Temporomandibular Disorders (TMD) (cont.)
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Surgery is rarely used to treat temporomandibular disorders (TMDs). Surgical treatment does not guarantee a cure and can further damage the temporomandibular joint. Because most TMDs can be treated nonsurgically, most doctors believe that surgery should be the last option tried and should be avoided if possible.
Surgery may be a treatment option for you if both of the following apply:
The goals of surgery for TMDs are to:
Surgery may include:
Another type of surgery, called total joint replacement, is rarely done. It has sometimes resulted in permanent jaw damage. Total joint replacement replaces the jaw joint with artificial parts. In some cases the artificial parts have not worked correctly or have broken. The available technology for this surgery is still considered to be experimental and risky.
What to think about
Further pain complications or joint dysfunction can result from temporomandibular joint surgery.
Surgery is not needed in most cases of disc displacement.2 Splint therapy (a dental treatment), jaw rest, and physical therapy, including moist heat and jaw exercises followed by an ice pack, can work very well for treating this condition. If this and other nonsurgical treatment to relax the muscles are not successful, arthrocentesis may effectively treat your condition.
If you are thinking about surgery, get a second opinion on your condition and treatment.
eMedicineHealth Medical Reference from Healthwise
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