State-of-the-art Diagnostic and Treatment Tools for TMJ

Dr. Goldman uses a number of innovative technologies to accurately assess and treat TMJ and the severe pain it causes. Over the years, he has even developed several highly effective techniques and instruments himself in an effort to better serve patients. The technologies available at the Head and Neck Pain Center include:

State-of-the-art radiographic Imaging – The CommCat^® head and neck tomographic unit is used to acquire a full range of distortion- and smear-free images of the temporomandibular joint. This equipment uses a very small fraction of the radiation used by a typical CAT scan. 

Computerized Diagnostic Instrumentation – Bio-research^® computerized diagnostic technology is many times used as part of a comprehensive evaluation. This equipment includes:

• Electromyograph (EMG) – Measures the electrical activity of various sets of muscles both at rest and during simple functional tasks. This information helps Dr. Goldman evaluate the muscular component of the TMJ problem.
• Joint Vibration Analysis (JVA) – Records and analyzes the noises emanating from the Temporomandibular joints as the patient performs various jaw movements.  The quality, amplitude and timing of these sounds are important factors in determining problems that occur within the joints. 
• Electrognathography (EGN) – Tracks the lower jaw in 3-D in order to assess abnormal jaw pathways, as well as acceleration and deceleration discrepancies when the mouth rapidly opens and closes. By combining EGN and JVA, Dr. Goldman can determine the exact point at which abnormal noises within the jaw joint occur.