Arthrocentesis for tmj?

Good success rate! Tmj arthrocentesis is a minor procedure to treat internal derangements of the jaw joint. It involves only local anesthesia or possible I.V. Sedation, where a surgeon places a needle inside the upper joint space in front of the ear and "flushes out" the joint. It's been shown to be successful in relieving pain and locking caused by a displaced disc. Tmj arthroscopy is related and highly successful.
Perhaps. TMJ problems that do not respond to non-invasive treatment may respond to arthrocentesis. Make sure you see an oral surgeon who experienced with the complete range of surgical options.
Great option. Arthrocentesis is often times a great, minimally invasive option to treat some TMJ issues. Usually arthrocentesis procedures are most beneficial for those patients with acute, less than a few weeks, TMJ symptoms with specific point tenderness and a limited mouth opening. A board certified oral and maxillofacial surgeon should be consulted to further help in your decision making.
Follow instructions. Arthrocentesis is a method of ?ushing out the temporomandibular joint (TMJ) by placing needles into the upper joint compartment using local anesthesia. I would assume that the surgeon who did the procedure would have provided instructions (i.e. Soft diet , exercises after a period of time.) a web address instruction letter can be found at: http://www.Eldoradohillsoralsurgery.Com/_media/pdfs/post-.

Related Questions

What do you do after an arthrocentesis for tmj?

Follow instructions. Arthrocentesis is a method of ?ushing out the temporomandibular joint (TMJ) by placing needles into the upper joint compartment using local anesthesia. I would assume that the surgeon who did the procedure would have provided instructions (i.e. Soft diet , exercises after a period of time.) a web address instruction letter can be found at: http://www.Eldoradohillsoralsurgery.Com/_media/pdfs/post-. Read more...
See doctor. I am assuming you are still having a problem... I would suggest you go back to the doctor who did the treatment to consider other options. Read more...
Move your jaw. You should have a complete set of post op instructions from your surgeon Ask him/her. Mostly to keep moving your jaw. Physical therapy is helpful. Application of heat/cold, OTC pain meds. Frequent follow up. Read more...

Whats diffrence bet. Tmj lavage & TMJ arthrocentesis?

Fluid direction. Lavage involves pumping fluid into the joint space to clean it out while arthrocentesis is using a needle to remove fluid from the joint space. See an experienced oral surgeon to see if either is indicated for your case. Read more...

What should I expect with arthrocentesis and relocation of disc that is anteriorly displaced and closed lock for tmj?

Joint Pain Relief. In my opinion arthrocentesis has rare indications, mostly for localized pain in the joint not muscular and only short history of limited opening. It is a blind procedure and the purpose is to decrease inflammation in the joint and lubricate the joint but not to change disc position. Often also a splint and physical therapy is recommended. The goal is reduction of inflammation and joint pain. Read more...
Not a good situation. Surgery in the joint is not well responding in many cases. But if necessary do what you must but getting a second opinion would not be a bad idea. Read more...
Improved function . The goal of arthrocentesis is improved jaw function; most of the times the disc position does change but sometimes it may not. Read more...
Treat the cause. The general concern about TMJ problems is the ball of the lower jaw is what compromises the structure of the cartilage and causes the displacement/dislocation. You have to treat all of the problems, not just the effects. The problem will return if you leave the cause and treat the effects. Why was the disc dislocated? Read more...
May be helpful. Arthrocentesis may be helpful in your case. You should notice relief right away If not, the next step would be arthroscopic surgery of the TMj. Read more...

My wife is having TMJ problem. 6 months back she was treated with arthrocentesis. She is having the same problem again. Wht can be done?

TMD remedies. The best way is to see a dentist who has extensive training and experience in treating patients with tmd who can evaluate her and suggest appropriate treatment. If you can't find such a dentist in your area- soft diet, warm compresses, no gum chewing, NSAID medications, reduce stress, relaxation techniques and see a dentist for other suggestions. Read more...
Evaluate her bite. My experience treating TMJ has been that this procedure works for awhile then needs repeating to flush the joint. You don't mention any possible bite issues but that is where i would start. Look for a dentist well versed in occlusion (bite issues) and schedule a complete exam. Good luck. Read more...
See surgeon. See the surgeon who did the procedure. Sometimes he can do things to get you back to your postop success. Read more...

My wife is having TMJ problem. 6 months back she was treated with arthrocentesis. She is having the same problem again. Wht can be done?

TMJ . You still may have a closed lock joint. You need to see a dentist with special training in tmj, get an mri, get a diagnosis and start treatment from there. It most likely will involve splints to attempt to put jaw and discs back into their proper position if arthrocetesis was not effective. Read more...
TMJ problems. The TMJ is a complex joint. Depending on the diagnosis, often a "displaced disk", or osteoarthritis, conservative therapy (soft diet, nsaids, muscle relaxants, biofeedback, and physical therapy) is usually indicated. However, when it doesn't work, and depending on the nature and severity, arthrocent is reasonable. But the procedure may need (as in many orthopedic joint procedures) to be repeated. Read more...
See Surgeon. See the surgeon who did the arthrocentesis. Hopefully you are being also managed by a non-surgical TMJ expert. Sounds like a recurrence of the initial problem. Get a second surgical opinion. Read more...
Non-surgical see OFP. Orofacial pain patients can be treated with conservative, non-surgical and reversible procedures. Surgical treatment of the TMJ may be done, with variable success and not recommended. See OFP specialist,they are the experts in this field. Read more...

Anteriolateral disc w/o reduction both TMJ joints. Tried meds, arthrocentesis. Splint on order. How long to try splint for before surgery?

Not too long. If you've already had an mri, and you know that both discs are completely displaced without reduction, 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 next step. Read more...
Well... I would be very cautious about about jumping into surgery. Bite splint would be the first therapy i would try. I usually do an anterior bite plate for 2weeks 24x7 coupled with a steroid for the first week. After that, splint therapy goes to night-time wear only. Sometimes a permanent splint is required to re-open the bite in cases w/o reduction, but surgery is always an absolute last resort. Read more...
TMJ disc. If you can open normaly, then surgery should noot be a consideration. Most patients begin to see improvement in their symptoms within 4-6 weeks after initiating oral appliance therapy. It is best if the appliance is only worn during sleep. During the day, the teeth should remain apart except for eating, swallowing and speaking. Connservative therapy work 96-98% of the time with tmds. Read more...
Physical Therapy. Passive stretching exercises using your thumb and index finger of the same hand pushing the teeth apart to stretch the joints works well muscle pain even in a joint that has disc displacement. The key is to stretch the joint to a point where muscles actually hurt and keep the position for about 10 secs or so a few times a day. I have also been very successful with nti type splints. Read more...
Few weeks. A few weeks should be enough. If no better, will not likely improve with more time. If you are somewhat better after a few weeks, wait til you stop improving and then assess your status. Make sure your TMJ surgoen is VERY experienced. Read more...

I was hit by an airbag 10yrs ago resulting in tmj. I have tried everything from splints to arthrocentesis. The MRI shows both joints are damaged & displaced & the lower jaw bone is now flat. Surgery is scheduled. Is this my best option?

May be part of sol'n. If you cannot resolve the pain with conservative means, then surgery may be an options. If your joints require surgery this will change how the teeth fit together. Surgery will be followed with a healing phase and during this time find the best functional jaw position. Treatments may be necessary to have the teeth support this new position if the bite is different than before surgery. Read more...
Probably. Surgery is always the last resort. If all the other therapies have been exhausted and you are miserable daily, then try surgery. Make sure the surgeon is very very experienced and will move you into physical therapy during the post surgical phase. Read more...
Oral Surgeon. This is best left for a board certified oral surgeon to answer; however, it sounds like you have exhausted all other non-surgical options...And it's been 10-years. This issue will not "just go away". Especially with the MRI result, it sounds like surgery may be an alternative. Do you homework, get a good omfs, and listen to their advice. Also, no good doc will be upset about a 2nd opinion! Read more...
Probably so. It sounds as if you have tried allrevesible options. Good luck with your surgery! Read more...
Depends. Probably. Depends on the surgeon, and the surgery. Open surgery or artlhroscopic. Your surgeon should have vast experience with TMJ surgery Arthroscopic surgery much less invasive. Can be indicated even in a case like yours. Are you also being managed by a TMJ non-surgical specialist? You should be. Good luck. Read more...