Wednesday, May 16, 2012

TMJ Surgery

Temporomandibular joint disorder is a very common condition, the treatment of which may consists of a variety of different remedies, but in severe cases, seeing a TMJ specialist and having a TMJ surgery may be needed.
The temporomandibular joint disorder combines such symptoms as headaches, facial pain, jaw pain, sore, chipped, or worn teeth, clicking, or pooping in the jaw, and limited jaw movement. Typically, people who suffer from the disorder complain about chronic pain in the jaw, teeth, face, head, neck, shoulders, and back.
Most of the people have at least some of the TMJ symptoms and suffer from the disorder at least to some degree. Women tend to experience more pain from TMJ while men have more teeth, gums, bones, and joints damage when suffering from TMJ. Children are the most sensitive to the disorder, and may show signs of TMJ, such as ear infection, leaning their head on the arm, lip, check, or finger biting, sucking, or chewing, headaches, snoring, grinding of the teeth at night time. Temporomandibular joint disorder means that the small joints in the front of the ears that are the most complicated joints in the whole body attack the lower jaw of the skull. Because the face area where the TMJ is located is a very complex network of bones, muscles, and nerves, the condition may affect very different areas of the body, and the discomfort may vary from migraine-like headaches or pain in the neck or in the shoulders to numbness or tingling in the arms. Normally TMJ is the result of malocclusion, the condition that may be caused by “bad bite”, accidents, or trauma. If you have malocclusion it means that your upper and lower teeth do not close correctly, or in other words they are misaligned. You may suffer from either an under bite or over bites.
When the malocclusion evolves, the teeth are not able to properly support the muscles in chewing and swallowing. As a result, the muscles are strained and this causes pain throughout your body.
In order to treat the disorder, the TMJ dentist first evaluates the most comfortable position of your jaw to see the prospect of normal positioning, and then takes measures needed to achieve that positioning. Once the bite is realigned and the jaw is back in place, that pain caused by the condition goes away. In the most severe cases, such treatment as TMJ surgery is required. There are different options within the range of surgery available, but they should only be considered if no other remedy appears to be helpful.

You TMJ doctor may recommend such kinds of TMJ surgery as:

  1.  Arthrocentesis. This procedure is the simplest one, and it involves irrigation of the TMJ to flush the joint out. Arthrocentersis is usually suggested before the major surgery. 
  2.  Disk Repositioning. This procedure is considered when the protective cartilage disk is not in the proper place and needs to be repositioned. 
  3.  Discectomy. This procedure is performed when the padding and protection providing disk is extremely damaged, as a result of the procedure it is being removed along with the surrounding tissue. 
  4.  Articular eminence recontouring. This procedure requires shortening and smoothing of the socket-like portion of the TMJ if needed, to relieve the stress and make motion easier. 
  5.  TMJ Replacement required the removal of the TMJ and further replacement.

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