Dr. Shyam Sheth
Oral, Maxillofacial & Hair Transplant Surgeon

Ex fellow:
Orthognatic Surgery & Implantology, BELGIUM
Hair Transplant & Restoration, USA

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  • TMJ Surgery in Ahmedabad
  • TMJ Treatment in Ahmedabad
  • TMJ Surgeon in Ahmedabad
  • TMJ Disorder Treatment in Ahmedabad


TMJ (temporomandibular joint) disorders are a family of problems related to your jaw joint. If you have had symptoms like pain or a “clicking” sound, you’ll be glad to know that these problems are more easily diagnosed and treated than they were in the past. These symptoms occur when the joints of the jaw and the chewing muscles do not work together correctly. TMJ stands for temporomandibular joint, which is the name for each joint (right and left) that connects your jaw to your skull. Since some types of TMJ problems can lead to more serious conditions, early detection and treatment are important.

Trouble With Your Jaw?

TMJ disorders develop for many reasons. You might clench or grind your teeth, tightening your jaw muscles and stressing your TM joint. You may have a damaged jaw joint due to injury or disease. Injuries and arthritis can damage the joint directly or stretch or tear the muscle ligaments. As a result, the disk, which is made of cartilage and functions as the “cushion” of the jaw joint, can slip out of position. Whatever the cause, the results may include a misaligned bite, pain, clicking, or grating noise when you open your mouth, or trouble opening your mouth wide.

Do You Have a TMJ Disorder?

» Are you aware of grinding or clenching your teeth?

» Do you wake up with sore, stiff muscles around your jaws?

» Do you have frequent headaches or neck aches?

» Does the pain get worse when you clench your teeth?

» Does stress make your clenching and pain worse?

» Does your jaw click, pop, grate, catch, or lock when you open your mouth?

» Is it difficult or painful to open your mouth, eat, or yawn?

» Have you ever injured your neck, head, or jaws?

» Have you had problems (such as arthritis) with other joints?

» Do you have teeth that no longer touch when you bite?

» Do your teeth meet differently from time to time?

» Is it hard to use your front teeth to bite or tear food?

» Are your teeth sensitive, loose, broken or worn?

The more times you answered “yes”, the more likely it is that you have a TMJ disorder. Understanding TMJ disorders will also help you understand how they are treated.


There are various treatment options that Dr. Shyam Sheth can follow to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, Dr. Shyam Sheth will determine the proper course of treatment. It is important to note that treatment always works best with a team approach of self-care combined with professional care.

The initial goals are to relieve the muscle spasms and joint pain. This is usually accomplished with a pain reliever, anti-inflammatory, or muscle relaxant. Steroids can be injected directly into the joints to reduce pain and inflammation. Self-care treatments can often be effective as well and include:

» Resting your jaw

» Keeping your teeth apart when you are not swallowing or eating

» Eating soft foods

» Applying ice and heat

» Exercising your jaw

» Practicing good posture

Stress management techniques such as biofeedback or physical therapy may also be recommended, as well as a temporary, clear plastic appliance known as a splint. A splint (or night guard) fits over your top or bottom teeth and helps keep your teeth apart, thereby relaxing the muscles and reducing pain. There are different types of appliances used for different purposes. A nightguard helps you stop clenching or grinding your teeth and reduces muscle tension at night. It also helps to protect the cartilage and joint surfaces. An anterior positioning appliance moves your jaw forward, relives pressure on parts of your jaw, and aids in disk repositioning. It may be worn 24 hours/day to help your jaw heal. An orthotic stabilization appliance is worn 24 hours/day, or just at night, to move your jaw into proper position. Appliances also help protect tooth wear.

TMJ Ankylosis

Tempora Mandibular Joint Ankylosis is a condition in which there will be a fusion of TMJ joint leading to reduced mouth opening or immobility of the joint Ankylosis of the Temporomandibular Joint (TMJ) most often results from trauma or infection, but it may be congenital or a result of RA (Rheumatoid Arthritis).When ankylosis leads to arrest of condylar growth, facial asymmetry is common. Intra-articular (true) ankylosis must be distinguished from extra-articular (false) ankylosis, which may be caused by enlargement of the coronoid process, depressed fracture of the zygomatic arch, or scarring resulting from surgery, irradiation, or infection.

Treatment may include a condylectomy if the ankylosis is intra-articular or an osteotomy of part of the ramus if the coronoid process and zygomatic arch are also affected. Jaw-opening exercises must be done for months to years to maintain the surgical correction, but forced opening of the jaws without surgery is generally ineffective because of bony fusion.

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