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TMJ Disorder -TemporoMandibular Joint Message Board
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Old 08-08-2009, 01:56 PM   #1
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Question Is my dentist's TMJ treatment plan good?

I've been suffering from TMJ for a couple of years now. I went to the dentist for a long overdue cleaning and told him about my problem. The panoramic xray revealed that my left condyle has worn down. He examined me and my pain patterns and was pretty confident I had TMJ. He was very good in explaining how my jaw was touching my ear and why that caused pain, etc. He still wants to do a thorough exam and then if his initial diagnosis is confirmed, a six month program that starts out with a soft appliance and then a hard guard.

I would like to know what the consensus is on this approach and if the costs listed below are reasonable. What questions should I ask him? Are there alternative approaches that are cheaper and just as effective?

Thanks in advance!

Visit 1:

Soft Guard $829
Exam Comprehensive $106
Transcrani Films 6 view $247
Diagnostic casts $157
OSHA Compliance Fee $7

Visit 2:

Delivery Soft Guard $0

Visit 3:

Post Op Soft Guard 1 $0

Visit 4:

Post Op Soft Guard 6 $0

Visit 5:

Jaw Relations Dentures $0

Visit 6:

Hard Guard TMD $1957
OSHA Compliance Fee $7

 
Old 08-08-2009, 07:37 PM   #2
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Re: Is my dentist's TMJ treatment plan good?

I'll let others with more recent experience on cost and various treatment plans comment on your post, but I am wondering why he is passing an OSHA compliance fee on to you - he's charging you to maintain his compliance with OSHA? that's almost like passing along his fees to be licensed as well - its part of doing business and generally included in the cost or fees he charges. Has anyone else noticed this with their dr's billings too? is it something new or recently mandated by OSHA?

 
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Old 08-09-2009, 10:05 AM   #3
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Re: Is my dentist's TMJ treatment plan good?

Calling the dentist on Monday - any input would be appreciated.

 
Old 08-09-2009, 10:32 AM   #4
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Re: Is my dentist's TMJ treatment plan good?

Quote:
Originally Posted by thebigad View Post
Calling the dentist on Monday - any input would be appreciated.
HI--I bumped up a thread called "What should I ask a specialist" originally posted under Silverwings--It's a great list I found from way back on the tmj site..Gives you a good idea what tests should be run, and how to get a good idea of the dentist's credentials. My current doc. is a neuromuscular dentist, and also a Functional Jaw ORthodontist. He also belongs to the American Academy of Orofacial, and Craniofacial Associations.
As far as your doctor's plan of attack, what associations does he belong to? Is he an orthodontist as well? What tests are going to be done to find the correct jaw position for you? I assume the final hard splint will be a repositioning splint to bring your jaw down and forward a bit?
Also, how did you get your tmj? Did you have some sort of trauma, or braces? What are your symptoms as well? later--J.

 
Old 08-10-2009, 05:50 AM   #5
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Re: Is my dentist's TMJ treatment plan good?

Quote:
Originally Posted by jmitchell View Post
HI--I bumped up a thread called "What should I ask a specialist" originally posted under Silverwings--It's a great list I found from way back on the tmj site..Gives you a good idea what tests should be run, and how to get a good idea of the dentist's credentials. My current doc. is a neuromuscular dentist, and also a Functional Jaw ORthodontist. He also belongs to the American Academy of Orofacial, and Craniofacial Associations.
As far as your doctor's plan of attack, what associations does he belong to? Is he an orthodontist as well? What tests are going to be done to find the correct jaw position for you? I assume the final hard splint will be a repositioning splint to bring your jaw down and forward a bit?
Also, how did you get your tmj? Did you have some sort of trauma, or braces? What are your symptoms as well? later--J.
Hi. Thanks for the reply.

My dentist is DDS, FACMS, FAOS, MAGD, FICOI, AFAAID. He is a member of the American Academy of Orofacial Pain and many many others. He even teaches at two universities. If you Google Dr. Padolsky in Atlanta, you will see his certifications. Seems to be a specialist in TMJ.

I know he will do additional tests, but I don't know which ones. I can ask.
Yes - the final hard splint is to bring the jaw down.
Not sure how I got my TMJ - can't think of an accident. Stress? Eating too many hard foods? I don't know. Never had braces.

My symptoms include clicking, popping of the jaw. Pain at the disc radiating upwards to the head. Pain under the mandible. No problem chewing, sleeping, etc.

Thanks.

 
Old 08-10-2009, 06:01 AM   #6
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Re: Is my dentist's TMJ treatment plan good?

I called another TMJ specialist and was quoted $521 for the initial diagnosis plus casting. Then $800 for the hard splint (no soft splint). Then about 2 to 4 fittings at $104 each, as necessary.

Why the huge price difference for the hard splint between the first practice and second practice? Any thoughts?

 
Old 08-10-2009, 06:57 AM   #7
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Re: Is my dentist's TMJ treatment plan good?

Quote:
Originally Posted by thebigad View Post
I called another TMJ specialist and was quoted $521 for the initial diagnosis plus casting. Then $800 for the hard splint (no soft splint). Then about 2 to 4 fittings at $104 each, as necessary.

Why the huge price difference for the hard splint between the first practice and second practice? Any thoughts?
Hi--;Good luck on your appt. Don't get so hung up on prices. Right now you should be worrying more about what tests are going to be run on you, and having faith in the doctor's credentials and researching the practice. Get referrals from cured tmj patients of his, and make sure at least 40% of his practice is tmj related. Ask what his success rate is in cured, finished tmj cases, and bring the list if you want to see if he does any of the other tests. Don't let him lay out a treatment plan without doing tomographic x-rays or a scan to see how your joints look first. Take care---J.

 
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