- There is no fracture of Anna's left TMJ (that's a good thing!)
- There is significant damage to the left TMJ,caused by past inflammation and scar tissue developing (very typical in joints of people with active or past-active rheumatoid arthritis) That's probably not so good. This damaged joint has caused her teeth to shift a bit. (When the doctor and the resident were talking, they said at their first glance, it would appear as if her jaw had been broken.)
- Although this doctor would recommend replacement of the left TMJ, that is not an option until Anna is 18 years old. (She is 15 and a half).
- Until then (possibly the summer between graduation and college), we need to think about orthodontia and probably having the wisdom teeth taken out.
- TMJ replacements are relatively new, and there is no knowledge on how long they will last. Even if she has a replacement done at the age of 18, it may likely only last 20 years (they just don't know). And then she'd be 38 and possibly need another replacement.
After our appointment (really liked this doctor and the resident working with her), we had several hours to spend in Philly until our train departed from home. So we had an adventure. I really wanted to take Anna to the Reading Terminal Market (she had never been). So we asked a lot of "information people" a lot of questions, figured out which bus we needed to ride (such interesting conversation with a woman who was giving me advice and directions on where to get off the bus). We ended up at the Gallery Mall, and Anna said, "Oh, it's okay if we don't get to the Reading Terminal Market." But we persevered (despite some REALLY wacky mall directories in the Gallery Mall), and found the market. As soon as we stepped into the Market, Anna said, "Oh, I'm so glad we came here!" Such a fun place! And she recognized it from the National Treasure movie.