Dr.David C. Hoffman - Oral & Maxillofacial Surgery School of Dentistry: NY Univ.- College of Dentistry Residency :Oral & Maxillofacial Surgery Univ. Texas Health Science Center Parkland Memorial Hospital
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TMJ Male1: Yes, there are a lot in the news. TMJ, what is TMJ? Male2: TMJ stands for Temporomandibular joint or your jaw joint. This is your jaw joint. And TMJ is a hostile symptom that describes problems related to the jaw joint, now they can be very simple where it could be like a strain or a stress or bruxism or grinding when the jaw joint hurts for a short period of time and less than relaxation, soft diet, bite place can work. On the other hand there could be some real problems with your jaw joint. Clearly you could break your jaw joint in an accident and that you would need some surgery. You can develop arthritis in the joint, couple of common arthritic diseases affects the joint more than others like rheumatoid arthritis can affect the joint, and lion’s disease can affect the joint. And juvenile arthritis which is arthritis that develops in kids can affect the joint and in that situation, you get the duration of the bone. Male1: Is there anything at all sorting can do to help ease a severe case? Male2: Well, oral surgeons can do a few things. The first line of defense, first line of treatment for TMJ problems generally is to treat these problems and make splints and can talk to the patient and give him some medication. When they need surgery there is a number of oral surgeons that can do surgery. Most people do not need surgery. And then (voice overlap). Male1: And there is something they can do? Male2: Yes, most surgeons, there are three types of TMJ surgery. There is arthroscopic surgery where you do just same like what they do with this arthroscope in the knee. They have a very fine arthroscope that you can put in the knee, in the joint and look around and do some surgery to that. You can make an incision and open the joint which is a very delicate surgery and try to treat the disease joint that way and there in that case is where the joints have bad, bad degenerative joint disease or fractures that did not heal right or another problem called ankylosis where the jaw joint fuses, you can remove all that and you can put a prosthetic joint and as a matter of fact that it is one of my major interest prosthetic joints. I have a patent on the prosthetic joint and just completing a new JFDA study for a prosthetic joint. There is not too many prosthetic joints that exist for the temporomandibular joint but that is a very rare finding where people need that kind of surgery and that is not what enough people do require it. And that is a really complex surgeon though--- Male1: Tell me about the risk, something that can be done about the severe case today. Male2: Yes, you know, in severe cases you can treat it, as a matter of fact I was featured on the discovery channel about four years ago on program called super surgeons and they did a very special variety on this kind of surgeries and my show is entitled unlocking the jaw where we followed two kids that are brought here from Dominican Republic whose jaw joint froze as a young child so that they joined the other group and they could not open it. And those are fairly complex surgeries that I worked with a different kind of team but now are the interesting pretty time to show that, I mean that show for the discovery channel. Male1: So there is a hope? (Video cut)

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