TMJ Arthroscopy
If you are struggling with temporomandibular joint (TMJ) disorder, we can help. A TMJ arthroscopy gives a detailed view inside your jaw joint via keyhole surgery, for greater accuracy in diagnosis without the need for large cuts or scarring. Book your consultation today.
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What is a TMJ arthroscopy?
If you are suffering from problems with your jaw joint and non-surgical treatment has failed to show an improvement, an arthroscopy is often the next step. It allows us to see inside your jaw joint via keyhole surgery, so only small incisions are necessary. A tiny camera is inserted to give us a detailed view of the problem, and in some cases we can even provide treatment at the same time.
There are three levels of TMJ arthroscopy, depending on the complexity of your case.
Level I arthroscopy is a basic diagnostic and therapeutic procedure, used to assess damage and inflammation and plan future treatment for the best outcome. Jaw movement exercises are usually required following the procedure.
Level II arthroscopy takes slightly longer and involves an additional incision to give greater depth and dexterity. During the procedure, we can perform a biopsy, administer medication directly into the joint, and remove unhealthy tissue using a technique known as coblation.
Level III arthroscopy can be used to treat TMJ disc displacement and address clicking, restricted movement, and pain without the need for open surgery. It offers fewer complications, reduced scarring and a faster recovery time. Our Oral & Maxillofacial Surgeon, Luke Cascarini, was the first surgeon in the UK to carry out a level III jaw arthroscopy. It is often combined with laser therapy or coblation techniques.
What does a jaw joint arthroscopy procedure involve?
Consultation
During a detailed consultation, we discuss the joint jaw arthroscopy procedure with you in detail, letting you know what to expect. A TMJ arthroscopy is usually considered a last resort after other treatments have not relieved your symptoms. We explain this next stage and give you the chance to ask any questions.
Arthroscopy treatment
During the arthroscopy, you are under general anaesthetic to ensure your muscles are completely relaxed. We insert a tiny 1.9mm camera through a small incision made in front of your ear. This enables us to examine your jaw joint in detail, looking for damage and inflammation.
Arthrocentesis
In some cases, we can combine the arthroscopy with a joint wash called arthrocentesis. This helps to break down any debris or inflammation that might be irritating or damaging your jaw joint.
Recovery
TMJ arthroscopy is considered minimally invasive and a minor surgical procedure. This means you can usually go home on the day of surgery to recover in your familiar surroundings.
Frequently Asked Questions
The TMJ arthroscopy is performed while you are under general anaesthetic, so you will not be conscious and won’t be able to feel any pain. After the procedure, you will feel some pain and discomfort, but will be given medication and advice to manage this.
A jaw joint arthroscopy is a surgical procedure, so does come with some risks, but these are rare. There is a less than 1% chance of injury of one of the small branches of the facial nerve, which could lead to partial weakness. We discuss the risks with you before you consent to surgery.
After your arthroscopy, we give you some tailored advice for the best recovery. It is important to rest and follow our advice so you can return to your normal daily life and routines as soon as possible. You also need to keep up with your jaw movement exercises as set.
Jaw joint arthroscopy is a minor surgical procedure, so is usually completed as a day case. You will likely be able to go home on the same day after a short recovery time in hospital. Once at home, you can contact us at the clinic if you have any questions or concerns.
It is best to stick to eating softer foods while you recover from your jaw joint arthroscopy. At your follow-up appointment, we will assess your recovery and let you know when you will be able to start eating normally again.
TMJ arthroscopy can be a very successful treatment for TMJ disorder, with success rates up to 90%. We discuss your specific case and the success rates for you at your consultation.
