Temporomandibular joint litigation:resolving issues of medical necessity and contract ambiguity

Johnson, Anne

doi:10.1016/s1073-8746(97)80048-5

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Patients with dentofacial deformity and malocclusion have a higher incidence of temporomandibular joint (TMJ) derangements (popping, clicking, reduced range of motion, and pain) than the general population. 7 In general, patients should be carefully counseled that the effects of orthodontic treatment or orthognathic surgery on amelioration or worsening of TMJ symptoms is largely unpredictable. Progressive condylar resorption is a rare cause of long-term relapse that may follow an isolated maxillary or mandible procedure or bimaxillary surgery.…”

Section: Temporomandibular Joint Pain or Degenerationmentioning

confidence: 99%

Orthognathic Surgery: General Considerations

Khechoyan

2013

Seminars in Plastic Surgery

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Orthognathic surgery is a unique endeavor in facial surgery: a patient's appearance and occlusal function can be improved significantly, impacting the patient's sense of self and well-being. Successful outcomes in modern orthognathic surgery rely on close collaboration between the surgeon and the orthodontist across all stages of treatment, from preoperative planning to finalization of occlusion. Virtual computer planning promotes a more accurate analysis of dentofacial deformity and preoperative planning. It is also an invaluable aid in providing comprehensive patient education. In this article, the author describes the general surgical principles that underlie orthognathic surgery, highlighting the sequence of treatment, preoperative analysis of dentofacial deformity, surgical execution of the treatment plan, and possible complications.

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Section: Temporomandibular Joint Pain or Degenerationmentioning

confidence: 99%

Orthognathic Surgery: General Considerations

Khechoyan

2013

Seminars in Plastic Surgery

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Patient, Physician, and Payer Perceptions and Misperceptions of Willingness to Pay for Diagnostic Certainty

Hirth

Bloom

Chernew

et al. 2000

Int J Technol Assess Health Care

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Little is known about the value patients, physicians, and payers place on intangible attributes of care. Differences in valuations among these groups and misperceptions of value of intangible attributes to other groups can contribute to conflicts about treatment recommendations or coverage decisions. We surveyed patients, physicians, and managed care executives to assess their willingness to pay (WTP) for diagnostic certainty for peptic ulcer disease (PUD) and gastroesophageal reflux disease (GERD). To determine if patients, physicians, and payers accurately perceive each other's valuations of diagnostic certainty, participants were also asked to estimate the WTP of each of the other types of respondents. Patients were most likely, and executives least likely, to value diagnostic certainty. For PUD, 84% of patients, 61% of physicians, and 43% of executives expressed a positive WTP. Median WTP was low for all three groups ($1-9 for patients and physicians; $0 for payers). Physicians and executives both correctly predicted patient WTP. For GERD, 87% of patients, 52% of physicians, and 29% of executives expressed a positive WTP. Executives underestimated patient WTP. For both diseases, physicians' WTP was overestimated by patients and underestimated by executives. The inconsistency in the value that patients, physicians, and managed care executives place on diagnostic certainty indicates the potential for conflict over practice guidelines or access to services. WTP surveys can provide information to aid in anticipating and addressing areas of disagreement.

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Temporomandibular joint litigation:resolving issues of medical necessity and contract ambiguity

Cited by 2 publications

References 7 publications

Orthognathic Surgery: General Considerations

Orthognathic Surgery: General Considerations

Patient, Physician, and Payer Perceptions and Misperceptions of Willingness to Pay for Diagnostic Certainty

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