Dental causes can be the reason for headaches! The most common reason for people to go see a doctor are pains, with headaches taking top place. If the usual standard means of treatment do not show any success, the specialist is needed, as is so often the case, to find the causes. Before further clinical examinations take place, one should definitely consider a dental consultation as well. There are many dental causes that can come into question for this and which the patient often cannot subjectively perceive. The nervous supply in the head and neck area is predominantly provided by the 12 cranial nerves, which run directly from there to the corresponding supply areas without switching points. They all contain different fiber qualities, with the sensitive nerves being of primary importance in relation to pain. Wherever these fibers are present, nerve irritation that is too high or usually lasts too long can cause various pain syndromes, especially headaches. For example, in the course of interdisciplinary cooperation between pain centers and university dentistry on a national and international level, it has been found that where close cooperation between the disciplines takes place, the majority of patients who previously could not be treated successfully by conventional means – after all, around 30% – could still be helped.
Functional problems with the jaw joints and functional head and neck musculature can lead to issues in the cervical and thoracic spinal region, but also the shoulders.
But they can just as well be attributable to other orthopaedic problems such as misalignment of the pelvis or shoulders, or issues in the area of the functional head and shoulder musculature. In special cases, for example, extensive prosthetic restoration can only be carried out once these problems have been eliminated and correct adjustment of the bite position is possible. In addition, other systemic diseases such as polyarthritis or other rheumatoid diseases may be reflected in the temporomandibular joints, which must then be treated and cared for in an interdisciplinary association.
Physiotherapy and osteopathy have become indispensable elements of the further treatmentfor function-orthopaedic problems and disorders nowadays. The best-known example is chronic bruxism, teeth clenching, which is accompanied by severe shortening of the functional musculature. In addition, accompanying physiotherapeutic treatment is also useful for very complex orthodontic treatments as well as for special oral surgery procedures, such as repositioning osteotomies. Whenever it is necessary, we will tell you and prescribe such treatment.
A major part of the human immune system is located in the abdomen and especially the wall of the large intestine. Gastroenterologic diseases will often cause damage to the intestinal wall, which can also be reflected in a weakening of the body’s own defences, amongst other things. That can make it easier for so-called obligate pathogenic bacteria to spread and cause corresponding problems and diseases, which is particularly noticeable in periodontal risk patients. In the opposite direction, patients who were periodontally healthy or only slightly at risk so start with will develop constantly progressing periodontal disorders, most of which will cause teeth to be lost in turn, with particular frequency after a partial or total resection of the large intestine, e.g. as a consequence of a malignant tumour. Which will in turn render an adequate comminution of food by chewing impossible. And that is of major importance for everyone, but especially for patients suffering from gastroenteric disorders. If this can no longer be ensured without difficulty, the occurrence of further problems and diseases is abetted accordingly. Which once again makes evident and easy to recognize that health starts in the mouth!
There are some direct and indirect influences that are responsible for the increase in cancer cases. An important factor, however, is the significantly improved diagnostic procedures that make it possible to detect cancers earlier and more frequently. What is somewhat reassuring about this is that, in turn, the proportion of therapeutic options has also increased significantly and will continue to do so. Markedly improved diagnostic procedures enable earlier detection of cancerous diseases.
After successful therapy, patients often need to be provided with implant-supported dentures or epitheses. This is usually done outside of surgical treatment centers. In addition, most patients with such a disease require interdisciplinary further treatment or follow-up.
There is hardly a specialist area where the tremendous technical progress is as evident as in radiology, and modern medicine would no longer be conceivable without it Physicians like me in virtually all medical disciplines resort to it in their diagnostics as well as the treatment. Of particular importance in dental medicine besides the conventional methods (EB and panoramic radiography) are the imaging processes of CBCT, CT and MRT for planning the surgery and treatments.
The majority of the images relevant for our treatment, approx. 95%, are taken in our practice. However, in special situations, a special recording technique is necessary at times. Due to the high technical expenditure and the constant advancements with these devices, it is usually only possible for special radiological centers to be constantly up to date, which is why we refer our patients to a specialized radiological diagnostic center or clinic for the production of a DVT or MRT/CT. Due to the very good cooperation that has existed for many years, the desired data and images are made available to us within a very short time or, if necessary, even given to the patient immediately. In this way, we can act quickly and safely for our patients.
Apart from oral and maxillofacial surgery, no other specialist area is as closely linked with dental medicine as the ENT. Teeth and gums often cause diseases in this area, which is why close cooperation with ENT physicians is particularly important. We often get patients assigned to us by otolaryngologists to do our part in treating common patients, whether it is to remove or resect teeth, perform root canal treatments on teeth that have infected the maxillary sinus, for example, and many more.
Particularly in the manufacture of snoring splints, we are happy to stand by our colleagues as a cooperation partner. Understandably, many ENT practices lack not only the technical equipment but also the laboratory know-how that is indispensable in the manufacture of such apparatus. Due to this very well functioning synergy, we have already been able to help a great many patients in cooperation.
A large part of the oral and jaw surgery can fortunately be performed as outpatient treatments, markedly unburdening the local clinics.
But there is still a great variety of surgical interventions that are only possible in clinical facilities, often also in combination with a hospital stay of several days. Besides serious accident injuries, these naturally also include the treatment of tumours and malformations of various origins, and corrective osteotomy in combinations of orthodontic and surgical treatments, to name but a few.
Given the steadily growing demand for cosmetic corrections, most patients’ wishes can be fulfilled by means of the respective surgical interventions. We also maintain close partnerships with various physicians and clinics in this area, to whom we would be happy to refer you if required.
While it may appear a little unusual to link dentistry with natural medicine at first, a closer look will show that it really makes sense. Certainly, a homeopath did not manage to rid a patient of his caries with a few D8 globules, but he can help to restore the patient’s state of health with special treatments. A relatively gentle treatment option with few side effects for immunological diseases and also for a significantly worsened immune response is, for example, intestinal rehabilitation, usually in combination with the so-called hydrocolon therapy. This can also be a very effective procedure as supportive therapy for latent aggressive periodontal disease.
The background to this therapy is that the majority of our immune system is localized in the colon wall. There is a particularly strong influence of the so-called biome (all fungi, parasites, bacteria, viruses, etc. living there), which is changed by the therapy and a special diet. Recent clinical studies have not even shied away from stool transplants, in which the stool of chronically ill patients was transferred from completely healthy people, with the result that around 90% of patients had recovered or were significantly better within a few weeks.
There are a number of special cases and disease patterns where natural medicine can make for a meaningful and successful supplementary treatment, especially in periodontic treatments.
There is a lot of truth in this almost 2000 year-old Roman saying. That illnesses of the mind (depressions) can also cause physical disorders is adequately recognized these days. Cue psychosomatics! Mostly concerned here are the consequences of too much stress, however. In some patients, a mental illness may also be behind the aforementioned problems, which complicates the success of treatment in providing new and/or beautiful teeth. Special screening tests can be used to evaluate the likelihood of the presence of such a disease. In the case of corresponding index values, a psychotherapeutic or psychosomatic accompanying examination should be considered, if necessary only for exclusion. This is not common, but should be taken very seriously if suspected. The consequences of failure to do so can be very far-reaching.
The skin is often referred to as our largest “organ”, and also includes the mucous membranes. Evolutionarily, the mouth and the entire digestive tract developed through an invagination of the outer embryonic layer (ectoderm), from which our entire skin also develops.
It comes as little surprise then that disorders of the skin and digestive organs tend to find particular reflection in the oral cavity. These include not only infections of various kinds (HPV, HIV, Candida albicans, etc.), but above all allergic reactions and autoimmune diseases (lichen, pemphigoid, etc.), which make it necessary to refer the patient for further dermatological consultation.
Since these are not all that rare diseases, when examining the patient, special attention should also be paid to the patient’s entire oral cavity, and not only in the elderly. Which is why we also pay particular attention to the entire oral cavity when we examine a patient. We cooperate with specialists in our competence network we’d be happy to refer you to.
There can be cases where conventional, mainstream medicine stops leading anywhere or where patients are so sensitive that other medical procedures will ensure greater and faster success. Be it with the help of TCM, homeopathy or acupuncture. I can also offer the latter to my patients in person as a qualified doctor of acupuncture. For all other methods, we would be happy to refer our patients to the relevant specialists, who not only do an excellent job with these procedures, but also live them.
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