TMJ Surgery
TMJ surgery is a specialized surgical procedure performed to address conditions and disorders affecting the temporomandibular joint, which connects the jawbone to the skull. TMJ disorders can cause pain, discomfort, difficulty in jaw movement, and other symptoms that significantly impact one’s quality of life.
Key Benefits of TMJ Therapy
We may recommend TMJ Surgery to address the following concerns:
Severe Pain: If you experience intense and persistent pain in the jaw, face, head, or neck that doesn’t respond to non-surgical treatments like medications, physical therapy, or splints, surgery may be considered to address the underlying cause of the pain.
Limited Jaw Function: TMJ disorders can lead to limitations in jaw movement, making it difficult to open and close your mouth properly. If conservative treatments fail to restore normal jaw function, surgery may be necessary to correct structural issues.
Structural Abnormalities: Some individuals may have structural abnormalities within the temporomandibular joint or surrounding structures, such as displaced discs, damaged joint surfaces, or growths. Surgical intervention may be required to repair or reposition these structures.
Joint Degeneration: In cases where the TMJ has undergone significant degeneration due to arthritis or other chronic conditions, surgical procedures like joint replacement or joint reconstruction may be necessary to restore function and alleviate pain.
Traumatic Injuries: Trauma to the jaw or the temporomandibular joint can result in severe damage, fractures, or dislocation. Surgery may be needed to repair the damage and restore normal function.
Failed Previous Treatments: If you have undergone conservative treatments for TMJ disorders without success, surgery might be considered as a next step to address the underlying issues.
Surgical Options
Botox: A Non-Invasive Approach to TMJ Pain Relief
Botox injections have gained popularity as a non-surgical treatment option for TMJ disorders. Here’s how this innovative therapy works:
- Targeted Muscle Relaxation: Botox is injected into specific jaw muscles, helping them relax and reducing tension.
- Pain Reduction: By relaxing overactive muscles, Botox can alleviate pain associated with TMJ disorders.
- Improved Jaw Function: Patients often experience improved jaw movement and function with reduced muscle tension.
- Quick and Minimally Invasive: Botox treatments can be performed in the office with minimal downtime.
Botox injections can provide relief for several months, making them an attractive option for patients seeking a non-surgical solution to their TMJ pain.
Arthrocentesis: Flushing Out Joint Inflammation
For patients with more severe TMJ symptoms, arthrocentesis offers a minimally invasive surgical option. This procedure involves:
- Local Anesthesia: The area around the joint is numbed for patient comfort.
- Joint Access: Small needles are inserted into the joint space.
- Irrigation: A sterile solution is used to flush out inflammatory substances and debris from the joint.
- Lubrication: A lubricating fluid may be injected to improve joint function.
Arthrocentesis can help reduce pain, improve jaw mobility, and promote healing within the joint. It’s often recommended for patients who haven’t responded well to conservative treatments but don’t require more extensive surgery.
Arthroscopy: Minimally Invasive Joint Repair
TMJ arthroscopy is a more advanced surgical technique that allows for direct visualization and treatment of joint problems. The procedure involves:
- Small Incisions: Tiny incisions are made near the ear to access the joint.
- Arthroscope Insertion: A small camera is inserted to view the inside of the joint.
- Diagnosis and Treatment: Our NJ oral surgeon can identify and address issues like disc displacement or adhesions.
- Minimal Scarring: The small incisions result in less scarring and faster recovery than open surgery.
Arthroscopy can be diagnostic and therapeutic, allowing surgeons to accurately diagnose joint problems and perform necessary repairs in a single procedure.
Joint Replacement: A Solution for Severe TMJ Disorders
In cases of severe joint damage or degeneration, TMJ joint replacement may be necessary. This advanced surgical procedure involves:
- Removing Damaged Joint Components: The surgeon removes the damaged parts of the joint.
- Implant Placement: Custom-designed prosthetic components are placed to replicate natural joint function.
- Improved Jaw Function: The new joint allows for pain-free movement and improved quality of life.
- Long-lasting Results: TMJ joint replacement can provide long-term relief for patients with severe joint disorders.
While joint replacement is typically reserved for the most severe cases, it can be a life-changing solution for patients who’ve exhausted other treatment options.
What to Expect for a Jaw Pain Consultation

The procedure begins with a comprehensive evaluation of your TMJ condition. This may include diagnostic imaging, bite analysis, and a thorough assessment of your symptoms. After a thorough examination, we will discuss the specifics of your treatment options, answering any questions or concerns you may have.
How is TMJ Surgery Performed?
TMJ surgery is performed under general anesthesia to ensure your comfort and safety throughout the procedure. The specific surgical technique will depend on your individual case, as TMJ disorders can have various causes and manifestations. Procedures may involve arthroscopy (minimally invasive surgery using a small camera), joint repositioning, removal of scar tissue, or joint replacement.
During the surgery, our experienced oral and maxillofacial surgeon will skillfully address the underlying issues contributing to your TMJ disorder. The procedure aims to correct the alignment of the joint, remove any obstacles hindering its proper function, and restore stability and balance to the jaw.
Are there any risks associated with TMJ Surgery?
As with any surgical procedure, there are potential risks. These may include infection, nerve injury, or changes in bite alignment. However, these risks are generally low when the surgery is performed by an experienced oral surgeon.
How is the Recovery After TMJ Surgery?
The duration of results varies depending on the procedure and individual factors. Botox injections may last several months, while joint replacement can provide long-term relief. Your surgeon can discuss expected outcomes based on your specific case.
How long do the effects of TMJ Surgery last?

Following TMJ surgery, a period of recovery is essential to ensure optimal healing and successful outcomes. You may experience some swelling, discomfort, and limited jaw movement initially. Our team will provide you with detailed post-operative instructions, including pain management strategies, dietary recommendations, and physical therapy exercises to aid in your recovery. You’ll likely need to follow a soft or liquid diet for a period after surgery. Your surgeon will provide specific dietary guidelines based on your procedure and individual healing process.
Recovery times can vary depending on the complexity of the procedure and individual healing factors. Minimally invasive treatments like Botox or arthrocentesis may only require a few days of recovery, while more extensive surgeries like joint replacement can take several weeks to months for full recovery. It is important to follow the provided guidelines diligently and attend any follow-up appointments to monitor your progress.
TMJ surgery offers the potential for significant improvement in your quality of life by reducing pain, restoring jaw function, and alleviating related symptoms. Our experienced team is committed to providing personalized care, addressing your unique needs, and guiding you through every step of the process.