I have been wearing splint for the last 10 months, and now ready for reconstructive part of the treatment. My TMJ specialist gave me approx. $23,000 estimate for replacing 16 teeth. (ouch!) And my insurance company, although they have been paying 70% of all the costs incurred so far, is now denying the coverage as 'it is all dental work'. TMJ is a medical condition, and I wanted to know if anyone had to go through the same battle with insurance companies. If so, were you successful? I am going to fight for this, as the exemption clause said 'medical coverage of TMJ treatment' - to me, reconstruction of mouth is part of medical condition - I am not going to do this because my teeth are bad... Did any of you had to hire a lawyer? Your input will help. Thanks.
Hi Calvinator...Owwch is right! May I ask what removing most of your teeth is supposed to do for TMJ? It sounds drastic and irrevesible if not a bit bizzare. PLeeease tell me that you have had other opinions!!I know many people who have had teeth altered or removed, only to find themselves worse off. I would suggest going to TMJD.COM and posting this ? to one of the doctors there. I would hate for you to regret this. Anyway, your insurance question. Your DDS needs to submit the request stressing your medical condition and avoiding reference to TMJ. To get my surgeries(which I regret), my doc had to stress damage to the joint secondary to trauma and subsequent degenerative bone disease due to Lupus. An injury, birth defect, infection in the joint, anything that takes the attention from TMJ. You may still have trouble since it is pulling teeth, which is definatly a dental procedure. Every insurance I have had lists TMJ in the dental catigory. Please don't do this untill you get another opinion! Just like surgery, you can't un-do it, and it can make you much worse. I am writting this at 3:30 am because I am in too much pain to sleep. 11 years and no end in sight. I would hate to see that happen to you! Good luck in whatever you choose and check out that site!
I agree with MnMetalMouth, her name should tell you something, ha ha!!! She is right, don't do something you can't undo, it may make things a lot worse. Lots of info on the site she mentioned and you will find your answers there. I have had three surgeries and regret everyone of them. TMJD.com is not just about surgery, it is everything about tmj you will ever want to know, and some things that you don't want to know!!!! Like me, I should have never had surgery.
Don't do it. Sounds like they want to use you as an experiment. If they said braces and maybe build on your teeth or grind down to make them fit better that would be reasonable but to do all the above for a five digit sum..... I'd be running if I were you.