Thorough review of all radiographs (FMX, panoramic, tomograms, cephalometric, submental vertex, lateral cervical spine, AP coronal trauma series).
Recording of pre-existing dental conditions.
A further discussion and interaction with the doctor of treatment options.
NEUROMUSCULAR ANALYSIS (Visit 3)
This visit takes approximately 1 hours. It involves the recording of jaw movements at rest, in function, before and after TENS. Data is gathered from EMG recordings and coordinated with CMS (computerized mandibular scanning – jaw tracking) recordings using measuring instrumentation. An “optimized-bite” registration that records accurately the optimal physiologic resting position, unique to each patient, is recorded and verified with objective data. The following is a brief outline of the recordings that will be taken.
Electromyographic (EMG) Analysis with low frequency TENS – K7 Scan 6, 9, 10, 11, 12.
Sonographic Analysis/ Range of Motion Analysis – K7 Scan 15, 16.
Computerized CMS with simultaneous low frequency TENS (Optimized-Bite) registration to determine a 6 dimensional “physiologic” jaw rest position – K7 Scan 4, 5.
PHASE I GNM THERAPY (Visit 4)
GNM Orthosis Therapy with TENS and K7
This visit usually takes on average 3 hours. This visit comprises the delivery of the gneuromuscular GNM orthotic appliance. The GNM orthotic is custom designed to the exact jaw recordings specification that was accomplished at the previous visit. The computer diagnostics and TENS are also implemented in the refining of the appliance to the patients physiologic resting and functioning musculature.
Very little doubt is left as to the accuracy, precision and what this protocol accomplishes. It is able to stabilizing the jaw and muscles to their optimal physiologic rest position which is confirmed by measurable diagnostic recorded data in real-time. This data is then recorded to confirm and locate a proper lower jaw to upper cranium relationship.
FOLLOW UP VISITS will be monitored to access the progress of each case.