Dr. Achanta Krishna Swaroop
Dentistry
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Hello doctor,
I have been having problems with my mouth or jaw. I get really bad headaches and pain throughout my head, neck, and shoulders. After going to the doctor and dentist back and forth many times, I was given an x-ray in the open and closed mouth positions, and they found the following. Technique: Open and closed mouth lateral oblique views of the temporomandibular joints were obtained. Findings: Bilateral mandibular condyle heads are normal in appearance and well placed. Within the temporal mandibular fossa on closed mouth views. Open mouth views demonstrate anterior dislocation of the bilateral mandibular condyles in relation to the articular eminences. No significant joint space loss or degenerative change. Impression: Anterior dislocation of the bilateral mandibular condyles in relation to the articular eminences with open mouth position. I am still waiting to get an appointment with an oral surgeon. What does the x-ray findings mean, and what is the treatment for something like this? Does it require surgery?
Hi, Welcome to icliniq.com.
As you already have a previous history of TMJ (temporomandibular joint) problem, condyle's dislocation might appear as a huge problem but do not worry. There are nonsurgical approaches that will be tried first by your oral surgeon. Suppose you have not visited your local dentist for more than three weeks. In that case, I suggest that you consult in clinic so that your dentist will try a conservative nonsurgical approach after seeing your radio report. Nonsurgical approach by your local dentist will include fixation of the dislocated condyles manually. This is also called manual reduction. This will be done under local anesthesia, and you need not fear any surgical approach to this technique. After treatment, you may also be put on muscle relaxants or painkillers for three to seven days. Unless this approach does not work, the surgical approach is not indicated. Kindly visit your maxillofacial surgeon at the earliest.
The Probable causes
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Dentistry
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