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/24-7PressRelease/ - GURNEE, IL, August 05, 2008 - Dr Shapira has been treating TMJ disorders and chronic pain and headaches for over 28 years and has been practicing Neuromuscular Dentistry since the early 1980's. His partner Dr Mark Amidei joined Dr Shapira 16 years ago. While they are still a general dental practice they have focused on cosmetic reconstruction and the treatment of chronic pain, headaches and sleep disordered breathing for many years. They have more than 45 years of combined experience placing and restoring dental implants. They are graduates of the renowned Las Vegas institute the premiere center for cosmetic dentistry.
The meeting they attended presented some very important information much of which is still pending publication. Dr Terrance Spahl presented a lecture on the Trigeminovascular Reflex and Migraine. The Trigeminal nerve is the fifth cranial nerve and it is also referred to as the dentist's nerve. It is currently thought to be the primary nerve relating to migraines. The science of migraines and Temporomandibular disorders is a combination of anatomical, physiological and biochemical complexity. While TMJ disorders were long thought to be a separate disorder it is now recognized they can be responsible for central sensitization of the brain leading to hyperalgesia where noxious stimuli lead to an exaggerated pain response. In layman's terms the system is hot and it takes very little to overheat and set off migraine. Many patients experience Allodynia where a stimulus that would not normally be painful can be acutely sensitive and painful. Dr Spahl discussed the biochemical basis of how nerve compression could cause secondary hyperalgesia.
Dr Annika Isberg discussed more real world scenarios in her lecture "BIOLOGICAL BASIS OF TMJ PAIM: AN UPDATE" She gave examples of how nerve entrapments could to adult onset lisping in addition to severe pain and reviewed how nerve blocks can be used in the differential diagnosis of difficult diagnostic problems.
She also presented information on how Craniofacial pain can be the only symptom of cardiac ischemia in a patient. A recent study showed 6% of patients only symptom of cardiac ischemia was craniofacial pain and one third were myocardial infarctions. Another 32% of the patients had craniofacial pain concomitant with pain in other regions. Craniofacial pain was the dominating symptom in patients not exhibiting chest pain. It was not arm pain as expected. "The most common craniofacial pain locations were the throat, left mandible, right mandible, left tempormandibular joint/ear region and teeth." It is important to consider cardiac ischemia in the differential diagnosis of toothache.
Dr Shapira is a Regent and Fellow of the International College of CranioMandibular Orthopedics and is their representative to the TMD Alliance. He is a Charter member the Sleep Disorder Dental Society that became the American Academy of Dental Sleep Medicine and is a Diplomate of the American Board of Dental Sleep Medicine as well as a founding member of DOSA the Dental organization for Sleep Apnea. Dr Amidei and Dr Shapira are co-founders of I HATE CPAP LLC a company dedicated to informing the public about the dangers of obstructive sleep apnea and about how Dental Sleep Medicine is offering alternatives to CPAP. Their website http://www.ihatecpap.com is the premiere site for information about dental sleep medicine. They are helping thousands of patients from across the United States find help with their treatment of Sleep Apnea. Dr Shapira and Amidei were sponsors of The American Academy of Craniofacial Pain meeting and their company had a booth. Their Strategic partners are Hamilton/Saunderson Advertising of Seattle and Page 1 communications from Denver.
Dr Shapira is a former assistant professor at Rush Medical School in the Sleep Service and he is the Dental Editor of Sleep and Health Journal the largest patient oriented journal on sleep medicine. He teaches a series of dentists from around the US who come to Gurnee to take his Dental Sleep Medicine course.
Dr Amidei and Dr Shapira have recently begun offering Pure Power Mouthguards. They have been shown to dramatically increase strength without steroid use and are acceptable for use in all sports. Professional athletes are utilizing them to increase their strength and balance and recreational golfers and other amateur sports enthusiasts are utilizing them to improve their games. More information on pure power mouthguards can be found at: www.thepurepoweredge.com/.
Pure Power mouthguards are based on the same neuromuscular dental procedures that treatment of TMJ problems and headaches employ. Headaches and chronic pain are at the opposite end of the spectrum from maximized physical performance. More information on neuromuscular dentistry can be found at http://www.ihateheadaches.org.
Dr Shapira is also the founder of Chicagoland Dental Sleep Medicine Associates and is opening offices in Schaumburg and Skokie in August. Additional locations will soon be found throughout Chicago and suburbs.
Dr Ira L Shapira is an author and section editor of Sleep and Health, President of I HATE CPAP LLC, President Dato-TECH, and has a Dental Practice with his partner Dr Mark Amidei. He has recently formed Chicagoland Dental Sleep Medicine Associates. He is a Regent of ICCMO and its representative to the TMD Alliance, He was a founding and certified member of the Sleep Disorder Dental Society which became the American Academy of Dental Sleep Medicine, A founding member of DOSA the Dental Organization for Sleep Apnea. He is a Diplomate of the American Board of Dental Sleep Medicine, A Diplomat of the American Academy of Pain Management, a graduate of LVI. He is a former assistant professor at Rush Medical Schools Sleep Service where he worked with Dr Rosalind Cartwright who is a founder of Sleep Medicine and Dental Sleep Medicine. Dr Shapira is a consultant to numerous sleep centers and teaches courses in Dental Sleep Medicine in his office to doctors from around the U.S. He is the Founder of I HATE CPAP LLC and http://www.ihatecpap.com Dr Shapira also holds several patents on methods and devices for the prophylactic minimally invasive early removal of wisdom teeth and collection of bone marrow and stem cells. Dr Shapira is a licensed general dentist in Illinois and Wisconsin.
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