Oral Facial Reconstruction and Implant Center | Your First TMJ Consultation Appointment in Pembroke Pines


Your First TMJ Consultation Appointment

What happens at your first TMJ consultation Appointment?

For patients who are being referred for treatment of their Temporomandibular joints, the following will occur on your first office visit. You will be evaluated and examined by doctor. A scout radiograph called a Panorex will be taken. Measurements of your jaw opening and side movements will be made and a record of your pain grade made. This grade is on a 0 to 10 scale with 10 being the worse pain imaginable. Once you have been evaluated, recommendations if indicated will be for obtaining MRI's of your TMJ's as well a request for splint fabrication (oral orthotic device) and physical therapy will be requested. If an oral orthotic device is recommended, impressions of your teeth will be made.

Molds will be fabricated of your teeth and then they are sent out for the device to be made. This usually takes 7 to 10 working days. If an MRI is recommended, you will be given a prescription for the radiographic exam. You will be referred to an approved MRI center for the scan to be performed.

Once the scan is completed, you must have the MRI center duplicate the films and give you the copies or have them give you the scan on a CD. You are then to bring the CD or films to us at your next office visit. All this information will be reviewed at your second office visit.

After physical therapy and conservative treatment is performed for a few weeks, you will than be re-evaluated. If TMJ arthroscopy is indicated, it will be recommended at that time. The procedure is performed as an outpatient procedure in a hospital or our office under general anesthesia. It involves making a small puncture in front of your ear and a small probe inserted into your joint. When finished, a band-aid is applied. Usually there are no stitches involved. Following the procedure, it is required and is mandatory that post operative physical therapy begin within 24-48 hours after the procedure.

An oral rehabilitation device may be recommended for you following your surgery. We usually recommend either a Therabyte or Dyna-Surg splint. These devices require pre-approval from most insurance companies and must be done so in advance of your surgery.

Post operative appointments are usually at 1 and 2 weeks following arthroscopy. At those visits, measurements will be made of your jaw opening and side movements. Additionally you will be asked to once again grade your pain on a zero to 10 scale.

Most patients are concerned about popping. This is a function of your disc within your Temporomandibular joint. Not all noises are eliminated with surgery. Occasionally some popping persists.

If you have any further questions regarding this visit and treatment, please write your questions down. Remember to bring those questions to your office visit and do not hesitate to ask those questions to your treating doctor at the time of your visit.