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How Accurate Are Dental Websites When It Comes to TMD?

In an eye-opening article to be published shortly in the journal Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, authors Desai, Alkandari, and Laskin address the critical issue of the accuracy of information published on dental websites about the cause and treatment of temporomandibular disorders (TMJ/TMD).

Yes, TMD is a Complex Disease

A recent article that appeared in Current Rheumatology Reviews by a Spanish and a Scandinavian author* underscores the complexity of temporomandibular disorders (TMD). The authors note that these painful conditions have been discussed for over 70 years without reaching consensus on either their causes or treatment.

DO Show! DO Tell!

There is nothing new about temporomandibular disorders (TMD), conditions of pain and dysfunction affecting the jaw joint and/or its associated muscles and tissues. Headaches, trigeminal neuralgia, and other orofacial pain (OFP) conditions have been around forever. There is nothing new about temporomandibular disorders (TMD), conditions of pain and dysfunction affecting the jaw joint and/or its associated muscles and tissues. Headaches, trigeminal neuralgia, and other o

Meeting Announcement: NIH Pain Consortium Symposium

REGISTRATION IS NOW OPEN for the 2016 Annual NIH Pain Consortium Symposium to be held on May 31st and June 1st, 2016, NIH Campus, Natcher Auditorium, Bethesda, MD.  The 2016 symposium, "Innovative Models and Methods," will highlight advanc

Scientific News: Sleep and TMD

Dr. Anne Sanders was kind enough to write the following synopsis of a recent study on sleep and TMD.     A recent study of the OPPERA group reported in The Journal of Pain, sheds new light on the understanding of poor sleep in relation

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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