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 !

Answer: Idiopathic Condylar Resorption

By BracesInfo.com Expert 10

It is not likely that the extraction or trauma created during single tooth extraction caused the loss of vertical dimension in your condyle. What are you describing sounds like Idiopathic Condylar Resorption (ICR). It occurs in about 9:1 females to males. While this disease is well documented, it is poorly understood. Many say that it is linked with orthodontic treatment and orthoganathic surgery, however with no direct cause-effect relationship, it may be coincidental. The recommended treatment is splint therapy as well as additional surgeries, however nothing can completely cure the resorption just slow the progression and minimize the pain significantly.

More Questions from Orthognathic Surgery

Bone Grafting

Hello I am 42 years old and I recently had an orthodontic consultation where the orthodontist said that because I have a slight posterior cross bite on my upper right side, I MAY need a bone graft (before a full course of Invisalign or braces) or...

In this image of my condyles, do they appear normal/healthy or is there any bone loss?

Attached is an image of my condyles. Are they normal and healthy or Do you see any bone loss such as flattening or erosion of them? If there does appear to be some bone loss, how does this affect my bite and the appearance/position of my jaw?? Is...

Will My Face Change When After Jaw Surgery

I like the way I look now, and I worry that the jaw surgery will change my face shape. I just want my teeth to fit together better so I also stop having jaw pain. This is a very major surgery so I want to be sure before I commit to this journey....

How Long Does It Take To Pull Upper Teeth?

How long does it take to recover from having all my upper teeth pullede. I also feel very sharp shards all along the gum line. What can I do for that pain? Thank you. 

Is it normal for the incision in my mouth to be leaking yellow fluid?

About 5 years ago I had a surgery on my jaw. I had a metal plate inserted into my chin area and after five years my incision is leaking yellow fluid and it smells awful. Is this normal or should I be going to my surgeon to check on my incision?

What does the inside of the check look and feel like after a biopsy of the inside of a cheek?

Hello, I had my last stitch fall out yesterday from and oral biopsy of the inside of my cheek, it has seemed to be healing good, I just wanted to know if it's normal for the tissue where the biopsy took place to feel and appear like a bubble or if...

Impacted tooth number 6

Is orthodontia appropriate for an adult with a permanent impacted tooth number 6? I am 59 and have had a baby tooth in place until recently when it broke at the gumline. The baby tooth root is giving me no pain so i am assuming the nerve is dead or...

Impacted tooth

Is orthodontia appropriate for an adult with a permanent impacted tooth number 6? I am 59 and have had a baby tooth in place until recently when it broke at the gumline. The permanent tooth is impacted in the bone above it and it is angled and...

Alf or Sarpe surgery ?

I I'm eighteen years old and i'm from France , and I'm very unhappy by the result of my teeth after braces. I have a narrow smile and a large buccal corridor. Is there a solution like a palatal expander ? One doctor told me that the dna would be the...

Black spots found in my jaw

My dentist seen black spots im my jaw wants to to see oral surgeon i asked him how bad he said one of two things iys either nothing or its real bad i dont have insurance to have it checked i do have a copy of my xrays i could send them to u