Surgical Treatment Options for TMD
*Please note: we may not offer all treatment options. We have listed various options for your education.
Arthrocentesis
Arthrocentesis is a minimally invasive surgical procedure in which a small needle is inserted into the joint space to irrigate the joint and remove any debris or inflammatory substances. This procedure can help reduce pain and improve jaw function. This procedure can be performed on an outpatient basis, and most patients can return to normal activities within a few days of the procedure.
Arthroscopy
Arthroscopy is a minimally invasive surgical procedure that uses a small camera and surgical instruments to diagnose and treat joint problems. During an arthroscopy for TMJ, a small incision is made near the joint, and the camera is inserted to view the joint’s interior. This procedure can remove inflamed tissue or repair a torn disc. Your oral surgeon may also smooth out rough or uneven surfaces, reducing pain and improving jaw movement.
Open Joint Surgery
Open joint surgery is a more invasive surgical option for TMD, during which the jaw joint is opened to allow the surgeon better access to the joint’s interior. This procedure may be necessary for those with severe joint damage, such as advanced osteoarthritis or dislocated discs. The surgeon may remove damaged tissue, repair or replace the disc, or reposition the jaw during the surgery.
Total Joint Replacement
Total joint replacement involves replacing the entire joint with an artificial joint. This option is typically reserved for those with severe joint damage that cannot be repaired through other surgical methods. Your oral surgeon will remove the damaged joint and replace it with an artificial joint made of metal, plastic, or a combination of both. The artificial joint replicates the natural joint’s movement, allowing for improved jaw function and reduced pain.
When Is Surgery for TMD the Best Option?
When it comes to treating a temporomandibular joint disorder, surgery is usually a last resort after non-surgical options have been exhausted. However, there are situations where surgery for TMD may be the best option. Factors to consider include:
- Severe Joint Damage: If you have significant joint damage, such as advanced osteoarthritis or dislocated discs, surgery may be necessary to repair or replace the damaged tissue.
- Limited Jaw Movement: If TMD is causing limited jaw movement that affects your daily activities, surgery may be the best option to improve jaw function and quality of life. Surgery may be necessary to correct the problem.
- Ineffective Non-Surgical Treatments: If you have tried non-surgical treatments, such as medications, physical therapy, and splints, without finding relief from TMD symptoms, surgery may be the best option.
- Persistent Pain: Pain that affects your quality of life and isn’t relieved by non-surgical treatments may indicate that surgery is needed.