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If there is no reduction, a displaced disc remains in a displaced position regardless of the stage of opening. Osteoarthrosis is a non-inflammatory disorder of joints in which there is joint deterioration with bony proliferation. The deterioration leads to loss of articular cartilage and bone erosions.
It has an unknown aetiology, but previous trauma, parafunction and internal derangements are all suggested as aetiological factors.
Plain films show erosions of the articular surfaces of the condyle and, less commonly seen, of the mandibular fossa. Rheumatoid arthritis is a disorder associated with synovial  membrane inflammation in several joints. In dislocation of the TMJ, the condyle is abnormally positioned outside the mandibular fossa but within the joint capsule.
Intravenous sedation with midazolam provides muscle relaxation and greatly facilitates this manoeuvre. The patient should avoid wide mouth opening for some days and use the hand to prevent this when yawning. Fusion across a TMJ may occur as a result of trauma, mastoid infection or juvenile chronic arthritis. Apply heat packs or cold compresses (one at a time!) to the side of the face where the pain lies.


Wear your dental mouth guard, if you have one (and if it helps with relief of acute symptoms). In the case of severe symptoms, medication may be injected in to the joint for temporary relief from jaw pain. Your dentist may make a plastic night guard (splint) that will protect your teeth and reduce the strain on your jaw. If your bite is out of line and a contributing factor the problem, your dentist may recommend orthodontic work as a treatment. Bite (occlusal) adjustment – reshaping some of the teeth so that they meet properly and the jaw moves correctly as a result.  This is a common option in the treatment of TMD.
Replacement of missing teeth, as a loss of teeth can affect the way you bite and hence may put strain on the jaw joints.
Retrodiscal tissue - Unlike the disc itself, the retrodiscal tissue is vascular and highly innervated.
The joint occurs between the mandible and the temporal bone that is between the lower jaw and the bone at the temple near the eyes.
The proliferation manifests as new bone formation at the joint periphery and subchondrally.


Surgical treatment is by joint replacement with a prosthetic joint unless the patient’s facial development is not yet complete,when a costochondral (rib) graft is used in an attempt to provide a bony replacement that may grow.
This can be difficult, but avoid yawning and other extreme jaw movements and stick to a soft diet. This is most commonly used at night to relieve the effects of grinding teeth in sleep although can also be worn during the day when necessary.
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Muscles attached to the skull and jawbone cause the jawbone to move as the mouth is opened and closed.



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