A Comprehensive Approach Before TMJ Surgery
Most people with TMJ symptoms will never require surgery. In fact, many cases respond well to treatments that focus on improving jaw function, reducing strain on the joints and muscles, and addressing the underlying factors contributing to discomfort.
Because TMJ disorders can affect the muscles, joints, bite, and surrounding structures in different ways, surgery is not typically the first recommendation. Detroit TMJ dentist Dr. Jeffrey Haddad takes a comprehensive approach to diagnosis and treatment, helping patients explore appropriate conservative options before considering more invasive procedures.
When surgery is recommended, it is usually because other treatments have not produced the desired results or because the condition involves structural problems that cannot be addressed through non-surgical care alone. As part of a comprehensive TMJ treatment approach, Dr. Jeffrey Haddad collaborates with trusted oral and maxillofacial surgeons when surgical evaluation or treatment is necessary, helping patients navigate every stage of care.
Types of TMJ Surgery
There are several surgical approaches used to treat TMJ disorders, depending on the severity of the condition and the structures involved. Common TMJ surgeries include:
- Arthrocentesis – A minimally invasive procedure that uses fluid to flush the joint and improve movement.
- Arthroscopy – A procedure performed with a small camera and specialized instruments to diagnose and treat problems within the joint.
- Arthroplasty – Open-joint surgery used to repair, reshape, or remove damaged tissue within the TMJ.
- Total Joint Replacement – Replacement of part or all of the jaw joint with artificial components when severe joint damage is present.
Less commonly, surgery may involve repositioning or reshaping portions of the upper or lower jaw to improve jaw function and alignment.
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TMJ Arthrocentesis
TMJ arthrocentesis is one of the least invasive surgical procedures used in comprehensive TMJ treatment in Detroit. Typically performed by an Oral and Maxillofacial Surgeon, this procedure involves introducing a sterile saline solution into the jaw joint to help improve mobility, reduce discomfort, and support healthier joint function.
The fluid helps flush the joint, break up inflammatory debris, and improve lubrication within the joint space. In some cases, medications may also be introduced during the procedure. Because TMJ arthrocentesis is minimally invasive, recovery is generally relatively quick and the risks are lower than those associated with more extensive surgical procedures.
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TMJ Arthroscopy
TMJ arthroscopy is a minimally invasive surgical procedure that allows an Oral and Maxillofacial Surgeon to view and treat the jaw joint through very small incisions. Using a tiny camera and specialized instruments, the surgeon can evaluate the condition of the joint while minimizing disruption to surrounding tissues.
As part of comprehensive TMJ treatment in Detroit, arthroscopy may be used to remove scar tissue, reposition a displaced joint disc, or perform procedures designed to improve joint function and stability. Compared to open-joint surgery, arthroscopy typically involves less tissue disruption and a shorter recovery period.
TMJ Arthroplasty
TMJ arthroplasty is an open-joint surgical procedure typically performed by an Oral and Maxillofacial Surgeon when more conservative treatments have not been successful. This approach provides direct access to the jaw joint, allowing the surgeon to address structural problems that may be contributing to pain, dysfunction, or limited jaw movement.
As part of comprehensive TMJ treatment in Detroit, arthroplasty may be used to remove scar tissue, reshape portions of the joint, reposition or stabilize the joint disc, or remove damaged tissue. In some cases, the disc may be repaired or replaced, depending on the condition of the joint and the patient’s specific needs.


Total Joint Replacement
Total joint replacement is the most extensive form of TMJ surgery and is typically reserved for cases involving severe joint damage. Performed by an Oral and Maxillofacial Surgeon, this procedure replaces part or all of the temporomandibular joint with artificial components when the natural joint can no longer function properly.
As part of comprehensive TMJ treatment in Detroit, total joint replacement is generally considered only after other treatment options have been exhausted or when significant structural damage is present. While artificial joints cannot perfectly replicate the function of a healthy natural joint, they can often provide meaningful improvements in comfort, jaw function, and quality of life for carefully selected patients.
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Explore Your Options Before TMJ Surgery
While TMJ surgery may be appropriate in certain situations, most patients benefit from exploring conservative treatment options first. Through the TMJ PRECISION APPROACH™, Detroit TMJ dentist Dr. Jeffrey Haddad uses advanced diagnostics and a comprehensive evaluation process to identify the underlying causes of TMJ symptoms and determine the most appropriate treatment strategy.
Many patients experience significant improvement through non-invasive and minimally invasive therapies designed to improve jaw function, reduce muscle tension, and address bite-related concerns. If surgery is ultimately necessary, the TMJ PRECISION APPROACH™ can help ensure that decision is based on a thorough understanding of your condition. For those who are not ready to consider surgery, comprehensive TMJ treatment in Detroit may offer effective alternatives that help restore comfort and quality of life.
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Patient Education Articles
Patient Education Articles
Learn more about TMJ surgery, when it may be recommended, and how comprehensive TMJ treatment in Detroit often starts with conservative, non-surgical options. Explore our Patient Education articles to better understand your treatment choices.





