Chomiak Dental Associates | What Type of Testing Will I Need? in Connellsville

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What Type of Testing Will I Need?


Dr. Chomiak provides the latest in technology and techniques to make your diagnosis and treatment as precise, simple and comfortable as possible.  Depending on the severity of the case, some of the technology that may be used in testing and diagnosis includes:


    1. JVA – Joint Vibration Analysis  A quick initial Sonographic (sound detecting) device which provides a  quick general diagnosis of a healthy or damaged joint.


   2.  ICAT-Scan - a 3 dimensional CAT-Scan machine for the head and neck which enables the Doctor to examine not only the shape and pathology of the temporomandibular joint, but the cervical vertebrae  of the neck for any rotations, or compressions which may be contributing to craniofacial pain or TMD pathology.  Finally, the scan can create a 3 dimensional model of the airway to aide in determining if constricted airways or sleep apnea is a factor involved in the problems.

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   3.  K-7 Neuromuscular and Jaw Tracking Computer - computerized magnet jaw tracking which allows the doctor to examine the movement of the jaw in 3 dimensions over time.  It also registers the surface EMG’s (electronic activity of the muscles) for the head, neck and chewing muscles for locating muscle dystonia and painful trigger points.  This is good for tracking progress as it allows the patient and doctor to follow the progression of the muscles returning to their normal healthy status during treatment.  Finally the K-7 provides a Sonographic (sound waves) fingerprint for each joint to give a very definitive diagnosis, treatment, and prognosis.


   4. Doppler Analysis – allows the practitioner and patient to listen to the joint sounds to differentiate joint pathology.


   5.  J-5 Low Frequency Tensing - a low pulsed TENS (transcutaneous electrical nerve stimulator) which disrupts old trigger points and muscle dysfunction (dystonia) and allows for the establishment of new neuromuscular patterns.


   6.  Myoguide – a portable EMG which measures muscle activity at specific painful trigger points with a very small painless needle similar to those used in acupuncture. It allows for delivery of drugs such as Botox directly into the area of increased muscle activity to provide relief of persistent muscular pain to aide in the reconditioning of the muscles.


   7. Iontophoresis – an electronic device which delivers anesthetics and cortico-steroids directly into the joint through the skin by means of electrodes providing immediate joint pain relief in severe acute cases.


   8. Ultrasound and Cold Tissue Laser – Two devices which when applied topically to the temporomandibular joint, help to increase joint mobility by increasing blood flow to the area and reducing inflammation.

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