Temporomandibular arthroplasty

Open-joint arthroplasty is surgery to repair, reposition, replace, or remove parts in a joint. When used to treat temporomandibular disorder (TMD), this usually involves the articular disc that cushions the jaw joint.

During open-joint arthroplasty of the jaw, an incision is made in the skin to expose the jaw joint. The surgeon may repair, reposition, or replace the disc with your own tissue or an artificial disc. Scar tissue or bony growths in the jaw joint can also be removed.

Open-joint arthroplasty is done under general anesthesia. You can normally expect to go home the same day.

When jaw joint movement cannot be regained because the disc has changed too much or the joint has broken down, the surgeon may need to remove the disc (discectomy) and replace it with an artificial disc.

Open-joint arthroplasty is used when:

• There are bony growths within the jaw joint. Such growths are hard to reach with arthroscopic methods.
• Complications from a previous surgery occur, such as the failure of an artificial joint replacement.
• The joint is fused together by bony growth (ankylosis).
• The joint is not accessible with arthroscopic surgery.

Disc repositioning surgery can relieve pain and improve jaw function. This surgery has good results most of the time.