Disk Repositionoing

Disk repositioning is used when the protective cartilage disk has slipped out of place inside the TMJ. This condition often creates the "popping" noise inside the joint. Although popping in the joint is not always caused by TMJ problems, in some patients the joint can become damaged and the supporting ligaments can become stretched and inflamed. Nerves surrounding the TMJ may also be pinched by a slipped disk, causing considerable pain and even inflammation.

Disk repositioning requires an overnight visit and approximately two hours in surgery. Under general anesthesia, the surgeon makes an incision, moves the displaced disk back to its original position and stitches it in place. The surrounding ligaments are also repaired, if needed.

Although this can be a very effective treatment, and preserves more of the patient's original anatomy, sometimes the disks do not stay in their new position. If this happens, a discectomy (surgical removal of the disk) may be required to remedy the problem.