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The Dental Distress Syndrome Quantified
Dr. A.C. Fonder
The W. B. Saunder's Medical Dictionary defines a
syndrome as a complex of symptoms; a set of symptoms
which occur together; the sum of any morbid state.1
Research has demonstrated that excessive dental
distress routinely coexists with a pattern of
chronic symptoms that are found throughout all
systems of the body.2-21,31,32 These
problems quite routinely normalize when the dental
dysfunction is eliminated.8,15,30,32,38,43,52,53,88,89
Why?
There appears to exist a controlling relationship
within the body that puts the dental system into a
causative role of symptomatology, where a
dysfunctioning dental occlusion creates ill-effects
throughout many distant areas of the united body.
Fonder has termed this the Dental Distress Syndrome.20-23-32
Seemingly scientists have not fully digested all of
the discoveries that have appeared in the medical
literature, or they have simply brushed aside very
important findings that did not fit into
preconceived ideas.
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farid@drfarid.com
613-216-2016
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Embryology
The aspect of human embryonic development that
this treatise will zero in on is the origin of
the exquisite bodily control system and the
dental role in this process.
The body's control system is seen developing during the 4th week of
embryonic life. The neural plate folds into a
tube which detaches from the general ectoderm
and creates the bodily control system as
developed from the cells of the neural crest and
tube.22,32,40,42 The neural crest
cell derivaties are found throughout the body.
Basically they gather information from the outer
and inner aspects of the body, and feed it into
the neural tube derivaties which are designed to
monitor and direct the quadrillions of cells of
the united total person.20,21,32
According to Netter's illustrations22
and embryonic text books,40-42 the
brain and central nervous system develop from
the neural tube cells. These "control
derivative" cells also form the master pituitary
gland, the midnose, premaxilla and four
maxillary incisors The neural crest cells
produce the balance of the nervous system - the
satellite cells, golgi cells, Schwann cells and
all sensory receptors; the rest of the hormonal
system; and the remaining parts of the dental
system, with the exception of the tooth enamel,
which is ectodermal in origin.11,22,23
These three systems, for bodily control, are
intimately related in origin, and are associated
throughout life in all bodily functions, in
health and in disease.20,21,40,42
Penfield and Rasmussen, a half century ago
demonstrated that almost half of both sensory
and motor aspects of the brain are devoted to
the "dental area." So, approximately half of the
programming of the computer-brain, that runs the
body, comes from the dental system.8,11
Interestingly, mix-ups have occurred in the
organ development from the embryonic crest and
tube cells.64 Occasionally a tooth is
found in a female endocrinal tumor.
Medical science looks upon the body as being
mostly motor. Our findings coincide with
Brockman, that the body is mostly sensory.90
Mandibular Function
To better understand how the dental system can
effect distant bodily alterations in disease and
health processes, we must consider the 68 pairs
of muscles above and below the mandible.22
Together these 136 muscles determine head,
cervical, shoulder and jaw posturization during
all of life's functional processes.
Our Dental Research Group of Chicago began
studying the functional movements of the
mandible during the 1940's.35,36 This
research shed new light on mandibular and
condylar movements.29 A student of
physics and engineering, Casey Guzay, put our
findings into a sophisticated series of drawings
entitled, The Quadrant Theorem.28 As
determined, the muscle controlled pivotal axis
of the mandible occurs at the dens between the
atlas and axis vertebrae,11,13,28,29
Therefore, the mandibular dysfunction effects a
disturbing posturing of C1 and C2.11
These vertebrae are intimately related to spinal
and head posturing.11 How does the
malposturing of these key vertebrae affect the
spine and head?
Conclusions of the Dental Research Group of
Chicago
Under the mentorship of Chet Frank the Dental
Research Group of Chicago, beginning in the
1940's and continuing into the 1980's researched
mandibular function. Jim Rikertts and others
studied head plate x-rays at different openings
of the mouth. Jack Stenger used cinefluorography
to demonstrate mandibular, condylar, cervical
and sot tissue position and motion during
function, before and after vertical and support
corrections. Fonder did bodily postural studies
using full spine x-rays. Casey Guzay, a student
of physics, medicine and engineering, put these
research findings into a series of drawings
entitled The Quandrant Theorem.
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Fig. 1 The apex of the combined muscular
control of the mandible in all functioning
movements is located at the dens between
the atlas and axis cervical vertebrae.
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Fig. 2 When the mouth opens the 136
muscles above and below the mandible pivot
the jaw at the xy-axis. The condyle
translates forward and downward as the
mouth opens.
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Fig. 3 When the mandibular teeth occlude
above the x-x plane, a pathologic Curve of
Spee exists and the head of the condyle
moves superiorly and distally.
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Fig. 4 If the mandible did actually pivot
in the TMJ as has been accepted as fact,
the mandibular positioning as herein
depicted would be able to occur.
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Fig. 5 Motor homunculus illustrating motor
representation in Area 4 (anterior central
gyrus). (After Penfield and Rasmussen,
Cerebral Cortex of Man, The Macmillan Co.)
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Fig. 6 Sensory homunculus showing
representation in the sensory cortex.
(After Penfield and Rasmussen, Cerebral
Cortex of Man, The Macmillan Co.)
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Posture
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The dura mater is a thick and
dense inelastic membrane that envelops the brain
and medulla spinalis. The dura of the brain
lines the interior of the skull adhering closely
to the inner surfaces of the bones, the
adhesions being most marked opposite the sutures
and at the base of the skull.
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The four
processes of the dura mater: 1. the falx
cerebri is narrow in front and is attached
to the crista galle of the ethmoid; and
broad behind where it is connected to the
upper surface of the tentorium cerebelli.
Its upper margin is attached to the inner
surface of the skull in the midline as far
back as the internal occipital protuberance.
The lower margin is free. 2. The tentorium
cerebelli is free at its anterior border; is
attached to the transverse ridges of the
occipital bone. The free and attached
borders meet at the apex of the petros
portion of the temporal bone, crossing one
another and are fixed (forward) to the
anterior and posterior clinoid processes. 3.
The small triangular falx cerebelli is
attached to the tentorium and the occipital
bone. 4. The diaphragma sellae is a small
circular fold.
The spinal dura mater is a loose sheath
around the medula spinalis. It is attached
to the circumference of the foramen magnum
and to the frontal and dorsal aspects of the
atlas and axis; it is also connected to the
posterior longitudinal ligament, especially
near the lower end of the vertebral canal by
fibrous slips; it descends to the back of
the coccyx where it blends with the
periostium.37,38
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The malposturing of C1 and C2,
through the dental malocclusion and the
resultant mandibular dysfunctioning, torques the
dura mater because of the frontal and dorsal
attachments to C1, C2 and C3. Torquing of the
dura causes scoliosis, cervical hypolordosis
(military neck), thoracic hyperkyphosis (hump
back), excessive lumbar lordosis (sway back),
rotation of the pelvis causing uneven leg
length, uneven shoulder height, etc. It also
aids in creating head tilt through the dura's
attachment around the foramen magnum. The
cranial bones, because of their multiple
attachments to the dura can also be malpostured
through this torquing stress of the dura mater.11
When these 136 muscles are allowed to assume a
more physiologically balanced relationship by
the correcting of the malocclusion and improper
vertical (free way space) the head immediately
assumes an upright posture, the shoulders level
off, the pelvic rotation ceases allowing the leg
length to equalize, and overall bodily posture
dramatically normalizes. These changes are
instantaneous and can be reversed by altering
the occlusal support.31
Cervical Vertebrae
Why is the malposturing of C1 through C4 so
critical? This malposturing appears to be one of
the most important but most often overlooked
aspects of the sequelae of mandibular
dysfunction.
We gain a better understanding of the complex
interaction between the dental occlusion, TMJ
kinematics, and cervical function with an
overview of the structures involved.53
- Rene Cailliet, Physical Medicine and
Rehabilitation Director at U.S.C. states:
"It's an axiom ... that the body follows the
head ... You can realign your entire body by
moving your head ... your head held in a
forward position can pull your entire body out
of line.64 He goes on to explain
that the vital lung capacity is reduced as
much as 30%. The gastrointestinal system is
affected, particularly the large intestine.
When a hunched position is assumed, the body
becomes rigid, and range of motion is
affected. Since endorphin production is
reduced, an increase in pain and discomfort
results.
- Kapandji, in his classic text on spinal
function states, "The anterior muscles of the
neck ... act as the long arm of a lever ...
they are powerful flexors of the head and
cervical column ... flattening the cervical
column."67
- Numerous investigators describe the effect
of altered mandibular position on cranial
posture.10,13,23,31,53 forward and
lateral head position changes the mandible,
hyoid bone, and tongue.73,76 It
compresses the upper cervical facet joints
causing muscular nerve entrapments.23
Nerve root compression or posterior vertebral
facet irritation or restriction result in
peripheral entrapment neuropathies.77-80
One common entrapment is the greater or lesser
suboccipital nerves that pass between the
occiput and atlas.20 This may cause
headaches or refer pain to the facial region.81
- Concentrating on the cervical apophyseal
joints, we observe the role of the
mechanoreceptors that dominate the vestibular
system in relation to the reflex regulation of
static posture and gait.82,83 If
you place a cervical collar, it may cause the
patient to stagger or lose positive control of
the extremeties.84 The density of
mechanoreceptors in the human are greater in
the cervical apophyseal joints than in other
levels of the vertebral column.63
Cervical abnormal functions in aged people
produce subjective and objective disturbances
of posture and gait, known as senile
dysequilibrium.85,86
- The cervical mechanoreceptors also have a
potent effect on eye control, speech, and
manual dexterity.63,85
Minutes after physiologically balanced molar
support is provided at the proper vertical the
head, shoulder, spine, and pelvic posturization
begins normalization.31 The blood
flow to the head, hands, and feet doubles and
even quadruples when measured volumetrically as
well as thermally and colorimetrically.89
Chronic scalp and leg sores of many years
duration that have not responded to conventional
medical care heal in a matter of a couple of
weeks (improved blood supply).10-31
Psoriasis, asthma, constipation, PMS, and
numerous etiology unknowns normalize quite
routinely, if the disease(s) have not progressed
beyond the point of no return.10,88
This research has been replicated by the
Russian,39 Japanese,12,13
German, Canadian, American and other individual
medical and dental scientists, dental groups and
medico-dental research teams.14,15
The Japanese medico-dental research team of
fifteen specialists treated over 6,000 patients
who had not responded to conventional medical
care. (Dr. Maehara, the group leader, says that
his success rate is 90% when proper dental
support is provided.) These cases included
Parkinson, epilepsy and all of the above.13
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The Control System of the Body
Is Formed From</>
The Neural Tube Cells
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And
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The Neural Crest Cells
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The Brain
Spinal Cord, and the
Central Nervous System
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All Sensory Receptors:
Golgi,
Sattelite, Schwann, End Organ Cells, Etc.
Plus the Remaining Nervous System
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The Master Pituitary Gland
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All Remaining Hormonal
Glands
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The Midnos
Premaxilla, and
Four Maxillary Incisors
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The Balance of the
Dental System
(Except the Tooth Enamel)
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DDS patients complain of headache, dizziness,
hearing loss, depression, worrying, nervousness,
forgetfulness, suicidal tendencies, insomnia,
sinusitis, fatigue, indigestion, constipation,
ulcers, dermatitis, allergies, frequent
urination, kidney and bladder complications,
cold hands and feet, body pains and numbness and
a host of sexual failures and gynecological
problems. Elimination of the DDS reverses these
chronic problems, the body chemistry and blood
picture normalize. Even backward students when
treated rapidly advance in classroom
productivity often becoming honor students.
A growing entourage of health professionals now
accept the fact that Dental Distress is the
dominant stressor of the body and that a host of
medical etiology unknowns will be understood
when dental and medical researchers unite, for
Selye's GAS (Selye, 1936, 1956, 1974) and
Fonders108-111 DDS (Fonder, 1965,
1975, 1977, 1979, 1962, 1968, 1971, 1973) are
one and the same syndromes.
According to the late A.B. Leeds, (Leeds, 1955,
1977) an internationally known physician, who
devoted four hours daily for study throughout
his entire medical career, who pioneered in
orthomolecular and bio-medics in the 1940's,
introduced the Menninger brothers to psychiatric
medicine, at an advanced age was made the chief
consultant to the American Armed Forces in World
War II, consultant to the Atomic Energy
Commission, tended Roosevelt, Eisenhower,
Patton, Stalin and other international figures,
then spent the final decade of his life
researching over 120 chronically ill patients in
collaboration with a dental colleague, the late
Willie May, to quote, "When this treatment is
fully researched and understood, it will be
capable of revising every diagnosis, treatment
procedure and prognosis in the medical world."
Other statements of this medical intellectual
are, "This is the greatest treatment of chronic
symptoms that I have come across in over fifty
years of medical practice;" "This will be a
focus around which all modalities in the medical
world can begin to agree" and "If this treatment
is done at middle age, it should extend life at
least ten years."91-94
When Leeds came to May for dental treatment and
was exposed to this removal of stress, he had to
pause once or twice in completing a sentence. He
was so revitalized after a few weeks that he
doubled his patient load. As physicians and
dentists observed May in his dental treatment,
Leeds would give a medical commentary on why
these bizarre symptoms were present in the
stressed patient and why they disappeared when
normal jaw posture was provided, voiding the
DDS.
Spinal Posture
The importance of such a balanced relationship
of dental structures cannot be overemphasized.
There is a reciprocal relationship between jaw
posture and spinal posture - a condition upon
which body comfort and health are dependent
(Fonder, 1965, 1975, 1976, 1977, 1979, 1962,
1963, 1968, 1971, 1973; Khoroshilkina, et al,101
1964). The correctness or incorrectness of
either of these postures seriously affects the
functioning of the other.
The jaws, the teeth and their supporting
tissues, the muscles of mastication, and the
temporomandibular joint are all components of
the masticatory system. However, these are not
the only structures necessary for such
activities as speech, respiration, chewing and
swallowing. Whole systems of muscles in the
head, neck and shoulder girdle are also affected
by these actions. In the neck, the hyoid bone
forms another integral part of the dental
mechanism. On a smaller scale, the hyoid bone
resembles the U-shaped mandible, and together
with the mandible and the anterior part of the
shoulder girdle, forms a series of bow-shaped
structures with interconnecting musculature.
This musculature works in conjunction with the
musculature above the mandible, and together the
two create a suspensory apparatus that controls
mandibular function and aids in head balance.
Besides the hyoid mechanism, the neck contains
vital circulatory vessels, the the trachea,
larynx, and thyroid and crioid cartilages with
their accompanying musculature. Taken together,
these structures provide a link between the head
and chest systems. Therefore, if there is
maladjustment of any of these structures because
of incorrect positioning or functioning of the
mandible, reactions will be visible in the
interruption of proper function in swallowing,
speech, hearing, breathing and other processes.
Feedback
It must be emphasized that each movement of the
dental mechanism reinforces the previous
patterns registered in the brain. When we
consider that approximately half of the sensory
and motor cortices of the brain are devoted to
the oro-facial area (Penfield & Rasmussen, 1966104)
the significance of the accuracy of the feedback
information that is stored in the computerized
brain and used in asserting functional commands
to the entire body gains in importance. Also,
let us consider that the facial muscles of
expression accurately and instantaneously
register happiness, anger, fear, elation,
animosity, love, hatred, sadness, pain, sickness
and all attitudes of the body. If there are
malalignments in the oro-facial mechanism, the
impulse patterns will transmit stressful
messages, eventually to all parts of the body.
Clearing up these pathological impulses through
the correction of the mandibular posture problem
offers possibilities for the elimination of many
chronic and seemingly unrelated conditions.
Distress can be replaced by eustress so that the
GAS can build up body tissues, heal previous
injury, and even retard the aging process, since
all structures are now functioning with only the
stresses for which they were designed.
We swallow twice a minute when awake and once
every minute during sleep. If we subjected the
teeth to only one pound of pressure per square
inch with each act of swallowing the dental
structures would absorb approximately one ton of
intermittent pressure daily. However, the
average person exerts at least three and one
half pounds of pressure during swallowing, while
the habitual clamper and nocturnal bruxer far
exceed this norm (Garliner, 1973103).
So stressful malocclusion results in many tons
of intermittent dental distress, in erroneous
feedback, that constantly upsets the balance of
the body's systems until the dentist intervenes.
Such is the importance of the stimulus sent out
by the chewing mechanism that one physician's
study (Leeds, 197793,94 stated that
if an individual made sure his dental structures
were in correct order by middle age, he could
look forward to approximately ten additional
productive years.
The 1973 Nobel Prize In Medicine and
Physiology
Dentistry and medicine should take notice of the
research work of Tinbergen, 95 winner
of the 1973 Nobel Prize for medicine and
physiology. His paper read before the Nobel
dignitaries December 12, 1973 is associated with
dental stress findings. Nobel laureate Tinbergen
(1973) refers to Alexander's (1932)98
normalization of body musculature. By removing
poor-posture-distress a variety of somatic and
psychic illnesses are thereby eliminated. Barlow
(1973)97 describes the successes of
Alexander's pupils as the "rag bag" of
rheumatism, arthritis, respiratory problems,
asthma, high blood pressure, circulation
defects, heart conditions, gastrointestinal
disorders, gynecological conditions, sexual
failures, migraine, depressions, depth of sleep,
overall cheerfulness, mental alertness,
resilience against outside pressures, refined
manual skills and a wide spectrum of disease,
both somatic and psychic.98
John Dewey (1932)99 stresses the
importance of Alexander's therapy as does Aldous
Huxley (1937)102 and more
convincingly such renowned scientists as Coghill105
(1971, Dart106 (1974) and the great
neurophysiologist Sherrington108
(1946).
Recent neurophysical discoveries make the
Alexander therapy more plausible such as the key
concept of reafference, the discovery of van
Holst and Mittlestaedt107 ((1950).
Tinbergen and others are searching for the
primary cause of bad posture. The physiologic
dentist has long known that spinal posture and
upper respiratory problems are routinely present
in the patient who has maloccluded teeth and
that conditions normalize when this dental
distress is elininated.2-14
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Fonder's Dental Distress Syndrome
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I. Auriculotemporal Symptoms
- Symptoms of the TMJ area and
masticular manifestations
- Crepitation 100%
- Subluxation 100%
- Pain or tenderness 100%
- Disturbance in opening and closing
"Z" wandering jaw 100%
(These four 100%
symptoms are the basis for this study)
Oral Subgroup
- Numbness of and around the teeth
13%
- Aura of toothache 14%
- Dry mouth 18%
- Facets (worn flat surfaces) 89%
- Periodontitis (gum problems) 68%
- Burning sensation 14%
- Puffy and distended lips 9%
- Ropey saliva 64%
- Calculus deposits, which seem to
increase with the severity of the
malocclusion and are observed in some
children
(Symptoms w, f, and g
were observed in more advanced cases.)
- Pathology of the ear (in one form or
another) 100%
- Otitis media (frequent among
children, occasional in adults) -
- Excessive cerumen (ear wax) 85%
- Itching (occasional) 74%
- Tinnitis (varies from ringing to
roaring sounds) 92%
- Ear aches (occasional) 23%
- Vertigo (dizziness and loss of
balance) 74%
- Falling (sudden loss of static
sense)
- Hearing loss (typical pattern;
severe loss frequent) 97%
- Pain in the Head and Neck
- Headache
- Women (migraine - frequent, sinus
- frequent) 99%
- Men (migraine - infrequent, sinus
- fairly common) 47%
- Sensitive scalp (frequent among
females)
- Neuralgic pains (constant or
intermittent) 82%
- Nape of neck and shoulders (tired
dull ache or numbness) 94%
II. Respiratory Symptoms
- Sinus and throat (symptoms constant
except for fresh-air addicts)
- Post nasal drip 93%
- Habitual clearing of throat 84%
- Sinusitis (chronic with acute
flare-ups) 86%
- Chronic colds 58%
- Laryngitis (chronic or only
occasional) 17%
- Chronic sore throat (tonsillitis
frequent among children)
Allergy Subgroup
- Sneezing (occasional or spells)
57%
- Hay fever 21%
- Asthma 7%
III. Ocular Symptoms
Some symptomology of the eye is
usually found. 84%
- Injection (very common)
- Iritis (occasional)
- Scleritis (occasional)
- Photophobia (frequent)
- Blurred vision (common in advanced
cases)
- Itching (frequent)
- Burning (fairly common)
- Tearing (fairly common)
- muscle twtching below eye (periodic)
IV. Skin and Hair Symptoms
- Dry skin (hands and scalp - frequent,
face and torso - less common) 93%
- Skin rashes (a common problem) 9%
- Dermatitis 6%
- Acne (frequent among teenagers) 6%
- Dry and brittle hair (common complaint
of women)
- Diffuse hair loss (common among women)
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V. Visceral Symptoms 94%
- Upset Stomach 59%
- Heartburn 27%
- Gas and/or puritis 29%
- Nausea 13%
- Constipation (occasional to chronic)
92%
- Loose Bowels (occasional diarrhea) 4%
- Bladder Infection (chronic among
women) 26%
- Frequent micturation (requiring
getting up nights) 29%
- Kidney infections (especially among
women) 24%
- Bed wetting among children 8%
VI. Gynecological Problems 99%
- Irregularity (menstrual cycle) 99%
- Premenstrual tension 96%
- Cramps or pain (pre-menstrual or
mid-menstrual) 97%
- Menstrual flow (heavy - then flows 5
or 6 days to 15) 94%
- Amenorrhea 4%
- Frigidity (usual onset after two
children) 85%
- History of miscarriages and/or
inability to conceive 51%
VII. General Symptoms
- Chronically tired (lowered hemoglobin,
immature cells) 89%
- Increased nervous tension 86%
- Malaise 61%
- Restless sleep (awaken tired) 78%
- Numbness in hands (awaken with arm or
leg asleep) 32%
- Cold hands and feet (poor circulation)
67%
- Back aches and leg aches (tired,
ache-all-over feeling) 47%
- Thirsty (much water doesn't satisfy)
43%
- Restless nibbling at food (never
satisfied)
- Blood (variations in count and
quality; many irregularly formed cells;
cell walls even thickness one week after
treatment)
- Lowered hemoglobin
- Lower thyroid activity (an almost
constant finding)
- Facial pallor
- Dull, non-sparkling eyes
VIII. Mental Symptoms
- Depression (especially during
menstrual periods) 97%
- Easily irritated (temper loss
especially among men) 86%
- Worrying (routine among women
especially) 84%
- Melancholia (not uncommon)
- Hypochondria (expecially frequent
among females)
- Excessive dreaming (disturbing dreams,
rarely pleasant)
- Forgetfulness (common complaint)
IX. Body Posture Problems
- Scoliosis (a constant finding)
- Kyphosis (Hump-back)(especially in
older people with closed bite)
- Lordosis (Swasy-back) (especially
among children before the molars erupt to
give psoterior tooth support)
- Uneven shoulder height
- Head tilted to the higher shoulder
- Rotation of the pelvis (an almost
constant finding)
- Uneven leg length (almost constant)
- Rounding of the shoulders (not
uncommon)
- Disturbed posture of the atlas and
axis vertebrae (constant).
Postural problems are rather
obvious before treatment. Upon closer
observation one eye is often higher than the
other and set slightly forward. One side of
the face or jaw is sometimes overdeveloped.
When balanced physiologic occlusion is
established, these features will normalize,
possibly due to the normal muscle tension
being restored to these tissues.
Legend
Some of these symptoms may be common to any
stress situation. However, the majority are
present before treatment to relieve the DDS
problem, and just as soon as proper occlusal
support is provided, all of the
aforementioned chronic problems cease to
exist. As soon as the patient's posture
normalizes enough for the occlusion of the
teeth to settle into a new pathological
relationship these symptoms begin to recur,
usually in the reverse order of their
disappearance.
If these findings were reported only by the
author, the results might be suspect, but
hundreds of physiologic dentists report
these same findings.
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Basic Anatomy
The essentiality of the role of the dental
structures can be easily demonstrated through
observance of basic anatomy. The jaws and spine
are gathered into one basic system by the
various fascia surrounding them, (Gray,
Philadelphia) so that stress in one area is
readily transmitted throughout the region. Any
stress or muscle spasm in these areas is
reflected in tension in the various fascial
sheaths and their corresponding attachments.
This is especially true with the masticatory
system and the atlas and axis vertebrae in the
neck since the masticatory muscles are the most
powerful, the most freely movable and the major
weight-bearing mechanisms in the head and neck
system. Now research has shown how closely these
two structures, the jaw and the atlas and axis
vertebrae, are linked. Strain or pressure on one
will produce a correlative attempt at adjustment
on the part of the other. This correlative
adjustment in the body's systems is evidenced in
the consistency which research has demonstrated
of short or reactive leg length and the
laterality of axis to the maloccluded side of
the temporo-mandibular joint (Berkman, 96
1971). The intricately linked web of the muscles
of the body result in reaction of neck muscles
when one muscle is changed in the leg and when a
neck muscle is released, the toes are affected
even when one is lying down (Tinbergen, 1973).
Elimination of Problems
This correspondence of the musculature and the
autonomic nervous system explains the marvelous
effects which are achieved when the dental
mechanism is properly aligned and balanced
(Fonder, 1975, 1976, 1977, 1979, 1963, 1962,
1968, 1971, 1973). Such adjustments often are
the initial step in elimination of such obvious
problems as difficulty in swallowing,
asymmetrical facial features, one-sided chewing,
migration of the jaw in closing, taut muscles in
the cervical area, tension in the nape of the
neck, arthritic conditions in the TMJ and
ligaments and improperly-fitting dentures and
the repetitive sore-spots. So, it will no longer
come as a surprise that the long list of
remissions of systemic and mental problems that
Nobel laureate Tinbergen and other renowned
scientists attribute to Alexander's muscle
therapy are routinely mitigated by physiologic
dentistry. This is demonstrated by our research.
Background History
The author began his practice of dentistry doing
full mouth rehabilitation on all patients. Those
not interested in such thorough care were taken
out of pain and referred elsewhere for
treatment. No one was considered a neurotic and
solution to the problem was earnestly sought
Thusly, research and patient treatment were
carried on in private practice and at three
dental educational institutions.
During the early years of providing "ideal"
dental occlusion and relationship of dental
structures, patients would say, "Doctor, since
you fixed my teeth I no longer have the numbness
in my hand ... or arm or face ... no longer have
headaches or backaches ... the aching in my legs
stopped ... my sinusitis is gone ... my upset
stomach and ulcer no longer bothers me ... I
sleep well ... no longer tired ... quit having
terrible nightmarish dreams ... no longer have
cold hands and feet ... my jaws are no longer
tired all the time, et cetera." Their statements
were ignored believing that their problems had
been psychosomatically induced and that
fastidious treatment and loving care had
psychologically eliminated their problems. Only
after the author's realization that his own
dental distress was creating similar problems
that the medical experts were unable to solve
was a new dental practice established in a
distant location and set up for controlled
research studies on all patients to determine
the affects of dental distress on the different
areas and systems within the body.
Early Discoveries
The first area to be researched in this
painstakingly thorough manner was hearing loss
and ear problems as related to malocclusion of
the teeth. A pilot study demonstrated a pattern
loss of hearing in every malocclusion patient
tested that was similar to the "aviator's notch"
type hearing loss. Subsequent testing of 3,000
consecutive ears of patients with dental
malocclusions demonstrated a loss in hearing
acuity in addition to this notch-type hearing
loss in every male and female adult and child
tested. Almost routinely the notch-type hearing
loss was eliminated when the malocclusion was
corrected and the hearing usually was restored
to normal, with few exceptions, by establishing
a physiologically balanced relativity of dental
structures.
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Figure 21 - Audiometric test showing
typical Aviator's Notch type hearing loss
found in all dental malocclusion patients.
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Figure 22 - Audiometric test showing
typical Aviator's Notch type hearing loss
found in all dental malocclusion patients.
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Figure 23 - Hearing acuity before definite
dental treatment.
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Figure 24 - Hearing acuity one month after
dental distress was eliminated.
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Figure 25 - Hearing acuity before
definitive dental treatment.
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Figure 26 - Hearing acuity one month after
dental distress was eliminated.
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Statistics from a study of
gifted and backward elementary school
students demonstrating the relationship of
health problems, I.Q., and educability to
the occclusion of the teeth and resultant
stress.
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Remedial Group
100% were working below level
83% had ear and hearing problems
83% had respiratory problems
84.4% had systemic problems
31.9% had serious psychological problems
45% had over 20% hearing loss
100% had malocclusion problems and varying
degrees of psychological problems
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Enrichment
Group
100% were working above grade level
4% had ear and hearing problems
6% had respiratory problems
5% had systemic problems
0% (none) had severe psychological problems
2% had severe hearing problems
The enrichment group had
significantly better occlusion and were
considerably less disturbed emotionally.
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Statistics from a study of
high school students demonstrating the
relationship of pain and respiratory
problems to the occlusion of teeth.
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52% had
shooting head pains
84% experienced facial pains
59% had scalp and temporal tenderness
70% had neck and shoulder pains
65% experienced backaches
65% had chronic sinusitis
15% had frequent acute sinusitis attacks
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Normal
Occlusion Group
22% experienced shooting head pains
7% had facial pains
26% had scalp and temporal tenderness
48% had neck and shoulder pains
33% experienced backaches
30% had experienced sinusitis
0% (none) experienced acute sinusitis
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Sinusitis and Upper Respiratory Problems
It soon became apparent that patients with
maloccluded teeth had sinusitis and attendant
respiratory problems. An occasional patient did
not demonstrate the co-presence of malocclusion
and sinusitis. Two years passed before it was
discovered that "fresh air addicts," who either
slept with the window open or were out in the
fresh air much of the time, developed a
resistance to local infections within the sinus
cavities. However, almost without fail, these
malocclusion patients exhibited the other
syndrome of disorders throughout the soma and
psyche that the malocclusion patients with
sinusitis developed.
Tonsillitis
Studies were done on children with grossly
enlarged and infected tonsils, who were
chronically ill Although it is difficult to do
exacting work on youngsters, there was a
dramatic reversal of the health picture and
tonsillar size within a two-week period
following minor corrections of the dental
occlusion on a high percentage of the treated
children. Some dramatic cases, who had been
repeatedly placed on antibiotics for the chronic
tonsillitis and ill-health problems to little
avail, experienced a complete remission when the
dental malocclusion was eliminated. Others
scheduled for tonsillectomies and removal of
adenoid tissues were declared normal by the
examining physician two weeks after dental
treatment to correct the occlusion of the teeth.
Study of Two Extreme Groups in a Large
Elementary School
An interesting and revealing study of the gifted
students and the backward group needing remedial
help in order to pass to the next higher grade
level was finalized during a summer school
session in which the gifted group explored the
arts, sciences and a foreign language and the
backward group received remedial help in
mathematics and reading.
Exhaustive preparation was done for this study
over a two year period. Repetitive I.Q. testing
using three different national testing
procedures was done on all of the children
involved in the study, health tests, hearing
tests, dental examinations, psychological
evaluations etc. by competent people in the
fields. In questionable areas, such as
psychological evaluation, several people
evaluated each child. The final research
statistics were calculated by an independent
statistician.
The conclusions clearly demonstrated that the
gifted students had relatively ideal dental
profiles and the backward group had poor dental
health profiles with missing teeth,
malocclusions, etc. Hearing tests, health
profiles, psychological evaluations, I.Q.
testing, etc., followed the same divisional
pattern.
Subsequent treatment of a number of backward
students to eliminate the dental distress
factors resulted in a dramatic reversal of the
scholastic and health profiles of these
children. Some of the treated children became
straight A students, receiving such grades
throughout their remaining elementary schooling,
high school and college. One recently graduated
with honors from a state university. Where there
was thought to be a potential, the children
usually blossomed when the dental distress was
eliminated and their physical and mental health
improved.
A Pain and Respiratory Study in a Large High
Schooll
Next a high school numbering over five hundred
students was studied to determine head and neck
pain, allergy, respiratory and auditory
statistics in relationship to the dental health
profiles of the male and female teenagers. The
results showed a higher percentage of problems
in all areas studied in the malocclusion group.
A Gynecological Study
Subsequent studies into endocrine, body
chemistry, blood and other systems within the
body demonstrated the influence of dental
distress and the removal of this distress factor
on these symptoms within the body A very
conclusive study was conducted on 329 mature
females to determine the relationship of dental
distress to gynecological problems, fertility,
miscarriages, etc., with similar conclusions to
the other studies. Finally, a random survey was
made of the mature females treated in our center
over the past years. A high school student was
instructed to search our files to find several
patients with long case histories. She was then
instructed to fill out before and after charts
from the before and after treatment cases
histories on the first twenty-five treated
patients. Next she was asked to contact a
sufficient number of untreated patients to
determine their present female health profile
until she had twenty five control charts
completed. The findings will shock the
gynecologist who tells his patients that it is
normal for "65 percent" of the females to have
bizarre female problems.
These research and treatment results have been
achieved by others. Approximately 150 members of
the American Academy of Physiologic Dentistry
and the American Academy for Functional
Prosthodontics achieve comparable results to
those herein reported. Stenger and his
associates report some very substantial results
with Notre Dame and Big ten football players.
Frank and Guzay of the Denture Research Group of
Chicago handled more than 500,000 full denture
cases, so the dental distress area has been well
researched and it is surprising that the dental
schools have not become more involved in dental
distress research.

Conclusion
Selye's universally accepted General Adaptation
Syndrome, the discovery that the Dental Distress
Syndrome activates the GAS, and Tinbergen's
acceptance paper of research associated with
dental distress findings read before the Nobel
dignitaries when he was awarded the 1973 Nobel
prize for medicine and physiology research
should whet the appetites of researchers,
educators, and practitioners in the health
fields. For, Selye's (distressful) General
Adaptation Syndrome and Fonder's Dental Distress
Syndrome are one and the same reaction but,
Fonder's Syndrome has "additional powerful
built-in" distressors, the resultant upper
respiratory problems, that Ribicoff states are
responsible for 91 percent of the diseases of
teenagers and the shock troops of the armies of
diseases, are routinely co-present with dental
malocclusions and the additional distress of bad
body posturization with the resultant
displacement of vessels and organs that magnify
the distress.
It is impossible to divide a patient into neat
little areas to be treated in dichotomized
fashion without consideration of the resultant
affect upon the total person, psyche and soma.
There is clearly much need for co-operation
between dentistry, medicine and the allied
fields in research and treatment of patients to
better understand the total person, for these
various sciences should not and cannot be
separated.
Case 1
A 39 year old clergy man was referred by a
specialist, who suspected a connection between
the psoriasis and the malocclusion of the teeth
and the resultant respiratory and allergy
problems. The patient stated that he had visited
every major medical center in the USA seeking
relief from the psoriasis-itching without
getting relief and that he was on allergy pills
around the clock for all four seasons of the
year and yet he had repeated colds and spent a
minimum of one week in the hospital every spring
and fall with pneumonia or near pneumonia. He
carried a handkerchief in his hand and was
repeatedly wiping his cheeks because of the
tearing from both eyes. He wore dark glasses to
protect his sensitive eyes. He stood flat footed
on one foot and on the toes of the other.
Oct. 5 Self-curing acrylic inlay-overlay
fillings were placed on all mandibular and
maxillary first and second molars to "open the
bite" 5 mm leaving minimal free-way space.
Oct. 7 The patient reported that he had not
taken an allergy pill since the mandibular
reporturization and that three parishioners had
come to him the following day after services to
inquire what had happened to him because his
voice was so clear during his homily. He stated
that he now stood comfortably on both feet and
that he could not remember ever being able to
stand properly.
Oct. 10 He reported that there had been no
itching from the psoriasis and that the skin of
his legs seemed to be changing, that it no
longer was bleeding nor as scaly and that the
psoriasis had been spreading since he was 19
years of age.
Oct. 26 He returned from a trip to the east
coast and was elated by the fact that he had
driven two days into the morning sun without his
dark glasses before he realized that he had not
needed to put them on.
June 13 Gold inlay-overlays were placed on all
posterior teeth. The patient went four years
before he developed his first cold. Numerous
chronic problems disappeared along with the
sinusitis, rhinitis, psoriasis, kyphosis,
lordosis and scoliosis. He has needed only two
minor occlusal adjustment since the permanent
restoration replaced the acrylic treatment
inlay-overlays that he wore the first two years.
Sept. 7 (seven years later) He reported that he
was still asymptomatic.
(Figures 7 through 13)

Case 2
A 16 year old male student presented for a
routine dental examination and the parents were
informed of the relationship of his scoliosis to
the occlusion of the teeth. He had premature
contact in the premolar area. With a minimal
amount of pressure the molars came into contact.
There were no alarming health problems although
the routine DDS symptoms were apparent.
June 10 Occlusal amalgam fillings were placed in
the mandibular second molars to provide dominant
molar support "opening the bite" one-half mm.
The patient did not return for any
post-operative care.
Nov. 25 After several telephone calls to his
residence, the patient finally consented to
these follow-up radiographs when he was promised
that there would be no expense involved in any
of his care.
This was our first case of before and after
radiographs of spinal reposturization. Prior to
this time the recordings were made by
photographing the patients. With this case we
standardized our radiographic procedures. Full
spine radiographs are normally made by a single
exposure for the anteroposterior views but to
get optimum detail in lateral views two separate
exposures are made. Note that Figure 23 is a
double exposure film and that Figure 24 is a
single exposure radiograph. We are primarily
interested in recording spinal posture
accurately and not in the detail in the thoracic
area we have since used single exposure on all
spinal radiographs.
(Figures 14 through 16)

Case 3
A 21 year old male chiropractic student was
interested in having his occlusion corrected to
normalize his posture. His deep over-bite was
principally due to the fact that all posterior
teeth were in linguo-version.
Oct. 19 Removable mandibular and maxillary
expansion appliances were placed to upright all
posterior teeth.
Dec. 19 Full spine radiographs confirmed an
approximate one and one-half inch reduction in
the kyphosis and lordosis with a slight
improvement in the scoliosis. He was now one
full inch taller after the initial two months of
orthodontic treatment and the spinal posture
normalization.
This case was chosen for this presentation
because we have found that it is helpful, in
difficult cases, to work with a chiropractic
doctor in resolving long standing spinal
curvature cases. This final case (Case 4)
demonstrates this fact.
(Figures 17 through 18) 
Case 4
This chronically ill and despondent housewife
had contemplated suicide for she felt that she
could no longer endure the pain. Severe
headaches had been constant for years and would
force her to bed for days at a time. Backaches
were intense and she was unable to raise her
arms above her shoulders. She found it extremely
difficult to negotiate stairs. She was
chronically ill and had worn out her welcome at
several physicians offices. They told her she
needed psychiatric help but she felt that her
problems were real and not mentally induced. She
complained of equilibrium problems, blurred
vision, hearing loss, gastrointestinal problems,
gynecological disturbances with severe
premenstrual cramps and upsets that would put
her down in bed for days and a host of other
complaints.
Dec. 20 We placed temporary fixed-bridgework to
replace missing posterior teeth and to provide
dominant molar support. Before she left the
office the extreme tension in the cervical area
that had been almost constant had subsided.
Dec. 21 She demonstrated that she was able to
raise both arms above her head, negotiate steps
with ease and get up and move about without
losing her equilibrium. She said that she had
been free of headache and backache since her
occlusal corrections.
Dec. 27 She reported that she was running up and
down the stairs and that her son had returned
from military service and that he was dumfounded
at her activities and begged her to demonstrate
over and over again how she could run up and
down the stairs.
Jan. 18 She was still free of the headache and
back pain that had plagued her for years and a
host of other problems. She was so energetic
that she had taken a job as a bridal consultant
and was on her feet all day long six days a
week, up and down stairs and felt very fit all
the time.
July 16 She admitted that she had never been
back to see her medical doctor even though we
had insisted that she do so. Her only additional
care had been the chiropractic adjustments made
immediately before each occlusal adjustment.
(Figures 19 through 20 - see above)
Comment: She has not had the spinal
normalization that we have felt was possible
mainly due to the fact that she has been
enjoying her freedom from pain and illness and
has not kept her appointments but has returned
sporadically, when she felt like coming. To date
we have been unable to get her to take the time
to have the temporary acrylic bridgework
replaced with permanent bridgework.
ABBREVIATED CASE HISTORIES
Full texts can be found in THE DENTAL PHYSICIAN,
2nd ed., 1984
Sexual problems
Housewife, age 26 (Barren). The wife of a young
gynecologist, after 4 years of marriage, had
been unable to conceive. She presented with a
full complement of teeth, with 4 mm free-way
space, and premolar prematuritis. Occlusal inlay
overlay (plastic) fillings were placed to
provide bilateral, balanced occlusion at a
vertical so tight that the molars barely cleared
in speech. (In my experience this is the proper
vertical, free-way space, for many people. All
musculature of the head and neck are most
relaxed at this vertical.) Six weeks later she
was pregnant to the amazement of the
gynecologist-spouse.
Male laborer, age 41. Referred by a marriage
counsellor. All legal work had been completed
for a divorce. The wife believed he no longer
loved her since it had been years since they had
intercourse. Medical aid was unsuccessful in
making it possible for him to have an erection.
Both mandibular first molars were missing and
there was considerable loss of vertical,
crowding of the anterior teeth and all posterior
teeth were in linguoversion. A mandibular splint
was placed to provide dominant and balanced
molar support at the proper vertical. He
reported having intercourse two times that week.
The marriage has been doing well for several
years.
Male office worker, age 28. Low sperm count. He
was childless and after medical care by a
specialist his sperm count was only 10% of the
"normal count" expectancy. There was
hypermobility in the TM joints and a free-way
space of 3 mm. Self-curing acrylic
inlay-overlays were placed to provide bilateral
molar support with a minimum of free-way space;
the molar teeth barely clearing in speech. Two
weeks later the sperm count was 80%. The patient
did not return until 2 1/2 months later when the
acrylic support had worn down and the sperm
count had returned to 10%. Mandibular gold
overlays were eventually placed for a permanent
correction.
Comment: The author is convinced that
dental distress is the dominant stressor of the
body. He is constantly amazed how many severe,
chronic health problems that have not responded
to conventional medical treatment do respond to
physiologic dental support that dramatically
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