Temporomandibular Joint Syndrome Treatment
TRICARE may cover treatment of Temporomandibular Joint (TMJ) Syndrome. This is also known as acute myofacial pain dysfunction syndrome.
Your treatment must address a medical problem and not a dental problem. It is a medical problem only when it involves immediate relief of pain.
Emergency treatment may include:
- Initial x-rays
- Up to four office visits
- Construction of an occlusal splint, if needed to relieve pain
You may get more than four visits within a six month period. But your provider must document this appropriately.
For this syndrome, TRICARE doesn't cover:
- Occlusal equilibration
- Restorative occlusal rehabilitation
See Oral Surgery
This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.