Proven Solutions for Severe Pain Caused by Temporomandibular
Joint (TMJ) Dysfunction Syndrome
Dr. Goldman has been providing effective solutions
for TMJ for nearly 40 years. His innovative, comprehensive
approach has helped patients achieve significant, lasting
pain reduction, and his non-surgical treatments do not require
the use of pain relief medications.
A brief overview of the treatment process is
provided below. For more detailed information about TMJ and
its treatment, download Dr. Goldman’s book, TMJ Syndrome:
The Overlooked Diagnosis.
Treatment Overview – Phase I
Step 1: Dr. Goldman will ask
you to complete a detailed questionnaire about your health
history, symptoms, past treatments, etc.
Step 2: Dr. Goldman will take
high quality panoral x-ray using the state-of-the-art CommCat
Tomographic system
Step 3: Dr. Goldman will meet
with you one-on-one in a non-hurried atmosphere and do a very
thorough comprehensive history so you can describe your situation,
symptoms as well as your prior treatments, if any.
Step 4: Dr. Goldman will perform
a thorough physical exam to assess jaw movement and jaw sounds,
the way in which the teeth fit together, and any spasms in
the head and neck muscles as well as dental damage that was
done by this problem.
Step 5: Dr. Goldman will discuss
his findings and present his treatment recommendations.
Step 6: Once you agree to the
treatment plan, Dr. Goldman will perform additional Tomographic
x-rays and fit you with a custom, precision-designed dental
orthotic device designed for your unique problem.
Step 7: On a weekly basis,
Dr. Goldman will relax the jaw muscles to enable the lower
jaw to assume a more relaxed position. Then, and only then
does he adjust the orthotic device to accommodate the new
relaxed position. Weekly visits are vital because as the jaw
starts relaxing and moving (although the movement may seem
miniscule) between visits, the teeth will no longer be hitting
the orthotic device correctly and protective muscle spasms
will return – in effect halting treatment. The purpose
of this phase is to allow the lower jaw to relax and find
its own healthy position, free from muscle spasms and reflexes.Patients
usually start responding to treatment within 4 visits. Dr.
Goldman continues this treatment until:
- The patient’s pain is alleviated
- The jaw muscles are calm
- The lower jaw is relaxed to its normal physiologic position,
free from the influence of muscle spasms and protective
reflexes, and has assumed the normal position determined
by the patient's unique anatomy of the temporomandibular
joint, free of muscle spasm and protective reflexes
Treatment Overview -- Phase II
Once Phase I of treatment is complete, Dr. Goldman
will assess what can be done to permanently resolve your problem
by achieving proper tooth-temporomandibular joint gearing,
which can only be determined at the close of phase I. If necessary,
Dr. Goldman will work with your dentist or another specialist
to achieve this goal.
Dr. Goldman does not like to surprise his patients.
After the examination, if he feels that he can help you, you
will be given an estimate of fees
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