TMJ disorder improval after jaw surgery ?

[Framboise]

Hi Rico

Thank you for your advice. In France, GNM dentists don't exist (neither oral surgeons specializing in TMJD... I hate my country more and more...)

Have you find some relief with your therapy ?

Such an investment !

[Rico]

oral surgery is not specialised in  TMJD
perhaps in next 50 - 100y

what we can do is to put jaw in proper position by special splint
but it's not easy

[Framboise]

I feel my upper jaw has collapsed, especially at the back and my lower jaw is way too low at the back.
How can a splint can correct this ?

I have two solutions to replace my mandibule in the right height : grinding my teeth or posterior impaction (clockwise rotation maybe ?)

[zygotic]

I would be interested to know this too. I have TMJ disorder / condylar resporption and think it has something to do with my steep occlusal plane and canted maxilla.

[Framboise]

I found a nice slide share about condylar resorption and TMJ disease..... but it's in french.
It is written by Dr Chamberland a Quebecker orthodontist. He mentions Arnett, Gunson and Wolford's works.
I'll try to find an english version.

https://www.slideshare.net/sylvainchamberland/rsorption-condylienneidiopathic-condylar-resorptiontmj-arthrosis?qid=eebeacba-5c44-4409-9498-4a8c82373e1e&v=&b=&from_search=2

[Framboise]

I had and answer from an orthodontist, and a BSSO can relieve the tension in the TMJ.

[Icy]

I had and answer from an orthodontist, and a BSSO can relieve the tension in the TMJ.

I'd take that recommendation with a pinch of salt. I had an excellent result from BSSO and Lefort 1. However, my jaw pain briefly improved, and then doubled what it was before. My mobility in the joints is bad too. It's far worse now than it was before the surgery, as I only had pain on the right, now I have pain on the left too.

I don't regret the operation, it helped me a great deal and reduced my tension headaches as well as improving my face and bite, but do be careful of blindly trusting recommendations that it will help your joints, as this is not guaranteed to be true. 

[Framboise]

Thank you Icy for your answer.
The Dr insists on the CAUSE of TMJ disorder, as Kavan. If the pain is caused by a compression, the BSSO will help. But if there is arthritis, it won't be the same.
For my part, the cause is still not established.

What have triggered your pain ? You have it before surgery, was it arthritis ?

[Icy]

Thank you Icy for your answer.
The Dr insists on the CAUSE of TMJ disorder, as Kavan. If the pain is caused by a compression, the BSSO will help. But if there is arthritis, it won't be the same.
For my part, the cause is still not established.

What have triggered your pain ? You have it before surgery, was it arthritis ?

Hi Framboise, no problem. I have/had a deranged TMJ disc on the right hand side, with degeneration of both discs present. It's hard to say if the pain is muscular or all to do with the displaced disc. I now have clicking and pain with limited jaw mobility, before the surgery I had limited jaw mobility and pain, but less constant than it is now. The pain was triggered by my facial asymmetry and the resulting dislocation of my disc. I also have extra bone in the joint that is preventing the disc from returning to its correct place.

[mike888miller]

i am shocked at how little consideration some drs put into the potentially life changing potural improvements a well planed out surgery can facilitate.

i am working on this and have to do a lot of hand holding which is a bit scary to be honest

[Framboise]

I've always had an asymetry but it as never led to TMJ pain..... until my upper WT extractions 

The orthodontist told me that the remodelling (reshaping) of the articulations, nor the possible luxations, contraindicate a surgery.

I'm tired of having different point of views and diagnosis.