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About UsTMJ & Sleep Therapy Centre of New Hampshire

Our Basic Philosophy and System of Treatment


Dr. Kimberly Meyer believes the conditions of the TMJ have a strong possibility of being structural when there is an absence of trauma. Traditional medicine treats symptoms and ignores the causes, therefore failing to achieve long-term results without the use of medication or surgery. At our practice, Dr. Meyer and her team will determine the emergence of the symptoms by performing a thorough diagnostic evaluation. Once the diagnosis is established, the team will focus on identifying the therapies that can rehabilitate the injured structures, such as custom orthopedic appliances (orthotics).


Protocols Include:

  • An extensive evaluation and triage to pinpoint the underlying condition and determine which treatment measures will offer maximum medical improvement (MMI).
  • Identification of any secondary conditions and other special concerns that could impact the MMI.
  • Design of a custom treatment plan, which can include a variety of TMJ therapies, oral appliance therapy (OAT) for obstructive sleep apnea (OSA), and combination treatments.
  • Designing and custom manufacturing the best orthopedic appliance for the patient’s condition.
  • Monitoring and managing the directed patient care for 12 to 14 weeks to meet the standard of care for TM treatment modalities and/or the maximum efficacy of OAT for OSA through timely, accurate evaluations and appropriate patient education and additional direction for:
    • Compliance in appliance wear for maximum improvement
    • Necessary referrals for maximum improvement
    • Necessary physical medicine for maximum improvement
    • Appropriate nutrition/supplement/medication for maximum improvement
    • Appropriate recall evaluations for monitoring and management of patient care