Physician holding mobile tablet for patient's health record in medical clinic

Have you been told you need a TMJ total joint replacement, but would like to receive a second opinion from Penn Medicine’s Center for Temporomandibular Joint Disease?

Through our remote, online second opinion program, we are now offering second opinions to patients from the following states: Florida, Georgia, Maryland, South Carolina, North Carolina, Virginia, Pennsylvania, and Washington D.C.

The Penn Center for Temporomandibular Joint Disease is nationally recognized as one of the best in the nation. Our team of oral and maxillofacial specialists are experts in oral surgery, oral medicine and oral rehabilitation. We perform some of the highest volumes of TMJ surgeries in the country, which helps ensure the best possible outcomes.

TMJ Total Joint Replacement Remote Second Opinion: Eligibility

A remote online second opinion is available to select patients.* Because of domestic and international health care regulations, eligibility for an online remote second opinion is based on your geographic location. We will work with you to determine your eligibility based on your location, insurance coverage, FSA acceptance, and any out-of-pocket costs.

You may be eligible for a remote second opinion if any of the following criteria are true:

  • A surgeon recommended a TMJ total joint replacement.
  • Your jaw is fused or you have ankylosis (extra bone) that prevents your mouth from opening.
  • You have a jaw replacement device that is failing or needs revision because you have an infection, the device is broken, or there is extra bone.
  • You had an open TMJ surgery that did not work.
  • Your bite (occlusion) shifted because of TMJ disease, TMJ resorption or disintegration of your jaw bone.

*Eligibility for this second opinion program is available for patients in the following states: Florida, Georgia, Maryland, South Carolina, North Carolina, Virginia, Pennsylvania, and Washington D.C. Please note: We cannot offer this remote second opinion to Pennsylvania patients who live in the Philadelphia Region.

TMJ Total Joint Replacement Remote Second Opinion Instructions

Discuss receiving a second opinion with your local provider

Discuss with your local provider why you would like to have a remote second opinion from a Penn Medicine oral and maxillofacial surgeon. After reviewing our terms and conditions with your local provider, complete the Second Opinion Consultation Request Documents and have your local provider sign them. Penn Medicine is unauthorized to provide an online remote second opinion without your local doctor’s advance approval.

Our initial consultation documents include:

  • Patient Intake Form and Medical Questionnaire
  • Consult Request Form
  • Patient Disclaimer Form
  • Payment Authorization Form

Secure copies of your medical records and imaging

Before giving a remote second opinion, our oral and maxillofacial surgeons will need to review the following:

  • A maxillofacial CT scan (face scan) that lets us see the bones of your face and neck
  • A temporomandibular joint MRI, which helps us spot and diagnose joint abnormalities not seen with any other imaging method
  • Reports from any previous oral or maxillofacial surgeries
  • A list of any previous treatments you have had for TMJ

Complete the Patient Intake Form and Medical Questionnaire

Complete the online Patient Intake Form. When completed, print and include it with your applicable medical records and imaging reports.

Fill out the Patient and Local Provider Disclaimer Form

Carefully review, date and sign the Patient Disclaimer Form. Your local provider will also need to fill out the consultation request form. We are unauthorized to provide an online remote second opinion without your local doctor’s request.

Fill out the Payment Authorization Form

Complete the online Payment Authorization Form.

Submit your request

After you complete the forms, you’ll be given a direct access link to upload all requested documents via our HIPAA-secure system. The link to upload the following forms will be sent to your email address:

  • Patient Intake Form and Medical Questionnaire
  • Consult Request Form
  • Patient Disclaimer Form
  • Payment Authorization Form

Receive your TMJ total joint replacement remote second opinion

Within 7 to 10 days of receipt of all required documents, we will submit your second opinion directly to your referring physician to review.

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