Webinar: Jaw (TMJ) Replacement Surgery - Risks and Complications

[@Mrsblackskies]

Finally had an appointment with Dr. Warburton, he's extremely nice and knowledgeable, just one appointment and all my questions have been answered, I'm looking at some major open surgeries but I am in good hands!

[@hitzoneproductions7858]

Hi, Where is he located?

[@Mrsblackskies]

@@hitzoneproductions7858 I made an appointment with him at the School of Dentistry in Baltimore Maryland

[@hitzoneproductions7858]

@@Mrsblackskies Thank you. Does he take insurance? Did you decide to do surgery with him? How you been feeling?

[@Mrsblackskies]

@@hitzoneproductions7858 He does take insurance and yes I will be going under surgery with him, the rest is private though 😊

[@hitzoneproductions7858]

@@Mrsblackskies Thank you and best of luck to you.

[@reiharashima4200]

I wish that these doctors were here to explain the procedure and complications when I had my tmj replacement. My surgery went well and I am 2 weeks post op but my doctor lacked these explanations and I was scared when I couldn’t move my right side of my face. I still have paralysis on the right side which is stressful but I am recovering pretty well.

[@OS.Clinic]

We are glad to know you are recovering well.

[@shirekabrownteague6297]

Wow! This just gave me so many questions to ask my Dr. before my surgery next month. Thank you.

[@hitzoneproductions7858]

Hi, How are you? Are you from Florida as well? What surgery are you having if you don't mind me asking?

[@shirekabrownteague6297]

@@hitzoneproductions7858 hi. I'm from Atlanta .total joint replacement

[@Followerofchrist2091]

I got TMJ in 7th grade.. I remember the day it first popped etc. it was after I got braces off and all that jaw shifting. Now in college and it still bothers me, not physically but it’s annoying that it pops out and in and out of place etc.. it doesn’t hurt but if it’s a lot and consistent it’ll hurt and my jaw has locked before..

[@justinkunimoto8736]

Please read my recent comment! I also have TMJ (for two years now) and think I found something that really helps!

[@ssharma861]

It’s not TMJ, it’s TMD

[@aliciahill1459]

My dad has bone on bone TMJ. His teeth breaking off to the gums. Agent Orange is the culprit. We like in Southern Georgia 🇺🇸. The military has only given him 80%. So we are stuck. 37+ years he gave in service in the Protection of our country, and the VA Won’t help. He has had CTs X-rays MRI and Therapy. But you can still hear him across the dining room table. His pain is also growing more each day. Wish there was someone that could help…

[@OS.Clinic]

We are sorry to hear what your father is going through. Kindly email us at [e-mail] for any queries or support.

[@sarebear5185]

Having had a rare Chondroblastoma tumor of the TMJ, I can really appreciate the thorough description you both give regarding what to expect with jaw surgery. I am 16 years post surgery, and hope all continues to go well.

[@OS.Clinic]

We wish you all the best.

[@coreywhite2538]

I just wanted to say thank you for posting the video answering some questions. I’m a 37yr old female who struggled with tmj problems since I was a child, so On June 5th I had bilateral total joint replacement at The University of Miami Hospital , needless to say it’s been a tough ride and trying to find videos of others who’ve gone through it or even what’s to be expected after surgery, is few and far between. I am one of the small percentage that lost functionality of the left eyebrow and I’ve had a lot of pain all around the eye socket, would you possibly be able to tell me if this is a normal pain? When I asked the surgeon he had said it was Not normal, but I thought I’d ask if you’ve heard of a patient complaining of pain in that area. I know I’m only at about 6 weeks post operative, but I’ve been worried about the left side, in fact all the way down my ear to the jaw line is in pain but the right side is doing fantastic...perhaps that’s why I’m a bit more worried, with one side being great from surgery and the other causing a great deal of discomfort. Some of the left side pain is in the temple area, usually starting in the later afternoon, it feels as though a knot is being pulled tight around the area and it’s absolutely relentless! Hope I didn’t talk your ear off, as I’ve felt quite alone in this journey, I just thought it would be nice to hear from another surgeon familiar with the procedure. Thank you for your time, I truly appreciate it! Corey W Palm Beach, Fl

[@justinkunimoto8736]

Please read my recent comment! I also have TMJ (for two years now) and think I found something that really helps!

[@AnthonySanchez1]

What about mobility? Have you lost side to side mobility?

[@k.elizabeth4013]

I hope your issues have subsided. I too am from FL but had my bilateral joint replacements & revision done out of state- had to fly to Dallas. The healing would probably would have gone a bit better had the mentioned risk factors not been the case-especially prior failed bilateral LeForte 1 osteomies. Just as these surgeons state, finding the correct surgeon & asking every question, reading up on any of their publications, is the lesson I try to tell others considering any oral surgery, but especially this procedure. I waited/avoided the necessary revision while pain levels increased. There were about 9 procedures required w/ bilateral jaw joint replacements which took 16 hours. 3 years later I still have weakness in my lower right lip. I lost cold/hot sensitivity in the lower lip and chin. Both ears and joint area are numb, I still haven’t gotten used to that. Part of my scalp on the right side was completely numb for the first couple years and has come back. The facial nerve branch discussed in this video really helped me to understand why certain things are still numb and may or may not return. I had about 40 prior screws & bone plates with 15 years of bone growth (in addition to the joint replacements) to be removed all during the same procedure, which is partly why the surgery was 16 hours. I hope that your eye is better- I still have trouble with my right eyebrow, which is delayed in responding as is the right side of my mouth. Thank you for sharing your experience. I definitely could relate to the lack of eye and eyebrow movement. Pretty sure I wore an eye patch for a year.

[@coreywhite2538]

@@AnthonySanchez1 I did lose side to side mobility, it’s extremely minimal to what I can do, for example, trying to use my tongue to get something out of my teeth. This month marks one year from my surgery and I try to move my mouth around as much as possible but I can tell the joints just aren’t built that way. However, I can now say (after almost 8 straight months of pain) that it was really worth it!!

[@coreywhite2538]

@@k.elizabeth4013 wow, you have been thru quite an ordeal! My eyebrow finally regained movement about 7mths after the surgery. I still have facial numbness and tingling by my ears and the nerves shoot directly to the corners of my mouth. I also still have this sensation when I eat or drink anything with flavor it’s as though I’m biting into a hundred lemons, my whole mouth contracts as if it’s sour but after a couple bites or drinks, it’s normal - but it’s still really bizarre. I agree when you said the facial nerve beach discussed by the doctors in this video helped, it did for me as well. I do hope that you get the feeling back in your ears also, mine are just still a bit numb on my face, directly next to my ears and I still have pain in my temples and the end of the day. Thank you for writing in here, it’s really nice to be able to talk to someone who’s gone thru something similar, although I believe you’ve had it a lot more rough than I have and I truly hope you’re getting better every day! 🤗

[@soft_threads]

I too have a TMJ / TMD problem on both the jaw joints since more than 6 years now and I have had an arthroplasty surgery for left side of my jaw joint in the year 2015 13th of July but unfortunately it did not helped me with pain and started having the same issues I had before the surgery I saw several tmj surgeon almost I guess 9 surgeons in total including Dr Gary Warburton when he came to India Mumbai for a seminar in D.Y. Patil dental college I met him there and almost everyone said that I need a total joint replacement surgery for both my jaw joints but those questions that the doctors answered the one which is most concerning to my parents is that for how long will the joints last and will I to get resurgery and also the nerve that tackles sensation and feeling on my face will it be possible for it to come back or will it be gone forever and after watching this video almost all my questions are cleared and will share this video with my parents thank you so much for your sharing this video it is the most helpful one lots of love from India Mumbai 🥰😘❤️

[@gayepietrocola8042]

This is an excellent video. I saw Dr. Warburton back in 2019 and was supposed to go back for a follow up in a year. Due to covid, it didn’t happen. Unfortunately, I now have the bony growth over my previous implant and need two surgeries to fix it. One to take out the implant and put in a spacer. Then to come back for the custom joint replacement. Frightening! But this video really helped.

[@OS.Clinic]

Thank you.

[@nynkefeenstra9986]

I had a TMJ replacement surgery. No more pain.

[@siennah1492]

I’ve been struggling with what I thought was tmj for over 6 years. Recently I found out through a specialist that it wasn’t tmj and it was actually a joint deformity. My joints on both sides are apparently smaller than average which causes me lots of pain and discomfort. My jaw has locked for months at a time, to the point where I can’t even put my pinky finger in my mouth. Eating can be a big challenge when my jaw locks like that. I’ve been told there’s nothing I or anyone can do for my jaw and that it’s just something I have to manage for the rest of my life. I’ve been to 2 specialist who recommended me not getting this surgery, if absolutely needed later in life would be better. Probably cause I’m still young. It’s challenging dealing with pain every day sometimes but I’ve learned how to ignore it. The only thing that has ever helped me deal with the constant discomfort (besides medication) has been peppermint oil. I’m not sure exactly why this helps but it has helped me. I’ve looked a lot on the internet for ways to manage my issue or just help ease the discomfort. Nothing has ever worked for me besides peppermint oil. It doesn’t fully get rid of my pain but it helps ease it.

[@OS.Clinic]

We are sorry to hear about your condition. Please email Mr. Luke Cascarini for an appointment [e-mail] Best Regards.

[@carolynagarcia7326]

How much is the surgery? I’ve been to two different dentists they can’t treat it properly…. I wanted to get surgery but I know I can’t afford it My other dentist said I’ll have to learn how to live with the clicking but my head is about to explode every single day It affected my mental health so much I hate this problem … sometimes I just wanna give up so I don’t have this constant pain and have a rest

[@OS.Clinic]

We are sorry to learn what you are going through. Please contact Mr Luke Cascarini at [phone]‬ or [e-mail] for further details and treatment options. Thank you.

[@lindazjunk]

Is there any information available for TMJ surgeons (with this speciality) on the West Coast? @ Stanford? UCSF? Do you have recommendations for counterparts on the West Coast? I can't seem to find anyone with your caliber on this side of the country....

[@TheAmbassador1234]

UCSF has the highest volume for TMJ replacement in Northern California from what I know

[@lindazjunk]

@@TheAmbassador1234 But, the spectrum of tmj work is all over. Some doctors don't do joint replacement, only oral surgery... and still fall under tmj surgeon. I'm trying to find the exact same in this video, and having trouble.

[@TheAmbassador1234]

@@lindazjunk That is what I meant when I said "TMJ replacement"....oral and maxillofacial surgeons at UCSF do quite a bit of joint replacements

[@lindazjunk]

@@TheAmbassador1234 great! I'll give them a call. Ty

[@christinadavenport5822]

Dr. Eric Baker in Dana Point (orange county)

[@muhammadkhattak4602]

Excellent talk on tmj replacement surgery. thanks for the knowledge delivered to the surgeons like us.i would be really grateful if u share the vedio of ur surgical case.it would benifit the surgeons like me who would provide this service to the pt. in future. thanks alot sir

[@justinkunimoto8736]

Please read my recent comment! I also have TMJ (for two years now) and think I found something that really helps!

[@michaelelkins1074]

I will be 74 years old woman when this surgery will be done. How important is my age going to play? My health is normal for that age group.

[@OS.Clinic]

Thank you for reaching out to Mr. Luke Cascarini. For any queries or consultations please email [e-mail] Best Regards

[@mleblanc307seaglass6]

I am scheduled July 23/2021 .. sever osteoarthritis on left side .. and mild on right so tired of being in pain ..

[@drey8542]

Hi, what are your symptoms

[@nefeteraroberts8460]

I see specalist Tuesday iam in painnnnn

[@Vincentmendez91]

Can we get any post op surgery information? Why post this if you aren’t going to follow up?

[@jessicakerr1524]

I have had double tmj replacement, even after 7.5 ish hours of work, 2 surgeons working together to get it done I felt better the next morning than I ever did as both sides of my saw would dislocated. I was supposed to be I hospital for 3-5 days. But I got released the next afternoon. My surgeon also did plastic surgery, so you can hardly see the scars.

[@jessicakerr1524]

I also suffer from a severe case elhers-danlos.

[@gaben1730]

Very informative thanks doctors

[@_jmeg_3436]

Can you test for Nickel and Chromium allergy pre-op?

[@OS.Clinic]

Please contact Mr Luke Cascarini at [phone]‬ or [e-mail]

[@ssharma861]

When does it get infected??? And boney over growth?? When do u typically see that, if it happens?? Loosing????!!! I have had many nightmares about teeth falling out. But jaw falling out, is a new one 😵‍💫

[@OS.Clinic]

If an infection occurs, you'd see it in the first 48 hours. Of course, our team will be on hand to help with this in the rare case it happens. Please get in touch to find out more: [phone]‬ / [e-mail]

[@davidosteen5002]

thanks, I have 2 different recommendations from 2 oral surgeons. One says replacement surgery will help. insurance approved the operation and he is ready to schedule. Other one says do Neck surgery first, since I have large bone spurs and compression from C2 to C4 which can be causing jaw pain and below ear pain. will have to get 3rd opinion to break the tie

[@mausambaral5197]

Good Luck

[@holdemnfoldemman4407]

gl tmj is terrible my face behind my noise gums is like some put a grenade of in my mouth not pain it the pressure I cant take I also have whut feels like a pintched nerve on the bottom spinal cord of my neck I also have all the kowen symtoms all this frome both bottom wisdome teeth infection and it got worse after hime prying on them for way over a hour gl ppl

[@justinkunimoto8736]

Please read my recent comment! I also have TMJ (for two years now) and think I found something that really helps!

[@hathortheshapeshifter]

I should move back to the UK have u guys break my face

[@justinkunimoto8736]

Please read my recent comment! I also have TMJ (for two years now) and think I found something that really helps!

[@Sunshine-vz2on]

Also are ears likely to be damaged by this surgery? Eustschian tube/ hearing?

[@Sunshine-vz2on]

What is Approx cost for double jaw surgery and / or TJR with you?

[@My03Tundra]

There is some irony to the neurology referral, as I’m on both of the drugs mentioned.

[@hitzoneproductions7858]

Same. Are they helping?

[@My03Tundra]

@@hitzoneproductions7858 yes.

[@hitzoneproductions7858]

@@My03Tundra Thank God! How's your TMJs been treating you?

[@My03Tundra]

@@hitzoneproductions7858 Meh. The lower splint I was given for round-the-clock wear causes excess saliva production, which only triggers my gastroparesIs stomach to bring it and whatever else that wants to come along back up. I wore it for about a week plus, and it was making me feel rougher during the day because of this. Now, I am still trying it out at night, though and it does help.

[@kiarafeaster4149]

My surgery is in June my pre op is Thursday April 14

[@OS.Clinic]

Wishing you all the best

[@kiarafeaster4149]

@@OS.Clinic thanks

[@jeannetteperalta6449]

I was diagnosed with tmj last year I've been in so much pain the past month can't open my mouth much do I go to my dentist or to my doctor

[@OS.Clinic]

We are sorry to hear about your condition. You need to see an Oral and Maxillofacial Surgeon who deals with TMJ issues. For appointments with Mr. Luke Cascarini please email at [e-mail]

[@namitabhagat5196]

Dear sir I'm not comfortable with this joint it's very irritated.. I want to remove my prosthetic or joint... Can i bite food after removal of joints?

[@OS.Clinic]

Mr. Luke Cascarini needs to assess you to give any recommendation. Please email him at [e-mail] for an appointment or further queries.

[@ssharma861]

How much does a double jaw cost??

[@OS.Clinic]

Hi there, thanks for getting in touch! Mr Cascarini's fee for a double jaw will typically cost around £15K (this does not include hospital fees etc). Please contact us to inquire further: [phone]‬ / [e-mail]

[@namitabhagat5196]

Dear sir tmj replacement was my 6th surgery... After this I have lot of problem with function as chewing food speaking because of no movement in lower jaw.. Sir my surgery was done by Dr Pramod Subhash... Sir i made a very big mistake... Sir i want to do suicide... I crying always..

[@OS.Clinic]

We are so sorry to hear about your experience. Please email Mr. Luke Cascarini at [e-mail] for an online or face 2 face consultation.

[@missmar5948]

😭😭😭😭