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TMJ Disorder -TemporoMandibular Joint Message Board
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Old 06-13-2007, 04:20 AM   #1
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Is TMJ considered medical or dental ?

I was curious which this is considered. My dd had an accident which certainly did not help the TMJ - but if your jaw is not aligned properly and pops out of socket it sounds medical. If you have shooting pain down the jaw, it sounds medical.

 
Old 06-13-2007, 06:27 AM   #2
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Thelma-Louise HB UserThelma-Louise HB UserThelma-Louise HB User
Re: Is TMJ considered medical or dental ?

It depends on your insurance co and the state you live in. Some insurance co's cover it in terms of therapies (chiros, accupuncture, physical therapy, massage therapy, cranial sacral therapy, etc) to treat it, testing like MRIs, CT scans, Tomograms, etc, certain orthotics and surgery if required. But if it gets into treatment by orthodontia or night guards, crowning or changing the teeth to keep the bite balanced and your jaw and joints properly positioned it becomes dental again. Each state can legislate or require insurance co's doing business in their state to cover the therapies, testing, orthotics and surgery but again not the dental aspect of treatment. Part of the problem is not even the experts have proof of a definite cure or treatment of tmj and b/c of that and without that it becomes trial and error something not acceptable in the medcial community - if there is no definitive cure then everything else becomes theory and insurance cos won't pay for treatments based on theories.

 
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Old 06-13-2007, 07:09 AM   #3
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Re: Is TMJ considered medical or dental ?

I had a mri done and my ins. covered it but they won't cover splints or dental work.

 
Old 06-13-2007, 10:39 AM   #4
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Re: Is TMJ considered medical or dental ?

Thank you. Today we had an appt with my dd primary doctor with Kaiser. He told me that because she hit the pavement really hard last year and required stitches that we might have coverage. We are receiving a referral to an ENT Why an ENT??

 
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