NuFace Hospital on February 14, 2025 Written by 
NextLevel Web Solution AgencyIf you’re dealing with severe jaw problems, you might have heard about open TMJ surgery. TMJ stands for temporomandibular joint, which is the hinge connecting your jaw to your skull. Sometimes, when this joint has serious issues, doctors might suggest open surgery. There are a lot of stories and myths around this type of surgery, so let’s clear up the confusion and get to the facts.
What is Open TMJ Surgery?
Unlike arthroscopy, which uses small cuts and a camera, open TMJ surgery involves making a larger cut to access the joint directly. This allows the surgeon to see the joint clearly and fix complex issues. It’s a bigger procedure, and it’s typically recommended for more severe conditions that can’t be fixed with less invasive methods.
Myth 1: “Open TMJ Surgery is Always the First Choice”
Many people think that if they have TMJ issues, they will need open surgery. But that’s not true. Doctors usually try other treatments first, like medication, physical therapy, or even arthroscopy. Open surgery is typically considered when these methods don’t work or when the problem is too complex for a less invasive approach.
- Fact: Open TMJ surgery is usually a last resort after other conservative treatments have failed.
Myth 2: “It is Extremely Risky”
Open surgery can sound scary because it’s a bigger procedure. While it’s true there are risks involved, like any surgery, these risks are manageable with an experienced surgical team. The chances of serious problems are low when the surgery is done by a skilled surgeon. Doctors are careful and take precautions to minimize these risks.
- Fact: Open TMJ surgery has risks, but they are manageable, and serious problems are not common with skilled surgeons.
Myth 3: “The Benefits Don’t Justify the Risks”
Some people might think the surgery’s risks outweigh the benefits. However, for the right cases, the benefits can be significant. Open TMJ surgery can help to:
- Repair severely damaged joints.
- Correct bone deformities.
- Remove tumors or growths in the joint. When these are the issues, the surgery can dramatically improve pain and function, making the risks worthwhile.
- Fact: For severe TMJ issues, the benefits of open surgery, such as improved pain and function, can be significant.
Myth 4: “Anyone with TMJ Problems is a Candidate”
Not everyone with TMJ issues is a good candidate for open surgery. It is important to find the right candidates for the surgery. The doctors will consider:
- How severe the pain is.
- The types of problems with the joint.
- If other treatments have been tried and failed. Open surgery is usually for specific types of severe conditions, not for every TMJ issue.
- Fact: Open surgery is only for specific, severe TMJ conditions, not for all TMJ issues.
Myth 5: “Recovery Takes Very Long and is Very Painful”
Recovery from open TMJ surgery is more involved than with arthroscopy, but it is not as bad as some stories make it out to be. You will have some pain and swelling after the surgery, but these are controlled with medication. The recovery period might be several weeks. The focus is on a safe and gradual return to normal function.
- Fact: Recovery is longer than with arthroscopy but can be managed with medication and proper care, and the pain will subside with time.
Myth 6: “Open TMJ Surgery is Always Successful”
Like any medical procedure, open TMJ surgery is not always successful. While it can offer significant relief for many, some people may still experience some pain or limitations afterward. Success also depends on various factors, including the individual’s condition, how well they follow post-operative care instructions, and the surgeon’s expertise.
- Fact: Surgery’s success depends on individual circumstances and adherence to post-operative care.
Myth 7: “You Will Always Have Big Scars”
While the cut for open surgery is bigger than with arthroscopy, surgeons try to minimize scarring. The scars often fade over time and may not be very noticeable. Proper wound care can help reduce visible scarring.
- Fact: Surgeons minimize scarring, and the scars usually fade over time.
Myth 8: “All TMJ Doctors Do Open Surgery the Same Way”
Different doctors may use slightly different methods for open TMJ surgery. It’s essential to go to a surgeon who has plenty of experience in open TMJ surgery. Always check the doctor’s credentials, experience, and success rates. This helps to make sure you are getting the best care.
- Fact: Surgical methods vary by surgeon, making it important to choose an experienced surgeon.
Myth 9: “Total Joint Replacement Is Always Needed with Open Surgery”
Not everyone who has open TMJ surgery will need a total joint replacement. Many open TMJ surgeries involve repairing the joint or correcting deformities. Replacement is only necessary in cases where the joint is severely damaged and can’t be fixed any other way.
- Fact: Total joint replacement is not always needed with open surgery and is usually for severely damaged joints.
Who is a Good Candidate for Open TMJ Surgery?
Open TMJ surgery is usually for people who have:
- Severe pain that has not been relieved by other treatments.
- Significant structural damage to the joint.
- Bone deformities or tumors in the joint.
- When less invasive procedures, like arthroscopy, are not suitable.
What to Do if You Think You Need Open TMJ Surgery
If you are having severe TMJ problems, the first thing to do is to consult a doctor. After an examination and evaluation, they can tell you if open surgery is the right choice for you. They will also talk with you about the risks, benefits, and what to expect during recovery.
Conclusion
Open TMJ surgery is a serious procedure that can be very effective in treating severe TMJ problems. By separating fact from fiction, you can make a more informed decision about whether it’s right for you. Always consult with your doctor to discuss your unique situation and treatment options. Do not let the myths scare you unnecessarily.
If you have questions about TMJ issues or treatments, please consult with a qualified healthcare professional. This blog is just for informational purposes and does not provide medical advice.
