FC2O Episode 17 – Andre Hedger Show Notes

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0:00 Introduction

3:03. Meeting up

4:00. Andre’s Career Pathway

Andre Hedger, Holistic Dentist, with a special interest in TMD, and avid climber!

5:31. Realising that the jaw joint (TMJ) wasn’t taught at Dentistry school

  • Jaw joint problems
    • Headaches
    • Neck aches
    • Migraine
    • Back aches
    • Chronic Fatigue
    • Psychological impact
    • Cycle of despair

7:17. The British Society for the Study of Craniomandibular Disorders www.jawache.com

7:55. Muscle Movement Disorders

  • Dystonia
  • Torticollis (wry neck)
  • Ticks
  • Tourette’s
  • Blephorospasm (spasm in the eye) can lead to serious visual impairment

8:59. Mechanisms of Causation

  • Auriculotemporal Nerve Compression
  • Sensitization of the Reticular Ganglion
  • Glossopharyngeal
  • Optic
  • Accessory Nerve
Compression of the Auriculotemporal Nerve or the Superficial temporal artery (as well as the sensitive retrodiscal tissue) can occur as a result of dysfunction at the TMJ. (From Andre Hedger’s person image collection)

10:50. Tourette’s Syndrome

12:20. What drives compression of the auriculotemporal nerve?

  • Narrow upper jaw
  • Maxillary fencing

13:24. TMJ Dysfunction (jaw pain) and Clinical Depression

  • Microbiome disruption
  • Bruxism (tooth grinding) 
  • Serotonin
  • Chlamydia
  • Hyaluronic Acid
  • Arachidonic Acid

16:49. Patient forums / groups

17:03. The Little Pinkie Test

18:17. The Devil and Angel of TMJ function

18:42. Why do we have narrow upper arches in the West?

  • A sick society…
  • Environmentally
  • Physically
  • Emotionally
  • Mentally
  • Candida
  • Xeno-hormones
  • Gynaecology
  • Nutrition
  • Fertility

21:00. Conception.

  • Vertical Delivery
  • Squatting
  • Cranial distortion 
    • left temporal bone internally rotated
  • Caesarean births
  • Colonising the colon with candida
  • Allergenicity
  • Breast feeding
    • Vertical feeding
  • Ortho-paedics = straight-child… as the twig is bent, so shall the tree grow
  • Tongue-thrust issues
  • Bottle feeding
    • High vault of maxillary arch
  • Tongue cannot fit in arch à
  • Tongue drops to floor of mouth à
  • Class 2 malocclusion
Image from “Origins of
Dental Crowding and Malocclusions: An Anthropological Perspective.” Rose & Roblee (2009). www.compendiumlive.com

30:35. Extractions

  • Airway compromise
  • Snoring
  • Sleep apnoea
  • Breathing pattern disorder (mouth breathing)
  • Fight/flight
  • ADHD / OCD

33:45. TMJ & the orbit of the eye

  • Venous pooling
    • Bags under the eyes
    • Blue sclera
  • Adenoids / Tonsils / mucous membranes inflamed
  • Allergic Syndrome

35:40. Orthodontic expansion of the maxillary arch

  • Wisdom teeth

36:36. Form follows function

  • Correct suckling
  • Hard foods
  • Early walking
  • No nappies
  • Working young
  • Extreme Alexander!
  • Foot arches

38:15. Diet

  • Eating hard food
  • A lot of chewing…
  • Wide arches & Hard diet go hand in hand

39:20. Weston A. Price

  • Health of “primitive” v’s industrialised cultures
  • Dentition
    • Plaque
    • Cavities
  • Strength
  • Posture
  • Health
  • Biome

41:04. Forward Head Posture

  • Extinction prediction? … It is …
  • TMJ & I.T.
  • Cell phones and muscles of mastication / trapezius

 42:44. Injury 

  • Whiplash – 45% TMJ dysfunction
  • Orthodontist

44:00. Mandible growth continues to 25yoa

  • Can lead to greater entrapment post-orthodontic work
  • Retrodiscal compression
  • Dystonia / Headache onsets

45:50. Comparison with Anti-vax

47:02. Assault on children from birth

  • Toxic world – pollutants
  • Committee for safety in medicines
  • Junk food

49:15. Mercury / Aluminium

  • Thimerosal
  • Mercury Amalgams 
  • Attracted to brain & kidneys
  • Beta tubulin
  • Multiple Sclerosis
  • Optic Neuritis

53:53. Some people can cope with toxins… some can’t

  • Autism on the rise
  • Farraday Cage

55:31. Prophylactic Amalgam Fillings

  • Beware of dogmatism: What’s “right” now may well be “wrong” in 40 years

57:04. Freeing the victim (the mandible) by expanding the perpretrator (the maxilla)

  • Using light-wire forces
  • 300grams
  • Bony and tooth adjustment – as much as 1cm
  • Tongue training & swallowing mechanism à
  • “Stability” of the palate
  • Questionable need for retainers if tongue is retrained
  • John Mew – Orthotropics
  • Nasal Breathing

1:00:24. Derek Mahoney, Sydney – aesthetics

1:01:41. Weston A. Price – Nutrition & Physical Degeneration.

  • Origins of Dental Crowding and Malocclusions: An Anthropological Perspective
  • Beware of research snobbery / reinventing the wheel

1:03:08. We would realise how ill our children are…

  • How unhappy they are
  • How stressed they are
  • How fat they are
  • How unfit they are
  • How poor their posture is
  • How poor their dentition is
  • How compromised their swallowing and their breathing is

1:04:10. Interactive nature of the list above

  • FC2O – mastery leads to simplicity emerging from complexity
    • Eating healthily
    • Breast feeding
    • Moving naturally

1:06:17. Pottenger’s Cats

  • The middle third (upper arch) shrinks when malnourished
  • Extinction – self-extinguishing when malnourished

1:08:22. TMJ Dysfunction (TMD) & Central Sensitivity

TMD (temporomandibular joint dysfunction) is one of many associated conditions that can be the cause and/or the effect of Central Sensitization, which can lead on to what is termed a “Central Sensitivity Syndrome” (CSS). Many patients present with one or more of these conditions suggesting that their situation is driven or perpetuated by sensitivity initiated in the central nervous system… What Andre would term a “Crystal” type.
  • Like phantom limb issues
  • Psychotropic drugs
  • Tardive Dyskinesias
  • Botox

1:11:12. Crystal Types & Central Sensitivity

  • Crystal types – the princess & the pea 
    • Temperature sensitive
    • Light sensitive
    • Poor muscle tone
    • Muscle weakness
    • Malnourished
    • Emotionally needy
  • Plastic Types
  • Steel Types

1:13:26. Botox

  • Dystonia patients
  • The cause of hypertonicity is not a botox deficiency!

1:14:36. Biopsychosocial Considerations of TMJ

  • Suicidal thoughts and TMD
  • Let the children out to play!
  • Risk aversity leads to other risks… such as TMJ Dysfunction, depression and suicide.

1:17:23. Looking after the temple.

1:17:58. Finding a good dentist with special interest in the TMJ / TMD  

  • www.jawache.com  
  • British Society for the Study of Craniomandibular Disorders

1:19:24. The TMJ – outside the box is where it’s at

  • Getting what you pay for… or paying for what you get
  • Gold standard testing
    • Dynamic MRI
    • X-rays
    • EMG

1:20:58. TMJ Rehabilitation Duration

  • 2.5 years
  • Arch widens at ~1mm per month
  • In medicine, nothing’s 100%

1:22:12. Finding Andre… 

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For a deeper understanding of how TMD may form part of a central sensitivity syndrome, please see here.

I will be covering the effective clinical management of central sensitivity in my upcoming seminars and workshops.