Thoughts of a caring dentist

Dr Sandlin of Sandlin DDS | Talks about Bioesthetics Level 4

Dr. James Sandlin - Tuesday, September 23, 2014

Bioesthetics Level 4 Complete!

After more than six years, and numerous trips to three cities (Denver, Louisville, and Boston), I've completed my training in Bioesthetic Dental Rehabilitation. Whew.


A lot of things came out of my experience. I've learned a great deal about managing facial and jaw joint (TMJ) pain. I've learned how to stabilize diseased and injured joint systems. And I've learned how to treat someone whose mouth is severely deteriorated. A lot more than they teach in dental school!


What I've learned most is the importance of diagnosing problems early. Dr Robert Lee, the founder of Bioesthetics, used to say, "Save the children!" I've come to appreciate his plea. Identifying developmental problems early can allow intervention and relatively easy correction. Once facial growth is completed (ages 17-20), solutions become limited and complex (as in expensive and involved.)


So many of the problems I've seen: painful jaws; headaches/neck pain; worn teeth; and even advanced bone deterioration, are directly related to growth patterns gone wrong. Sometimes one of the jaws doesn't develop in a way to coordinate with the opposing arch. Sometimes the teeth don't erupt to coordinate with other teeth. Sometimes the chewing system deteriorates until every other element is adversely affected - tooth form (worn down teeth), shape of the teeth in either or both arches (crowded, drifted, or rotated teeth), deterioration of the jaw joint(s) (TMJ), and overused and strained muscles (headaches and neck aches.) It's a complex system that deserves a lot of respect.


During my training, I've had the opportunity to treat patients who presented with a variety of symptoms. While their underlying problems were different, and ultimately the solutions were unique to each case, everyone had the same bottom line cause: their jaws and teeth didn't fit within their chewing system. Their treatment sequence all started with stabilizing the jaw joints and muscles (with a mouth splint), determining how their chewing systems operated outside of the stable model, and designing solutions to their functional challenges. Our treatment goals sought to achieve a stable chewing complex with attractive, comfortable, and stress free function.


I want to thank our staff for being supportive during my training. It's been tough for them as well, extra work, learning new techniques, and being able to discuss new treatment options with our patients. Thanks also to the specialists who have supported my class cases. Dr Turner (root canals), Dr Fussel (orthodontist), and Dr McIntosh (surgery and implants.) I want to especially thank Jay, our lab technician, who traveled with me to class and who's accepted the challenge of working at a demanding level of accuracy. Without them all, I could never have accomplished my dream of providing the highest level in dental care.


Dr Sandlin | Sandlin DDS Lawrenceville, Ga

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