Doctor insights on:
Can You Fix Tmj Without Surgery
Very few: The only time I would recommend open joint surgery is in cases (after all other more conservative approaches were tried) where there is severe restriction of opening or where the jaw joint has completely resorbed and is non- functional. Otherwise, as long as function is acceptable and a joint is present, I would continue to work with more non-invasive therapies. ...Read more
Go conservative: Temporo-mandibular disorder is the second most frequent cause of orofacial pain after dental pain. Proper diagnosis is the key for the successful treatment. See an orofacial pain practitioner for a consultation and management. ...Read more
A few ideas.: Depends on symptoms, and cause of symptoms. 3 signs of TMJ dysfunction: joint noises, joint pain & limited oral opening. Self treat with soft diet, jaw exercises, massage, heat/cold, OTC pain meds. A splint or physical therapy would be next. Occasionally muscle relaxants, biofeedback. Xrays are done for diagnosis. Surgery usually reserved for serious symptoms not responsive to other treatments. ...Read more
What is the surgery to fix TMJ like? I've been told that to fix my tmj, I'm going to need surgery. What is that procedure usually like? How long is the recovery time? .
Should I get surgery for tmj? The pain has gotten worse lately, but it’s still not usually too terrible. I’ve heard that sometimes surgery can cause worse problems than the tmj.
It depends: There are many factors to consider. Surgery for TMJ is extremely aggressive and invasive. I would exhaust other treatment options like an oral appliance to adjust jaw position or Botox injections to relive discomfort. Be certain you are seeing a prosthodontists and/or oral surgeon to explain your specific treatment options. ...Read more
Not bad: Like any surgery, there is discomfort for several days aftwerward. The doctor should prescribe a pain medication and give you post op instructions to follow to keep you as comfortable as possible following the procedure. You should feel gradual improvement every day following the surgery, if not, see your doctor. ...Read more
Detailed Consult: You will need a comprehensive evaluation, preferably with an oral surgeon that will include a detailed clinical examination with appropriate imaging studies to determine what type of TMJ disorder you have. After evaluation of your clinical findings and imaging studies, your surgeon can advise you if TMJ surgery is indicated. ...Read more
Work with surgeon: Your insurance company may require your TMJ surgeon to get preauthorization for surgery and provide documents regarding your condition. Authorization does not mean 100% of all the costs associated with your surgery will be paid. Check your plan, call your insurance company. ...Read more
Last option: Tmj surgery should be the last option after all conservative procedures have been attempted. True, if there has been severe trauma, then some surgery cannot wait. A thorough history and exam, including x-rays, an mri, etc. May be needed to determine if surgery should be considered. ...Read more
Open TMJ surgery can help reposition a disc displaced anteriourly without reduction? Will it last this procedure? Thank you very much
Maybe: Oms's have done TMJ surgery to reposition the disc for years with varying results. Most oms's agree that the indication for TMJ surgery is loss of function with or without pain. The key requrement being loss of function. ...Read more
Arthroscopic: Surgery to TMJ is a last resort proceedure for treatment of TMJ disorder depending upon dignisis but all option should be tried first. It is done artiscopically where a small incision is made (two) so they can view the area and go in and correct, remove pieces, repair, disc or whatever is necessary. ...Read more
Yes: Arthroscopic TMJ surgery has been around for decades in this country. Due to unique surgical skill set required to perform arthroscopic TMJ surgery, you may have to call around a few times before you find an oral and maxillofacial surgeon who can perform such cases. ...Read more
Fat graft TMJ: The dermis fat graft TMJ surgery is a safe and effective procedure in the management of TMJ ankylosis. There is not enough scientific data is available, but procedure prevents re-ankylosis especially in children. For more information discuss details with your surgeon before signing inform consent. It is off label option. Good luck. ...Read more
Is that ok if I hv same pain after my TMJ surgery. Nd how much time to need to recover it. Its been done 3 weeks ago bt still having headachs nd pain?
It Depends: It depends on the type of arthroscopic surgery. Diagnostic arthroscopy where the joint is evaluated, flushed and manipulated costs around 2500-3500. Surgical arthroscopy where scar tissue removed, disc manipulated and/or sutured depending on the skill of the surgeon can cost up to 10000. ...Read more
Unclear: There are too many variables to answer that question. It depends on what type of splint you have (there are dozens of different types) & what type of TMJ surgery you're going to have. There's no "one size fits all" answer to this question. Only your surgeon (perhaps in consultation with your dentist) can answer that question for you specifically. You may need a different type of splint afterwards. ...Read more
Some insurance companies have specific exclusions and/or limited benefits for TMJ treatment and/or surgery.
If you require TMJ surgery, your surgeon's office can contact your insurance company and submit supporting documentation for the surgery. Unfortunately, your insurance company has the final say, whether it is a covered benefit or not. ...Read more
Be conservative: The majority of pain symptoms related with TMJ disorder can be alleviated with non-surgical, conservative treatment approaches. Surgery should be reserved for severe trauma cases (car accidents) where fractures are involved. Tmj therapy (in most cases) also does not involve extensive reconstructions or orthodontics. Be sure you're comfortable with the suggested options before proceeding. ...Read more
Fat graft TMJ: The dermis fat graft TMJ surgery is a safe and effective procedure in the management of TMJ ankylosis. There is not enough scientific data is available, but procedure prevents re-ankylosis especially in children. For more information discuss details with your surgeon before signing inform consent. Good luck. ...Read more
How much does a mandibular osteotomy surgery (for TMJ and overbite), cost in canada? Is is covered on health insurance?
Surgery? Insurance?: I practice in the us and assume it would be a similar procedure in canada. I suggest you explore your situation in this way. Find the dentist\surgeon whom you respect and trust. See and consult a few if necessary. Get some recommendations. Discuss your situation, have them discuss the procedure and fees. You and their office staff can call your insurance company to discuss your coverage. ...Read more
Which are the surgical methods of TMJ disc repositioning? Do you need an open surgery or it can be done by arthroscopy? Thank you very much.
Depends: The specific problem and findings will dictate the treatment. Sometimes the disc is not repairable and needs to be removed and replaced. If the disc is ok, it first needs to be freed up and moved into its correct orientation. It is then secured there either by suturing, lasering, excising posterior tissue, cautery, etc. Some are done arthroscopically, some have to be done open. Key: lasts? ...Read more
I have really bad tmj. The left side is totally off. And the right side is partially off. I go to an oral surgeon every 2 wks. When will surgery happen?
I need help from a TMJ surgery had TMJ surgery in 2000 been in pain since cannot eat work or sit up in pain all the time stay in bed all day could someone please help me.
Need evaluation.: You have to see a very experienced TMJ surgeon - oral surgeon. A variety of non-surgical and surgical treatments will usually help. ...Read more
Very possibly: If your jaw is misaligned, and you have TMJ problems, then surgery to correct the misalignment, or orthognathic surgery, may very well help your TMJ symptoms. Our goal in treatment is to relieve pain and restore nomad function. If the jaws don't function properly because they don't line up with each other, then orthognathic surgery can be curative. Often times, jaw misalignment can cause TMJ probs. ...Read more
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