7 doctors weighed in:

How can a TMJ disc displaced anteriourly, be repositioned and put into place? Is an open surgery is needed for that or can it succeed by a TMJ arthroscopy?

7 doctors weighed in
Dr. Brijesh Chandwani
Pain Management
2 doctors agree

In brief: Caution

There are ways to reposition an anteriorly displaced TMJ disc ranging from oral occlusal orthotics (mouth guards) to surgical correction.
Any treatment undertaken is done with the goal of improving function and reducing pain (rather than to reposition the disc). Most treatments tend to be less aggressive and still can be very effective; i would caution against jumping on the surgical option.

In brief: Caution

There are ways to reposition an anteriorly displaced TMJ disc ranging from oral occlusal orthotics (mouth guards) to surgical correction.
Any treatment undertaken is done with the goal of improving function and reducing pain (rather than to reposition the disc). Most treatments tend to be less aggressive and still can be very effective; i would caution against jumping on the surgical option.
Dr. Brijesh Chandwani
Dr. Brijesh Chandwani
Thank
Dr. Phillip Frist
Dentistry
1 doctor agrees

In brief: Orthotic appliance ?

Has your dentist attempted an orthotic bite appliance yet ? Tmj arthroscopy is being done with some success, the appliance would be less invasive and possibly worth a try first.
Your dentist or oral surgeon appears to be informing well. Good luck.

In brief: Orthotic appliance ?

Has your dentist attempted an orthotic bite appliance yet ? Tmj arthroscopy is being done with some success, the appliance would be less invasive and possibly worth a try first.
Your dentist or oral surgeon appears to be informing well. Good luck.
Dr. Phillip Frist
Dr. Phillip Frist
Thank
Dr. Louis Gallia
Surgery - Oral & Maxillofacial

In brief: Usually open surgery

Some can suture the disk with the scope.
Most with open surgery. Arthroscopy can be quite successful without suturing the disk.

In brief: Usually open surgery

Some can suture the disk with the scope.
Most with open surgery. Arthroscopy can be quite successful without suturing the disk.
Dr. Louis Gallia
Dr. Louis Gallia
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Dr. Duane Keller
Dentistry
1 doctor agrees

In brief: Conservative Rx 1st

If you can get the disc in place (recapture) and keep it there with an orthotic, then treat it to this stable position.
If you need surgery you are only treating the damage that has occurred, not why the damage occurred. Surgery must be followed with finding the best functional joint position and then maintaining that relationship with restoring the bite to that position.

In brief: Conservative Rx 1st

If you can get the disc in place (recapture) and keep it there with an orthotic, then treat it to this stable position.
If you need surgery you are only treating the damage that has occurred, not why the damage occurred. Surgery must be followed with finding the best functional joint position and then maintaining that relationship with restoring the bite to that position.
Dr. Duane Keller
Dr. Duane Keller
Thank

In brief: Many causes

A TMJ disc can be displaced anteriorly by many causes, including: trauma, whiplash, wide yawning, heredity, missing teeth combined with an imbalanced occlusion, not wearing retainers after braces, grinding of teeth at night, clenching during the day.
.. The disc can be repositioned (recaptured) but it will also be prone to occurring again. Surgery should be considered the last option.

In brief: Many causes

A TMJ disc can be displaced anteriorly by many causes, including: trauma, whiplash, wide yawning, heredity, missing teeth combined with an imbalanced occlusion, not wearing retainers after braces, grinding of teeth at night, clenching during the day.
.. The disc can be repositioned (recaptured) but it will also be prone to occurring again. Surgery should be considered the last option.
Dr. Jeffrey Bassman
Dr. Jeffrey Bassman
Thank
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