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Diagnosing TMJ Disorders in Encino & San Fernando Valley

As is true in any type of medical or dental issue, no treatment should begin until a proper diagnosis of your TMD has been established.

There are three common diagnoses for TMD:

Myalgia Pain: This is another term for muscle pain. It is the most common form of TMD and most often involves the muscles that move the jaw.

Internal Derangement: The disc in the TM joint is out of position. This may cause clicking or locking. Associated with this may be synovitis or inflammation of the joint.

Arthritis: The most common form of arthritis is osteoarthritis or sometimes referred to as “wear and tear” arthritis. This is caused by a loss of cushioning of the joint. Less common than osteoarthirits is rheumatoid or psoriatic arthritis. These are more reflective of systemic or autoimmune disease processes that can affect many joints.

In order to “see” into the TM joint several types of images are available, to assist making a diagnosis.

PANORAMIC X –RAY:  This shows the basic bone structure and is only 2-dimensional.

C-T SCAN: This is a computer assisted x-ray which is very accurate in viewing the bones in 3 dimensions. This is the standard imaging. Some TMJ experts will have CBCT imaging as this uses far less radiation.

MRI: This is used for visualizing soft tissues such as the TMJ disc and can also show fluid in the joint.

BONE SCAN: This test can show bones that are actively growing and is usually hospital based.

CT Scanner

I travel far to see Dr. Simmons, and I always feel it is time well spent. The office staff is so nice, the assistants are so kind and listen to what you have to say, and they return phone call questions promptly.

Dr. Simmons always greets me warmly, and is patient with all my questions…and I ask a lot of questions.

— Debra F.

My initial visit with Dr.Simmons was very thorough. He spent a lot of time with me and did a very complete exam.

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Great doctor and office staff

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I was seen right away and Dr. Simmons and his wonderful assistant got right to the point of why I was there and analyzed my problem and set about finding a solution to it. They are wonderful

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I Actually Look Forward to Dental Visits! True! I have been seeing Dr. Simmons biannually for over 20 years and every single visit without exception has been up to the highest standard in every way. From the moment you walk into his beautifully appointed office you are met with genuine smiles from courteous office staff. In 20+ years I’ve never had to wait but a few moments before being seen. Dr. Simmons is kind, empathetic, adept at making you feel at ease but most importantly he is gentle. He employs awesome dental hygienists who are also gentle, kind, and very professional in demeanor and approach to handling patients. Dr. Simmons office staff members from front to back are exceptional with their pleasing personalities and willingness to be helpful with all matters. It is always a pleasure indeed to see my Dentist!

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We have been looking for a new dentist for a very long time. We are very picky and very thorough when looking for a physician.
I’m happy to say that the offices, staff and the doctor were very impressive.

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always a pleasure

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A Doctor That Cares. My jaw hurt, headaches were awful, and the inside of my mouth looked like hamburger…not in a good way.
Dr. Simmons treated my TMD (temporomandibular joint disorder) and the relief is fantastic. He is a problem fixer….he figures out creative ways to treat nearly impossible ailments.

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Dr. Simmons is very thorough and professional in his practice. He answers all questions with respect and truthfulness. The office staff are also very honest and professional. I would highly recommend Dr. Simmons dental practice.

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Happy Longtime patient. Been going to Michael Simmons for forever and would never go anywhere else!

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If you are looking for one of the best Dentists… I recently became a patient of Dr Simmon’s after facing numerous issues ranging from sleep apnea, jaw/tooth pain as well as needing a replacement crown on a moler. After being referred to Dr Simmons by my internist who holds him in the highest regard, I had immediate confidence in his diagnostic abilities, highly technical skills as well as the thorough and compassionate manner in which he and his lovely staff cares for his patients. If you are looking for someone who will provide you the highest level of care avail from basic dentistry to complex sleep issues, you should absolutely make an appt with Dr. Simmons.

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Well worth the Drive. Dr Simmons and the entire staff at his office are always so welcoming and pleasant. My Wife and I come a long way for the best dental experience every single visit.

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