The temporomandibular joint refers to the joint that acts like a sliding hinge, that hooks up your jawbone to your skull. Problems associated with this joint is often times referred to as temporomandibular joint pain. The presence of severe pain is often experienced among patients in the areas of the jaw joint and the muscles surrounding it which controls the movement of the jaw. There are different types of treatment available for this disorder; may it be simple personal care and conservative therapies to injection and surgery. The decision to go for surgery should only be considered once all the basic treatments failed. Since the effects of surgery in the body is considered permanent, it is necessary to consider getting a second and third opinion from the experts. There are three types of surgery for this disorder: arthrocentesis, arthroscopy, and open-joint surgery. Doctors may recommend these surgeries depending in the needs of the patients and seriousness of the problem.
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Arthrocentesis is a minor type of surgery for temporomandibular joint pain which is requires the use of general anesthesia. It is performed for sudden-onset, restricted jaw opening in patients with no significant prior history of temporomandibular joint problems. This type of surgery involves inserting needles inside the affected joint and washing out the joint with sterile fluids. Sometimes, this treatment process may include inserting a round material inside the joint. This instrument can be very helpful in removing the tissue adhesion bands and displace the disc that is baffled in front of the condyle.
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Some doctors may recommend arthoscropy surgery to their patients. Arthoscopic surgery among patients with temporomandibular joint pain may also require the use of general anesthesia. Surgeons usually will perform a small cut in front of the ear and place in a small, thin tool which has a lens and light. This instrument is hooked up to a video screen, allowing the surgeon to examine the temporomandibular joint and its surrounding area. Depending on the cause of the occurrence of this disorder, the surgeon may remove inflamed tissue or realign the disc or condyle. Condyle refers to the part of the temporomandibular joint comprising the ball portion of the ball and socket part. This form of surgery is considered less invasive and has small risk for complications, leaves out minimal scars and requires less recovery time. Depending on the patients needs, arthroscopy may not be advised to all types of patients. In some cases, an open-joint surgery may be preferred.
In some cases some experts will resort to open-joint surgery. A general anesthesia will also be given to patients before undergoing the procedure. This procedure requires the opening of the entire area surrounding the temporomandibular joint to be open so surgeons can take a full view of the joint. There are various types of open-joint surgery available for patients. This can be performed for patients experiencing jaw joint deterioration, having tumors in the joint and having chips of bone. This surgery also has high risk of having scars and nerve injuries and require longer healing period.
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