I have been diagnosed with bilateral TMD (my joints pop/grind and get sore) due to a slightly rotated mandible. In general in such cases are the TMJ’s surgically corrected with or without de-rotating the mandible? If the mandible is to be de-rotated, does orthodontic work usually need to be done? If so, how long does the orthodontic phase usually last? What is the surgical success rate in general for these cases? Is it possible for the mandible rotation to continue to occur as I have noticed the facial asymmetry has increased over the past 11 years (I am 28 years old)? If so, is this due to progressive remodeling of the TMJs and can further rotation be prevented by surgical correction of the TMJs?
Thank you.