Advanced TMJ (Temporomandibular Joint) Surgery

Arthroscopy, arthrotomy, and total joint replacement

Written by: Saygı Hospital Health Guide Editorial Board

Last updated: June 17, 2026

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ağız ve Diş Sağlığı department. Book Appointment →

What is Advanced TMJ (Temporomandibular Joint) Surgery?

TMJ (temporomandibular joint) surgery addresses disc displacement, ankylosis, advanced osteoarthritis, and post-traumatic disorders. Indications follow a stepwise progression after the failure of splint therapy, physiotherapy, and minimally invasive procedures (arthrocentesis).

Arthroscopy is a minimally invasive technique used for anterior band capsulorrhaphy, joint lavage, and adhesiolysis. More advanced disease may require arthrotomy (open surgery) or alloplastic total TMJ replacement using custom or stock prostheses.

Patient selection and surgical experience are critical for success. Postoperative physiotherapy, including controlled range-of-motion exercises and occlusal management, is essential for long-term outcomes.

Symptoms

Restricted mouth opening

Severe TMJ pain

Joint locking

Crepitus and grinding

Mandibular asymmetry

Advanced TMJ osteoarthritis

Risk Factors

Bruxism

History of trauma

Rheumatoid arthritis

Ankylosing spondylitis

Female sex

Stress and parafunctional habits

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

If conservative treatment fails
If mouth opening drops below 20 mm
If joint locking recurs frequently
If TMJ pain impairs quality of life
If TMJ ankylosis is present

Treatment Methods

MRI and CT evaluation

Arthroscopy

Arthrotomy (open surgery)

Total TMJ replacement (advanced cases)

Condylectomy and grafting

Long-term physiotherapy

Which Department to Visit?

You can visit our Ağız ve Diş Sağlığı department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ağız ve Diş Sağlığı Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.