Internal derangement of TMJ: Etiology & Management- Arthrocentesis, Arthroscopy, Condylectomy

Internal derangement of TMJ is a disruption of the internal aspects of the TMJ, in which an abnormal relationship exists between the disc and the condyle, glenoid fossa and articular eminence. Trauma is the most common cause. Types of trauma can be macrotrauma, microtrauma and indirect trauma. Management of ID of TMJ involve conservative measures for stages I-III and surgical intervention for the latter stages. Medication and physiotherapy are quite helpful in relieve pain and increasing the range of motion of the joint. Other modes of management are Arthrocentesis, Arthroscopy, Disecectomy, Eminectomy, Condylar shave and ultimately total joint replacement.

[@syedshayan8396]

Awesome...very interesting

[@Rob-bq6ek]

I went to a PT that was certified in treating TMJ with dry needling. I was treated with dry needling along with stretches and exercises. I had an acute issue with TMJ after a wisdom tooth extraction. Unfortunately, oral surgeons and dentists have their ways to treat which can be more invasive, expensive and time consuming. But, thankfully, I found a PT that had a better modality of treatment for me.

[@PriyankaGupta-bk6xr]

Fabulous explanation

[@Relesy]

What about stem cells into the pterygoids, retrodiscal tissue, or other ligaments using ultrasound guidance?

[@jeanrhodes8181]

chewing gum did me in.

[@valeriewadyko3025]

So does playing clarinet.

[@Gratefulskanda]

Braces cause tmd

[@mv8908]

I never used braces and I have very bad tmjd almost left me disabled. Prolotherapy helped me