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A 24-year-old female asked:

what could be the best treatment for tmj chronic arthritis in case ibuprofen pills and heat packs don't work any more?then you very much =o)

4 doctor answers8 doctors weighed in
Dr. John DeWolf
Dentistry 40 years experience
Dentist evaluation: Tmj issues can be complex. If you have a displaced articular cartilage, you may need a splint designed to recapture it. If the issue is primarily musculo skeletal, you may need a regimen of physical therapy. It's possible surgery may be required but these decisions require diagnosis by an experienced dentist. The usual process starts with minimal invasiveness and progresses under supervision.
Dr. Debi Williams
Dentistry 26 years experience
Oral Surgeon : There are some oral surgeons and dentists who treat TMJ problems with cortisol injections and steroids-call around in your area. In addition to heat and ibuprophen, avoid caffeine and chewing gum.
Dr. Jeffrey Bassman
Dentistry 45 years experience
Same: The arthritic joint should be treated as an arthritis like any other part of the body. But, if there is degeneration of the joint/joints, then a realignment of the joints with a mouthpiece or therapy may be necessary to hopefully prevent additional breakdown.
Dr. Louis Gallia
Oral and Maxillofacial Surgery 45 years experience
TMJ expert: You need a specialist. See a TMJ expert. Any dentist can be a TMJ expert with the proper training and experience. Most commonly, oral surgeons, prosthodontists, and orofacial pain specialists. Ask your MD, your dentist and your dental society for referrals.

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Similar questions

A member asked:

What are the differences between ibuprofen and acetaminophen?

15 doctor answers24 doctors weighed in
Dr. Gregg Alexander
Pediatrics 33 years experience
Length of effect: Both treat fever and pain. Ibuprofen lasts 6-8 hours while Acetaminophen lasts about 4 hours. Sometimes, one seems to work better than the other, either for certain symptoms or for certain children. (for instance, i find Ibuprofen more helpful for sore throats, usually.) pick the one that helps the most for your child, for their symptoms. (the "alternating" idea isn't recommended.).
A 37-year-old member asked:

Can psoriatic arthritis only cause pain in the si joint?

1 doctor answer2 doctors weighed in
Dr. Douglas Mund
Rheumatology 46 years experience
No: Much like rheumatoid arthritis almost any joint in the body can be affected with psoriatic arthritis - all the joints in th arms and legs as well as the cervical and lumbar spines. The si joints are typically involved in the spondylitic form of psoriatic arthritis.
A 40-year-old member asked:

What is best treatment for an eye infection?

1 doctor answer1 doctor weighed in
Dr. Richard Bensinger
Ophthalmology 52 years experience
Hygiene, antibiotics: Depends upon the type of organism. If bacterial there are effective antibiotics. If viral hygiene is most important. If herpes, there is a good antiviral. Your ophthalmologist can evaluate your eye and sort this out.
A 42-year-old member asked:

What is the best treatment for arthritic knee pain aside surgery?

1 doctor answer4 doctors weighed in
Dr. Frederick Buechel, jr. md
Orthopedic Surgery 26 years experience
Multi-Modal approach: Here are many non surgical options of things to try to reduce pain or improve function before moving on to surgery. -ice -nsaids -nutritional supplements that reduce inflammation -good hydration -reducing caffeine -knee braces -knee compression sleeves -physical therapy & exercise -cortisone injections -lubricant injections (hylauronic acid) -avoiding lots of stairs or ladders -accupuncture.
A 37-year-old member asked:

The difference between ibuprofen and aspirin?

2 doctor answers5 doctors weighed in
Dr. David Rosenfeld
Pain Management 27 years experience
See below: Aspirin is a nonsteroidal anti-inflammatory drug (nsaids), but differs from most other nsaids in the mechanism of action. Though it, and others in its group called the salicylates, have similar effects (antipyretic, anti-inflammatory, analgesic) to the other nsaids and inhibit the same enzyme cyclooxygenase, Aspirin (but not the other salicylates) does so in an irreversible manner.

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Last updated Oct 3, 2015
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