Professional Accurate Neuromuscular Diagnosis
Panorex - Tomograms - Transcranial X-rays
TMJ Headache Pain Evaluation Standards
| Xray Diagnostic Tools | Neuromuscular Craniofacial Pain | TMJ TMD Dysfunction Michigan |
| Successful TMJ TMD Migraine Pain Xray Diagnostics Professional Accurate Neuromuscular Diagnosis Panorex - Tomograms - Transcranial X-rays TMJ Headache Pain Evaluation Standards |
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Michigan TMJ
Headache Institute Dr. John Halmaghi 300 E. Long Lake Suite 290 Bloomfield Hills, MI (248) 646-1642 |
Neuromusuclar Pain Diagnostic XraysTomogram and Transcranial x-rays are used to
see the position of the jaw bone in respect to the skull bone. If the
jaw bone is out of alignment with the skull then pain sets in.
Normally, these x-rays are used to pinpoint the space between the top
of the jaw bone (condyle) and underside of the skull bone (glenoid
fossa). This is the space where the fibrocartilage disc is located.
This protective disc (pseudo-ligament) cushions the head of the condyle
like a shock absorber and protects the skull and brain tissue from
unnecessary pounding of the jaw. If the spacing between the head of the
condyle and the skull bone is less than 3 mm. then there is proof that
the protective disc is either thinning down or dislocated. Most
migraine patients have less than 1 mm. of space! These same patients
present with no clinical symptoms of any joint problems...only the
x-rays can pick up the disturbance.
Tomogram Xray Transcranial Xray Panorex is one of the most common x-rays used by dentists and oral surgeons in every day practice. Alone, it cannot detect any jaw or joint problems. Too many dentists and surgeons use this x-ray to try to diagnose TMJ and headache problems. A Panorex is mainly used to look at the structures of the jaws, neck, and head. It is a screening tool that we use to make sure that there are no abnormalities. We also use this x-ray to help determine if the Coronoid Process is enlarged. This is the bone in the middle of the jaw that extends up into the middle of the face. In many headache patients, especially the ones who grind their teeth, we notice an enlarged coronoid. Abnormal growth or enlargement of this bone causes sharp pain into the face region due to the fact that this bone starts to "knife" through the muscles. Panorex Xray Head/Skull x-rays are used to gauge the alignment of the jaws, skull, and neck bones. These help us to determine where the imbalance lies. They are also used to perform computerized analysis of the relationship between the skull and jaws. These results allow us to pinpoint the causes of the pain problem and help us to dictate the future protocol for treatment. Skull Xray
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