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Temporomandibular Joint

I have a recurring problem with my Temporomandibular Joint in my jaw. Is there a regenerative treatment for me?

Temporomandibular joint disorders (TMJD) affect more than 10-million Americans per year. It is a dislocation or hypermobility of the jaw that can be caused by chewing too forcefully, excessive yawning, grinding teeth, stress, and whiplash injury.  TMJD is commonly treated by specially trained dentists. The condition is often recurring.

The problem with conventional treatments of TMJD is that they fix the dislocation but don’t fix the cause of the dislocation. Dr. Greenberg’s team can help by regenerating the structural components that keep the jaw in place along the condyle bone of the jaw. They are the lateral ligament and joint meniscus. Consider them almost as rubber bushings that hold your jaw in place.

His team will perform a Comprehensive Kinetic Diagnosis including a review of your most recent radiographs to examine the state of your jaw. New radiographs may not be necessary since the procedure is relatively easy to assess with kinetic palpitation. They may recommend Kinetic Regeneration Therapy starting with Prolotherapy.

In one clinical study, the success rate of the procedure was over 90%, with only two recurrences over twelve months. Prolotherapy triggers an inflammatory response that ‘wakes up’ your immune response system. The area near the TMJ is injected with a non-toxic liquid which creates a temporary inflammatory cascade that is followed by a proliferative cascade of helper cells that stabilize the damaged tissues and signals the body to send a new cascade of cells that repair nerve, bone, cartilage, and ligaments. The objective of the treatment is to stabilize the TMJ, which reduces pain.

The jaw is a mobile joint and as such, it can be targeted by osteoarthritis. Dr. Greenberg has, in the past treated unstable, arthritic TMJs by using prolotherapy and PRP to improve jaw functionality. PRP synergizes prolotherapy’s healing process with powerful healing factors which support the regeneration of cartilage, ligaments, tendons and local muscles.

If your TMJD is severe, Dr. Greenberg may recommend PRP and stem cells. In the past, Dr. Greenberg has stabilized the jaws of patients suffering from TMJD who were in severe pain. After several treatments of PRP and a stem cell treatment, their jaw functionality improved and pain was reduced.  

Dr. Greenberg has also treated patients who had displaced discs in their jaw, which can be painful and lead to a locked jaw. In those cases, several PRP treatments were needed to improve disc displacement and return the joint to a neutral state with the disc in place.

Kinetic Regeneration Therapy is a good choice for people who are looking for a non-invasive alternative to surgery. KRT treatments have lower infection risks than surgeries, shorter recovery times and are opioid-free. Dr. Greenberg is a holistically-centered physician who not only treats your physical injury but he also addresses You. We support your recovery through proper nutrition, supplements, and innovative therapies to nurture a sense of wellness for your body and mind.

If you or a loved one is looking for a new strategy to treat chronic aches and pains, fill out the form on this page to schedule an appointment or call Dr. Greenberg’s office today at 833-440-4325.

Reference:

Single Injection Technique Prolotherapy for Hypermobility Disorders of TMJ Using 25 % Dextrose: A Clinical Study; Majumdar, Krishna, Chatterjee, etc; J Maxillofac Oral Surg. 2017 Jun; 16(2): 226–230.

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