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Understanding TM Joint Surgery Risks and the Best Alternatives to TMJ Surgery

Published on

FEB 04
2025
TMJ problems are always multi-factorial. They can range from misaligned teeth and jaw position, bruxism, arthritis of the jaw joints to muscle imbalance. In this blog, let us understand the types of TM joint surgery, the risks attached and the best alternatives to replace surgery as an option, depending on the severity

When to Consider TM Joint Surgery?

Surgery should always be the last option; but it should be an option. As an easier way to explain, surgery should only be attempted when the TMJ goes into a permanent lock (ankylosis or bony union). When the initial treatments do not support the healing of your temporomandibular joint disorder (pronounced as ” tem·puh·roh·man·di·byoo·luh joynt di·saw·duh”), you can opt for surgical methods
TMJ dysfunction surgery

1. A few symptoms to consider TMJ dysfunction surgery when

  • Extreme pain
  • when your TMJ pain becomes unbearable, making it difficult to carry on with your daily routines like opening your mouth, or chewing.

  • Progressive pain
  • When the pain gets worse by the day, to a point that it becomes difficult to eat or drink.

  • Jaw locking
  • When you face difficulty in opening your mouth because your jaw gets locked, making it painful to open your mouth to the slightest.

  • Arthritic problems
  • Your TMJ gets degenerated causing structural problems like rheumatoid arthritis or osteoarthritis

    2. What to Expect from TM Joint Surgery?

    • When your oral condition becomes severe due to the above mentioned TMJ problems, you can go for TMJ operation, involving incision in your face, near the ear to access the affected joint.
    • The damaged tissue of your temporomandibular joint gets repaired irreversibly, giving you a permanent solution to your jaw pain but there would be some level of dysfunction as several muscles will also be cut during the process and healing would involve scarring.
    • Before setting expectations from getting TMJ surgery, you must weigh in on the alternate options and potential jaw surgery risks. It is best to consult a maxillofacial or neuromuscular specialist before opting for this method of treatment.

    Types of TMJ Joint surgery

  • Arthrocentesis
  • This is a minimally invasive TM joint surgery which bridges the gap between surgical and non-invasive TMJ treatment, involving a needle to drain off the joint of any infection, with a sterile fluid. This type of minor treatment is done using local anesthesia. It helps with immediate relief by the removal of the inflammatory fluid withing the joint but if the causes that led to the TMD remains, then the fluid will return again

  • Open-joint surgery
  • This relatively complex invasive procedure involves an incision to access the TMJ directly. This type of treatment is done when a patient has bone chips, arthritis, joint wear, scarring or even tumours. The patient will then have to stay overnight to recuperate from the effects of the treatment.

  • Arthroscopy
  • Here, a thin tube with light and camera is directed inside your mouth through a small incision, to the affected area. This method of treatment is used for disc repositioning, scar or infected tissue removal and bone reshaping.

  • Disc repositioning
  • This is a type of TMJ dysfunction surgery involving the moving of the displaced disc which results in jaw dysfunctions such as clinging or locking, back to its original anatomical position. But it won’t help if the lateral pterygoid muscle is still hyperactive due to clenching/grinding. You will need one or two days of adequate rest at home

  • Bilateral temporomandibular joint replacement
  • Here, surgical implants are placed after removing your degenerated TMJ, that causes severe pain and discomfort while opening or closing the mouth or while speaking. This is a severe case as the initial non-invasive treatment methods have failed. The chance of complete healing is very minimal due to the complex nature of the TMJ with its muscle attachments and neuro-vascular connections.

  • Arthroplasty
  • This surgical treatment is done by making a long incision and operating on the joint when all other initial TMJ treatments have failed. This is done under local anesthesia by a maxillofacial specialist, and you may have to stay in the hospital for a day for recovery from TMJ Surgery. Or take a couple of days’ leave to rest your jaw, without much movement to the joint.
    TM joint surgery

    Common Jaw Surgery Risks Post TMJ Treatment

    As much as surgeries for temporomandibular joint issues are a boon, it is crucial to go to the best TMJ specialist near you to get the treatment done by an experienced dentist in a professional way. If this is not followed, then there are chances of a few jaw surgery risks that are experienced-

  • Nerve injury
  • Injury to the facial nerves leading to partial loss of movement and sensation or causes hearing problems in the nerves connected with the earlobes.

  • Infection
  • If the surgical site or the dental clinic is not up to hygiene standards, there is a risk of being infected, sometimes leading to serious conditions like prosthesis.

  • Bleeding
  • Post-surgery bleeding may also occur if necessary precautions are not taken by your dentist.

  • Damage
  • Damage to nearby tissues, blood vessels or any other organ like the ear, impairing your senses for a few hours to days.

    List of Non-Invasive Alternatives to TMJ Surgery

    • Arthrocentesis (The reason why this method is repeated here is because, it is sometimes classified under non-invasive treatment method of TMJ problems).
    • Trigger-point injections.
    • Cognitive behavioural therapies.
    • Intra-oral orthopedic TMJ splints.
    • Physical therapies and joint exercises suggested by a TMJ specialist.
    • Ultrasound or electrical stimulation.
    • Dry needling.
    • Craniosacral manipulation/therapy.
    • Passive rehabilitation therapy.
    • Low-load prolonged-duration stretch (LLPS) devices.
    • Neuromuscular occlusal splints/orthotics (such as daytime, and nighttime splints, and mandibular splints).
    At TMJ India, our maxillofacial and neuromuscular TMJ specialists are experienced to assess your TMJ condition and suggest non-invasive treatment options as the first preference. With the advancement in technological equipment and medical appliances, we can achieve quick, easy and comfortable recovery from temporomandibular joint problems
    To know more about non-invasive treatment techniques of TMJ treatment, write to us or visit our website for detailed information.
    Alternatives to TMJ Surgery

    Conclusion

    You can consider surgery as your last option, if suggested by your TMJ specialist, as there may be jaw surgery risks and longer recovery time in this method. For the best TMJ treatment through non-invasive and effective methods, book your appointment with TMJ India and cure your jaw joint problems with easy solutions.
    To treat the most complex of TMJ problems, contact us at TMJ India and get your appointment with our TMJ experts today! 

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