Out of Town Guests
The First VisitInitial TMD Evaluation & Detailed Set of Diagnostic Tests: 4-4.5 Hours
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 guess work. Doing the wrong treatment is so devastating; we never want to do that. So the first visit will take about 4-5 hours of diagnostic testing and examination.
The TMD examination includes an oral examination, muscle / joint palpations, jaw & cervical range of motion, gait analysis and posture analysis to identify postural compensation patterns and balance testing to analyze the impact of jaw/neck misalignment on the whole body.
Dr. Raman 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 jaw computer scans (electromyography, mandibular scanning, electro-sonography at presentation & after relaxing the muscles of the jaw, face & neck), diagnosing the optimal Physiologic Neuromuscular relation of the lower jaw to the upper jaw as well as the neck, diagnostic images, mounted casts of the jaws and pulse oximetry.
The Data Analysis: 3 Hours
Dr. Raman 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.
Detailed Consultation: 60-90 Minutes
Once Dr. Raman has analyzed all of the data derived from the tests, he will provide a detailed consultation and answer any questions you may have. He strongly believes that it is his responsibility to thoroughly educate the patient on their condition and its implications. Dr. Raman 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.
Given the amount of time required to gather and analyze data, determine a diagnosis, and present the applicable treatment options, we typically dedicate a full day to our out-of-town guests (usually on Fridays). However, we are happy to make arrangements for other weekdays in order to accommodate your schedule.
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