For Patients

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    Is treatment for TMJ covered by dental insurance?

    In our experience, dental insurance companies generally cover very little (to none) of the treatment costs. However, every plan is different and you can ask your insurance provider to give you an estimate of what part of treatment, if any, they will cover.

    Are your consultations and treatment covered by OHIP?

    Dr. Goodfellow is a dentist. Nothing he does is covered by OHIP.

    Do you direct bill insurance companies?

    We do not direct bill insurance companies. Our patients pay us and we provide them with a receipt that they can submit to their insurance provider.

    Do over-the-counter, boil-and-bite appliances help with sleep apnea and TMJ problems?

    Boil-and-bite appliances are bulky and loose fitting, and can narrow your airway. They will not work as well as a custom-made appliance.

    Do you do general dentistry in your office (e.g. fillings, root canals, cleanings)?

    Dr. Goodfellow’s practice is limited to cranialfacial pain and sleep-breathing disorders. He does no general dentistry at this clinic.

    How dangerous is sleep apnea? What happens if I don’t treat my sleep apnea?

    Sleep apnea is extremely dangerous. Stopping, or almost stopping, breathing many times each hour causes an interruption of sleep. It causes the brain to be aroused many times, which creates an inflammatory response in the whole body. This can lead to high blood pressure, stroke, and heart attacks in adults, and bed wetting, and ADHD in children.

    I just got diagnosed with severe sleep apnea. Can I wear an oral appliance instead of using a CPAP?

    According to the American Board of Sleep Medicine, if you have mild to moderate sleep apnea, the treatment of choice is an oral appliance. However, if you have severe sleep apnea the first treatment you must try is a CPAP. If you are unable to tolerate a CPAP, then you can treat your sleep apnea with an oral appliance.

    Why do men snore more than women?

    Actually, they don’t. Snoring in men is just noticed more by their bed partners/family.

    I’m not overweight. Could I still have sleep apnea?

    Absolutely. We have diagnosed moderate sleep apnea in thin teenage girls and fit, athletic men in their 30’s.

    How do I know if I have sleep apnea?

    You may suspect sleep apnea from frequent awakenings and constant fatigue but sleep apnea can only be diagnosed by a sleep physician from a sleep test.

    Is snoring genetic?

    Snoring is caused by the vibration of the tissues of the oropharynx. Snoring is not genetic, but anatomy that lends to snoring might be.

    What is the difference between TMJ and TMD?

    TMJ stands for temporomandibular joint, which is an anatomic term. TMD stands for tmporomandibular dysfunction, which is the name of a syndrome.

    When I wear the nightguard my dentist made me it makes my jaw worse. Why?

    Patients often have a TMJ problem from clenching and grinding their teeth while sleeping. This can be attributed to the nervous system moving your jaw in an attempt to keep your airway open while you sleep. When you wear your nightguard, you have more surface area to clench on plus, the nightguard can reduce the size of your airway, causing even more muscle activity to keep your airway open. More muscle tightness leads to more pain.

    Are TMJ problems common during adolescence?

    Surprisingly, yes. TMJ issues can come from clenching and grinding your teeth during the night, while asleep. This can lead to tight muscles and jaw problems. In children and adolescents, TMJ and sleep problems often go undiscovered.

    Do you use Botox to treat TMJ issues?

    Botox is the injection of a neurotoxin into your jaw and head muscles to kill the nerves that cause your muscles to contract. About 33% of the nerves become paralyzed, making the force of contraction less. Botox only deals with your symptoms, not the cause of the problem. While Dr. Goodfellow is certified to give Botox injections, he decided long ago not to do them as he seems to be able to reduce the cause of TMJ problems significantly using oral appliances.

    I was diagnosed with a dislocated TMJ disc but have no pain. Should I go for a treatment to reposition my disc?

    If your jaw clicks or pops when you open your mouth, you have a dislocated TMJ disc. If clicking/popping is your only symptom, no treatment is needed.

    I just found out that I have a dislocated disc in my TMJ. Is this common?

    A dislocated disc happens to about 33% of the population.

    Learn more about what our patients have to say

    about the TMJ & Sleep Therapy Centre of the Greater Toronto Area

    Julia Daley

    5.0 ★★★★★

    Dr. Goodfellow helped me immensely with all of my TMJ and sleep problems. He always explained every part of my treatment in detail so we were always at the same level of understanding. His staff was extremely kind and always accommodating of my needs. One of the best clinics and most pleasant experiences I have had when getting a medical treatment!


    5.0 ★★★★★

    If you have TMJ issues and headaches, go to Dr Goodfellow! I have suffered from migraines, jaw locking and clicking, aches, etc; after my treatment with Dr Goodfellow and his team, my jaw doesn’t lock and click anymore and I can open my mouth wide again with no pain! My headaches have decreased too. very happy, thank you 🙂

    Angela Di Benedetto

    5.0 ★★★★★

    I’ve suffered so long with headaches, jaw pain, tinnitus and severe fatigue and was so great full to have meet Dr. Goodfellow and his amazing staff, they are beyond knowledgeable and I finally no longer suffer with pain.