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New York, NY March 18, 2019Dental Professional; Healthcare Team;
OJW: Weight--Control; Treatment Sleep Apnea
Teddy Rothstein DDS. Ph.D. 1
11
Providing Orthodontic Jaw Wiring Weight-Control
(OJW®:Weight Control) as Part of A “Healthcare
Team”—A New Service in the Dental Professional’s
Office and an Alternative Treatment for the Cause of
Sleep Apnea
Presented to the
International Conference on Obesity,
Diet management & Nutrition
New York, NY
March 18, 2019
by
Teddy Rothstein, DDS, PhD
Education and Experience
Temple Dental School DDS
1961-1965
University of Pennsylvania PhD
1967-1971
NY University Orthodontics
1971-1973
Inventor, Provider and Teacher of
OJW™: Weight-Control
1991-Present
2
Table Clinic Presented to MCDS
May 16, 2018
ojwforweightcontrol.com
drted35@gmail.com
(718) 808-2656
Course Information:
http://bit.ly/2DDvnsu
http://bit.ly/2sxTW59
3
Oregon Board of Dentistry
Approves Weight-Control Services
June 23, 2017
The Licensing, Standards & Competency
Committee of the Oregon Board of Dentistry
unanimously agreed that Dentists who
provided weight-control services were in
total accordance with the rules and regulations
of Oregon’s Code of Dentistry.
4
Orthodontic Jaw Wiring
for Weight Control
Manuscript of my Research Article:
http://bit.ly/2AXFScs
5
OJW®: Weight-control
*Wiring limits opening; muscles alone
support the weight of the jaw.
IMF-MMF
6
OJW Lateral View—the wiring limits the extent
of opening—It does not support the weight of
the jaw

7
• The jaws are wired around Orthodontic brackets bonded to premolars
and canines in a “weightless” position (approximating “rest” position),
thereby ensuring that teeth will not shift.
• A robust Informed Consent was developed.
• Criteria for patient selection were established.
• A protocol to address the possibility of TMJ stiffening over time was
developed and applied to 100+ patients.
• A research survey to assess safety and effectiveness was carried out.
My Contributions
for Weight Control
What is OJW: Weight-Control? #1
• A fixed intra-oral appliance composed of orthodontic brackets bonded
to the canines and premolars with bilateral wiring and a protocol to
provide it.
• Used on dedicated passionate patients whose BMI is 27-38, it is a safe
and effective option to both gastro enteric surgery and weight-control
medications.
• The position of the jaw in OJW is called “Rothstein’s OJW Position of
Mandibular Weightlessness.” in this jaw position there is no vertical
traction on the teeth. (Details in video and later slide).
• This position permits normal speech but prevents ingestion of solid
food that many of us know as “Comfort or junk-food.
• It is a new service that dental professionals were sanctioned to
provide in the state of Oregon, June 23, 2017…
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• … As a result, Dentists in Oregon are now a de facto arm of the
healthcare team (HT) that assists patients with Compulsive Emotional
Eating Problems (CEEP).
• The Dentist maintains the health of the gums, teeth and TMJ as long
as the patient is wearing the OJW.
• Adhering to a low-calorie liquid diet is under the patient’s control: you
are the professionals who will be needed to help them achieve their
goal weight, train them to eat nutritiously, and then wean them back
on to a nutritious, solid-food regime.
• When applicable, the HT will recommend counselors to assist patients
who have more deeply troubling emotional issues exacerbating the
CED.
• Finally, some gastro-enteric surgeons might be happy to refer certain
patients for a more conservative option.
What is OJW: Weight-Control? #2
9
Orthodontic Jaw Wiring refers to the entire
domain of the OJW provider’s responsibility for:
• Selecting patients according to specific
criteria.
•Obtaining their informed consent so that they
are aware of the risks and limitations
of OJW.
•Wiring their jaws in “Rothstein’s OJW position
of Mandibular Weightlessness”
The Scope of OJW: Weight Control
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• Teaching them how to rewire themselves if
they are not able to return to your office, and
can not find a professional level provider.
• Re-examining them and rewiring them
periodically after examination has shown that
their dentition, gingiva and TMJ have
remained healthy during the period of time
that they have elected to receive OJW--
(typically 3-9 Months; representing a weight
loss of 25-75 pounds).
PROTOCOL: “55 LCLD”
The Scope of OJW: Weight Control
11 12
Is the treatment of Sleep Apnea*/OSA… which works…
By eliminating Obesity, the major cause of OSA, which is most
often due to Compulsive-Emotional-Excessive Ingestion of “comfort-junk”
foods which are high in trans-fats, carbohydrates and sugar— a condition
which I have named “CEEP”. (Compulsive Emotional Eating Problems).
Which is accomplished through weight reduction, by adherence to a
low-calorie, liquid diet, facilitated by wiring the mandible into a position of
“weightlessness,” a position which I’ve named, “Rothstein’s position of
mandibular weightlessness”.
Here are two treatment options…
•Treat the SYMPTOMS of OSA with traditional appliances.
•Treat the CAUSE of OSA with OJW: Weight-Control.
*A simple comprehensive article on OSA/Sleep Apnea (Snoring)
https://www.sleephelp.org/chronic-snoring-guide/
The Principle Use OF OJW™ in Dentistry…

Understanding OSA/Sleep Apnea/Snoring:
A Comprehensive Article on the Subject
https://www.sleephelp.org/chronic-snoring-
guide/
Contents of the Article:
• Description
• Causes
• Health implications
• Prevention: 1. Behavior 2. Products 3. Surgery
• Preventive measures
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The Desirable Features of OJW™
14
1. The service was approved by the Oregon Board of Dentistry.
2. OJW is within the Scope of Dentistry in all states.
3. The diagnosis of Obesity is made by the patient’s physician.
4. Consequently, the Dentist is not practicing medicine.
5. It is safe and effective for controlling “CEEP”— the cause of
Obesity that leads to OSA/Sleep Apnea.
6. The wired mandible is always in physiologic rest position: there are
no extrusive dental forces.
7. OJW is in no-way harmful to the TMJ, and indeed, may have a
salutary effect in some TMJ problems.
8. OJW does not affect speech.
9. The appliance is simple; there are no lab expenses
15
Members of the dental profession are uniquely
positioned to work as part of a team with other
health care providers to help the overweight
obese to achieve a healthier weight — by
providing OJW using the protocol & Informed
Consent presented herein.
The health care team includes: weight
control hospital clinics, GP physicians, bariatric
surgeons, nurses, registered dieticians and
psycho-therapeutic counselors.
A New Service for Dental Professionals…
15
Dental Professionals best suited to
provide OJW…
Feel comfortable bonding and removing brackets and…
•Believe that OJW is effective and safe.
•Believe dentists are professional health
providers who should be helping the Overweight.
•Feel strongly that OJW is relatively safe to provide
and puts them at no greater risk liability-wise than
you are already.
•Know their dental license is not in jeopardy.
Why should it be?
16
• Believe that providing this service as part of a
“health care team” would enhance their image in
the community where they practice.
• Believe that the “risk / benefit” ratio of OJW
would be well within their comfort zone.
• Their state does not expressly prohibit providing
OJW: (Not a single state expressly prohibits this
service)
Dental Professionals best suited to
provide OJW…
17
Rationale for OJW
When safety, effectiveness, side effects
and mortality rate are taken into consideration,
OJW is a non-Invasive, conservative approach
to weight control.
My experience providing OJW has shown
that it is a safe and effective method to help
selected patients regain control of their
weight.
18

Working with the Healthcare Team
Having wired the patient, the OJW provider
will now…
•see the patient to evaluate the health of the Teeth, Gums and TMJ- jaw
joints every five weeks under orders to adhere to a Nutritious Low-Calorie
Liquid diet (55-LCLD). Here is the link between the DP and the RDN/RD.
…Refer the patient for LCLD counseling (RD, RDN)
To create a nutritionally-balanced liquid diet not greater than 900-1200
calories for females; and males 1100-1300. Colleagues those experts are you
in the audience.
The Healthcare Team consists of…
•the PCP, the OJW provider, the RDN, and when needed the psychotherapist
to discover the emotional origins of the need to eat compulsively and treat
the Depression related to it. 19
Working with the Healthcare Team
The Dentist OJW provider is…
•an effective choice that all the rest of the Healthcare Team will interact with.
As a team we can be more effective in helping patients attain and maintain
their goal weight.
IN BRIEF:
An OJW: Weight-Control Dentist’s Sole Responsibility is to Maintain
the Health of the Teeth, Gums and TMJ during the time the patient is
in OJW.
While the RDN…
•tailors a nutritionally-balanced liquid diet backed up by the OJW to achieve
the Goal Weight THEN weans them back to a low calorie solid food
maintenance diet regime when they have achieved their “goal weight.”
20
OJW®: Weight-control
Wiring limits opening; muscles alone
support the weight of the jaw.
IMF-MMF
21
OJW compared with IMF-MMF
Armamentarium Required to Fit
22
23
STEP 1
Brackets are bonded bilaterally
to the canines and premolars
STEP 2
Jaws methodically wired apart:
(Rothstein’s OJW position of
mandibular weightlessness)
2.0 mm to 4.0 mm using .014”
dead soft stainless steel wire
The Appliance:
Bond 12 Brackets: Wire Jaws in to “ROJWPMW”
(Rothstein’s OJW Position of Mandibular Weightlessness)
24
Video of Wiring
Vid. Teaching Patient to Rewire
YouTube: https://youtu.be/cR2h8latyE
YouTube: https://youtu.be/bfd6fDG0DrA

• Say “MOMMA” and voila you are in the position -- your jaw is being held
there by a light contraction of the masseter muscles which are activated
by gravity when you are vertical.
• The wiring that I place simply prevents the jaw from opening any
further. Even though your jaw actually weighs 2.5 pounds there are no
vertical forces exerted on the teeth.
• In this position you can speak clearly, but you cannot ingest solid
foods.
• The patient can move their jaw 4.0 mm in all directions, just enough to
maintain the TMJ in good health. Indeed the patient loses all sense
that they have been fitted with an appliance.
The Position of the Patient’s Jaw in OJW
“Rothstein's OJW Position of Mandibular Weightlessness”
25
Reasons for
Compulsive Feeding/Overeating
• YOU’RE BORED and you can’t find anything better to do.
• IT TASTES GOOD and you can’t stop yourself from eating it, even though
your belly is full.
• YOU’RE ALONE and it’s the chance to sneak a snack.
• SOMETHING HAPPENED IN THE PAST and this is the only way you know
to deal with the problem.
• YOU FEEL GUILTY for not eating, because your parents made you finish
your vegetables by citing examples of populations plagued by a scarcity of
food.
• IT’S A REWARD for successfully achieving a goal.
• YOU’RE AVOIDING A TASK and eating is a way to further delay it.
• YOU’RE STRESSED and feeding your stress instead of your actual hunger.
26
Reasons for
• IT’S COMFORTING and you can’t find something better to provide comfort.
• BECAUSE IT’S THERE and it’s too hard to give it away, get rid of it or walk
away from it.
• IT’S REVENGE when a loved one or friend has told you NOT to eat
something.
• BECAUSE IT’S NOT FAIR that “thinner” people can eat junk food without
putting on weight, so you shouldn’t have to restrain yourself either.
• YOU’RE ACTUALLY THIRSTY and, without realizing it, you’re trying to take
the thirst away by putting something in your mouth.
• YOU’RE NOT SURE WHY and it’s easier to do it than to think about why
you’re doing it BEFORE you do it.
27
Reasons for
The Time to eat is…
•When you’re hungry and your stomach/body is telling you it’s time.,
because it needs food now.
•At scheduled meal times, which is normally the time of day when you or
your family is actually hungry.
The Time NOT to eat is…
•When you ask yourself if you’re truly hungry and the answer is “No.”
•And when you ask yourself WHY you’re about to eat and recognize that your
body is not really calling for it.
For a more in depth discussion on why we eat, click here. 28
OJW is Constant Reminder of
Your Goal to Change Eating Habits
OJW is a weight control method that …
•Makes you think about WHY you’re eating,
before you do it… and if you pause to think
about why you’re eating, it’s a chance to
stop yourself from doing it.
•Helps you become aware of/think about
WHY you’re eating, especially when you’re
not really hungry.
29 30
“Comfort”/”Junk” Food

31
Junk food: Jankfūdo (Japanese)
My Welcome Gift at the Double Tree
Hotel
JANKFUDO THANK YOU?
32
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1. *Type 2 diabetes (afflicts one in three Americans)
2. *Hypertension: A shorter life
3. *Depression: Very common
4. *Sleep apnea (snoring)
5. Stroke
6. *Knee and hip joint dysfunction
7. Coronary heart disease
8. Gall bladder disease
9. Liver disease
10. Osteoarthritis
11. *Psychosocial problems
12. Menstrual irregularities
13. Polycystic ovary syndrome
14. Infertility
15. Pulmonary dysfunction
30 Diseases & Side Effects of Obesity
(Caused by CEEP-- Take a photo)
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16. Gestational Diabetes
17. Post-Surgical Mandibular Advancement
18. Low-back pain
19. Increased risk of anesthetic complications
20. *Carpal tunnel syndrome
21. Venous insufficiency
22. Deep vein thrombosis
23. Poor wound healing
24. Some Cancers – Colon, endometrial
25. Osteoporosis
26. *Stress incontinence and leaking urine
27. Prolapse
28. Esophageal reflux
29. *Constipation
30. *Tiredness
30 Diseases & Side Effects of Obesity 2
(Take a photo)
35
Profile of Good Candidates for OJW
• BMI is between 28 and 38 (>38 are not candidates for OJW)
• Overall health is still good
• Failed at previous methods of weight control
• Are looking to jump-start an attainable weight-loss goal
• *They consider weight-loss medications out of the question
and Weight-reduction gastric surgery too risky
• Are eating "mindlessly" when not hungry. (CEEP)
• … Or are experiencing Binge-Eating-Disorder (BED)
• *They are DEDICATED to and PASSIONATE about Achieving and
Maintaining a weight goal
36
Unsuitable Candidates 1/3
A partial list of poor candidates include:
a.Persons who need to floss their teeth due to gum problems or other
compulsive reasons.
b. *Persons who speak abundantly for business or other reasons whose
speech might be rendered less than perfectly clear because of being
wired closed.
c. *Persons whose sex life would be rendered intolerable if intimate oral
functions were impaired… even a little.
d. *Persons with multiple-missing, loose or decayed teeth
e. *Those with psychological or emotional disorders who might feel
powerless/ panicky with their mouths wired.
f. Those whose work functions might be impaired such as an actor,
singer, waiter, teacher etc.

37
g. Persons with systemic diseases such as diabetics whose diets could
not accommodate a liquid diet.
h. Persons who have limited nasal breathing whose breathing might
be compromised by being positioned in a semi-closed position.
i. Those who are highly allergic are more at risk.
j. *Are more than 125 lbs. overweight or less than 25 lbs. overweight
(i.e. moderately obese and obese, but not "morbidly" obese).
k. Persons who have a history of Temporo-Mandibular Joint
dysfunction (TMJ). Learn more about the TMJ: [Source #1],[Source
# 2].
l. Persons who are taking oral pill/capsule form medications could
encounter some difficulties trying to pass a large capsule into the
mouth behind the last teeth. It would be virtually impossible if the
wisdom teeth were fully in place.
38
m. Persons who compulsively clench/brux/gnash their teeth.
n. *Persons who have, or are suspected of having, anorexia or
bulemia to begin with.
o. *Persons with frank unresolved periodontal (gum-tooth socket)
problems.
p. * Persons who drink alcoholic beverages. (Alcohol suppresses the
gag reflex and in the event of alcoholic intoxication vomiting can
occur).
q. Persons who:
1. will not provide a telephone number.
2. do not have an Email address.
3. are below the age of 21 unless accompanied by a parent.
Learn OJW™:Weight Control
39
http://bit.ly/2DDvnsu http://bit.ly/2sxTW59
• HEIGHTENS RESOLVE Wired jaws are tangible evidence, and a
persistent reminder that you have decided and are determined to lose
some if not all of your excess weight.
• PREVENTS EATING SOLIDS (JUNKFOOD) Wired jaws prevent/make it
difficult for you from eating all/most of the very worst foods: bread and
cake, candy, cookie and pastries, pastas, pizza, French fries, burgers and
other meats, that often contain excessive fat.
• MINIMIZES SNACKING Wired jaws minimize your snacking because
preparing a snack takes special time and effort to prepare (liquefy/puree)
the snack. So jaw wired patients are less inclined to have the snack.
• FOCUSES YOU ON NUTRITION Wired jaws compel you to think more
about nutritional value of food such as fat and salt content, vitamins and
minerals, and calories.
40
How OJW Works to
Help Patients Lose Weight
• HELPS CONTROL CALORIES Many people who are limited to a liquid diet
may well choose the products offered by companies like Ensure and Slim-
Fast. The caloric values and contents are exactly known; consequently,
dieters can know and more easily control their daily caloric intake.
• SHRINKS YOUR STOMACH After 2-3 weeks your stomach shrinks and
the need/desire for food becomes less intense.
• STRENGTHENS YOUR SELF-IMAGE You see yourself losing weight...it
gives you pleasure...you see yourself as being in control...it gives you
more pleasure and a sense of success....You recognize you can modify
your behavior...
• … AND YOU BEGIN TO take small steps to do so on a more permanent
basis... Your aspirations to regain self-control are renewed.
41
How OJW Works 2/2
• SAFER THAN OTHER PROTOCOLS OJW is safer than other protocols and
equally as effective (don’t want to send their patients to surgery, OJW is a
comforting option for their patients).
• WEIGHT LOSS BEGINS IMMEDIATELY Unlike surgical protocols, with
OJW the weight loss begins immediately.
• NUTRITIONIST CONTINUES GUIDING PATIENT CARE Unlike weight
medications, OJW allows the clinical nutritionist to continue guiding the
care of their patient. (more of an assurance of a successful outcome for
the nutritionist) Patient is more likely to succeed. Clinician is perceived of
as an effective provider.
• PATIENTS MORE LIKELY TO MAINTAIN THEIR GOAL WEIGHT…
Those patients who have the benefit of the teachings of dietitians and
nutritionists are much more likely to MAINTAIN THEIR GOAL WEIGHT.
NOT A SINGLE WEIGHT LOSS METHOD IS IMMUNE FROM THE
REGAIN OF WEIGHT. 42
Benefits from Working With Dental
Professional Weight Control Providers

Documents Patients Must Provide
1. Medical-Dental History form
2. Informed Consent
3. Self-assessment profile of patient’s Self-image
A release from the physician
to begin a long-term, low-calorie liquid diet
The simplicity of the Release:
“This patient may begin a long-term, low-calorie liquid diet”
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• Do you have any health issues? No , just high
Cholesterol . If N how would you describe your
health issue? good but I need to lower my
cholesterol
• Does your career require the use of your mouth?
No, mainly a computer job If Y in what way?
• Do you know what a panic attack is? yes but I don't
suffer from panic attacks. Specially because I've
done scuba diving
44
1. Medical-Dental History Form
• Are you planning in the near future to have any
Dental work? No If Y what kind of work?
• Do you wear any REMOVABLE dental devices? No
• Do you have any missing teeth?
• No
• If YES describe how many:
UpperRight___UpperLeft____
• LowerRight____LowerLeft___
45
Medical-Dental History Form
46
Date: 5/11/2017 * Name: CARLA L.
* Age: 41 Date of Birth: 02/05/1976
* Height: 5'5
* Present Weight: 185
* Goal Weight: 130 (click on link)—>*Present Body Mass Index (BMI):
* Activity Level (Life style): mildly
.
2. Informed Consent —
Name, Age, Expectations
47
*Number of months you are initially willing to
dedicate passionately to the jaw wiring (OJW)
approach to weight loss:
I AM WILLING TO DO 6 MONTHS (3 months/25 pounds,
assuming 5 pounds first week then 1.5-2.0 pounds each week
thereafter)
*Address: Street Address *City: City
*State: TX * Zip: 11111
Informed Consent —
48
*Occupation: RESPIRATORY THERAPIST
*Home Telephone: *and Work Telephone
(Other): (505)123-4567
*and Cell/Mobile Telephone: (505)123-4567
*Email Address: mariela_leveling@domain.com

49
“I understand that substituting elastics for wires
can cause traction on my teeth and result in my
teeth elongating and consequently
causing harm to my bite.
Since I may come from out-of-state and may not be
able to return to Dr. Rothstein’s office to have my
OJW brackets removed, I will need to locate a local
orthodontist whose fee may range from $300-
$400+ to remove the OJW brackets and adhesive.”
Example of Content #2:
Patient’s Responsibility
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I have especially read the question,
“Who is NOT a good candidate for the OJW
procedure.”
I realize the list of reasons for not being a good
candidate does not cover every possible condition of
ill health. I am confirming that I am a good
candidate and I am providing my initials as
acknowledgment in this space ____CL_____.
Example of Content #3:
Patient’s Responsibility
• YOU’VE BEEN THINKING about starting a diet for the past year/#of months.
• YOU REALIZE OJW: Weight-Control is designed for being on a liquid diet. X
• YOU REALIZE a note from your physician indicating you may begin a liquid diet
is required. X
• YOU LOOK in the mirror and that makes you unhappy.
• YOU FINALLY weighed yourself and were aghast.
• YOU’RE SICK AND TIRED of your doctor, friends and relatives telling you to
“Just get a hold of yourself and eat right.” X
• NOBODY SEEMS TO UNDERSTAND the burden/seriousness of the problem of
eating compulsively. X
Patient’s self-assessment profile:
Is patient a good fit for OJW?
Please put a check mark next to the indicator that applies to you
and return with your Informed Consent and Medical-Dental Form.
And many more statements…
51
1. Is speaking impaired? For the majority of patients
not at all: YouTube Dr. Ted Rothstein DDS:
Multiple videos on subject (latest “OJWGina”)
see also http://drted.com/ojw-forms/ listen to
the two persons were recorded: These are
typical.
2. Where can I find the major information page I need
to get started (Forms, Fees, Qualifications)?
http://ojwforweightcontrol.com
52
Four Frequently-Asked Questions
3. Is the position of the Jaw strained in OJW?
it is as natural and unstrained as the position your eyelids:
It is similar to the natural “rest” position of your
jaw as you are in right now. (If your teeth are
clenched right now—you may have the problem
of excess stress that may need dental-medical
attention since excess clenching can lead to pain
in teeth, jaw muscles and the jaw joint
4. Is there any guarantee that I will lose the weight
Yes. If you follow the OJW protocol: See Informed
Consent
http://www.drted.com/index.html.bak2/Jaw wiring
Informed Cconsent.htm
53
Four Frequently-Asked Questions
54
All OJW patients are given a six-page document
to help troubleshoot OJW issues.
The 4 questions discussed (and many more)
can be found at:
www.drted.com/troubleshooting-problems-ojw
More Questions…

• NO BAD PRESS OR REVIEWS 85% of the responders to my study were
in favor of DPs providers, and most thought it was Safe and Effective and
non-invasive.(Study 2009: Questionnaire).
• SAFER AND MORE PREDICTABLE OJW is chosen by patients because it
is safer and more predictable than Prescription meds and the thought of
going under the knife is anathema.
• INFORMED CONSENT REQUIRED The Informed Consent is NOT optional.
It is OBLIGATORY for commencing OJW™: Informed Consent for OJW
• NATURAL REST POSITION OF JAW The position of the Jaw (Rothstein’s
OJW Position of Mandibular Weightlessness — RPOMW) mimics the jaw’s
natural rest position (position of physiological rest).
• NO RECORD OF HARM More than 35,000 people each year have their
jaws wired by oral surgeons due to pathology or fracture. There is no
record of harm coming to any as a result of the jaw wiring.
55
OJW: The Top 10 Facts to Know
• LETTER FROM PCP REQUIRED The Patient must provide the DP with a
note from their PCP/MD or Proxy-care provider permitting the Patient “to
begin a long-term, low-calorie liquid diet”.
• TEETH NEVER SHIFT In OJW the lower jaw is “weightless”. It suspended
not by the wires but by the muscles in the resting position. Therefore teeth
never extrude.
• MORE LIKELY TO REACH GOAL In OJW™ those patients who adhere
closely to the Five Week on (Five days off to recover) are more likely to
succeed in reaching their Goal-Weight.
• TREATMENT ENDING DECIDED BY PATIENT AND PROVIDER
Treatment is completed when the patient achieves her/his weight goals or
asks for the brackets to be removed AND if/when the OJW provider
thinks/recommends it would be best to remove them.
• PROVIDER NOT ACCOUNTABLE FOR WEIGHT GOAL OJW patients will
NEVER hold you accountable/blame you for failing to reach their goal
weight However, they will if you fail to take care of their teeth, gums and
jaw-joints while they are in OJW.
56
OJW: The Top 10 Facts to Know
Carla has a goal.
Is dedicated and
passionate.
Is likely to succeed.
57
Meet Carla
58
Date: 5/11/2017 * Name: CARLA L.
* Age: 41 Date of Birth: 1976
* Height: 5'5
* Present Weight: 185
* Goal Weight: 130
* Address: from Texas
Carla – Basic Information
OJW: Carla, June 11
59
OJW: Carla — Speech Quality
60
Before OJW

61
OJW: Carla — Speech Quality
After OJW
• For the first time, Dental Professionals are acting in concert
a part of a “Healthcare team” that serves those with weight
control issues stemming from CEEP.
• The PCP diagnoses the condition (obesity).
• the Dentist provides an appliance and cares for the TMJ,
teeth and gingiva.
• The clinical nutritionist assists the patient achieve and
maintain their weight goals under a liquid diet regimen.
• The Psychotherapist explores the Depression and deep-
rooted etiology of the CEEP.
62
The Healthcare Team in Brief
63
• QUESTIONS 21, 58, 63 and 66 studied the safety, effectiveness,
acceptance of OJW by those who have weight control challenges due to
compulsive eating.
• THE MOST IMPORTANT TOPICS (which sum up what all of us should
want to know) were :
1. Is it safe? 2. Is it effective?
3. Do people accept the Dental Professional as a weight control
provider?
OJW Questionnaire Survey:
June 2009
Subject of the Survey:
“Safety, Effectiveness and Acceptance of DDS
as Weight Control Provider”
64
Q58: Safety
Given that vomiting could lead to the taking of vomit back into your
airway leading to effects ranging from choking and possibly to death,
please state your position(s) from the list below:
Responses:
55.6% The informed consent I filled out told me all I needed to know
44.0% I was warned of that so I carried my wire clippers with me at
all times
38.9% It’s possible but highly unlikely
27.8% I carefully researched that possibility and found no instance
of its occurrence.
22.2% The risk of death from surgery bothers me more.
22.2% You can die from diet pills as well.
50.0% All of the above.
65
Q63: Why OJW?
Why did you choose the OJW method to begin with?:
Response to Question 63:
78.9% My being overweight was causing me to be depressed.
68.4% I felt this approach might help me bring my compulsive
overeating under control.
63.2% I realized that my excessive weight could have serious health-
related consequences
57.9% I was finally able to locate a dental professional who could
provide the service.
52.6% Previous methods were ineffective for me.
52.6% I just didn’t like the way I looked.
31.6% I dreaded the thought of gastric bypass surgery.
31.6% Taking over-the-counter pharmaceuticals seemed too risky
(side effects).
26.3% My physician recommended I lose weight.
21.1% All or most of the above.
15.8% I heard about it from a friend.
66
Q21: Safety and Effectiveness
My choice below indicates how I feel about OJW for the control of
weight in compulsive overeating:
Response to Question 21:
70.0% OJW is both safe and effective
15.0% OJW is effective but not safe
10.0% OJW is neither safe nor effective
5.0% OJW is safe but not effective

67
Q66: Acceptance of Dental Professionals
as Weight Control Providers
Do you believe it is the right and
responsibility for Dental Professionals to
provide this service to compulsive
overeaters?:
Response 85.0% YES
Course Information:
ojwforweightcontrol.com
drted35@gmail.com
(718) 808-2656
68
http://bit.ly/2sxTW59http://bit.ly/2DDvnsu
OJW: Weight-Control
6969
Providing Orthodontic Jaw Wiring Weight-Control
(OJW®:Weight Control) as Part of A “Healthcare
Team”—A New Service in the Dental Professional’s
Office and an Alternative Treatment for the Cause of
Sleep Apnea
Presented to the
International Conference on Obesity,
Diet management & Nutrition
New York, NY
March 18 2019
by
Teddy Rothstein, DDS, PhD
My work demonstrates…
70
My work demonstrates that Dental Professionals are welcomed by the
public and as providers of weight control services as part of a
Healthcare team that includes dietitians, physicians, psychotherapists
and bariatric surgeons. OJW is a fixed intra-oral, bio-mechanical
appliance and protocol for controlling compulsive overeating (CEEP)
in carefully selected patients who are obese/heading toward obesity,
that help them start regaining control over compulsive eating habits
with potentially grave health consequences. Dentists who choose to
treat Sleep apnea have the option to treat the most common
SYMPTOM of sleep apnea—Snoring--with the typical removable
appliances worn during sleep or alternatively choose to treat its most
common CAUSE –Obesity with OJW: Weight-Control.
for Weight Control
Manuscript of my Research Article:
71 72

AAO Releases White Paper, "Obstructive Sleep
Apnea and Orthodontics” (March 1, 2019)
73
All AAO members are encouraged to read the newly available white paper “Obstructive Sleep
Apnea and Orthodontics.” The white paper’s release is the culmination of a two-year effort by
the AAO Sleep Apnea and Orthodontics Task Force, created by the AAO Board of Trustees and
made up of dental and medical experts in obstructive sleep apnea. The Task Force members
completed an exhaustive review of the available literature and contributed their own personal
knowledge on obstructive sleep apnea and orthodontics. The task force also considered input
from the other AAO members, including those who participated in an open forum during the
2018 Annual session.
The White Paper alas chose to focus 100% of its attention on the use of typical
removable sleep apnea treatment appliances worn during sleep to eliminate
snoring—its main SYMPTOM, and to ignore Weight-Control as a treatment that
eliminates its most COMMON CAUSE--Obesity.
Link to the White Paper: Or request at drted35@gmail.com
https://www.aaoinfo.org/system/files/media/documents/sleep%20apnea%20white%20paper%20FINAL%202019.pdf
Link to the article I posted in LinkedIn 030219
https://www.linkedin.com/pulse/treating-main-cause-sleep-apnea-dental-office-ojw-teddy/?published=t
THANK YOU FOR
ATTENDING
Have a Great Day—Thank
You 
74

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