Medical Questions > Conditions and Diseases > TMJ Forum

repeat bilateral arthrocentesis ?

Hi Everyone,

I'm new to this forum, but not to TMJ.
I had my wisdom teeth removed in 2000, and have been living with a semi-dislocated jaw since.
I saw an oral surgeon in 2006 who performed a bilateral arthrocentesis on me in that same year. It was tender for a few months, but then I had no problems during 2007. Unfortunately it's now starting to act up again. I'm thinking it's almost about time to visit my oral surgeon again and see if he thinks its appropriate to perform another arthrocentesis.

I'm just not sure if I should bother yet. The muscles in my face are getting sore as well as the jaw itself, but I'm experiencing no locking this time, and I still have full range of motion.

Would anyone have any suggestions for me? I'm also due for a trip to the dentist, but I've been putting it off because I know I can't handle having my mouth open for that length of time.

Thanks
Mel.
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replied February 19th, 2008
Extremely eHealthy
I think you could put it off for a while. id get in to the dentist but let him know that you need a break every so often and then remind him when you need a break


have you been being treated for tmd during this good time at all?
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replied February 24th, 2008
No, I haven't been treated during the good time. My OMS suggested a new splint (which I agree with), but I just could not afford it at the time. Now I still can't afford it, but I know that there is no point in going back to see him unless I'm ready and prepared for the arthrocentesis or the splint. Also, from what he was saying to me last year, it sounds like the splint will cost more than the procedure.

I guess I can hold out a bit longer, and yes, I know I really have to get myself to the dentist.
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replied February 25th, 2008
Extremely eHealthy
Well dont push your self to put it off for too long. hang in there. and let me k now if i can do anyting for you.
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replied October 20th, 2009
I am wating to have arthiosentesis on my jaw in Halifax is there any sideeffects to the cortersteriods they inject in you and I am very worried it will cause weight gain is this a sideeffect? please help me to understand what the procedure is about ,how long it takes ,will I have general anthestic
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replied October 20th, 2009
My problems this time around weren't actually to do with the joint, it was all muscular, and still is.

The procedure takes around 15 minutes (per joint) so half hour if you have both done. They'll put you under with "twilight sleep", so your not technically under, you're just asleep. I didn't really have any side effects with mine. I was groggy from the twilight sleep, and in a bit of pain, but that only lasted for a few days.

From what I understand, they insert the needles into the joint to clear out the scar tissue and then manipulate your jaw to unlock it and help you get a greater range of motion. This isn't successful for everyone, but it was for me.

Good luck.
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replied March 22nd, 2011
New to This
This is the first site I have found where someone else has jaw problems from a wisdom tooth extraction. I had my wisdom teeth taken out in October of 2009 and since then I have seen a dozen doctors, had MRI's, CT scans, physical therapy, and still have jaw problems and referred ear pain. I'm taking 150 mg of Tramadol daily to control the pain right now, but that isn't a solution, it's a band-aid.

I'm 26 and this is seriously starting to impact my life. I can't be on pain killers when I'm pregnant (which I would like to start trying in the next few years) and I'm worried about getting cortisone injections every 6 months to control the pain. I had a bilateral steroid injection last March and it lasted about 7 months, but I was back to square one after that.

Any suggestions???

If anything, it just feels good to know that someone else is going through this.

Sydney
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replied April 26th, 2011
SydneyK there is a department at the dental hospital at westmead hospital that specialises in mouth and jaw pain. maybe try there as they will treat the problem not just give you pain killers.
good luck
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replied April 26th, 2011
SydneyK there is a department at the dental hospital at westmead hospital that specialises in mouth and jaw pain. maybe try there as they will treat the problem not just give you pain killers.
good luck
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replied December 8th, 2009
TMJ
I've had TMJ since having my wisdom teeth removed nearly two years ago. I would try everything non-invasive first (splints, amitryptiline at night, soft diet & nurofen/paracetamol when necessary) and try not to have surgery because once you are on the surgical merry-go-round it's hard to get off. I think you are your best doctor so don't let the doctors push you into have surgery. If you have some jaw movement and are not in too much pain just stick with it! (My sadness is not being able to bite on an apple or carrott ever again)
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replied April 2nd, 2010
tmj arthrocentesis
hi all,
i had the bilateral tmj arthrocentesis on 23rd march
i cannot open my mouth well on left side,cannot chew and have pain most mornings.

i have felt dreadful since the operation and am told that this can last for at least 6 weeks before i may feel any benefit if any.

i was having severe locking and discomfort pre op and dreadful loud clicking,sometimes locking during the day.

i feel fed up as the problem has got worse rather than better!!

any help??

thanks

vicky
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replied April 5th, 2010
Vickey how have you been doing since your last post? Any better?
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replied February 28th, 2012
Hi Vicky,

I am in the exact same position as you! I Had my bilateral TMJ arthocentesis just before xmas 2011 and I was told that in 6 weeks I should have more movement and feel less pain. Straight after my surgery I was feeling ok, because I couldn't really open my jaw so I felt as though it wasn't affecting me as much anymore. Two weeks ago my jaw on my right side has suddenly started to really hurt. I struggle to open my mouth, it gets tighter when I eat and yawning is an absolute nightmare. If anyone has any suggestions as to what I can do to move past this it would be much appreciated.

Thanks
Marnie
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