looked forward to seeing patients who had any ailments and got astounding results. Overall, this journey towards non-extraction orthodontics and discovering the root cause of patients' illnesses was a significant development in terms of patient care and protection.

As a devoted non-extraction orthodontist, I tirelessly advertised my services as such. In 2001, I was contacted by a patient in Belfast who was suffering from Secondary Multiple Sclerosis, which is typically considered a terminal illness. However, after seeking treatment from me, this patient made a full recovery and has remained healthy for over 20 years. Word spread quickly, and I began receiving numerous inquiries from similar patients.

The real turning point came when Bella Freud wrote an article in the Evening Standard titled "How a dental brace could cure MS, migraines and paralysis" about eight years ago. By then, I had already successfully treated a patient suffering from total body paralysis due to Multiple Chemical Sensitivities. This patient had even considered seeking euthanasia at the Dignitas clinic in Switzerland before she was referred to me by a German doctor. However, after seeking my treatment, she experienced a full recovery and has remained healthy for over 13 years.

I was amazed by the response to Bella Freud's article - we received over 2000 calls within a few weeks. Many seriously ill patients came to me seeking treatment, and I would only agree to see them after they had completed my extensive questionnaire. To my surprise, I discovered that most illnesses can be traced back to dental abnormalities, extraction orthodontics, and TMJ dysfunction. These issues are often present even in cases where there is only a slight misalignment in the mouth.

I only accepted patients who had jaw abnormalities and related symptoms listed in their questionnaires. Many of these patients made full recoveries, which were nothing short of miraculous. These recoveries are supported by countless testimonials posted online, especially from MS patients, which has put pressure on the supposed charitable 'MS Society.' Patients come to me from all over Europe, with as many as 10 different nationalities visiting my office in a single day.

Over the years, I have observed that around 60 different illnesses can be traced back to jaw issues. These illnesses are typically treated by medical doctors, but I believe that my treatment offers a far better solution. By treating patients with dental abnormalities and TMJ dysfunction, I have saved the NHS millions and helped countless patients avoid the calamitous future often bestowed upon them by drug therapies.

Unfortunately, the system currently in place is failing patients. Chronic diseases, including MS, IBS, asthma, arthritis, and various other conditions, continue to be perpetuated, while patients are left paying the price. The protection of the patient, which everyone so fervently advocates, is being overwhelmed by a system that spells disaster for patients. This system perpetuates chronic disease, and it is often corrupted to the core with revolving door appointees.

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