A member asked:

Anteriolateral disc w/o reduction on left and anteriomedial disc w/reduction on right for month. tmj treatment course?

8 doctors weighed in across 5 answers

Not too long: If you've already had an mri, and you know that both discs are displaced, you're a good candidate for TMJ arthroscopy with lavage and lysis of adhesions. I wouldn't wait several months for a splint to have an effect. Arthroscopy is more effective than arthrocentesis for closed locks. If arthroscopy fails to solve the problem, an open arthroplasty would be your best next step.

Answered 3/15/2015

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Conservative first: Treating anything more conservatively is usually better, including with tmj. Diets, exercise, and medications are all possible early stages of treatment. Orthotic splints may also be used in conjunction with the other treatments to see if this helps the patient. The last resort is usually surgery.

Answered 3/15/2015

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Dr. Jeffrey Bassman answered

Specializes in Dentistry

Depends on the cause: What treatment have you had so far, if any? I would get back to your dentist/tmj specialist and get answers. Don't rule out a second opinion.

Answered 3/15/2015

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Dr. Louis Gallia answered

Specializes in Surgery - Oral & Maxillofacial

TMJ Expert: The most important thing you can to is to make sure you are being managed by an expert in conservative treatment. Make sure if you are, he will refer you to the appropriate "next level" of care if you don't improve. Some so called "experts" will let their patients suffer rather than refer for surgical treatment in those limited number of cases where surgery is indicated.

Answered 3/16/2015

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Dr. Paul Grin answered

Specializes in Pain Management

See OFP specialist: Orofacial Pain specialist understands the causes, effects and treatments. Without proper diagnosis and care, there could be serious lifelong consequences. See OFP specialist ASAP.

Answered 4/3/2015

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