JAW DISORDER ISTANBUL AND ANTALYA

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Revised March, 2024 – Resource, International Patient Center
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ABOUT TEMPOROMANDIBULAR JOINT DISORDER IN TURKEY

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TMD TREATMENT CAN VARY DEPENDING ON THE SEVERITY OF THE SYMPTOMS, BUT IT MAY INCLUDE LIFESTYLE CHANGES SUCH AS STRESS MANAGEMENT TECHNIQUES, USING A MOUTH GUARD TO PREVENT TEETH GRINDING, PHYSICAL THERAPY, MEDICATIONS REDUCING PAIN AND INFLAMMATION, AND IN SEVERE CASES, SURGERY. THE EXACT CAUSE OF TMJ DISORDER IS NOT ALWAYS CLEAR, BUT IT CAN BE CAUSED BY FACTORS SUCH AS TEETH GRINDING OR CLENCHING, ARTHRITIS IN THE JOINT, STRESS, OR A MISALIGNMENT OF THE JAW.
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For the joint disorder, the infection is caused by bacteria which occurs in the mouth and invades the tooth, which usually happens after;

  • Injury to the haw, joint or muscles of the head and neck.
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  • Arthritis in the joint.
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  • Stress which can cause to tighten facial and jaw muscles or clench teeth.
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  • Grinding or clenching teeth.
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  • Movement of the disc between the ball and socket of the joint.

TMD often causes severe pain and discomfort, which may be temporary or last for many years. It can affect one or both sides of the face. TMD is most likely to occur in females than men and it’s more common between the ages of 20 – 40.

Temporomandibular Joint Disorder Common symptoms of TMD are;

  • Pain and tenderness in the face, jaw joint area, neck, shoulders and around the ear, when chewing, speaking or opening the mouth wide.
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  • Problems trying to open the mouth wide.
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  • Jaws get stuck or lock in the open or closed position.
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  • Clicking, popping or grating sound in the jaw joint when the mouth is opened or closed or chewing.
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  • Tired feeling in the face.
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  • Problems chewing or sudden uncomfortable bites.
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  • Swelling on the side of the face.

The dentist will take a full face X-ray to clearly view the jaws, temporomandibular joints and teeth to find out other problems. Other tests like MRI (magnetic resonance imaging) or CT (computer tomography) may be done. In the MRI it can be seen if the TMJ disc is in the correct place as the jaws move and in a CT scan the bone details of the joint can be seen.

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TEMPOROMANDIBULAR JOINT DISORDER PROCEDURE

To review temporomandibular joint disorder surgery in Turkey, there are various types of methods;

  • Transcutaneous electrical nerve stimulation TENS – therapy uses low level electrical currents to provide pain relief by relaxing the jaw joint and facial muscles.
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  • Ultrasound – deep heat is applied to the joint which can relieve soreness or improve mobility.
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  • Trigger point injections – medication for pain and anesthesia is injected into the tender muscles called trigger points for relief.
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  • Radio wave therapy – radio waves stimulate the joint which increase blood flow and ease pain.
     
  • Low level laser therapy – lowers pain and inflammation and helps the neck move freely and mouth open wider.

If these treatments don’t provide help then there are 3 types of surgeries that are available as options are:

Arthrocentesis – used if there is no major history of TMJ, but the jaws are locked. Done with local anesthesia. Needles are inserted into the joint to dilute any inflammatory chemicals from the jaw. A special tool may be used to get rid of the damaged tissue or dislodge a disc stuck in the joint or to unstick the joint.

Arthroscopy – done with an arthroscope, which is a special tool with a lens and light on it. General anesthesia will be given and a small cut will be made in front of the ear and a tool will be inserted. It is hooked up on a video screen so the joint and area around it can be examined. The inflamed tissue may be removed or realign the disc or joint.

Open joint surgery – depending on the cause of TMD, arthroscopy may not be possible so this kind of surgery may be needed if;

  • Bony structures in the jaw joint are wearing.
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  • Tumor is in or around the joint.
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  • Joint is scarred.

Surgery is done using general anesthesia and all of the area of the joint will be opened up.

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SUITABLE PATIENTS FOR JOINT DISORDER TREATMENTS

Patients who have a good health condition and healthy mentally and physically;

  • Patients must experience at least one of the symptoms above.
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  • Patients over the age of 20.

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BEFORE TEMPOROMANDIBULAR JOINT DISORDER

  • Alcohol must be avoided at least 48 hours before the treatment.
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  • Smoking must be avoided 72 hours before the treatment.
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  • X-rays will be taken of the tooth and jaw.

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AFTER TEMPOROMANDIBULAR JOINT DISORDER

  • Medicine prescribed by the dentist must be taken correctly.
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  • Depending on the treatment performed special garments may need to be worn.
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  • The surgical site needs to be kept dry for the first four days after the treatment.

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RISK OF TEMPOROMANDIBULAR JOINT DISORDER

There is a slight possibility of risks to occur like in every treatment such as;

  • Allergic reaction to materials used.
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  • Swelling.
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  • Sensitivity.
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  • Bleeding.

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DEFINITION OF TEMPOROMANDIBULAR JOINT DISORDER

General anesthesia – variety of medications given to ensure unconsciousness, loss of control of reflexes. The patient is put to sleep to not feel any pain or discomfort.

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FIRST DAY

The patients will attend consultation with the dentist and will be advised about the treatment and their condition. The patient will then be taken through a couple of tests that are required before the treatment; X-rays will be taken to check the state of the jaws and teeth. Other tests like MRI (magnetic resonance imaging) or CT (computer tomography) may be done. In the MRI it can be seen if the TMJ disc is in the correct place as the jaws move and in a CT scan the bone details of the joint can be seen.  If desired, patients can spend the day to rest and attend the clinic for treatment the next day.

Temporomandibular Joint Disorder Treatment in Turkey will be performed. The duration will take around an hour to perform but depending on the type of treatment performed the duration can increase. All types of treatments are performed on an outpatient basis using local or general anesthesia depending on which is necessary.

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SECOND DAY

The patient will attend final visit to the hospital, if surgery is performed, to check that everything is normal. The patient will be advised with medication and instructed about caring for the jaws and teeth and once the treatment is over the patient is ready to return to their destination, or if they want they can enjoy their time in Turkey.
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HOSPITAL SERVICES TO HELP YOU BEFORE, DURING AND AFTER YOUR STAY
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For the best temporomandibular holiday package in Turkey, our professional staff is dedicated to provide all your services including consultations, diagnostic services, billing and insurance, travel & lodging, language interpretation services and arrangements. All our Medical facilities are International standard and JCI Accredited to ensure the latest technology in the Top hospitals in Turkey are visited.
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Please see Turkey TMD disorder clinic prices at hospital and other treatments.

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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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1. What is Temporomandibular Joint Disorder?

Problems in the jaw and muscles in the face are known as temporomandibular disorder TMD. The exact reasons causing TMD is not found yet but it is believed that symptoms arise from problems in the muscles of the jaw or the joint caused are;

  • Injury to the haw, joint or muscles of the head and neck.
    .
  • Grinding or clenching teeth.
    .
  • Movement of the disc between the ball and socket of the joint.
    .
  • Arthritis in the joint.
    .
  • Stress which can cause to tighten facial and jaw muscles or clench teeth.

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2. How is Temporomandibular Joint Disorder Treatment done?

There are various types of treatment for a TMD like;

  • Transcutaneous electrical nerve stimulation TENS – therapy uses low level electrical currents to provide pain relief by relaxing the jaw joint and facial muscles.
    .
  • Ultrasound – deep heat is applied to the joint which can relieve soreness or improve mobility Trigger point injections – medication for pain and anesthesia is injected into the tender muscles called trigger points for relief.
    .
  • Radio wave therapy – radio waves stimulate the joint which increase blood flow and ease pain
    .
  • Low level laser therapy – lowers pain and inflammation and helps the neck move freely and mouth open wider.

If these treatments don’t provide help then there are 3 types of surgeries, which are also other options;

  • Arthrocentesis.
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  • Arthroscopy.
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  • Open joint surgery.

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3. Who can have Joint Disorder Treatment?

  • Children patients who are over the age of 20.
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  • Patients must experience at least one of the symptoms.
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  • Adult patients are able undergo the treatment at any age.

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4. How long does Treatment take?

Treatment takes around an hour to perform; depending on the type of treatment performed the duration can extend to several hours or take a shorter time.

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5. Are there any risks of Temporomandibular Joint Disorder?

Like every treatment there are some risks with Temporomandibular Joint Disorder treatment such as;

  • Swelling.
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  • Bleeding.
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  • Sensitivity.
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  • Allergic reaction to material used.

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6. Devices used in Temporomandibular Joint Disorder?

An arthroscope is used in the treatment, which is a special tool with a lens and light on it. The laser device is also used depending on the type of treatment performed. Computer tomography device and magnetic resonance imaging device is also used.

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7.
How long do I need to stay in Turkey?

The recommended stay in Turkey for is 1-2 days including consultation before and after the treatment. The duration of staying in Turkey can increase by a couple of days depending on the type of treatment performed.

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8. When can I return to work?

Patients can return to work straight away after the treatment at Turkey as long as they feel healthy and comfortable.
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FOR PATIENTS TO ARRIVE IN TURKEY, BEFORE WE ASK THEM TO SEND SOME PICTURES AND PERFORM GENERAL EVALUATION BASED ON THESE. WE DO NOT INVITE PATIENTS WHOSE AREA IS NOT SUFFICIENT OR THOSE FOR WHOM WE BELIEVE THAT THE PROCEDURE WILL NOT YIELD GOOD RESULTS. THEREFORE MOST PATIENTS WHO ARRIVE IN TURKEY KNOWS CONDITIONS AND LIMITS OF THE TREATMENT, WHICH ENSURES OF EXPECTATIONS TO BE MET.
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