HomeAnswersOral and Maxillofacial Surgeryjaw painPlease help to interpret my CBCT report for my TMJ problems.

How to interpret CBCT report for temporomandibular joint disorders?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At May 3, 2023
Reviewed AtNovember 29, 2023

Patient's Query

Hi doctor,

I have been having TMJ (Temperomandibular Joint) issues. I have recently taken CBCT (Cone Beam Computed Tomography) and would like some help looking them over.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I will be answering your query shortly.

Thanks.

Patient's Query

Hello doctor,

Thank you for the response.

I have been dealing with symptoms for about 6 to 8 months now. I can agree on the mobility and positioning of the joint because it feels different depending on the position I am in, and what I am doing with my jaw. I have done a full crown procedure two years ago, and I do not know if the problem persists from my bite or a fight that I had about a year ago. I have been prescribed relaxants but I am looking for a more curative approach. How do you think I should go about it? And to clarify there is not any displacement going on?

Hello, Welcome back to icliniq.com.

I read your query and can understand your concern. For a more curable approach, I would recommend that you visit a maxillofacial surgeon who is not just a general dentist. A general dentist cannot do surgical maneuvers for the joint. Maxillofacial surgeons are trained in these maneuvers and it is the non-surgical approach to reduce joint malposition or mobility. If you want to go for a surgical procedure, it is not only invasive but is even risky sometimes because you may take months to recover. I suggest you go to the clinic as soon as possible to relieve through non-surgical therapy or TMJ (temporomandibular joint) maneuvers as they are called. Also, muscle relaxant medications are different from antidepressants. Never take antidepressant relaxants, take only tablets with the same composition as Hifenac MR (Aceclofenac, Paracetamol, and Chlorzoxazone) if you do not get this exact tablet, and it is safe as well to relax your joint even if you take twice a week. Do try relaxing techniques like meditation, light jaw exercises like opening and closing your mouth daily without much effort a couple of times a day, and most importantly apply a Diclofenac gel on the outer surface of your temporomandibular joint. You can do that preferably at night. No, I cannot see much displacement now. Not really noticeable, but the joint issue will be there because of its chronic nature. In the clinic, the surgeon will take the best call after examining the joint.

Hope this helps.

Thanks and take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Achanta Krishna Swaroop
Dr. Achanta Krishna Swaroop

Dentistry

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