At one time, cost may have been the determining
factor in whether or not patients would go ahead with TMJ treatment. It wasn't covered by major medical or dental insurance. It took years of 24 years of fighting insurance companies, convincing organized dentistry in Wisconsin, and organizing patients whose lives had been changed to lobby the state senate, house, and governor (see the Spiritual Journey) to be able to say this, "TMJ treatment is now covered by major medical insurance in the state of Wisconsin". Since the cost barrier has been somewhat removed, more people will be able to seek TMJ treatment in Wisconsin, but it needs to be expanded across the nation and the world. It's like any other joint in the body. It can be traumatized, dislocated, arthritic, etc., and it needs to be covered. It should be against the law not to cover it.


You must keep in mind, the costs of not treating the problem are much greater than the cost of treating it (insurance or not)!!


IT'S A QUALITY OF LIFE DECISION!!! LIFE WITH OR WITHOUT PAIN. LIFE WITH OR WITHOUT ENERGY AND THE MOODINESS THAT ACCOMPANIES CHRONIC PAIN.


We won't give quotes on cost over the phone or the internet without you taking the first step to schedule an appointment to see me. It is very difficult to give an estimate on cost without an extensive, non - invasive physical examination. This would help me determine the severity of your condition, what stage you are at and what would be the most effective treatment plan. If you have an existing TMJ splint (mouthpiece), that will definitely decrease the cost.


There are several factors that determine the cost of your TMJ treatment:


  1. Severity of Your Condition

  2. How degenerated are the joints? The earlier it is treated the easier & less costly it is to treat.

  3. Have you received some form of treatment in the past?

  4. Have you had TMJ surgery of any kind?

  5. Time spent on precise positioning and adjustments

  6. What insurance do you have?


   Although the State of Wisconsin mandates that TMJ coverage be paid at $1,250.00 a year, some companies treat it as it should be, like any other joint in the body with no annual limits. We often piggy back the cost over two years and enable 2/3 to be covered. If your employer is self insured, the Wisconsin mandate doesn't apply to them, and this still may be the only joint in your body not covered by insurance. You must protest to your employers personnel department and let them know that the rest of the state has the coverage, and it's not fair that you don't have coverage. It's the only way it will ever be changed. You must show them how it will save them costs in these areas: retraining employees; huge amounts of money in sick pay; moody employees in pain show up at work costing them customers and compatibility in the work place, and more.


We can help you figure out what amount your individual insurance company will cover of phase I splint therapy before the treatment begins. Payment plans are available.


PS. PHASE II------- We are happy to say that we also offer long term solutions to your pain after splint therapy is completed. We are one of the few around the country capable of doing this. Before starting any splint therapy anywhere you should ask this question, "What will you do for me after splint therapy?" If they are just going to wean you off the splint without first doing a bite analysis on plaster casts to analyze what's wrong with your bite - what have you learned from the splint therapy? If there is one thing I've learned after treating this for 25 years, it's this, "you can't just wish away bad bites, missing and crowded teeth. You must do something about them or the TMJ problem recurs in most cases."

We have developed a PRECISE REPRODUCIBLE method of recording the bite position found via the splint. Using plaster models mounted in this PRECISE position we analyze the bite to determine what dental work would be needed to guide your mouth to this position. (see TMJ Solutions) The treating doctor must be able to assure you that he or she can accurately reproduce that position during crowning or moving the teeth. Have them explain how they will lock that position in during two years of moving teeth or two weeks of crowning teeth. This is a very involved procedure so you must be sure they know what they're doing. We have spent years perfecting this technique.

 

Cost of Treatment

Eliminating pain without drugs or surgery since 1974

Chronic Pain

          Solution Center