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Bilateral TMD due to rotated mandible

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.
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Avatar universal
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)?
Helpful - 0
373693 tn?1324485502
MEDICAL PROFESSIONAL
The forum rules allow for only one response to a question.  I am not sure which one you want answered.

Basically the answer to most is maybe, it depends and sometimes.

No two TMJ surgical cases are alikely.  There are multiple factors which play a critical role in the treatment options and prognosis.  Every case should be examined and treated individually.

You should be aware of the fact that 96% of patients presenting with complaints related to the TMJ can be successfully managed without surgery!

Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation.  This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
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