head and neck pain chicago

Chicago Head and Neck Pain. Chronic Pain Answers in Chicago.

Dr. Shapira BARRINGTONOROFACIAL PAIN KENOSHA OROFACIAL PAIN, Depression and Chronic Pain, Diagnosis of TMJ, Fibro SPG Block, fibromyalgia SPG Block, hemicrania continua, Jaw Pain, Jaw Pain Clicking & Popping, Jaw Problems, migraine, orofacial pain, Sleep, Sleep Apnea and Sleep Disorders, SPG Block Anxiety, SPG Block Cluster Headache, SPG Block Migraine, SPG blocks, Sphenopalatine Ganglion Blocks, TMJ Dentist, TMJ Migraines, TMJ Neck & Back Pain, TMJ Numbness in Arms & Fingers, Trigeminal Cervico-Complex, Trigeminal Nerve, Trigeminal Nervous System, Trigeminal Vascular System 0 Comments

Finding answers to Head and Neck Pain, CranioFacial Pain and Orofacial pain in Chicago.  Dr Shapira has been treating chronic head and neck pain and related TMJ Disorders for 40 years.

Chronic Head and Neck Pain is difficult and frequently disabling but sometimes the answers are easy with the right combination of treatment. To understand what goes wrong with treatment you need to understand the basic principles that determine success. There are over 100 different types or groups of headaches. (reference below). There is excellent evidence that Migraine in women requires multiple treatments. (abstact below)

All headaches and migraines are mediated by the trigeminal nervous system and to treating and eliminate these types of pain you must address the trigeminal nervous system.

Patient Testimonial Videos: https://www.youtube.com/channel/UCk9Bfz6pklC7_UluWFHzLrg/videos

The second essential aspect of treating head and neck pain is to understand, map out and treat the myofascial aspects of head and neck pain. These include taut muscle bands, trigger points and most important the referral patterns of active trigger points. These myofascial trigger points are connected to the multiple Cranial nerves including the Trigeminal Nerve, the Facial Nerve and the Accessory nerves. (see abstract below “Self Reported Migraine and Chronic Fatigue Syndrome are More Prevalent in People with Myofascial…..Temporomandibular Disorders)). There are studies that show combined treatment of TMJ disorders and Migraines give far better results in resolving migraines.

Unfortunately very few professionals address both Nervous and myofascial aspects of these underlying sources of chronic head and neck pain. Most physicians have never become comfortable recognizing which issues require input from dental professionals, the exception being ENT’s who are the physicians most in tun to recognizing TMJ disorders. Costen, an ENT in St Louis made the original description of TMJ disorders which were initially called Costen’s Syndrome.

There is another extremely important piece to resolving head and neck pain and that is the Autonomic Nervous System. The Autonomic nervous system has two components, the Sympathetic nervous system and the Parasympathetic nervous system. The autonomic nervous system is an essential key to successful treatment. This is a chronic pain patient who just received a SPG Block for migraine. https://www.youtube.com/watch?v=DCPLDRJ2twg

Most long term and chronic pain pain is mediated and maintained by the Sympathetic nervous system. This is especially true of head and neck pain. There is an extremely important structure called the Sphenopalatine Ganglion(SPG) that is located on the maxillary branch of the trigeminal nerve. The SPG is the largest Parasympathetic Ganglia of the head but it also has sympathetic fibers than run thru it from the superior cervical chain.

DR SHAPIRA HAS A NEW ARTICLE ON AUTONOMIC PAIN AND THE USE OF SPHENOPALATINE GANGLION BLOCKS AND SPG NEUROMODULATION BEING PULSHED IN CRANIO JOURNAL IN MAY 2019.

The Sympathetic Nervous System also controls the “Fight or Flight Reflex”, which is a survival reflex. If we are in imminent danger it prepares us to fight or to run. It is a perfect response to acute stress with high risk. Unfortunately , this same reflex wreaks havoc with chronic stress and often leads to myofascial pain issues, TMJ disorders, Jaw Pain, Tension headaches and migraines.

The Parasympathetic nervous system is the opposite of the sympathetic response. It controls the “Feed and Breed” or “Eat and Digest” reflexes. these are the feelings we feel when we play with babies, puppies or kittens and this turns off the fight or flight reflex.

The autonomic nervous system in disarray can create sleep and anxiety problems, depression and panic attacks and in general leads to higher levels of head and neck pain. This is a video of a patient who received first SPG Block for Anxiety. https://www.youtube.com/watch?v=0FUxuBO4YEI

The Sphenopalatine Ganglion Block is an amazing procedure that can reset the Autonomic Nervous System and is extremely effective at preventing and treating all types of headaches and Migraines especially the Autonomic Cephalgias and is considered the treatment of choice for cluster headaches. There are multiple avenues available for blocking the SPG. The most effective method is self administered SPG Blocks that patients can give themselves as needed. The cotton-tipped nasal catheters are a godsend to many patients. The Sphenocath, Allevio and TX360 are usually administered in physicians offices but patients can be taught to self administer those as well.

SPG Blocks also turn off anxiety and depression and instill a general feeling of well being. They have also show effectiveness for a wide variety of disorder, including Fibromyalgia . This is a video of a Fibromyalgia Patient after her first SPG Block. https://www.youtube.com/watch?v=A5xUFtuZe_Y

SPG Blocks were first described by Sluder in 1908. His description of “Sluder’s Neuralgia” is often thought to be an early description of TMD, Migraine or Cluster headache. I have been using this amazing block for over 30 years. The next video is a patient who became a physician after experiencing relief from an SPG Block. He found out on the day of the video that the treatment that changed his life forever was a SPG Block. https://www.youtube.com/watch?v=Sn46l_nH9-A

The Trigeminal Nerve, often called the Dentist’s nerve is best addressed by a neuromuscular dentist who understands the neurophysiology of the entire system. It is the single largest neural input to the brain and after amplification in the Reticular Activating System accounts for over 50% of all input to the brain. It is important to understand the structures that this nerve innervates to understand why treatment that does not focus on neural input from the masticatory system are almost doomed to fail. The Trigeminal Nerve ges to the Jaw Muscles, The Jaw Joints or TemporoMandibular Joints (TM Joints or TMJ), the dental pul, the gingiva and mucasa of the mouth (the gums) the anterior 2/3 of the tongue, the lining of the sinuses, the lining of the nose, the tensor of the ear drum (tensor veli tympani muscle) and the muscle that opens and closes the eustacian tubes (the tensor veli palatini) that also helps in swallowing and preventing food from entering the nose. More important is the proprioceptive input through the periodontal ligaments of the teeth which has at least 29 different neural receptors and is the largest proprioceptive input into the brain via the mesencephalic nucleus. The contribution to headaches, migraines and autonomic cephalgias is because the trigeminal nerve controls the blood flow to the anterior 2/3 of the meninges of the brain. The connections between TMJ disorders and jaw disorders are very well known. This is a patient whose neck pain was relieved thru TMJ treatment. https://www.youtube.com/watch?v=qQpDZtztgFc

There is excellent research in Orofacial Pain showing that migraine does not improve unless TMJD is also treated. See the abstact below on Comorbid Migraine and Temporomandibular Disorders the concludes “In women with TMD and migraine, migraine significantly improved only when both conditions were treated. The best treatment choice for TMD pain in women with migraine is yet to be defined.”

Suffering from Chronic Head and Neck Pain? There are over 100 additional patient testimonial videos at my toutube channel:

https://www.youtube.com/channel/UCk9Bfz6pklC7_UluWFHzLrg

The Trigeminothalamic pain network is the central hub of headache disorders as outlined in the excellent article. “Migraine pathophysiology: anatomy of the trigeminovascular pathway and associated neurological symptoms, cortical spreading depression, sensitization, and modulation of pain.” (PubMed Abstract below) This apatient is a Doctor who had a Sphenopalatine Ganglion Block done by me at one of my lectures and experienced dramatic pain relief.

https://www.youtube.com/watch?v=fY3YnP1icnc

TMJ disorders and Sleep Disorders are also associated with the same complex of nerves and tissues. Sleep disorders increase pain, anxiety and depression. Every single patient who has head and neck pain should read the report “Cardiovascual and Sleep Related Consequences of Temporomandibular Disorders. https://www.nhlbi.nih.gov/files/docs/workshops/tmj_wksp.pdf

All of the vascular and neuronal spread of headaches begins with nociception into the Trigeminal Nervous System which is addressed by neuromuscular dentistry. In addition the Myomonitor, the ULF-TENS device utilized in Neuromuscular Dentistry also acts as a Sphenopalatine Ganglion Stimulator. The neuromuscular approach to craniomandibular disorders addresses all of the relevant issues needed to treat and eliminate a large majority of head and neck pain problems.problems.

Dr Shapira works with Dr Mark Freund an Atlas / Orthoganol Chiropractor who does Cranial Work, SOT, Cranio-Sacral Therapies to help align the entire body while the jaw and nervous system are stabilized.

2013 Jul;33(9):629-808. doi: 10.1177/0333102413485658.

The International Classification of Headache Disorders, 3rd edition (beta version).

2013 Dec;154 Suppl 1. doi: 10.1016/j.pain.2013.07.021.

Migraine pathophysiology: anatomy of the trigeminovascular pathway and associated neurological symptoms, CSD, sensitization and modulation of pain.

Abstract

Scientific evidence support the notion that migraine pathophysiology involves inherited alteration of brain excitability, intracranial arterial dilatation, recurrent activation and sensitization of the trigeminovascular pathway, and consequential structural and functional changes in genetically susceptible individuals. Evidence of altered brain excitability emerged from clinical and preclinical investigation of sensory auras, ictal and interictal hypersensitivity to visual, auditory and olfactory stimulation, and reduced activation of descending inhibitory pain pathways. Data supporting the activation and sensitization of the trigeminovascular system include the progressive development of cephalic and whole-body cutaneous allodynia during a migraine attack. Also, structural and functional alterations include the presence of subcortical white mater lesions, thickening of cortical areas involved in processing sensory information, and cortical neuroplastic changes induced by cortical spreading depression. Here, we review recent anatomical data on the trigeminovascular pathway and its activation by cortical spreading depression, a novel understanding of the neural substrate of migraine-type photophobia, and modulation of the trigeminovascular pathway by the brainstem, hypothalamus and cortex.

2016 Winter;30(1):7-13. doi: 10.11607/ofph.1550.

Self-Reported Migraine and Chronic Fatigue Syndrome Are More Prevalent in People with Myofascial vs Nonmyofascial Temporomandibular Disorders.

Abstract

AIMS:

To compare the number of comorbidities and the prevalence of five specific comorbidities in people who have temporomandibulardisorders (TMD) with or without myofascial pain.

METHODS:

This cross-sectional study included 180 patients seeking TMD treatment in Boston and Montreal hospitals. A self-administered questionnaire was used to collect information on sociodemographic and behavioral factors, as well as the presence of the following five comorbidities: migraine, chronic fatigue syndrome, irritable bowel syndrome, interstitial cystitis, and restless leg syndrome. TMD was diagnosed using the Research Diagnostic Criteria for TMD. Chi-square and Student t tests were used for categorical and continuous variables, respectively, to test for differences between myofascial (n = 121) and nonmyofascial (n = 59) TMD groups. Multiple logistic regression analysis was used to compare the type and number of self-reported comorbidities in both groups, controlling for confounding variables.

RESULTS:

The following were found to be significantly higher in the myofascial TMD group than in the nonmyofascial TMD group: self-reported migraine (55% vs 28%, P = .001), chronic fatigue syndrome (19% vs 5%, P = .01), and the mean total number of comorbidities (1.30 vs 0.83, P = .01).

CONCLUSION:

Individuals with myofascial TMD had a higher prevalence of self-reported migraine and chronic fatigue syndrome than those with nonmyofascial TMD.

2013 Fall;27(4):325-35. doi: 10.11607/jop.1096.

Treatment of comorbid migraine and temporomandibular disorders: a factorial, double-blind, randomized, placebo-controlled study.

Abstract

AIMS:

To investigate the effectiveness of single and concomitant treatment of migraine and temporomandibulardisorders (TMD) in women with the comorbidity.

METHODS:

Eligible female patients met International Classification of Headache Disorders, second edition (ICHD-2) criteria for migraine with or without aura and the Research Diagnostic Criteria for myofascial TMD (Grade ll or lll). After a run-in period (30 days), women with both migraine and TMD were enrolled into a four-arm, double-blind, placebo-controlled, factorial study testing the separate and joint effects of a migrainetreatment (propranolol 90 mg) and a TMD treatment (stabilization splint [SS]) in four groups of patients. The four treatment groups were propranolol and SS (n = 22); propranolol placebo and SS (n = 23); propranolol and non-occlusal splint (NOS) (n = 23); and propranolol placebo and NOS (n = 21). The primary endpoint for migrainewas change in headache days from baseline to the third month, and the secondary endpoint was change in days with at least moderate headache in the same period. The TMD endpoints included pain threshold and mandibular vertical range of motion. Data were analyzed using analysis of variance (ANOVA, Dunn’s post-hoc test) or Kruskal-Wallis test.

RESULTS:

For the primary endpoint, in intention-to-treat (ITT) analyses (n = 94), propranolol and SS were associated with a nonsignificant reduction in the number of headache days, relative to all other groups. For per-protocol (PP) Completer analyses (n = 89), differences in the number of headache days reached significance (P < .05). The propranolol and SS group was significantly superior to the other groups on all other headache endpoints and in disability, in both ITT and PP analyses. No significant differences among groups were seen for the TMD parameters.

CONCLUSION:

In women with TMD and migraine, migraine significantly improved only when both conditions were treated. The best treatment choice for TMD pain in women with migraine is yet to be defined.

Patient Testimonials: TMJ, Orofacial Pain and Sleep Disorders

Video Testimonials

There are over 150 additional YouTube testimonial videos on my YouTube channel.

https://www.youtube.com/channel/UCk9Bfz6pklC7_UluWFHzLrg/videos

Neuromuscular Dentistry TMJ Testimonials on Reddit:

https://www.reddit.com/search?q=neuromusculardent


Dear Dr. Shapira,
I wanted to thank you for taking my sense of fatigue seriously and trying to help me overcome it. You noticed things that sent me to a surgeon to stop my snoring and fashioned a mouth guard for me. This is in addition to other tips you have given me.

I appreciate you asking for my recent blood tests and analyzing them. You even went a step further and contacted my internist. She suggested, as did you, I see an endocrinologist. I have an appointment next month and will request you receive a copy of the results.

Again, thank you for caring.

– Bonnie S.


Dr. Shapira, or as I like to call him, Ira, is an angel in every sense of the word; blessed with a great brain and a greater heart and his hands work pretty good, too. His top qualities are that he provides great results, he’s an expert, and he is creative. I will never forget his devotion to one client he met with for eighteen months, on a weekly basis, at Rush Pres St. Luke’s who still has never received a bill for all services provided. May God bless you and yours always.

– Patrice C.


My longtime acupuncturist recommended Dr. Ira Shapira as an expert on Sleep Apnea when I shared with her my frustrations with my CPAP. Less than three months later, (and a sleep study to prove it), I am cured of my moderate condition of sleep apnea. Dr. Shapira created an oral appliance that is easy to sleep with and maintain. I am so relieved, feeling much better, significantly fewer headaches and more energy I would recommend Dr. Shapira to anyone. His knowledge of dentistry goes well beyond the norm. Anyone that suffers from TMJ and or sleep disorders should have a consult.

– Karen G.


I saw Dr Shapira for TMJ problems and chronic Migraines. I wore a plastic appliance for several months. All of my issues with jaw locking and clicking resolved as did my daily headaches and chronic migraines. I no longer have dark circles under my eyes either.
I could not afford a full mouth reconstruction but have been wearing a permanent appliance for several years on my bottom teeth..Expensive but worth it.
I did have 10 veneers done and now have killer smile, partially because I am no longer in chronic pain.

K.C.

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I have been a patient for over 15 yrs. When I came to Dr. Shapira I was in very bad TMJ pain. He and his staff worked with me for hours and when I left that day the pain was gone. I continued treatment until my bite was fully corrected and not only that but thanks to Dr Shapira’s talent in cosmetic dentistry, my teeth look more beautiful then they ever have. Dr Shapira and the staff continue to gain education on the most innovative ways to help people look and feel good. The staff there are very kind and I always so cared for when I go for my appointments.

Michelle H.

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I received TMJ treatments from Dr. Shapira and I was pleased with the results. I had terrible migraines as well as smaller headaches for as long as I could remember and they dissipated upon receiving treatment. I would recommend Dr. Shapira to anyone with TMJ.I received TMJ treatments from Dr. Shapira and I was pleased with the results. I had terrible migraines as well as smaller headaches for as long as I could remember and they dissipated upon receiving treatment. I would recommend Dr. Shapira to anyone with TMJ.

– Christopher J.


I was referred to Dr. Shapira for TMJ issues almost 30 years ago. Not only did the TMJ treatment plan resolve my issues but, over the years, I’ve also received excellent dental care and had some cosmetic work done, which I am very pleased with. Dr. Shapira has a real passion for what he does, and that passion has brought him vast knowledge and expertise. I trust him completely. Also, Barb has been my hygienist over those 30 years and I am completely pleased and satisfied with her skills and commitment to keeping my teeth and gums in the best condition possible. I’ve had Dr. Amidei a few times over the years when Dr. Shapira was not available and those interactions led me to believe that he is of the same top caliber as the rest of the Delany Dental Care staff.

– MK


Rating: 5.0 5.0 stars,
By: Charlene Bown
On: Google, 05/11/2018
Comment: I cannot imagine my dental work ever being done by any other dentist than Dr. Shapira!! I have been seeing higm for several years to help correct my sleep apnea. I cannot tolerate CPap so Dr. Shapira created an oral device that has literally been saving my life!!! I am a high risk patient and absolutely swear that I might not even be here if it weren’t for this incredible Doctor! He knows more about medicine from all different perspectives than most of my doctors and has exceptional skill in the practice of dentistry!! I truly believe this man is also a philosopher, a practitioner in natural remedies and has become a very special person in my life. Don’t even bother seeing any other dentist cause after you have seen Dr. Shapira you will be horribly disappointed!! I highly recommend Delany Dental for a real experience in what dentistry should be and rarely is!!!

I’ve been seeing Dr Shapira since 1998. In college I developed severe TMJ symptoms where I could no longer open my mouth more than an inch. I saw numerous specialists all over the state, visited top hospitals including the Mayo clinic. My family spent a lot of money and I got no relief from my symptoms. It wasn’t until my mom called the TMJ association in Texas and got Dr Shapira’s name. I was skeptical when I had my first appointment at Delany Dental Care but I was told it’d be a long road to recovery but I’d eventually be pain free. Within the first month of treatment, I noticed the headaches lessened. A few months later I could open my mouth further and within a year I had many days were I was able to forget about TMJ. This practice gave me my life back. While I still have some symptoms a few days a year, I am overall pain free. I was told though once you have TMJ as severe as my case; it would be something that I would have to deal with for the rest of my life but for the most part; most days I will not even know I have it.

– MEK


I am so grateful for Think Better Life and Dr. Shapira. I have been suffering from TMJ for 10+ years and have been to countless dentists who all have told me that I am “fine.” Dr. Shapira was the first dentist to actually listen to my pain, thoroughly examine me, and talk me through my options. My first meeting with him lasted over an hour! Dr. Shapira is not only a great dentist, he is an incredible human being: kind, compassionate, and sincere. After only a month, I am already beginning to feel relief from my chronic headaches and facial pain. It is a feeling I honestly didn’t know was possible. Think Better Life is a warm, caring, and friendly office. Dr. Shapira and his entire staff have are truly competent and hospitable!

Laila N.


When I came to Doctor Shapira I was at the end of my road with severe TMJ pain. I went to many doctors and somehow no one could solve my problem. After many months of research I found Dr. Shapira’s website. I was hesitant to make the appointment due to the distance I would have to drive and feeling hopeless, but after being astonished from watching all the testimonials on his website I thought it was worth a shot.

At the first visit I could instantly tell he had superior knowledge about my issues than other doctors I met with previously. He was open and honest about my condition, the long treatment plan, and the high cost of care. Although this information was intimidating, I finally knew what the saying meant “health is wealth”, life is not worth living in constant pain and discomfort. Therefore, I decided to proceed with his treatment plan.

1 year later I can honestly say that it has been the best money I have ever spent. I am about ~80% better and I will hopefully continue to improve over time. The constant clicking and popping of my jaw is gone, I have normal range of motion again, and most importantly I am mostly pain free.

Not only is Dr. Shapira one of the best and most knowledgeable practitioners I have encountered, he treats you like family and is honestly one of the most interesting people I have ever met. I never leave his office without learning a fun new fact. He truly cares about his patients and work. You can tell he loves what he does. I can’t recommend him enough if you have TMJ pain/issues.

BRITTANY B.


I’ve been seeing Dr Shapira since 1998. In college I developed severe TMJ symptoms where I could no longer open my mouth more than an inch. I saw numerous specialists all over the state, visited top hospitals including the Mayo clinic. My family spent a lot of money and I got no relief from my symptoms. It wasn’t until my mom called the TMJ association in Texas and got Dr Shapira’s name. I was skeptical when I had my first appointment at Delany Dental Care but I was told it’d be a long road to recovery but I’d eventually be pain free. Within the first month of treatment, I noticed the headaches lessened. A few months later I could open my mouth further and within a year I had many days were I was able to forget about TMJ. This practice gave me my life back. While I still have some symptoms a few days a year, I am overall pain free. I was told though once you have TMJ as severe as my case; it would be something that I would have to deal with for the rest of my life but for the most part; most days I will not even know I have it.

– MK


Dr. Shapira has been treating me for TMJ. We started with an oral appliance to relax the jaw and make a better bite. Then we went to a DNA Appliance. I have been pain free since almost day one. Now I can’t wait to see the results of the DNA which will reshape my jaw so I won’t need an appliance in the future. Dr Shapira is a miracle worker. His staff is Awesome as well!

Suzan B.


Very Caring and professional staff! Most definitely the best dentists I have ever been to. After an orthodontic mistake that left me disfigured and with a few less teeth, I was feeling very sad and hopeless. I decided to check out restorative dentistry. They basically pointed out everything and how your jaw can affect your entire body. The doctors were very kind, considering I was in tears. They were completely understanding. They also specialize in sleep dentistry. They did a sleep study on me and I got to choose where I could have it done. They will definitely get my business in the future.

– Marty S


Terrific place for Dental and TMJ healing…I’ve been a patient for 13 years. Not only did they fix my cavities very well, but the incredible relief from my jaw problems was unexpected. My jaw would sometimes lock up on one side, and Dr. Ira discovered that my bite was misaligned. I had the painless TENS treatment, wore a plastic appliance made for my mouth (like a retainer), and then my jaw was fixed, my bite was fixed, and my jaw pain was gone!!
Better still, this treatment apparently also aligned my sinuses, because my life-long sinus congestion disappeared. AND, I no longer require a small shim my right shoe for which I had long ago been diagnosed as having needed “because” one leg was longer than the other — which is no longer the case! Alignment works! This is a great place to get healed for life!!

– Marty S


I have going to this practice for 23 yrs. with Dr. Mark Amidei as my dentist and Dr. Ira Shapira for my Sleep Apnea.
I can not say enough about their staff, friendly and professional.
I enjoy going to the dentist.
A+ all around. Do yourself a favor and look no more, call and make an appointment. You will not be disappointed.
I began working with Dr. Shapira several months ago regarding a case of debilitating TMJ. He uses innovative technology to measure jaw movement, ensuring that his splint treatment is precise. He also works with patients to help them understand and treat the muscular component of TMJ (something not offered by the four previous dentists I had seen for my condition). Dr. Shapira works in conjunction with Dr. Mark Freund of Natural Care Chiropractic for TMJ cases; together they are relentless in finding a solution for their patients. I have been particularly impressed that both doctors continually seek out further education and knowledge in their respective fields. I cannot recommend their work enough!

– DS


I don’t know where my health would be without Dr. Shapira. I have been a TMJ patient for 20 years. I had no idea that TMJ treatment can effect your sinus, sleep, and migraine health as well. Dr. Shapira has been a lifesaver for me more times than I can count. This past January we started DNA treatment which stands for Day and Night Appliance. The improvement I’m already feeling is incredible! I wear this new, comfortable appliance 12 hours a day-basically after dinner and while I sleep. It is expanding my upper and lower jaw which is going to correct my TMJ, open my breathing passages, and greatly improve my allergy and chronic sinus infections. It’s mind-blowing how all of my medical issues are inter-twined with what Dr. Shapira treats. He is always on the cusp of the newest technology and treatments and many of his treatments offer instant relief. Dr. Shapira and his staff treat everyone like family. You couldn’t be in wiser or better hands.

Barbara K


I have been a patient of Dr Shapira and Dr Amidei for the past 24 years. My husband, myself and our three sons are all patients here and I cannot speak highly enough about everyone there! Dr Shapira diagnosed me with TMJ issues about 15 years ago and I have worn a night guard appliance from him ever since. I noticed a remarkable difference within a few nights of starting the appliance and have never had any uncomfortable issues with TMJ since then. Both doctors have seen all three of our sons since they were toddlers. Barb, one of their hygienists, has been treating our entire family these past 24 years and she is the absolute best.
Two years ago, Dr Shapira helped me with the decision to get porcelein veneers and I am thrilled with the results! The level of expertise he has, the wealth of knowledge that both doctors have, the kindness and care that everyone there displays – honestly, there is no place I would rather go and I have recommended many friends to this practice.
You can really tell that at Delany Dental Care, everyone there is treated like they are part of their family. Everyone there makes you feel like you are as important to them as members of their own family. I highly recommend this practice to anyone looking for themselves or their entire family to be treated! You cannot go wrong with choosing Delany Dental!

– DS

100+ VIDEO TESTIMONIALS https://www.youtube.com/channel/UCk9Bfz6pklC7_UluWFHzLrg/videos…