TMJ Disorder Treatment in Mumbai India

Temporomandibular Joint TMJ Disorder is a lifestyle modulating disorder. Patients having this disorder go through a lot of pain, discomfort and restriction in the joint movement in day to day life.

There are times when the patient is aware of the pain and discomfort but the diagnosis is not made on time, sometimes if the diagnosis is made the appropriate treatment is not started on time. 

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These patients are passed on from doctors to doctors in search of an appropriate treatment. As TMJ Disorder is a complex disorder requires right intervention in the right stage of the TMJ Disorder Temporomandibular Joint Disorders (TMD) is a very broad term in medical practice, it is a multifactorial disorder that may include joint, muscles and surrounding bone structures.

Okeson(1996) described it as number of clinical problems that involve the muscles of mastication and the temporomandibular joint (TMJ Disorder), and its associated structures. Most patients with TMD come with a chief complaint of PAIN, Sometimes the patient does not feel Pain, but that does not mean that there is no damage in the Joint as clicking and Popping still persists. TMD when left untreated takes the shape of ORO FACIAL PAIN DISORDER.

Dr. Tofiq Bohra

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Signs of TMJ Disorders

Majority problems happening in the TM Joint are on account of the Articular Disc positioned between the bones of the Joint. The position of the Disc and the physical condition of the Articular Disc are the deciding factors for planning appropriate treatment plan.

However most of the treatments in the initial stages of TMD are treated using nonsurgical conservative methods, it is important to understand which stage of TMD is the patient in at the moment.

Dr. Tofiq Bohra has dedicated his years of practice in surgically treating TM Joint problems using TMJ Arthroscopy (Diagnostic as well as Therapeutic), Open Joint Surgery and Total Joint replacement. He has performed over more than 100 TMJ surgeries with a very high success rate with a patient centric treatment plan.

He is Formally Trained by completing his TMJ Mini Residency from The University of Maryland, USA, for 1 year and also has attended various other TMJ Residency Programmes. He also holds special interest and experience in the subject of Juvenile Idiopathic Arthritis (JIA).

What is Juvenile Idiopathic Arthritis?

TMJ arthritis in children with chronic arthritis was first reported by Dr Still . Although TMJ arthritis in JIA is frequently asymptomatic, the TMJ is particularly susceptible to damage from arthritis due to its unique anatomy and biochemical composition.

Mandibular growth occurs within this center from the prenatal period until just after puberty, and damage to the growth center due to inflammation or trauma during this time period frequently results in alterations in mandibular growth.

In patients with JIA, unilateral TMJ involvement can lead to facial asymmetry, and bilateral involvement can lead to retrognathia, the so-called bird- face appearance. Any change in mandibular growth can lead to orofacial signs and symptoms, changes in bite, and therefore, functional and esthetic problems.

Surgical options

TMJ Arthroscopy

It is the most recent advancement in the field of minimally invasive TMJ surgery. This procedure does not involve any incisions on the face and it can be performed under LA or GA, and is a safe and a precise procedure with minimal downtime for the patient. It does not involve any Scars on the Face.

Arthroscopy is considered as a superior procedure to arthrocentesis and can be performed in two ways diagnostic arthroscopy or therapeutic arthroscopy; many TMJ surgeons have now started performing diagnostic arthroscopy substituting it for an MRI of the joint as the surgeon has a real time information about the joint and simultaneously can also perform a procedure if he/she wants.

Therapeutic arthroscopy involves standard procedures that involve inspection, lavage, excision of fibrous bands and various disc repositioning procedures within the joint, a surgeon can also take biopsy of a suspicious structure inside the joint.

Majority of the TMJ issues arise because of an anterior disc displacement in the TMJ, these disc repositioning procedure can be performed conveniently using arthroscopy. TMJ Arthroscopy is Divided in levels, i.e. Level 1 Arthroscopy, Level 2 Arthroscopy and Level 3 Arthroscopy. Dr Tofiq Bohra is among the first few Maxillofacial Surgeons.

  • TMJ Arthrocentesis 

    This is a procedure that bridges the gap between surgical and conservative TMJ treatment options. When all conservative methods of treating TMD are performed and remain unsuccessful for more than 6 months it is required to consider more invasive options depending on the clinical and radiological evidence. Arthrocentesis is a procedure that involves blind lavage of the joint with two18 gauze needle in the upper compartment of the joint using Ringer lactate (RL) solution and flushing of the inflammatory mediators present in the joint and can be performed under local anaesthesia, relieving the joint of the negative pressure thereby freeing the disc of any adherence to the bone. The rationale behind this procedure involves the flushing of these inflammatory mediators that are present in the joint because of disc interferences, mechanical obstruction, occlusal loading of the TMJ, that restrict the movement of the joint and cause pain, once these mediators are flushed from the joint it improves the range of motion and reduces pain significantly

  • TMJ Open Joint Surgery

     It may be indicated for the following: A. Tumors B. Disc perforations C. Fibro Ankylosis D. Bony ankylosis E. Genetic/syndromic conditions F. Condylar hypoplasia/hyperplasia G. Hypermobility from neurological conditions H. Total joint replacement surgery. TMJ surgery is technically one of the more difficult surgical dissections in the maxillofacial region. However Open Joint surgery gives the surgeon more room for making some permanent changes in the Joint and is indicated in various Disc Related pathologies and Displacement cases as well for a long standing TMD.

  • TM Joint Replacement
    It is considered for the end stage TMJ disease such as severe trauma, tumour where no components of the TMJ can be salvaged and both the disc as well as the condyle has to be removed. This leaves the patient with a facial asymmetry and malocclusion which then has to be treated with a Stock Alloplastic or Patient Specific Custom Made Joints. Dr Tofiq Bohra is among the few Surgeons All Over India who has performed many TM Joint Replacements with high success rate.

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FAQ

The main cause of Temporomandibular Joint (TMJ) disorder is not specific, but rather a combination of various risk factors such as jaw injury, long-term grinding or clenching of teeth, and certain connective tissue diseases that can affect the temporomandibular joint. If you are experiencing TMJ disorder and are in Mumbai, Dr. Tofiq Bohra, a TMJ Specialist in Mumbai and an oral and maxillofacial surgeon at Maxillofacial Surgery India, can provide the best treatment options for your condition.

No, TMJ disorder cannot be cured permanently. However, the symptoms can be managed and controlled with various treatments such as physical therapy, medication, lifestyle changes, or in severe cases, surgery. The best approach is to consult with a specialist, such as Dr. Tofiq Bohra in Mumbai, who has experience in treating TMJ disorders, and work together to find a suitable and effective treatment plan.

The best way to treat TMJ disorder is by seeking the assistance of an experienced and knowledgeable oral and maxillofacial surgeon, such as Dr. Tofiq Bohra. Based in Mumbai, Dr. Bohra is considered one of the top oral and maxillofacial surgeons in India, specializing in the treatment of TMJ disorder. He is known for his expertise and ability to provide high-quality, effective surgical solutions to individuals suffering from this condition. If you are looking for the best treatment options for TMJ disorder, consider reaching out to Dr. Bohra at Maxillofacial Surgery India.

No, TMJ (Temporomandibular Joint Disorder) is not a mental disorder, but it can lead to depression and other mental health problems due to chronic pain associated with it. However, physical progress is easier when you overcome anxiety and a TMJ-associated mood disorder is not uncommon. Dr. Tofiq Bohra at Maxillofacial Surgery India is the best oral and maxillofacial surgeon in Mumbai and a specialist in TMJ disorder, providing the best surgery for TMJ disorder.

No, TMJ does not always require surgery. Nonsurgical therapies, medications, and lifestyle changes may be effective in relieving TMJ pain. However, for persistent cases, surgery may be considered as a last resort. Dr. Tofiq Bohra is a specialist in TMJ disorder and is considered the best oral and maxillofacial surgeon in Mumbai at Maxillofacial Surgery India, capable of performing the best surgery for TMJ disorder.

Why Choose Me

Why Choose Dr. Tofiq Bohra?

Patient-Friendly

A patient-friendly Doctor and Expert in restoring youth.

work experience

11 Years of work experience in TMJ Arthroscopy & Total Joint Replacement.

Achievements

I got a position in TMJ Mini Residency programme, University of Maryland, USA.

dr tofiq bohra best Oral and Maxillofacial Surgeon in Mumbai
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