A member asked:

What is the treatment for tmj disc perforation ? in the case of anterior disc displacement without reduction and condyle deformity.

6 doctors weighed in across 5 answers
Dr. Louis Gallia answered

Specializes in Surgery - Oral & Maxillofacial

Depends on symptoms: It depends on what your symptoms are and how much it bothers you. If you have no pain, or limitation of opening - no treatment indicated. If you are having troublesome symptoms, i would start with conservative treatment including otc pain meds, soft diet, jaw exercises. Splints often help. If you've tried conservative treatment, you may benefit from steroid injection, arthrocentesis or athroscopy.

Answered 9/26/2016

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Dr. Peter Karsant answered

Specializes in Dentistry

Disc: According to the national institute of health' operative arthroscopy of the TMJ is a reliable and effective procedure for the articular dysfunction associated with dp because this procedure alleviates pain and improves mouth opening. Patients with SMA perforations are better candidates for this surgical treatment.'j oral maxillofac surg. 2013 apr;71(4):667-76. Doi: 10.1016/j.Joms.2012.12.013. Temporomandibular joint disc perforation: long-term results after operative arthroscopy.

Answered 9/29/2016

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Dr. Gary Sandler answered

Specializes in Dentistry

TMJ Disc perf: For a 27 year old to have such a serious tmjoint condition warrants an evaluation with a team of knowledgeable and experienced doctors in this field. If i were in your shoes, i would research the best omfs, orthodontist, prosthodontist and tmd specialist in your area. A local teaching hospital might be a good place to start. Be informed, learn all you can and get a consensus of opinion.

Answered 9/27/2015

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Dr. Michael Farr answered

Specializes in Dentistry

Not a whole lot: A perforated TMJ disc cannot be repaired and surgery to replace the disc has mixed results. If you are unable to function with pain or difficulty then surgery may be your only option.

Answered 9/20/2017

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Dr. Paul Grin answered

Specializes in Pain Management

Arthroscopy: The diagnosis and treatment of TMJ disc perforation, also condylar deformity can be accomplished at the same time. The operative arthroscopy is a common treatment.

Answered 10/14/2016

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