What can jaw joint problems lead to?

Written by: Professor Andrew Sidebottom
Published:
Edited by: Conor Lynch

Here, in this article below, revered consultant oral and maxillofacial surgeon, Professor Andrew Sidebottom, explains what the TMJ joint is, where it is located, and when surgery is required for TMJ joint-related problems.

What is the TMJ joint, and where is it located?

The TMJ (temporomandibular joint) is the joint between your lower jaw and the base of your skull. The TMJ is connected at both ends of the lower jaw, and is unique in the sense that both the left and right sides work simultaneously together. It can be felt in and around the middle of the ear.

 

What can jaw joint problems lead to?

Jaw joint problems can typically lead to pain, limitation of movement, and the jaw actually locking. This is referred to as temporomandibular disorder (TMD). It is a common problem which is mostly self-limiting or can be managed simply with non-surgical intervention.

 

When is surgery required for TMJ joint issues?

Surgical intervention for TMJ-related problems is normally needed when the discomfort and limitation are stemming directly from the joint, and conservative management has been unsuccessful. 

 

What type of surgery can be performed?

There are many surgical options available for those who wish to undergo surgery to treat TMJ-related problems. These include the following:

 

  • minimally invasive arthroscopy
  • arthrocentesis
  • open surgery
  • joint replacement (similar to knee and hip replacement).

 

Information on conservative management, management of muscle spasm pain, arthroscopy, open surgery and TMJ replacement can be found on my Top Doctors profile, where you can also find patient feedback from patients who have successfully undergone these procedures.

 

To book a consultation with Professor Andrew Sidebottom, head on over to his Top Doctors profile today. 

By Professor Andrew Sidebottom
Oral & maxillofacial surgery

Professor Andrew Sidebottom is a leading consultant oral and maxillofacial surgeon. He practices at BMI The Park Hospital, BMI The Lincoln Hospital and the Spire Nottingham Hospital. His primary clinical interests include temporomandibular joint disease, facial deformity surgery, dental implant rehabilitation and oral surgery.

Professor Andrew Sidebottom is one of only eight surgeons in the UK who provides over ten TMJ Joint Replacement procedures yearly, and he has performed over 300 alloplastic joint replacements. His expertise covers all aspects of the management of TMJ pain and surgery. He is also an honorary assistant professor at the University of Nottingham. Professor Sidebottom has been a consultant in oral and maxillofacial surgery at Queens Medical Centre, Nottingham, since 2001. Professor Andrew Sidebottom qualified BDS with honours in Bristol 1986 and subsequently MBChB with honours in Birmingham 1993.

He attained the Fellowship in Dental Surgery of the Royal College of Surgeons of England (FDSRCS) in 1992 and the Fellowship of the Royal Colleges of Surgeons (FRCS) in 1995. Professor Sidebottom carried out oral surgery training in Birmingham and Liverpool from 1986 to 1989, as well as basic surgical training in Bristol from 1994 to 1996. He also completed higher surgical training in oral and maxillofacial Surgery in Liverpool from 1996 to 2001. Professor Sidebottom passed the exit FRCS in Oral and Maxillofacial Surgery {FRCS (OMFS)} with the Gold Medal in 2000.

Professor Sidebottom is in the top 10% providers of TMJ replacement in the world and he is also the lead author of the UK National Guidelines for TMJ Replacement. He is an associate editor in temporomandibular joint surgery for the British Journal of Oral and Maxillofacial Surgery. He referees articles for the European Journal of Craniomaxillofacial Surgery (EJCMFS) and the International Journal of Oral and Maxillofacial Surgery (IJOMS).

Professor Sidebottom has given over 150 international scientific presentations and over 70 international invited lectures. This includes keynote lectures at the British, European and International Association Annual Scientific conferences. He is an active researcher and has written 23 book chapters, including for Gray’s Anatomy on TMJ, as well as 78 peer-reviewed papers.

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