The temporomandibular joint (TMJ) plays a vital role in everyday activities such as chewing, talking, and yawning. When this joint becomes damaged or dysfunctional, it can lead to chronic pain and significant limitations in jaw movement. For patients with severe TMJ disorders, TMJ replacement surgery can provide life-changing relief and improved quality of life. At the Maxillo-Facial Surgery Institute in Irvine, our accomplished Oral and Maxillofacial Surgeons, Dr. Youn Sagong and Dr. Andrei Marechek, specialize in this complex yet transformative procedure.

Address: 17877 Von Karman Avenue, Suite 370, Irvine, CA 92614

Phone: (949) 818-3223

Understanding TMJ Disorders

The TMJ connects your jawbone to your skull and acts as a sliding hinge. Disorders affecting this joint are often referred to as temporomandibular disorders (TMD). These conditions can cause:

• Chronic jaw pain
• Headaches
• Difficulty opening or closing the mouth
• Clicking or popping sounds when moving the jaw
• Facial pain

While many TMJ disorders can be managed through conservative treatments like medication, physical therapy, and occlusal appliances, some cases are more severe and require surgical intervention.

What Is TMJ Replacement Surgery?

TMJ replacement, also known as total joint replacement, is a surgical procedure that involves removing the diseased or damaged components of the temporomandibular joint and replacing them with artificial implants. These custom-made prosthetics mimic the function of the natural joint, allowing for pain-free movement and improved jaw functionality.

When Is TMJ Replacement Needed?

TMJ replacement surgery is generally considered a last resort option for patients who have exhausted all other treatment modalities. Candidates for the procedure may experience:

• Severe arthritis of the TMJ (e.g., osteoarthritis, rheumatoid arthritis)
• Ankylosis (fusion of the joint, resulting in immobility)
• Severe trauma or fractures to the TMJ
• Congenital deformities impacting the joint
• Failed previous TMJ surgeries

Dr. Sagong and Dr. Marechek carefully evaluate each patient’s condition to determine whether TMJ replacement is the best course of action.

The TMJ Replacement Procedure

TMJ replacement surgery is a highly specialized procedure that requires the expertise of experienced oral and maxillofacial surgeons. Here is an overview of what to expect:

1. Pre-Surgical Evaluation

Before surgery, a comprehensive evaluation is conducted to assess the extent of the joint damage and determine the appropriate treatment plan. This process may include:

• 3D imaging (CT scans or MRI)
• A review of your medical history
• An assessment of jaw function
• Preoperative consultations with specialists, if needed

Dr. Youn Sagong and Dr. Andrei Marechek work closely with patients to ensure they fully understand the procedure and have realistic expectations about the outcome.

2. The Surgical Procedure

TMJ replacement surgery is typically performed under general anesthesia. The procedure involves:

• Making a precise incision to access the damaged TMJ
• Carefully removing the diseased joint components
• Custom-fitting and securing the prosthetic implants
• Ensuring proper alignment and range of motion before closing the incision

The surgery may take several hours, depending on the complexity of the case. The custom prosthetics are designed to replicate the natural anatomy of the joint, providing long-lasting function and stability.

3. Recovery and Rehabilitation

Recovery from TMJ replacement surgery requires a commitment to post-operative care and rehabilitation. Here are key aspects of the recovery process:

• Hospital Stay: Some patients may need to stay in the hospital for a few days following surgery.
• Pain Management: Medications are prescribed to manage pain and discomfort.
• Dietary Restrictions: A soft or liquid diet may be necessary during the initial healing phase.
• Physical Therapy: Rehabilitation exercises help restore strength and range of motion to the jaw.

Our team at the Maxillo-Facial Surgery Institute provides detailed post-operative instructions and support to ensure optimal recovery.

Benefits of TMJ Replacement

Patients who undergo TMJ replacement surgery often experience significant improvements, including:

• Pain Relief: One of the most immediate benefits is the alleviation of chronic jaw pain.
• Improved Jaw Function: Patients regain the ability to chew, speak, and yawn without discomfort.
• Enhanced Quality of Life: Relief from pain and improved jaw function lead to a better overall quality of life.
• Long-Term Durability: Modern prosthetic joints are designed to be durable and long-lasting.

Dr. Sagong and Dr. Marechek are committed to delivering exceptional surgical outcomes using the latest advancements in TMJ replacement technology.

Risks and Considerations

Like any surgical procedure, TMJ replacement carries potential risks. These may include:

• Infection
• Nerve damage
• Prosthetic wear or failure
• Need for additional surgeries

Our surgeons take every precaution to minimize these risks and ensure the safety and success of the procedure. A thorough discussion of potential risks and benefits is an essential part of the preoperative consultation.

Frequently Asked Questions (FAQ) About TMJ Replacement

1. How long does the recovery process take?

Recovery from TMJ replacement surgery can vary from person to person. Most patients can resume normal activities within 6-12 weeks, but full recovery may take several months, depending on the complexity of the case and adherence to rehabilitation protocols.

2. Will I need physical therapy after surgery?

Yes, physical therapy is a critical component of the recovery process. It helps restore jaw strength, mobility, and function. Your surgeon will develop a personalized rehabilitation plan tailored to your needs.

3. Are the prosthetic joints permanent?

TMJ prosthetics are designed to be durable and provide long-term function. While they are intended to last for many years, factors such as wear and tear or the progression of underlying conditions may necessitate future adjustments or replacements.

4. What can I eat after TMJ replacement surgery?

Immediately following surgery, patients are usually advised to follow a soft or liquid diet to prevent strain on the new joint. As healing progresses, you can gradually reintroduce solid foods. Your surgeon will provide detailed dietary guidelines.

5. Is TMJ replacement covered by insurance?

Insurance coverage for TMJ replacement surgery can vary. Our office staff at the Maxillo-Facial Surgery Institute is happy to assist you with verifying your benefits and understanding the financial aspects of your treatment.

Why Choose Maxillo-Facial Surgery Institute, Irvine?

At the Maxillo-Facial Surgery Institute, we are dedicated to providing top-tier care for patients suffering from TMJ disorders. Here’s what sets us apart:

• Expertise: Dr. Youn Sagong and Dr. Andrei Marechek are renowned for their expertise in oral and maxillofacial surgery, including complex TMJ procedures.
• State-of-the-art technology: We use advanced imaging and surgical techniques to ensure precision and optimal outcomes.
• Personalized Care: Our team takes the time to understand each patient’s unique needs and develop a customized treatment plan.
• Comprehensive Support: From your initial consultation to post-operative care, we are with you every step of the way.

Contact Us

If you are experiencing severe TMJ pain or dysfunction and would like to explore your treatment options, contact the Maxillo-Facial Surgery Institute in Irvine today. Our team is here to help you find relief and restore your quality of life.

Address: 17877 Von Karman Avenue, Suite 370, Irvine, CA 92614
Phone: (949) 818-3223