DIAGNOSTICS: The Key to Success
Advanced Diagnostics: An
Ingredient for Success
The following is a brief summary of our office treatment protocol for those
patients who desire treatment.
TMJ CONSULT (Visit 1)
This visit will be about one hour long. The following is what one can anticipate
at that consultation.
COMPREHENSIVE EXAMINATION (Visit 2)
- Meeting the Doctor and discuss the problem.
- A brief screening muscle palpation will be done.
- The doctor will present a treatment method and options.
- The doctor's assistant will complete an initial screening sonographic
recording of the joints.
- A referral will be given to have the appropriate radiographs be taken at a
nearby x-ray laboratory.
- Diagnostic Casts and necessary photographs will be taken.
This visit will take on average 3 hours with the doctor. The following will give
you some idea of what will be accomplished at this visit.
- Thorough review an complete history of the problem.
- Medical/dental history.
- Thorough review of all previous doctors and health care providers
recommendations and treatment outcomes.
- Head and neck examination - including muscle palpation and postural.
- Occlusal evaluation.
- TMJ evaluation - sonography (joint sound recordings) reviewed.
- Periodontal examination.
- Thorough review of all radiographs (FMX, panoramic, tomograms,
cephlometric, submental vertex, lateral cervical spine, AP coronal trauma
- Recording of pre-existing dental conditions.
- A further discussion and interaction with the doctor of treatment options.
NEUROMUSCULAR ANALYSIS (Visit 3)
This visit takes approximately 4 hours. It involves the recording of jaw
movements at rest, in function, before and after TENS. Data is gathered from EMG
recordings and coordinated with CMS recordings. A "myo-bite"
registration that records accurately that physiolgic resting position that is
unique to each patient is recorded and verified with the objective data. The
following is a brief outline of the recordings that will be taken.
PHASE I THERAPY (Visit 4)
- Computerized Mandibular Scan (CMS) - Scan 2, 3, 13.
- Electromygraphic (EMG) Analysis with low frequency TENS - Scan 6, 9, 10,
- Sonographic Analysis/ Range of Motion Analysis - Scan 15, 16.
- Computerized Neuromuscular (Myo-Bite) registration to determine
neuromuscular jaw rest position - Scan 4, 5.
Orthosis Therapy with TENS
usually takes on average 3 hours. This visit comprises the delivery of the
neuromuscular orthotic appliance. The neuromuscular orthotic is custom designed
to the exact jaw recordings specification that was accomplished at the previous
visit. The computer diagnostics and TENS are also implemented in the refining of
the appliance to the patients physiologic resting and functioning musculature.
Very little doubt
is left as to the accuracy, precision and what this protocol accomplishes. It is
able to stabilizing the jaw and muscles to their physiologic rest position which
is confirmed by the diagnostic data gathered. This data is then recorded to
confirm a proper physiologic rest, jaw posture and cranium to mandible relation.
FOLLOW UP VISITS
will be monitored to access the progress of each