Temporomandibular joint disorder (TMJ disorder)
Hello doctor, I would like to inquire about issues related to the temporomandibular joint (TMJ).
I have been suffering from TMJ arthritis for over a year.
Initially, I experienced occasional difficulty opening my mouth, but later I noticed that my jaw was retracting, causing my lower teeth to shift backward.
Since December of last year, I have frequently bitten my tongue due to the backward movement of my lower teeth, resulting in recurrent sores.
I understand that long-term tongue injuries are not good, so I would like to ask if undergoing joint surgery to reposition the disc would cause my teeth to move forward to some extent, or if it would not have any effect?
Ms. Li, 20~29 year old female. Ask Date: 2023/02/14
Dr. Zeng Guanghui reply Dentistry
It is recommended to consult an oral surgeon for further examination to confirm the necessity of the surgery, the potential therapeutic outcomes post-surgery, and to assess any possible complications.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2023/02/14
More Info
TMJ (temporomandibular joint) disorders can significantly impact a person's quality of life, leading to pain, discomfort, and functional limitations. Your situation, involving TMJ arthritis and the subsequent misalignment of your jaw, is not uncommon. Many individuals experience similar symptoms, including difficulty opening the mouth, jaw pain, and changes in dental alignment.
When considering surgical options for TMJ disorders, it's essential to understand the potential benefits and risks associated with these procedures. Surgery may be indicated in cases where conservative treatments, such as physical therapy, splints, and medications, have failed to provide relief. The goal of surgery is often to alleviate pain, restore function, and improve the alignment of the jaw.
In your case, you mentioned that your jaw has shifted backward, causing your lower teeth to move as well. If surgery is performed to realign the joint and reposition the disc, there is a possibility that your lower teeth may shift forward as a result of the improved jaw alignment. However, the extent of this movement can vary from person to person and depends on several factors, including the specific surgical technique used, the severity of the misalignment, and the overall condition of your teeth and jaw.
There are different surgical approaches to treating TMJ disorders, including arthroscopy, open joint surgery, and osteotomy. Arthroscopy is a minimally invasive procedure that allows the surgeon to visualize and treat the joint through small incisions. Open joint surgery may be necessary for more severe cases, where direct access to the joint is required. Osteotomy involves cutting and repositioning the bones of the jaw to achieve better alignment.
It's important to note that while surgery can provide significant relief and improve function, it is not without risks. Potential complications may include infection, nerve damage, and the possibility that the surgery may not achieve the desired outcome. Additionally, post-operative rehabilitation is crucial for optimal recovery. This may involve physical therapy to strengthen the jaw muscles and improve range of motion.
Before proceeding with surgery, it is advisable to have a thorough discussion with your oral and maxillofacial surgeon or a specialist in TMJ disorders. They can provide you with a comprehensive evaluation, including imaging studies, to determine the best course of action for your specific situation. They will also discuss the expected outcomes, potential risks, and the rehabilitation process following surgery.
In summary, surgery for TMJ disorders can potentially help realign your jaw and improve the positioning of your teeth. However, the results can vary, and it is essential to weigh the benefits against the risks. Consulting with a qualified specialist will help you make an informed decision about whether surgery is the right option for you. Additionally, addressing the issue of your tongue biting is important, as it can lead to further complications if left untreated. Exploring all available treatment options, including conservative measures, is crucial before considering surgical intervention.
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