Which TMJ Procedure Is Right for Me?

TMJ conditions affect the joint that connects your jaw to your skull and can significantly impact daily comfort and quality of life. When conservative treatments don’t provide enough relief, surgical intervention may be recommended. Understanding your options can help you feel more confident about your care. Below, we break down the most common TMJ procedures and how your oral surgeon determines which one may be right for you.
 

Arthrocentesis: A Minimally Invasive First Step

Arthrocentesis is often the first surgical option recommended for TMJ disorders that do not respond to non-surgical treatments. This minimally invasive procedure involves gently flushing the joint with a sterile solution to remove inflammation, debris, and scar tissue.

Who may benefit from arthrocentesis?

• Patients with joint inflammation or limited jaw movement
• Individuals experiencing pain without significant structural damage
• Those seeking relief with minimal downtime

Benefits

• Performed under local anesthesia or light sedation
• Short recovery time
• Can significantly reduce pain and improve jaw mobility

Arthroscopy: Precision Diagnosis and Treatment

TMJ arthroscopy is a minimally invasive procedure that allows your oral surgeon to view the joint directly using a small camera. Through tiny incisions, specialized instruments can be used to reposition the disc, remove adhesions, or smooth damaged joint surfaces.

Who may benefit from arthroscopy?

• Patients with internal joint derangement
• Ongoing pain or locking that hasn’t improved with arthrocentesis
• Those needing a more targeted approach without open surgery

Benefits

• Greater visibility of the joint
• More precise treatment than arthrocentesis
• Smaller incisions and faster healing compared to open-joint surgery

Open-Joint Surgery: For Complex or Severe TMJ Conditions

Open-joint surgery, also known as arthrotomy, is typically reserved for severe TMJ disorders when less invasive procedures are not effective. This approach allows direct access to the joint to repair, reposition, replace, or remove damaged structures.

Who may benefit from open-joint surgery?

• Patients with advanced joint degeneration or arthritis
• Structural abnormalities or tumors affecting the TMJ
• Persistent pain and dysfunction despite other treatments

• Comprehensive access to the joint
• Ability to address complex anatomical issues
• Long-term improvement for severe conditions

How Your Oral Surgeon Helps Determines the Right Option

Choosing the right TMJ procedure depends on several important factors that help your oral surgeon determine the most effective treatment for your specific condition. One key consideration is the severity and duration of your symptoms, as long-standing or worsening TMJ issues may require a more advanced approach.
 

Diagnostic imaging also plays a critical role in treatment planning. X-rays, CT scans, or MRIs allow your surgeon to closely evaluate the structure and function of the temporomandibular joint, identify inflammation or damage, and rule out underlying conditions that may be contributing to your symptoms.
 

Your jaw’s function and range of motion are also carefully assessed. Limited opening, locking, or abnormal movement patterns can provide valuable insight into the type of procedure that may offer the greatest relief.
 

Finally, your overall health and treatment history are taken into account to ensure that any recommended procedure is both safe and appropriate for you. At Oral Surgical Associates, your care begins with a comprehensive evaluation and a personalized treatment plan designed to relieve pain while preserving joint function whenever possible.
 

Take the Next Step at Oral Surgical Associates

TMJ disorders are not one-size-fits-all, and neither are their treatments. From minimally invasive arthrocentesis to advanced open-joint surgery, each procedure serves a specific purpose depending on your condition. Understanding your options empowers you to make informed decisions about your oral health and comfort.
 

If TMJ pain is interfering with your daily life, schedule a consultation with Oral Surgical Associate and learn which TMJ treatment option may be right for you. Visit our office in Missoula or Hamilton, Montana, or call (406) 282-8768 to book an appointment today.