The temporomandibular joint (TMJ)
Stony Brook Oral and Facial Surgery



The temporomandibular joint (TMJ) is located on the side of the face where the lower jaw meets the skull. This "hinge" joint is used while chewing and speaking, making it one of the most commonly used joints in the body.

Disorders of the TMJ could be related to the joint itself or the surrounding muscles. A careful history, clinical examination, and radiographic examination will help us determine where the source of the problem is and will also guide our treatment.

Conservative Management:
Most disorders of the TMJ or the surrounding muscles are amenable to NON-surgical management. These therapies include using custom-fabricated night guards, jaw exercises targeted to treat the problem, and in some cases, medications designed to alleviate painful symptoms.

Minimally Invasive Surgery:
Dr. Proothi has undergone extensive post-doctoral training in order to offer the latest technological advancements in TMJ surgery for his patients. Using the single puncture arthroscopic technique, he is able to remove scar tissue and decrease inflammation inside of the joint without an incision.

Surgical Management:
The goal of surgical management of TMJ disorders is to restore proper form and function to the joint. This can be achieved through a variety of procedures depending on the needs of the specific patient.

Open Arthroplasty:
This will allow recontouring of the joint anatomy and repositioning/repairing/replacing the TMJ meniscus (disc).

Total Joint Replacement:
Fabrication of a custom-made temporomandibular joint is a technique-sensitive procedure and is accomplished by using a patient's own 3D scan. The individual patient's anatomy is utilized to build a joint or joints that will precisely fit only that patient.


Specializing in Oral & Maxillofacial Surgery