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TMD, Dental Care and You

The daily routine of brushing and flossing your teeth can be difficult when you suffer from Temporomandibular Disorders (TMD). A study published in the Journal of Orofacial Pain states that patients felt their TMD symptoms made it difficult for them to do routine dental care at home.

The Case for Temporomandibular Disorders Heritability

From time to time, The TMJ Association has reported research findings indicating that one or another form of a gene is found more frequently in patients with Temporomandibular Disorders (TMD) than in non-patients, suggesting a role for genetic factors in

Patient Bone-Related Safety of Botox® for Treatment of TMD

Karen Raphael, PhD, a long-time TMD researcher now at the New York University College of Dentistry, has provided the following commentary on the Susan Herring Botox® article, along with information on her plans for clinical studies of TMD patients who have been treated with Botulinum Toxin for TMD Pain.

Further Evidence that Botox® Injections Cause Bone Loss in the Jaw

An article published online in the journal Bone* by a team of French investigators confirms that injecting Botox® into jaw muscles leads to significant bone loss in adult rats.

MAPP Network Basic/Translational Science

The OPPERA study has demonstrated that pelvic pain is moderately associated with Temporomandibualr Disorders. Given this relationship we are publicizing this new NIH research opportunity.   The Multidisciplinary Approach to the Study of Chronic P

ARTHROTOMY

  • Jun 18, 2014

Arthrotomy, also known as Arthroplasty, is an open joint procedure done under general anesthesia in the hospital. The recovery is significantly longer, three to eight8 weeks, and more painful than the TMJ Arthrocentesis or TMJ Arthroscopy.

An incision is made similar to a face lift incision (along the ear), and the joint space is exposed for the surgeon to see. This allows for the removal of adhesions, osteophytes (bone spurs), fibrous or bony ankylosis (fusion), tumors, etc. This reshaping of the joint is called Arthroplasty.

The surgeon can also repair discs by suturing them into place (Discoplasty), remove discs (Discectomy), or implant anything from a temporalis muscle graft, to a rib. Some of the types of various procedures that are done through an open joint operation.

  • Discoplasty. This inovolves surgically putting the disc back into its normal position when it is displaced.
  • Discectomy. This provides disc removal. Some surgeons use a temporalis muscle or dermal graft to replace the disc.  Others do not put anything in its place.
  • Arthroplasty. Reshaping of the condyle and fossa when there are arthritic changes.
  • Temporalis Muscle Graft. A piece of your temple muscle (temporalis) is slid into the joint space to prevent bone on bone contact.
  • Temporary Silicone Implants. Silicone sheeting has been used in the past to act as a pseudo-disc. Silicone sheeting specifically marketed for the TMJ was voluntarily withdrawn from the market in 1993. After the TMJ implant fiasco of the early ninties, the FDA asked for pre-market approval on ALL devices to be implanted in the TMJ.  No company submitted the required safety testing or pre-market approval paperwork for silicone. If a doctor mentions using silicone, he is doing it off-label. Beware! The FDA says on its Consumer Information page, “FDA is presently working with manufacturers to appropriately label silicone sheeting with warnings against its use in the TMJ implant.”
  • Rib Grafts. These are used to replace the condyle.

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In Treating TMJ

To view or order a free booklet about TMJ Disorders, visit the National Institutes of Health website.

U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES
National Institutes of Health
National Institute of Dental and Craniofacial Research
Office of Research on Women's Health