Hamidreza Nassery , DMD, FICOI, FAGD, FICCMO  
Male, 51
Miami Beach, FL

Interests: My family, Dentistry, all sports, Travel
Miami Beach,
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TMJ, Orthodontics (tooth movement) and dentistry’s Dark Cosmetic Secret

May 31, 2011 - 5 comments

I was reading an email on my Gmail account the other day and one of the corner ads got my attention. A fellow colleague was advertising as a “Holistic Dentist”.  Though I had heard it before, I have never put much thought into what it really means.

I suppose that the most basic tenets of “holistic dentistry” should be to do no harm and for the dentist to look at the mouth , teeth, gums and the jaws as an integral part of a larger, whole body system.  Interestingly, in most countries around the world, medical students recite an oath equivalent to “the oath of Hippocrates”, sadly though no student of our profession undertakes such oath upon graduation. I do however believe that we are implicitly bound to honor the trust placed in us as “medical professionals”.

Considering the above we all should be holistic dentists. The reality is different though.  Case point is the orthodontic profession in that it has veered away from being a health science, and has become more pre-occupied with being purely cosmetic at the expense of our health.  Our orthodontic colleagues have been perfectly positioned to be at the forefront of TMJ/TMD treatments. However, not only there has been a total void of leadership on their part, there have been well orchestrated attempts to stop the progress of science.

An example of this is the prevalence of premolar (bicuspid) extractions in private practice. Data is not clear on this but it is estimated that as much as 25-85% our children get their healthy teeth removed in the name orthodontics.

The rational behind this methodology goes back to a 1954 paper by P.R. Begg, which has been proven wrong soundly many times since. Subsequent studies have shown that these cases have less than 10% stability over a 10 year period. This alone should suffice to explain, never mind that we are encroaching on the tongue space and therefore compromising the patient’s airway, creating persons with great susceptibility to sleep breathing disorders. Talk about “do no harm”.

Here we are in 2011 and biomedical instrumentation is available to dentistry. Rather than subjectively guess the position of jaw and move teeth, we can now objectively and scientifically find the position of the jaw and move the teeth according to the patient’s physiology.  Everything we do in the mouth must reflect a healthy echo to the rest of the body.

Many patients often ask what has caused their particular malocclusion (their incorrect bite), on this matter literature supports muscle function and posture. Regretfully, though there are no active teaching programs connecting the two together. (Mainly due to politics, another sad testament to our profession)

If dentistry aspires to be taken seriously as a medical profession, then it must put aside its antiquated ways of the past and re-orient itself towards more objective and scientific ways that are health oriented and less subjective.

The Truth on Porcelain Veneers

Mar 30, 2011 - 0 comments





Cosmetic dentistry


Musculoskeletal- occlussal Sign and symptoms

Mar 04, 2011 - 0 comments

Musculoskeletal – Occlusal Signs Exam Form

NAME _____________________________________________________
DATE _____________________________________________________
AGE _____________________________________________________


                                       SIGNS (Intra-oral)
1.   Headaches2.                           1.      Crowded Lower Anteriors
2.     TMJ Pain
                                                          2.      Wear of Lower Anterior Teeth
3.     TMJ Noise                                           3.      Lingual Inclination of Lower Anteriors
4.     Limited Opening                           4.      Lingual Inclination of Upper Anteriors
5.     Ear Congestion                                  (Div. II Occlusion)
6.     Vertigo (Dizziness)                           5.      Bicuspid Drop Off
7.     Tinnitus (Ringing in the Ears)           6.      Depressed Curve of Spee
8.     Dysphagia (Difficulty Swallowing)           7.      Lingually Tipped Lower Posteriors
9.     Loose Teeth                                           8.      Narrow Mandibular ( lower) Arch
10.   Clenching / Bruxing                           9.      Narrow Maxillary( upper) Arch
11.   Facial Pain (Nonspecific)                                      (High Palatal Vault)
12.   Tender, Sensitive Teeth (Percussion)         10.    Midline Discrepancy
13.   Difficulty Chewing                         11.    Malrelated Dental Arches
14.   Cervical Pain                                         12.    Tooth Mobility
15.   Postural Problems                         13.    Flared Upper Anterior Teeth
16.   Paresthesia of Fingertips (Tingling)         14.    Facets( Excess Wear)
17.   Thermal Sensitivity (Hot and Cold)         15.    Cervical Erosion ( wear at the gum line)
18.   Trigeminal Neuralgia                           (Abfractions)
19.   Bell’s Palsy                                         16.    Locked Upper Buccal Cusps
20.   Nervousness / Insomnia                         17.    Fractured Cusps    (Particularly
                                                                  Cl. I & II Non-functional Cusps )
                                                        18.    Chipped Anterior Teeth
SIGNS (Extra-oral)                                         19.    Loss of Molars
1.     Facial Asymmetry Bilaterally          20.    Open Interproximal Contacts
2.     Short Lower Third of the Face          21.    Unexplained Gingival Inflammation
3.     Chelitis                                                       and Hypertrophy  
4.     Abnormal Lip Posture                           22.    Crossbite
5.     Deep Mentalis Crease                           23.    Anterior Open Bite
6.     Dished-Out or Flat Labial Profile           24.    Anterior Tongue Thrust
7.     Facial Edema                                           25.    Lateral Tongue Thrust
8.     Mandibular Torticollis                           26.    Scalloping of the Lateral Border
9.     Cervical Torticollis                                   of the Tongue
10.   Forward Head Posture (Lordosis)
11.   Elongated Lower Face
           (Steep Mandibular Angle)
12.   Speech Abnormalities      


Jan 04, 2011 - 0 comments





jaw pain




TMJ disorders


A little known secret about your face is that your capacity for facial remodeling is retained throughout your life, not just in your teenage years or early 20’s. Understanding this little fact can be the most beneficial if you are interested in looking younger. Yes I said “Younger.” And who wouldn’t want to look younger?

For many this usually means a trip to your favorite Dermatologist or Plastic Surgeon to get facial fillers and/or even plastic surgery. The there is the pain and downtime involved with these procedures, while still trying to maintain a public daily routine. Not all of us are willing to undergo the procedures listed to get there.

SO what if I told you there IS a way to accomplish all that and much more, all while doing it in the most organic way.  WHILE YOU SLEEP! No needles, no cutting, no fillings, or prodding.

In my Practice, that being a Dental Practice, I see people all the time that are unhappy with the crowding of their teeth and unevenness of their smile. We all want to have nice full smiles-REAL SMILES. However, till now, the options of bracket braces and even its most popular cousin, the aligner type of Orthodontics has kept many away. We live in a fast paced world and most people find these treatments very cumbersome and lifestyle encroaching.

I know by now you must be thinking what connection do misaligned teeth and facial rejuvenation have in common? Well, there is a list of connections here. You see the reason for this misalignment in the first place is the improper facial and dental arch growth; showing us that the two are intrinsically connected.

So the question to ask yourself is:  


• More Prominent Cheek Bones
• Wider Smile
• Decreased Lines and Wrinkles
• Straighter Teeth
• Better Facial Symmetry
• Improved Nasal Breathing (Less Snoring)

And the positive benefits continue thru the use of a special individually fitted Oral Appliance that is worn at night while you sleep. It’s that easy.

If this has peeked your interest set up an appointment for a complimentary consultation and evaluation with Dr. Nassery. Together we will see if this device is right for you.