Radiologic examination, temporomandibular joint, open and closed mouth; bilateral
CPT4 code
Name of the Procedure:
Radiologic Examination, Temporomandibular Joint, Open and Closed Mouth; Bilateral
Common names: TMJ X-ray, Bilateral TMJ Radiographs
Summary
A radiologic examination of the temporomandibular joints (TMJ) captures images with the mouth both open and closed to assess the joint structure and function on both sides of the jaw.
Purpose
This procedure helps diagnose issues related to the TMJ, such as joint disorders, arthritis, or injuries. It aims to provide clear images that help in identifying abnormalities, guiding treatment plans.
Indications
- Persistent jaw pain
- Difficulty in chewing or biting
- Clicking or popping sounds when opening or closing the mouth
- Limited movement of the jaw
- Suspected TMJ disorders
Preparation
- No special fasting required.
- Patients may need to remove any jewelry or metal objects near the head and neck.
- Inform the radiologist of any previous head or neck injuries.
Procedure Description
- The patient will be positioned next to the X-ray machine.
- They will be instructed to open and close their mouth as the images are taken.
- The radiologist captures X-ray images from various angles.
- Both sides of the jaw are examined to compare and identify any discrepancies.
Duration
The procedure typically takes 15 to 30 minutes.
Setting
Usually performed in a hospital radiology department or an outpatient imaging center.
Personnel
- Radiologist
- Radiologic technologist
Risks and Complications
- Minimal exposure to radiation, typically considered safe.
- Rare possibility of adverse reactions if contrast media is used.
- Uncommon complications include dental fillings or braces interfering with the images.
Benefits
- Accurate diagnosis of TMJ disorders.
- Helps in planning effective treatment.
- Non-invasive with immediate results.
Recovery
- No recovery time needed.
- Patients can resume normal activities immediately.
- Follow-up to discuss results with the healthcare provider.
Alternatives
- MRI or CT scan for more detailed imaging.
- Ultrasound for dynamic imaging.
- Physical examination and mechanical evaluation.
Patient Experience
- The procedure is generally painless.
- Some discomfort may arise from holding the mouth open or closed during imaging.
- Health professionals will provide comfort and support to ensure a smooth process.