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The Last Resort for TMJ Disorders

The TMJ, or temporomandibular joint, is the joint that connects your lower jaw to your skull. It is a complex joint that allows your jaw to move in many directions. TMJ surgery is performed when the joint is not functioning properly because of arthritis, injury, congenital defects, and other problems. Dr. Fathimani offers TMJ replacement surgery if all other non-surgical and surgical solutions have failed to yield the desired results. He specializes in TMJ replacement with autogenous (natural) or artificial materials.

What is TMJ Replacement Surgery?

TMJ replacement surgery is performed to improve the function of the temporomandibular joint (TMJ). The procedure involves making strategic incisions in front of the ear and in the crease of the neck, following which the damaged or injured jaw joint is removed and replaced with a TMJ implant. Depending on your age and other factors, TMJ replacement can be performed using autogenous (natural) tissues drawn from the rib or artificial materials. The specific details vary from one individual to the next.

Conditions When TMJ Replacement is Necessary:

  • Severe TMJ because of degenerative arthritis
  • TMJ caused by inflammatory arthritis
  • Persistent TMJ after trying all other non-surgical treatments
  • Significant bite change because of the resorption of the jaw joint
  • Loss of jaw joint mobility because of joint fusion (ankylosis)
  • Complications arising from prior jaw surgeries and TMJ replacement
  • Severe joint damage caused by pathology or trauma

It Starts With Your Consultation

The TMJ replacement journey starts with a thorough consultation with Dr. Fathimani, who administers numerous imaging tests and CT scans of your facial bones. The CT data is sent to a laboratory to prepare the joint implant and prostheses. The TMJ implant mandible is usually made of a condylar head fabricated from cobalt-chromium-molybdenum alloy, and the body is usually made from titanium alloy. Once the TMJ replacement is prepared, the surgery can begin.

The TMJ Replacement Surgical Process

The TMJ replacement surgery is performed under general anesthesia. The procedure may involve using standard orthodontic appliances to align the teeth during the surgery. The surgeon makes two incisions — one in front of the ear and the other in the crease of the neck. After making the incision, the damaged TMJ is removed and replaced with implant material. Finally, the incisions are sutured closed, and the recovery process can begin.

TMJ Replacement Surgery: Recovery & Downtime

TMJ replacement surgery is a complex procedure that necessitates a 2 to 3-day stay in the hospital. Physical therapy for the jaws can begin soon after the procedure, including a unique set of jaw exercises you can perform at home. Furthermore, you must follow a no-chew liquid diet for at least 6 weeks after the surgery to ensure optimal healing.

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Schedule Your Consultation

Dr. Kayvan Fathimani is a triple-board-certified oral and maxillofacial surgeon committed to helping you overcome your TMJ disorder. He administers cutting-edge diagnostic tests and curates a personalized treatment plan to address your concerns. He only recommends surgery if all other non-surgical options fail to yield the desired results. Please schedule a consultation to explore your TMJ treatment options.

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