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Neuromuscular Dentistry - TMJ FAQ

Question:
I was told over 3 years ago that I have tjm by my doctor. I was sent to a maxillofacial surgen about 2 years ago who said I would probably need surgery. I have had a mri and my disc is balled up and pushed forward. At that time I could still get two fingers in my mouth, now on a good day I can get my thumb in my mouth.

He explained the surgery to me and said he would remove the disc and not put anything back in where the disc belongs. This is what worries me. So I put it off but I can't cope with it anymore. My problem is finding a doctor to do the surgery. There aren't very many in my area that specialize in this, I would prefer to have a doctor who does more than a couple of surgery's a year. So if I have to drive a couple of hours away thats fine. ...Visitor from MI

Answer:
I would need to see your MRI to determine whether or not your disc may be "recapturable". Even if the disk is adhesed to your bone, you would want to have functional treatment before you do the surgery, which could make you worse. It is rare to have to resort to surgery, as long as someone knowledgeable treats you with conservative measures first.

Tell me what type of appliances have been used so far. We can always find a surgeon around Detroit who does a lot of this surgery, but I think you should try functional treatment first because it works 99% of the time.

John Halmaghi, DDS







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