Jaw Fusion: When to Seek Dental Care and Costs Involved - Dentistry

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Hello, doctor! I have a question regarding maxillary bone fusion?


Hello Doctor, I am 26 years old.
During a health check in high school, I was diagnosed with a condition called dental and jawbone fusion.
However, the nearby dentist said it wasn't serious, so it was not a concern.
The specific symptom is that I can only open my mouth about two fingers wide.
I have no issues with normal eating and living, but I feel it causes inconvenience for the dentist when I visit.
Therefore, I am a bit afraid of seeking treatment, and some dentists seem to find it more challenging to treat.
Which specialist should I consult for this? Also, if treatment is necessary, will it be very expensive? Thank you, Dr.
Huang!

K Shao, 20~29 year old female. Ask Date: 2008/04/10

Dr. Huang Zhicheng reply Dentistry


Clinically, it is common to encounter patients with limited mouth opening but normal chewing function.
In daily life, they may only experience inconvenience when taking large bites or brushing their back teeth, which suggests a congenital structural issue.
However, it is important to assess for temporomandibular joint (TMJ) disorders or TMJ arthritis in these patients, as they may experience clicking or popping sounds in the joint when opening their mouth.
This can be caused by dislocation of the articular disc or even damage to the disc itself, as well as inflammation of the TMJ synovial bursa.
Chronic inflammation of the TMJ can lead to stiffness in the surrounding muscles and ligaments, contributing to difficulties in mouth opening.
It is advisable for these patients to seek treatment from a specialist in TMJ disorders, as this is covered by health insurance.

Reply Date: 2008/04/10

More Info


Hello Huang,
Thank you for reaching out with your concerns regarding your jaw fusion condition, also known as jaw ankylosis or dental malocclusion. It’s understandable to feel apprehensive about seeking dental care, especially when you have a condition that may complicate treatment. Let’s break down your situation and discuss the appropriate steps you can take, as well as the potential costs involved.


Understanding Jaw Fusion
Jaw fusion can significantly impact your quality of life, even if you are currently managing to eat and speak without major issues. The limited opening of your mouth (approximately two fingers wide) can lead to complications in dental care, as you’ve already experienced. This condition can also affect your oral hygiene, making it harder to clean your teeth effectively, which may lead to further dental issues down the line.


When to Seek Dental Care
Given your symptoms, it is advisable to seek care from a specialist in oral and maxillofacial surgery or an orthodontist who has experience with jaw disorders. These specialists can provide a comprehensive evaluation of your condition and discuss potential treatment options. They will assess the degree of fusion and how it affects your jaw function, and they may recommend imaging studies like X-rays or CT scans to get a clearer picture of your jaw structure.


Treatment Options
Treatment for jaw fusion can vary widely depending on the severity of the condition. Options may include:
1. Physical Therapy: In some cases, physical therapy may help improve jaw mobility.

2. Surgical Intervention: If the fusion is significant and affecting your quality of life, surgical options may be considered. This could involve procedures to release the fused joint or to realign the jaw.

3. Orthodontic Treatment: If there are accompanying dental alignment issues, braces or other orthodontic treatments may be necessary post-surgery.


Cost Considerations
The costs associated with treatment can vary significantly based on several factors, including:
- Type of Specialist: Oral and maxillofacial surgeons may have different fee structures compared to orthodontists.

- Location: Costs can vary depending on where you live and the specific healthcare facility.

- Insurance Coverage: If you have dental insurance, it’s essential to check what is covered under your plan. Some plans may cover surgical procedures if deemed medically necessary, while others may not.

In the United States, surgical procedures can range from a few thousand dollars to tens of thousands, depending on the complexity of the case. It’s crucial to discuss the financial aspects with your healthcare provider upfront. They may also have options for payment plans or financial assistance.


Conclusion
While it’s understandable to feel hesitant about seeking treatment, addressing your jaw fusion condition is important for your long-term oral health and overall well-being. I encourage you to schedule a consultation with an oral and maxillofacial surgeon or an orthodontist who can provide you with a tailored treatment plan. They can also help you navigate the costs involved and explore any financial assistance options available to you.

Remember, taking the first step towards treatment can lead to significant improvements in your quality of life. Don’t hesitate to reach out for help; there are professionals who can guide you through this process.

Best wishes on your journey to better oral health!

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