Fractured tmj disc and arthritis of the ball and joint. what is a reasonable solution?

I would consult: An ENT doc or oralmaxillofacial surgeon they can go over all of your options with you. You can consider nsaids, oral steroids, cortsone injections, arthroscopy or open debridement and even TMJ reconstruction.

Caution: Tmj conditions can become chronic problems if not managed correctly by someone with experience. In general, surgical intervention should be a last resort. I would also not hesitate to get multiple opinions to explore both non surgical and surgical options. There are a number of varying opinions on how to treat TMJ conditions. Find someone with experience, and who you feel comfortable with.

Complex: Complex problem. See 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.

Conservative: Treatment includes NSAIDs, application of heat, a soft diet, special PT, and restriction of jaw movement, splint therapy and CBT. See Orofacial Pain specialist for conservative, reversible and predictable treatment.