1. Frequently asked questions.  (Take me to them)
    

   1.5 COMPULSIVE EATING aka FOOD ADDICTION by GDR 

          Until I consciously observed my own eating compulsion (i.e anytime I think of food I go for it, being unable or unwilling to stop myself from visiting the refrigerator or pantry) I had no understanding or sympathy for "addiction." Then it dawned on me: I was addicted - to food! I had no self-control barrier between the thought of food and getting it and eating it. I'd go to the refrigerator to look see even after I'd visited it a half-hour before and found nothing to eat...At meals, buffets, and potlucks, I'd eat two or three portions, not just one. The only person who ate more then me was the only person who was fatter than me.  I finally realized that the desire to eat was not motivated by hunger but by (a) social discomfort when in public (it's easier to eat than socialize) and (b) procrastinating. Putting things off is what put me into the kitchen at home. There I could distract myself from what I should be doing but am not doing, by spending time preparing food, sitting down to eat it, and reading a newspaper or magazine at the same time. These two deficiencies seem to be the basis of my eating compulsion. When I'm busy and productive, I eat much less than when I'm not.  I never eat because I'm hungry. I eat because its time to eat (3 meals a day) and between meals because it serves a psychological need. Did you ever examine what needs your eating compulsion serve?  The author related that his father had the same eating problem
    

   !.5 The object of OJW is to limit the apartness of the jaws i.e. to suspend the mandible (lower jaw) from the upper with very soft but durable wire at a distance of about 2-4 mm, the position being a little less than the position your jaw is in right now as you reading this note.  This position in dentistry is very close to the position we call the "physiologic rest position" of the mandible ... when a patient is wired in such a position the mandible is free to move forward, right and left and open and closed about 2-4 mm... Just enough to talk reasonably well and get sufficient jaw joint exercise to prevent the joint from stiffening over a 6-9 month treatment period.

    

   The dentist's responsibility is to: teach the patient how to rewire them selves particularly when they come from afar and oversee the health of the gums, teeth and the TMJ jaw joint when they can return to the office every five week to be examined and rewired. The responsibility  of weight loss is the patient's.

    

   Oral surgeons utilize "full arch surgical arch bars" to permit wiring the upper and lower jaws together...permitting no movement in any direction whatever. The only similarity between the two is the requirement that the patient is limited to a liquid diet.  I have the patient arrange their own liquid diet. I urge them to understand the need to remain below 1300 calorie/day.

   
    

2. Orthodontic Jaw wiring: A.T.’s diary of her experiences during the first two months.
    
3. Photos of the orthodontic jaw wiring in place  (I want to see it)  and below that a diagram
    
4. showing the typical method and pattern of jaw wiring (how to do it yourself :
    
5. Before OJW with its emphasis on the word  "Orthodontic" there was its "parent" which was "IMF" (Inter-Maxillary Fixation) which was the procedure done by oral surgeons to wire jaws closed when they were broken and needed to be rested to allow healing of the broken bones. The name of this kind of wiring is called "Ivy loops." (learn more about Ivy loops). Until the advent of OJW as is presented in the above pages there was no methodology at all for delivering the OJW service.
   
6. Interview with  jaw wired patient.  (I want to read it)
    
7. Medical "Informed Consent" for orthodontic jaw wiring. (See Medico-Legal document)
   
8. Links to information guides on liquid diets, the dos, do-nots and precautions when losing weight.  (Take me to see the links); see also Jane Brody article discussing whether or not liquid work
   Brody article on liquid diets
   
9. Doctor Rothstein’s progress treatment charts for a number of patients.
   
10. An article excerpted from, the NY Times Mar 22, 2000 showing how  obesity can reduce your chance of getting that job you want  (I want to read it).
    
11. A liquid diet that was created by a person who was considering OJW for weight control. (Go see the diet.)
     
12. How to proceed after choosing OJW.
     
13. March 6, 2001 Begin OJW of Alicia F  

  13.  Directions to Dr. Ted's office from JFK, Newark and LaGuardia airports.
         
 14.   March 15, 2001  Begin OJW of R.A. and read the journal of her first month of the experience.
         

 15.   Dr. Ted describes the exercises he does in detail with photos and  describes the exercises that
        help to keep the jaw joints healthy when the jaw is periodically unwired. [See the jaw joint exercises]  
        [See description of  Dr. Ted's exercise regime] and Dr. Ted's Advanced exercise regime.

17.   Instructions for rebonding detached brackets for the avid do-it-yourselfer. I'm no wimp tell me how.
       

18.   Instructions for learning how to wire/rewire the jaws closed.  I'm no wimp tell me how.

19.   April 10, 2001, Begin OJW  C.S.

20.   April 26, 2001, Begin OJW  J.D. and read "Jen's Journal." Her "food" list shows some 
        excellent choices.

21.  May 15, Begin OJW E.A.

22.  May 24, Begin OJW D.A.B.

23.  December 17, Begin OJW G.S.

24.  A Forum for OJW for Weight Loss for those who would like to share their ideas on the pros and cons of OJW for weight loss

25. Scientific literature references for jaw wiring for weight loss.

26. Want to find a registered/accredited dietician nearby where you live? Then go to the website of the ADA (American Dietician's Association). 

27. Letter to Educators, Researchers and Orthodontists recommending establishment of a forum where knowledge regarding OJW for weight loss can be shared.

28. February 1, 2002,  Begin OJW Valerie Freeland (Hear how she sounds wired.).

29. An example of a request for information form a person who is interested in having OJW  and the response from Dr. Rothstein.

30. February 15, 2002,  Begin OJW TM

31. A letter that patients may find helpful in order that their employers, colleagues or friends have a better understanding of the rationale of being jaw wired. [Read the letter.]

32.  March 28, 2002, Begin OJW PG 

33.  Response to a would-be OJW patient for the concerned provider.

34.  Eida A. "graduated" from OJW to "Gastric Banding"  and agree to be interviewed and granted permission for a photo of the  surgical incision to be published. [Read the interview.]

35.  Dr. Rothstein was interviewed by the Sr. Editor for an article to be found in a  new website devoted to health [FitDV]. In his article he provides us with a global view/glimpse of the the world of OJW.   [Read the article.]

35.  Three persons with expertise in obesity were asked to give their opinion re OJW via the medical health question and answer site: getanswers.com.   Dr. Rothstein just became a registered expert on this medical advisory panel. You can read the question that was posed.  [I want to read the question and the three responses.]

 36.  August 10, 2002, Begin OJW TS (Hyperlink deconstructed at patient's request.)

 37.  November 15, 2002, Begin OJW JS (Hyperlink deconstructed at patient's request.)

38.  New York Times Article on Stomach Stapling and Gastric-bypass, November 20, 2002.

39. January 17, 2003, Begin OJW Jake Graham: A modification of OJW using  clear "wire" and some clear brackets.
You can also learn quite a bit about the TMJ (your jaw joint) as well as "Lap banding" the latest FDA approved surgical procedure for controlling the size of your stomach.

40. January 23,  Begin OJW TP

41. "Morbid" obesity is defined as being more than 100 pounds overweight. When you reach this weight  you are a candidate for "Bariatric" surgery such as the "gastric bypass" and related surgery such as the "roux en y". I posted some information to provide you some basic information about this kind of gastric surgery:  [The gastric bypass.."stomach stapling"]...  [The "Roux en y"]...  [Hospitalization after "Bariatric" surgery]...  [The risks of gastric surgery]...  [The long-term outlook].

42. For those OJW patients who would feel more comfortable have a professional's letter to present to their employer you can see the one I would be pleased to provide.  See the letter.

43. Article NY Times Feb. 23, 2003 on dietary supplement ephedra-related deaths.

44. After I have received your completed informed consent for OJW (See Medico-Legal document), I deem it essential to engage you, prior  to your arrival at the office, in a voice-to-voice contact since most OJW patients live out of state and are unable to come to the office for a consultation examination. Hence, I created the OJW telephone consultation memo . This  memo covers all the points that I would want you to be aware of prior to your arrival at the office. Indeed, it is required that you forward it back to me to insure that you are aware of its content.

45. The number of gastric surgeries being performed each year is increasing.  The following links are mandatory if you are considering this procedure for yourself:  1. The questions you should ask (all 24 of them)  2. An article from WebMD entitled Bariatric Surgery  (pay attention to the "Side effects"  3. Is the Risk of Obesity Greater Than the Risk of Surgery? and Can weight loss surgery add years to your life? (another WebMD  article).

46. August 21, begin OJW for the control of compulsive overeating KE. (Hyperlink to patient's medical chart inactivated at patient's request) .

47. September 11, begin OJW for the control of compulsive overeating DH (Hyperlink to patient's medical chart inactivated at patient's request) .

48. You can see the "TYPICAL FIRST VISIT" medical chart entry for an OJW patient. [GO].

50.  About two year ago I wrote: Letter to Educators, Researchers and Orthodontists recommending establishment of a forum where knowledge regarding OJW for weight loss can be shared. That letter generated:   A Forum for OJW for Weight Loss for those who would like to share their ideas on the pros and cons of OJW for weight loss
On September 22nd, 2003 I published: Orthodontic Jaw wiring for weight loss (OJW): A primer and protocol for orthodontists UPDATED.  Click here to read it.

51. October 16, Begin OJW MF

52.  CALORIE, CALORIES, CALORIES GALORE:     What IS a calorie?    How many calories in a pound of fat?...Answer 1      How many calories in a pound of fat?... Answer 2    How many calories do you need to "keep" a pound of fat?      How do you figure out how many calories YOU need  each day?    How many calories do you burn off when you exercise? Click here     To see a living example of how the calculations work go visit  MF

52. Tummy pacemaker for the obese may be on the horizon. [Read the Article]

53.  December 4, Begin OJW AF

54. December 8, Begin OJW LH

55. Pictorial documentation of the exact sequence for wiring the jaws together for orthodontists, dentists and patients.    Then see a variety of instruments the patient can use to remove the wiring [See wire removing instruments].

56. Meet Jay Freeman an attorney from Littleton, Colorado. Rather then come to me for OJW I encouraged him (and his dentist)
      to have his dentist (THIS IS A FIRST TIME) rather then me do his OJW. On Jan. 9 he wrote me a progress report in which he said,
      "This is a very powerful process for me -- I can actually envision myself as a "thin" person!"  He has given his permission
       to read his progress report.  READ JAY'S LETTER.

57. December 15 Begin OJW Dr. MS and his sister NS

58. On January 22, Dr. Ted submitted a proposal to the committee that selects essayists to present papers at the GNYDM (Greater New York Dental Meeting). This meeting convenes December 28-January 2.  READ THE PROPOSAL.

59. IRS Allows Deduction of Certain Weight-Loss Expenses After an Obesity Diagnosis...Read the article taken from WebMD

60. March 12 Begin OJW  T S (note the "oblique" placement of the brackets).

61.March 17 Begin OJW  AT

62. Before OJW with its emphasis on the word  "Orthodontic" there was its "parent" which was "IMF" (Inter-Maxillary Fixation) which was the procedure done by oral surgeons to wire jaws closed when they were broken and needed to be rested to allow healing of the broken bones. The name of this kind of wiring is called "Ivy loops." (learn more about Ivy loops). Until the advent of OJW as is presented in the above pages there was no methodology at all for delivering the OJW service.

63. Getting up at night to snack? You have Night Eating Syndrome.

64. Effectiveness of weight loss methods will be the main criteria to obtain Medicaid coverage for obesity, which now has been elevated to the status of a disease. But which methods are effective? And moreover what does "effective" mean? Read the New York Times article published July 18, 2004 and find out for yourself. ...Read the article.

65.  Still more convincing evidence that bariatric surgery should be considered as a choice only when there is a serious risk of dying from the obesity and other diseases that accompany it. It is good to know however, that Medicaid and Medicare have ruled that obesity by itself is a disease even if unaccompanied by associated problems like diabetes, high blood pressure and coronary heart disease.  [Read the NY Times article 8-15-04]

66.   I was asked by the editor of Orthodontic Product Magazine, Christopher Piehler, to be part of a "virtual round table discussion," the  results of which, will appear in toto in the publication by December 2004. Below I  present my final thoughts on the usefulness, delivery of patient care service, and my hopes for OJW  as a potentially useful tool that some overweight patients might find appropriate/suitable for their problem.  OJW overview   OJW Round Table Article...the Controversy.

67.  Just click on the words "DDS System" and you will find Scientific Intake's website describing a removable orthodontic retainer-like device that is custom-fitted, which your wear when you eat. If I understand it correctly it forces you to take smaller bites, consequently, you eat more slowly and the "satiety center" in your brain says: "you are full" way earlier than YOU usually say it.   On their site you will see it described as "... a patented approach to eating less... a behavior modification system that retrains your eating habits without rewriting your menu".  [See a photo of the DDS System Appliance]. According to President, William Longley, you can already choose among more than 3000 trained dentists who stand ready to  provide this incredibly publicized "behavior modification device".  The cost typically ranges between $350 and $500.  So why am I "kvelling*"  like my only daughter just produced my first grandchild ?  It's simple. With the use of this device, dentists have just repositioned themselves as world leaders who are now openly willing and able to help people modify their eating habits and to attack the problem of eating excessively where it begins - at the patient's mouth.  *Kvell is a Yiddish word meaning to gush effusively.  In brief, I have company. OJW is also a behavior modification system which promotes eating less. Unlike the DDS system, however, OJW is designed to and claims to  promote weight loss. The question that remains and that will require extensive research, is how effective in preventing/controlling the regain of weight lost by these methods. I can see a day when OJW and the DDS system can be used in tandem as a significant behavior modification system helping those who wish to lose weight and subsequently continue their success by maintaining their modified eating habits.  My best wishes to William Longley and the DDS System. Let the naysayers rant and rave. For now the overweight and obese have two new methods to help them, before they are forced to seek the surgery approach with its unacceptable mortality rate.

68.  Dental Economics one of our industry leader magazines just ran an article in their August  issue entitled "Help your patients eat less!  by a Louis Malmacher , a dentist, international lecturer, and author as well.  DE has given us permission to link to the article. When I get the link you can read it here.  Dr. Ted   [Go To Link Page]

69. September 1. 2004:  Dr. Rothstein take pleasure in announcing the formation of the DPOJW*, an organization of dentists who are committed to providing orthodontic jaw wiring to those who are overweight or obese and who meet the criteria for being accepted as a patient for this type of control of compulsive overeating. An online course will is being offered free to the first 25 dentists who provide their name, address, telephone and email address.
*Dentist Providers of Orthodontic Jaw Wiring

70. The reasons why a DDS or DMD should or should not consider providing the Orthodontic Jaw Wiring Service [See the reasons].

71.  You already know that you die younger when you smoke. But, do you know how many years your life expectance is decreased by being overweight? A study published in the January 7, 2003 issue of the Annals of Internal Medicine will tell you [Read the Framingham Heart Study]

72.  Calculate your BMI (Body Mass Index)  [Click here].

73.  The  answers to three of the most important questions that OJW patients should ask. See the Q's and A's.

74.  See the outline of the online course to be given to would-be members of the DPOJW. 

75.  “Is Orthodontic Jaw Wiring a service permitted to dental professionals?”   Response from Dr. Milton Lawney, the Executive Secretary of the NY State Board of Dentistry

76.  I have the honor to announce that I am presenting a table clinic at the Greater NY Dental Meeting on November 29, titled "The Dental Profession's Role in the Control of Compulsive Overeating: Orthodontic Jaw Wiring... A kinder gentler way  (OJW)"  On that occasion I will demonstrate the principles of how the OJW service is provided and present a power point presentation which will be hyperlinked to this note. Moreover, I take pleasure in noting that my application to present OJW at the  meeting of the American Association of Orthodontists (May 21-May 24), in San Francisco was accepted as well. There I  will demonstrate how I made the transition from active braces to OJW on an overweight orthodontic patient who elected to receive the OJW method  for weight control. A three panel posterboard will be used as part of the presentation, and that poster-board will also become hyperlinked to this note. See the Power Point Presentation

77.  The most supreme joy a doctor  can be rewarded with are the expressions of happiness and pleasure their patients give them.  Julie gave me permission to print her letter. I know it will be an inspiration to others. [Read Julie's letter.]

78.  If OJW is to take its rightful position among the modalities that can help some obese patients who are among the compulsive overeaters, it will be necessary to inform  the medical community that dentists are now ready to become their allies. Toward that end I have communicated our readiness to provide allied services that can help some obese to regain the control of eating habits that are leading them in the direction of ever worsening ill health. Please read my letter [click here].  Dr. Ted

79.  "...gastric bypass surgery, commonly known as stomach-stapling. Although the National Institutes of Health endorsed this form of surgery for adults 15 years ago, it has no formal guidelines for operating on teenagers.  Bypass surgery involves not only shrinking the size of the stomach, but also rearranging the small intestines to control how many calories can be absorbed. A patient will feel full, to the point of pain, after eating only a small amount of food, roughly two ounces. While popular, the surgery has many risks. Roughly one in 200 patients die."   Read the NY Times article about obese teenagers needing to undergo bariatric surgery  11/26/04.

80. 12/2/04: Four days have gone by since my OJW table clinic presentation at the Greater NY dental meeting. Our table in my own opinion deserved the "Blue Ribbon" 'hands down'. I prepared a page that shows how it looked.  [See our table clinic on OJW at the GNYDM]  Next stop ...San Francisco to present same with a slightly different spin at the International Meeting of the American Association of Orthodontists on May 22, 2005. You can see the Power Point presentation (3 Mb, 10 minutes long)  that was part of the table clinic at:  [Click Here].

81.  I sent  a letter to some  bariatric surgeons in NY and NJ letting them know that mutual cooperation between those physicians and dentists who provide services to the overweight / obese will ultimately benefit the patients.  [See the letter]

82. See article to be submitted for publication in the NYS Dental Journal, 2005 in which Dr. Rothstein responds to the present editor of the journal, Dr. Elliot Moskowitz, whose article entitled The Limits of Dentistry sets forth the authors reasons for not providing services to the obese. [Link]

83. FACTORS RELATED TO HOW MANY CALORIES A PERSON NEEDS DAILY:  [CLICK HERE]  [OR HERE]
CALCULATOR TO COMPUTE THE NUMBER OF CALORIES MALES NEED:   [Calorie Calculator Males]
CALCULATOR TO COMPUTE THE NUMBER OF CALORIES FEMALES NEED:  [Calorie Calculator Females]

84. February 8, 2005  Yesterday I received a note from an OJW patient I started four weeks ago. In it he shares with other would-be OJW patients some thoughts on how to carry out the necessary homework to insure success. [Read his tips on Exercise, Food, Blender magic and General dieting assistance]

85.  I was asked by the editor of Orthodontic Product Magazine, Christopher Piehler, to be part of a "virtual round table discussion on "OJW the controversy." The article was published February 2005. In the article I  present my final thoughts on the usefulness, delivery of patient care service, and my hopes for OJW  as a potentially useful tool that some overweight patients might find appropriate/suitable for their problem. You will be surprised how passionate the protagonists and the antagonist were in presenting their  views on the subject.   OJW Round Table Article...the Controversy.

86.  May 22,  2005   at the 105th  International meeting of  the American Association of Orthodontists in San Francisco:  Presented a table clinic: "The Dental Profession's Role in the Control of Compulsive Overeating: OJW  Transitioning Your  Overweight Orthodontic Patient from Active Treatment to Retention using OJW"  [See abstract and information]   Dr. Rothstein's  table clinic was selected for presentation in Paris, September 10, 2005 at the 6th International Congress of Orthodontists.     C'est formidable, n'est-ce pas ?  :-)

87.   The New York Times, May 27, 2005  "Other Perils of Overweight; Insurers Balk at Bariatric Operations", Citing Cost and Risks ($40,000 but as much as $100,000 after finishing taking care of the complications.) SEE ALSO ACCOMPANYING ARTICLE:    "One Alternative: A Ring That Squeezes the Stomach" (Some good news here...the death rate is one tenth that of  the bariatric surgery death rate which is 1/200, moreover if you are a bariatric surgeon your insurance premium in NYC is going to be $90,000).

88.  Dr. Ted presents OJW to the International community at the 6th International Orthodontic Congress in Coordination with the World Federation of Orthodontists held at the Palais des Congrès in Paris France September 10-14, 2005. This presentation was done in English and French. [Click her to see some photos.]

89.   The YO-YO Effect: In the New York Times "article" , May 25, 2006,  the author responds to the question: "We have been told that yo-yo dieting is unhealthy. But is gradual weight loss followed by gradual weight gain really more unhealthy than just staying obese?"
[What do you think? Read the answer given by C. Clairborne Ray.]

90.  A new more comfortable way to wire the patient's jaws together [See it]

91.  May 12, 2006 I presented my work on OJW  ^{(pat. pending)} (Orthodontic Jaw Wiring)  at the 106th International Orthodontic conference In Las Vegas on May 7.  Take a look at the table clinic I prepared and see some sights Las Vegas has to offer. [Click here]

92.   La présentation Power Point : Orthodontic Jaw Wiring (OJW)
 Ligature Orthodontique Intermaxillaire Rôle du praticien dans le contrôle des excès d’alimentation

93.  Modèle de consentement éclairé du patient concernant la technique OJW ^{(pat. pending)}:  Version française:

94.  The USPTO (United Stated Patent and Trademark Office)  granted me patent # 60-817245  in response to the  "Provisional" patent application  I submitted June 27, 2006. To see the official title, abstract and history of the OJW invention see TITLE and ABSTRACT .  The USPTO is an amazing place to "visit".  In 2006 they modernized patent submissions so that the entire process can be accomplished online. The Inventor/customer support is incredible. You might be interested in knowing that the cost of filing a provisional patent application is $100. The granting of a provisional patent allows the inventor to add "patent pending" to the name of his invention and permits the inventor twelve months to submit the non-provisional (Utility) patent which in fact is thoroughly scrutinized by patent office examiners and granted acceptance only when it meets all the standards for new inventions. In effect it "protects" the inventor from others claiming the invention as their own.

95.  OJW is a subject that has now reached its critical mass. Judging from the number of people who have read pages on this site related to this subject , the number of readers is more than 500,000. Interest in the subject is waxing judging from the number and kinds of contacts I have had regarding the subject.  Consequently, I have given notice to have the incorporation papers of the DPOJW  (Form  501c)  filed that would set in motion the reality of a Not-for-Profit, Tax-Exempt research organization filed in NY State.  Toward the end of publicizing my efforts I have begun, starting with contacting the NY Times, to have as many sources of media do articles on the subject.  My first effort is a letter to Jane E. Brody of the NY Times.  [See letter]
Adlai E. Stevenson once said:  All progress has resulted from people who took unpopular positions."  and
Alan G. MacDiarmid ..Nobel Laureate in Chemistry, :  "What is at the edge of scientific or social acceptability today is often commonplace tomorrow."

96. Federal researchers found that complications from obesity surgery significantly increased costs. Over all, said William E. Encinosa, an economist at the health research agency, medical spending averaged $29,921 for obesity surgery and six months of follow-up care. For patients who experienced complications, spending averaged $36,542. And for those with complications that required readmission to a hospital, the average was $65,031.Federal researchers found that complications from obesity surgery significantly increased costs.Over all, said William E. Encinosa, an economist at the health research agency, medical spending averaged $29,921 for obesity surgery and six months of follow-up care. ...Arthur G. Richards, an insurance agent in Portland, Ore., said some insurers were refusing to pay for obesity surgery and its complications. [Read the article]

97.  September 22, 2006: Dr. Mark B. Mclellan is the present head of the  Centers for Medicare and Medicaid. I wrote him about the changes in reimbursement  fees to providers of Bariatric. In this letter I proposed Orthodontic Jaw Wiring as prelude treatment to bariatric surgery. I received a very informative letter in response. [Read the letter to Dr. Mclellan]. 

98.  Read the response to my letter    CMS is the "Center for Medicare and Medicaid Service"; NCD is refers to National Coverage Determination, a process one must go through to get their treatment (orthodontic jaw wiring) listed as a service a provider (dentist or orthodontist) could offer a would be person with a disease (obesity).

99.  September 22:  Today I submitted the Utility Patent application for OJW.  [Click here to read it]

100. Study Finds a Liquid Diet Works (But Not for the 50% Who Quit) [Read the NY Times article] 

101.  As you snatch a couple more Christmas cookies or down another eggnog, you might be thinking about what those extra calories will do to your health and especially your wealth: read the NY Times article December 2, 2006

102. OJW was success and a FAILURE for GSB. In her story the last paragraph reads like this: As for me, I am currently pursuing the gastric banding surgery.  I have come to realize that, for me, I need something more restrictive that I cannot change to reach my health goals.  I regret that I was not strong enough to stick to the plan that Dr. Ted has devised as it truly is something that can work.  I thank Dr. Ted every day for giving me the opportunity to try his procedure because it made me get to know myself and my limits better.  By sharing my story, I hope that others will take the time to search themselves and make the decision to better their health, and their lives.
Sincerely, G. L. B. [Read her story.]

103. On June 7, 2007 N.M. came from Seattle to have OJW. She was kind enough to give her permission to photo-document her case from start to finish. See the case study of N.M.

104. June 15,  June 15, 2007     Photo-documentation of the first clinical trial combining simultaneously Orthodontic  treatment with OJW from the every start.

105. July 22:   Regarding  RIMONABANT aka Acomplia used in the treatment of obesity: Rimonabant is available in European countries for the treatment of obesity under the name Acomplia, since it reduces appetite. An advisory panel to the US authority for the approval of medicinal drugs (FDA, Food and Drug Administration) recently said that the drug should not be approved in the USA because the manufacturer Sanofi-Aventis has not shown that the benefits outweigh the risk of SUICIDAL THOUGHTS among those taking rimonabant. (Source: Huestis MA, Boyd SJ, Heishman SJ, Preston KL,Bonnet D, Le Fur G, Gorelick DA.

105. Aug 1: Over the years I have made great efforts to provide would be OJW patients with the information they need to to make a decision whether OJW is the right modality for them.
The brief but compact letter I prepared provides links to all the information a would be patient needs to know to help them decide whether they should go ahead and  how to go about doing so.  See the would be patient letter

106. August 2,   Necessity is the Mother of Invention  (work in progress) August 3, 2007 Yesterdays' OJW was a case of "necessity was the mother of invention":  CJ came from Michigan.  She had to drive 300 miles the closest airport. I discovered upon examining her that in spite of more than 10 email communications I failed to elicit from her the fact she was wearing an upper partial (removable) denture to replace about 6 missing teeth. After doing my best to make the partial be as tightly fixed to the remaining teeth as possible I gave up that idea and she gladly agreed to let me wire her front teeth.  I'll send you a photo. She was pleased as punch.  You may well ask how  she keeps up her hygiene?    The answer is she can brush the outside of her teeth normally and use Listerine rinse for hygiene under the partial. She will have to release and rewire every 3-4 days to keep up decent mouth hygiene and fresh breath control. Those interested in following her case may email her at especiallywired@aol.com  Was it a case of all's well that ends well?  See for yourself.

110.  What is RTD? And why is "especiallywired" (see 106 above) talking to Ty (who is going to be wired) about her OJW experiences since being wired 10 days ago? [The answer]

111. September 3, 2007:  I have been invited to speak before the Queens County division of the AGD (The Academy of General Dentists) on September 18, 2007. Heretofore, I have presented my work on OJW as a "table clinic" at five major meetings (See Las Vegas AAO meeting table Clinic). Given an hour to present this subject I will have time only to whet my audience's appetite for the subject (maybe 15 attendees?). Consequently, I compiled an appendix of subject matter as hyperlinks for those who might hunger for more information. [See the compendium of subject-matter links].

112. September 18, 2007:  Orthodontic Jaw Wiring  (OJW)   The Protocol for Providing OJW to Your Patients: A New Service in Dentistry Presented to: The Queens County Chapter of the AGD  by Ted Rothstein, DDS, PhD. Read  The OJW AGD Seminar Handout and read the response of an orthodontist who attended the seminar.

113. September 19, 2007 OJW MC: Decided to use CLEAR brackets an the upper canines and first premolars. Patient very pleased with how unobtrusive the OJW looked.  See her chart entry  She had some very interesting secondary problems as well.

114. September 22, 2007 MY BIRTHDAY!   Having introduced the new SmartCliip SELF-LIGATING BRACKETS into the practice. I  decided to see how well they worked with the OJW procedure. The result is shown in the photo-documentation.  I had noted in my patent application that OJW could done with self -ligating brackets. However, the results exceeded my expectation because when I applied the wire I realized I could wire the jaws apart well more than the 2 mm I usually wire them apart.

121.    http://www.drted.com/OJW AJO-DO Manuscript 102607.htm  A "Special" article I wrote and submitted to the American Journal of Orthodontics and Dent-Facial Orthopedics. Sunday, October 28, 2007

122.   I applied to the NYU Continuing Education Department for dental professionals to teach a course in Orthodontic Jaw Wiring. (See the course description).

123.  DIRECTIONS FROM ALL AIRPORTS TO THE OFFICE

124.  AC came for OJW November 15, 2007: If you read the Informed Consent for OJW you will find "I understand that Dr. Rothstein requires a note from my physician indicating that I have no medical conditions that will cause me any problems if I begin a weight loss program based on a liquid diet". AC decided to have a complete Medical physical which included a very complete report from her physician along with results of her blood studies. I was very impressed by how thorough her physician was. I applaud the attention AC and her physician gave in preparation for her OJW. Whenever possible it behooves a person to have an annual physical exam with a blood study.  Take a look at how such a report looks.    She allowed her medical chart to be open for reading and she is contactable by email.

124.5 AC posed the question WHY DID I CHOOSE OJW?  Well she chose to answer the question by relating to you the bizarre story of her mother who chose gastric bypass surgery nine years ago. While this story may seem fictitious it is the G-d's honest truth as unbelievable as it may seem.

125. ...But even if bariatric surgery doesn’t kill you, there are things to worry about. The operation often produces complications — physiological ones, to be sure, but also perhaps psychological ones. A significant fraction of post-bariatric patients acquire new addictions like gambling, smoking, compulsive shopping or alcoholism once they are no longer addicted to eating. In certain cases, some people also learn to outfox the procedure by taking in calories in liquid form (drinking chocolate syrup straight from the can, for instance) or simply drinking and eating at the same time. Surgery is also a lot more expensive than even the most lavish diet, with a Lap-Band procedure costing about $20,000 and a gastric bypass about $30,000.    [Read the article that appeared in the NY Times Magazine November 17, 2007]   While you are there you can read: Times Health Guide: Gastric Bypass

126. Reminder: The object of OJW is to limit the apartness of the jaws i.e., to suspend the mandible (lower jaw) from the upper jaw with very soft but durable wire ("dead-soft") at a distance of about 2-4 mm, the position being a little less than the position your jaw is in right now as you reading this preface.  This position in dentistry is very close to the position we call the "physiologic rest position" of the mandible ... When a patient is wired in such a position the mandible is free to move forward and back, right and left and open and closed about 2-4 mm... Just enough to talk reasonably well and get sufficient jaw joint exercise to prevent the joint from stiffening over a 6-9 month treatment period.   The dentist's responsibility is to: teach the patient how to rewire them selves particularly when they come from afar and oversee the health of the gums, teeth and the TMJ jaw joint when they can return to the office every five week to be examined and rewired. The responsibility of weight loss is the patient's.  Oral surgeons utilize "full arch surgical arch bars" to permit wiring the upper and lower jaws together...permitting no movement in any direction whatever. The only similarity between the two is the requirement that the patient is limited to a liquid diet.  I have the patient arrange their own liquid diet. I urge them to understand the need to remain below 1300 calories or less/day.   Anne Collins has a comprehensive and extensive web site, http://www.annecollins.com/index.htm , on weight loss and control.. She has a proprietary low-carbohydrate diet whose benefits are spelled out in infinite detail.  Moreover, she has devoted part of her site to LIQUID DIETS.  I recommend you read her comments: http://www.annecollins.com/diets/liquid-diets.htm

127.  November 12, 2007   FRANCE TAKES A LIVELY INTEREST IN ORTHODONTIC JAW WIRING

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