Our TMJ Consultation is $100, which is applied to any treatment options.
The First Visit
We believe that getting the correct diagnosis is a huge part of the process….unlike the old days when treatment would get done based, frankly, on guesswork. Doing the wrong treatment is so devastating; we never want to do that. So the first visit will take about 1 hour of diagnostic testing and examination.
The TMD examination includes an oral examination, muscle / joint palpations, jaw & cervical range of motion to identify postural compensation patterns and balance testing to analyze the impact of jaw/neck misalignment on the whole body.
Dr. Silva would perform a detailed set of diagnostic tests to determine the exact mandibular position where the joints and muscles of mandibular and cervical posture would be unstrained. The diagnostic testing includes CT scans of the TM joints (in closed, protruding and maximum opening), K7 computerized jaw tracking scans; this provides precise range of motion measurements of the jaw in 3-D, electro-sonography; this will determine the degree of joint disease, and volumetric airway analysis.
Dr. Silva would analyze all the information from the diagnostic tests to diagnose the presenting condition of the patient including the discrepancy between the current jaw / neck alignment and the optimal one. This ‘gap’ reveals the available treatment options to achieve optimal structural alignment which, in turn, would facilitate the physiology to regain normalcy leading to resolution of symptoms.
Once Dr. Silva has analyzed all of the data derived from the tests, she will provide any answer questions you may have. She strongly believes that it is her responsibility to thoroughly educate the patient on their condition and its implications. Dr. Silva will present all treatment options applicable to the condition as well as their associated consequences so that any treatment decisions you make will be an informed decision.