DIAGNOSTICS: The Key to Success
THE KEY TO TMJ
Attention to Detail, Skill & Knowledge
The key to our success is in "the Neuromuscular Approach" we take.
Consistent predictable results is what allows our patients to experience the
long over due relief from their agonizing pain.
Dr. Chan is meticulous and systematic when treating his TMJ patient's. He leaves
nothing to chance. He realizes that rushing and hurriedness will not lead to
predictability. His approach takes time when the patient is under his care at
each diagnostic and treatment visit. Precision, accuracy and attention to detail
is what is necessary to get the desired results for each patient he treats.
Because he is committed to seeing results for his patient's, he takes the time
to methodically address each area of the diagnostic work up in order to gain
optimal results in the shortest recovery time possible.
DETAIL TAKES TIME
When adjusting the lower arch orthotic appliance,
doctor Chan does more than just hand the patient their new appliance and sends
them off with a word of best wishes.
A series of four (4) meticulous steps are taken to detail and adjust the
appliance to assure that he gets positive-timely results.
- An initial adjustment implementing TENS is
used to assure that the orthotic is adjusted to be in harmony with the
physiologic closing path of the muscles and jaw joints.
- A further refinement is made to the orthotic
to remove all interferences in the chewing movements - thus further
minimizing spastic muscle activity that could trigger pain.
- A more detailed refinement is again checked
and rechecked using TENS to assure the balance, comfort and eveness of the
- A final finishing adjustment is then made
using computerized electro-diagnostics and EMG read-outs that test the
balance/ symmetry of muscle activity when clenching with the orthotic in
place. Dr. Chan is able to accurately determine specific point contact
imbalances on the biting surfaces of the appliance by means of
electromyography to refine the bite to balanced muscle activity in function
and at a physiologic resting jaw position.
Dr. Chan's approach implements all three
diagnostic and treatment modalities "simultaneously":
"To try to implement one or two of these
modalities without the utilization of the third modality will result in limited
and unpredicatable outcomes. CMS, EMG, TENS must be used simultaneously for
predictable, consistent results." - C.A.Chan
- Computerized Mandibular Scanning (CMS)
- Electromyography (EMG)
- Transcutaneous Electro-Stimulation (Low
Read more about these modalities see Computerized
ANTICIPATED OFFICE VISIT TIME TO ACCURATELY ADJUST THE NEUROMUSCULAR ORTHOTIC
At the delivery appointment of the neuromuscular orthotic, one can expect to be
with Doctor Chan and his neuromuscular assistant for approximately 2-3 hours.
At completion of this visit the appliance should feel comfortable! Most
patient's are surprised how normal the appliance feels when accurately and
properly adjusted to a "physiologic rest position" .
DETAILS, DETAILS, DETAILS. That is the reason we get results!