Chronic jaw pain can be debilitating. For those suffering from severe temporomandibular joint (TMJ) disorders, simple actions like talking, eating, or even yawning can become sources of intense discomfort. When conservative treatments no longer provide relief, it can feel like you’re out of options. However, for patients with end-stage TMJ disease, there is a definitive solution: total joint replacement surgery.
This advanced procedure is designed to replace a damaged or degenerated jaw joint with a custom-made prosthetic, much like a hip or knee replacement. The goal is to eliminate pain, restore natural jaw movement, and give patients their lives back. It is a highly specialized field, and the success of the procedure depends heavily on the surgeon’s expertise.
Dr. Larry Wolford is a world-renowned pioneer in TMJ surgery and has developed innovative techniques that have set the standard for total joint replacement. His work has transformed the outcomes for patients suffering from the most complex jaw joint conditions.
Learn more about TMJ disorders:
National Institute of Dental and Craniofacial Research – TMJ Disorders Overview
Understanding End-Stage TMJ Disease
The temporomandibular joints are the complex hinges that connect your jawbone to your skull. They are responsible for the smooth, gliding motions needed for chewing and speaking. A variety of conditions can lead to their deterioration, including:
- Osteoarthritis: The protective cartilage on the ends of the bones wears down over time. Read more
- Rheumatoid or Psoriatic Arthritis: Autoimmune diseases that cause the body’s immune system to attack the joints. More about rheumatoid arthritis
- Ankylosis: The fusion of the joint bones, which prevents the mouth from opening. What is ankylosis?
- Previous Trauma or Failed Surgeries: Injuries or unsuccessful procedures can lead to irreparable joint damage.
- Avascular Necrosis: The loss of blood supply to the ball part (condyle) of the joint, causing the bone to collapse. Avascular Necrosis facts
- Congenital Deformities: Issues with jaw development present from birth.
When these conditions reach an “end-stage,” it means the joint is so severely damaged that non-surgical treatments like physical therapy, splints, or medication are ineffective. TMJ treatment options
Patients often experience chronic pain, severe headaches, limited jaw movement, and difficulty eating.
What is TMJ Total Joint Replacement?
TMJ total joint replacement surgery involves the removal of the diseased or damaged parts of the jaw joint and their replacement with a custom-fabricated prosthesis. These prostheses are designed to mimic the function of a natural, healthy joint.
Dr. Wolford utilizes state-of-the-art, patient-specific implants. These are not “off-the-shelf” devices. The process involves meticulous planning:
- 3D Imaging and Virtual Planning: A high-resolution CT scan creates a precise 3D model of the patient’s skull.
Read about medical imaging in surgery - Custom Prosthesis Design: Using this model, a team of engineers, alongside Dr. Wolford, designs two components that are a perfect fit for the patient’s unique anatomy.
- The Fossa Component: A medical-grade plastic cup that replaces the socket portion of the joint on the skull.
- The Mandibular Component: A strong, titanium alloy that replaces the ball (condyle) portion of the jawbone.
- Fabrication: The custom implants are then manufactured to these exact specifications.
Learn more about TMJ implants
This patient-specific approach ensures optimal fit and function, leading to more predictable outcomes and a longer lifespan for the new joint. The surgery is performed through small, discreet incisions placed in natural skin creases in front of the ear and under the jawline to minimize visible scarring.
Who is a Candidate for TMJ Replacement Surgery?
This procedure is reserved for patients with severe pain and dysfunction that have not responded to other treatments. Dr. Wolford performs a comprehensive evaluation to determine if a patient is a suitable candidate.
You may be a candidate if you suffer from:
- Severe, persistent jaw pain that impacts your daily life.
- Inability to open your mouth wide or chew properly.
- A diagnosis of severe arthritis, ankylosis, or avascular necrosis in the jaw joint.
- Unsuccessful outcomes from previous TMJ surgeries.
- Significant jaw deformities related to joint disease.
Often, TMJ replacement is performed in conjunction with corrective jaw surgery (orthognathic surgery) to simultaneously correct the bite and establish proper facial balance, addressing all aspects of the patient’s condition in one comprehensive procedure.
What is orthognathic surgery?
The Life-Changing Benefits of a New Jaw Joint
For patients who have lived with debilitating pain for years, the results of TMJ total joint replacement are truly transformative. The benefits extend far beyond the jaw itself, leading to a profound improvement in overall quality of life.
Functional Improvements:
- Pain Elimination: The primary goal is to remove the source of pain by replacing the diseased joint. Most patients report a dramatic reduction or complete elimination of their chronic jaw pain and headaches.
- Restored Jaw Movement: Patients regain the ability to open their mouths, chew a variety of foods, and speak without pain or limitation.
- Improved Diet and Nutrition: With the ability to chew restored, patients can return to a normal, healthy diet.
Quality of Life Improvements:
- Return to Normalcy: The freedom from chronic pain allows patients to re-engage in social activities, work, and hobbies they once abandoned.
- Enhanced Well-Being: Living without constant pain reduces stress and anxiety, leading to better sleep and improved mental health.
Understanding pain and mental health - Long-Term Stability: The custom-made prostheses used by Dr. Wolford are built to last, providing a reliable and durable solution for decades.
Take the First Step Toward a Pain-Free Life
You do not have to live with the limitations of severe TMJ disease. TMJ total joint replacement is a proven, effective procedure that can restore function, eliminate pain, and give you back the life you deserve. Choosing a surgeon with the highest level of experience and expertise is critical to achieving a successful outcome.
If your jaw pain is controlling your life, it’s time to find a definitive solution.
Contact our office today to schedule a comprehensive consultation with Dr. Larry Wolford. Let us help you determine if TMJ total joint replacement is the right path to a healthier, more comfortable future.
