Surgical treatment of TMJ in Astana
Open disc repositioning, bone grafting and endoprosthetics – with accurate 3D diagnosis and experienced oral surgeons.
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When minimally invasive techniques are not enough
In advanced forms of temporomandibular joint dysfunction (TMJ), when clicking, pain, restriction of mobility and displacement of the articular disc cannot be treated with conservative or minimally invasive methods– we use surgical methods to restore the anatomy and function of the joint.
When surgical intervention is indicated:
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Persistent displacement or rupture of the articular disc
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Deformities or destruction of the articular head (condyle)
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Chronic pain syndrome that cannot be treated
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Ineffectiveness of arthrocentesis or arthroscopy
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Need for total joint replacement
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Ankylosis, severe osteoarthritis.
The main surgical methods for the treatment of TMJ
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Open repositioning of the articular disc
Surgical repositioning of the articular disc in case of persistent displacement or impingement.
Purpose of surgery:
- To return the disc to its anatomically correct position
- Eliminate clicking, pain and limitation of movement
- Prevent further destruction of the joint
How it works:
It is performed through a small incision in the antebrachial region. The disk is repositioned (returned to its place) and fixed if necessary.
Result:
Significant improvement in joint function, elimination of chronic symptoms.
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Bone grafting of the condyle
Microsurgical reconstruction of the bony structures of the TMJ (articular head) in case of deformities or destruction.
Indications:
- Post-traumatic changes
- Advanced osteoarthritis
- Developmental anomalies
Purpose of surgery:
- To restore the shape and structure of the condyle
- To ensure smooth and painless movement of the jaw
- Prevent further destruction
Methodology:
Autocutaneous or synthetic materials are used and the articular surface is anatomically modeled.
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TMJ endoprosthetics
Complete replacement of the damaged joint with a titanium or biocompatible prosthesis.
Indications:
- Severe forms of osteoarthritis and ankylosis
- After unsuccessful operations
- Absence of the articular disk and/or destruction of the head
- Oncologic resections
Advantages:
- Restoration of chewing function
- Pain relief
- Durability (up to 15-20 years of service)
How it goes:
The surgery is performed in a hospital setting, under general anesthesia. A customized prosthesis is fitted.
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Examination by a gnathologist
Why choose Bast Dent?
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Accurate 3D diagnosis and CT planning before each operation
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We use only certified materials and dentures
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Rehabilitation and support at all stages
Answers to Frequently Asked Questions
No. All procedures – arthrocentesis, plasma injection and arthroscopy – are performed under local anesthesia. You will not feel any pain during the intervention. After the procedure, there may be slight discomfort, which will quickly subside.
After arthrocentesis or plasma therapy – 1 to 3 days. After arthroscopy – 5-7 days. You will be able to return to your normal life almost immediately, following the doctor’s recommendations.
It depends on the condition of the joint. In some cases, a single session of arthrocentesis or PRP injection is sufficient. In more complicated situations, a course of 2-3 treatments or arthroscopy may be necessary.
Yes, in most cases. Minimally invasive procedures can avoid classical surgery, especially in early treatment.
Yes, especially in the early stages. Arthrocentesis and PRP can eliminate inflammation and normalize the movement of the joint disc, which eliminates clicking and discomfort.
Most patients notice relief within the first few days after the procedure. Further improvement continues for 1 to 3 weeks, depending on the method.
Our other doctors
Meet the other physicians at our center.
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Grigory Mikhailovich UshakovOrthopedic gnathologist
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Rakhimov Azamat AbilovichDentist, orthodontist-gnathologist
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Vladimir Vladimirovich TishkovDentist, orthodontist-gnathologist
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Toichieva Yulduz UtkurovnaGnathologist - therapist
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Egor Pavlovich Belokhvostikovsurgeon, implantologist, orthopedist
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Shirin Tairjanovna KhasanovaOrthopedist, surgeon, implantologist
Contact us
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Contact by phone
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Branch 1
6B Malik Gabdullin Street
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Branch 2
5 Saryarka Ave.
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Branch 3
3 Zhumeken Nazhimedenov Street
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Branch 4
26 Mangilik El Ave.
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