20 years post O Surgery, can a mandibular extraction cause TMJ

I am 20 years post Orthagnathic surgery. I needed a molar to be extracted on lower right. I had terrific pain in my left jaw during extraction. i have worked in the dental field for decades. I asked the doctor to please section my tooth at that painful moment. that was 2 1/2years ago. my left condile is flat now. I have TMJ pain and muscles spasms every day. Especially after talking for a while and of course chewing . My husband is an Orthodontist. He made me a splint which seems to work well after wearing over night. But mid day, everyday, its back !

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