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The Benefits of Using Doppler Auscultation


Doppler Auscultation

Hi. My name is Dr. Leonard Hess. I would like to spend a few moments with you talking about the benefits of using doppler auscultation.

Doppler auscultation is really simple.

The temporomandibular joint, if it is healthy and intact, should have a condyle and a disc sitting on top of it, and it should be encapsulated in a fibrous capsule, bathed in synovial fluid. Synovial fluid is the slipperiest substance in the human body.

So in the normal interaction of the joint, and if we listen to the joint using a doppler auscultation, and if everything is where it is supposed to be, we should really hear no friction or no noise coming through the doppler unit.

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Now, when the disc starts to get out of position and we start to get bone-to-bone contact, or crepitus, or we can get clicking and popping of the temporomandibular joint, doppler auscultation is a wonderful way for us to be able to go in and listen to what is going on inside that joint. Because when you have friction, whether it is off of the medial pole or the lateral pole, you really cannot fool the doppler into getting a false positive or a false negative.

So doppler auscultation is a very cost-effective and extremely diagnosticand valuable tool to incorporate into your practice.

The relationship between TMJ's and Occlusion

Dr. Leonard A. Hess maintains a comprehensive-focused private practice in Monroe, North Carolina. Growing up in the mid-west, Dr. Hess attended Indiana University for his undergraduate education. His doctor of Dental Surgery degree was obtained from Northwestern University Dental School in Chicago, IL. Dr. Hess is a member of the American Academy of Cosmetic Dentistry, American Equilibration Society, ADA, AGD, NCDS, and CDS. Locally, Dr. Hess has served on the peer-review board for his ADA district. He has also served on the Board of Directors of SPCC College in Union Co. As a senior faculty member of the Dawson Academy, Dr. Hess has demonstrated a passion for learning and teaching from the very start of his career. In the past six years Dr. Hess has taught hundreds of hours of hands-on continuing education throughout the country. From study clubs to the AACD national meeting, Dr. Hess has helped thousands of his peers incorporate functional esthetic care into their practices. Dr. Hess currently evaluates and tests new products for manufacturers such as Whip-Mix, Septodont, Heraeus, Kerr, and Dentsply. In addition, Dr. Hess is a frequently featured author in Advanced Esthetics and Interdisciplinary Dentistry, Inside Dentistry, Contemporary Esthetics and Restorative Dentistry, and Vistas. Dr. Hess resides with his wife and son in Weddington, NC. Outside of dentistry he enjoys spending time with his family, golf, aviation, traveling, skiing, and auto racing.