Oral and Maxillofacial Surgeon Questions Oral & Maxillofacial Surgery

Is surgery the only treatment for TMJ?

I am an 18-year-old male with TMJ disorder. Is surgery the only treatment for TMJ?

8 Answers

Sorry, it's not an anesthesia question.
No. Get a second opinion. Bite guards may be a possibility
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No
No, surgery should be the last treatment option for TMJD Temporomandibular Joint Disorders.
No, surgery is absolutely NOT the only option for those suffering from TMJ Disorder. The root cause of the disorder needs to be properly determined by a dentist with the proper training to diagnose and treat TMJ. Look for a dentist who has training in neuromuscular dentistry, and who will assess the joint via CBCT. The bite has to be considered, with full muscle and joint testing with ultrasound, electromyography (EMGs), and computerized jaw tracking. A well trained neuromuscular dentist can help treat TMJ non-surgically by determining the root cause of the dysfunction and then addressing the functional disharmony between the muscles, joint, and teeth that is causing the TMJ/D.
Surgery is DEFINITELY not the only treatment for TMJ disorder. In fact, in my opinion, surgery should be a last resort, especially for young people. There are a wide range of causes for TMJ disorders, and treatment can range anywhere from a soft diet and warm compresses occasionally, all the way to a total joint replacement and multiple surgeries.
I would recommend you see a dentist or oral surgeon with experience managing TMJ symptoms, and I wouldn't consider jumping in to surgery unless several more conservative treatments don't work. Many types of TMJ disorders can improve with time, if left alone.
There are nonsurgical approaches to treating TMD. See a dentist to find what is best for you and your case.
No, braces or botox are some other options. You may need to get a second opinion.