The TMJ & Sleep Therapy Centre of Monmouth is one of the few practices in Central New Jersey to use the new and most refined technology of CMT (Complex Motion Tomography). This unit enables the clinicians to look at various bony structures at & above the cervical spinal cord area. Various views are taken enabling the clinicians to better understand the magnitude of a patient’s condition. Views taken during a work-up are Frontal and Saggital Tomographs of both condyles or jaw joints to determine arthritic change and loss of joint space. A Lateral Cervical Spinal (to show loss of curvature, reverse curvature, loss of disc space and arthritis. All these can be related to TMJ disorders and either be a source of pain referral or a major contributing factor. Paranasal Sinus Tomograms will show airway obstruction in the form of nasal polyps, septal deviation, or enlarged turbinates.. A Panorex will show any bony pathology such as cysts, abscesses or neoplastic growths which can refer pain into the head, face, neck and jaw. Also the Panorex can show any bony asymmetry. A Cephlogram (Lateral and Frontal) also shows bony asymmetry which can contribute to a TMJ Disorder. The cephalometric radiograph also gives valuable information on how to direct orthodontic treatment. The equipment has the capacity to take Tomograms of edentulous areas enabling the oral surgeons or periodontist to understand the quality and quantity of bone prior to implant placements.

Here’s what experts are saying about CMT:


Tomographic imaging is now the standard of care in TMJ imaging

"Conclusions. The fairly high rate of unexpected new osseous and positional findings supports the need for tomographs in patients with a clinical diagnosis of derangement or osteoarthritis… On the basis of the patients' history and clinical findings, the evaluators reaffirmed that they would have requested TMJ tomograms in 91% of the case judgments then made."

"Efficacy of TMJ radiographs in terms of expected versus actual findings", A.G.Pullinger, UCLA, OOO Journal, Vol 79, No 3. March 1995

The availability of TMJ tomograms changed diagnosis in 65% of the case judgments and influenced treatment recommendations in 40%

"Conclusions. These findings indicate that temporomandibular joint tomograms play a valuable role in influencing clinician's diagnosis and treatment plan of patients with disorders of the temporomandibular joint."

"Impact of TMJ radiographs on clinical decision making", S.C. White, UCLA, OOO Journal, Vol 79 No.3. March 1995

...It was apparent that tomography represented a more accurate representation of the osseous anatomy. The results therefore suggest that conventional tomography is superior to midfield magnetic resonance imaging for assessment of osseous changes of the temporomandibular joint.

"In conclusion, the results of this study support the belief that complex motion conventional tomography (CommCat, CMT) is superior to midfield MRI in the detection of osseous changes of the TMJ."

"Comparison of tomography and midfield magnetic resonance imaging for osseous changes of the temporomandibular joint", L.G.Hanson, P.L.Westesson, OOO Journal, Vol 82, No 6. December 1996