Case Histories

Case history No. 1:  male in his mid sixties with history of fainting when he walked up hill.  He had been examined by mulitple physicians and undergone xrays, MRI, and EKG with no abnormal findings.  In a phone interview he mentioned that before the passed out he would develop pain in his ankles, knees, and hips- a sign that there was possible a trigeminal nerve component to his fainting (trigeminal nerve modulates pain perception in the brain).  An examination was recommended.  When he presented to the office, observation showed a very large jaw malalignment caused by orthodontic extraction therapy when he was a teenager.  A 4 mm tall mouthpiece was made for him which gave him immediate relief.  He reported a significant improvement in memory within about 1 week.

2 Responses to Case Histories

  1. caetana says:


    my lower jaw is asymmetrical and does not touch my upper teeth. My doctor says i have to wear braces for (+/-) 1 year and push my lower teeth up front (leaving me with some chin issues for a long time) and then submit to surgery where i will have to wait a month to eat something solid.

    Is there any other way??

    • Dr. Jennings says:

      It is very rare that surgery is necessary with malaligned jaws. i have many cases that i have treated that have been told the same story as you. Surgery is to be avoided if at all possible in that it is very difficult to do and get a good functional relationship ( the surgery is designed to correct structure, but many times at the expense of function/ they are not the same). The treatment requires to find the precise position that the lower jaw wants to be (functional position), and then move the teeth to that position (usually requires arch development with functional appliances).
      Dr. J

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