Center for Temporomandibular Joint (TMJ) Disease
Our oral and maxillofacial specialists are internationally recognized leaders in TMJ surgery, experienced in treating even the most complex cases. We’re also advancing care through research to improve outcomes and prevent TMJ disorders.
Comprehensive care for your complex jaw joint
At Penn Medicine, our oral and maxillofacial surgeons are internationally renowned and true pioneers in temporomandibular joint (TMJ) surgery. Seeing some of the highest volumes of joint surgery in the country, the Penn Center for Temporomandibular Joint Disease has extensive experience performing complex joint and combined jaw surgeries. This type of experience translates into a better experience and improved outcomes for our patients.
At the forefront of medical and surgical science, our physicians and researchers are involved in basic science and clinical research that allows us to continuously improve treatment outcomes, prognosis, and prevention of temporomandibular disease.
Clinical trials
Clinical trials offer patients the opportunity to try new and effective treatments and take part in future research.
Second opinions
If you've received a diagnosis, our team of experts offers second opinions to grant you peace of mind.
TMJ-related conditions we treat
Advanced surgical and nonsurgical treatments for the jaw
The exact course of treatment for your TMJ disease will depend on the diagnosis given to you by your physician and/or dentist.
For the two most common diseases affecting the TMJ (myofascial TMD and osteoarthritis), your initial treatment will include medication (typically NSAIDS or Tylenol), physical therapy, and a night guard/occlusal splint to wear at night. Most doctors recommend a trial of these therapies for a minimum of two months before considering other interventions.
The second line of treatment will depend on the exact diagnosis of TMJ disease given to you by your doctor. Most conditions can be managed with minimally invasive or reversible interventions. These therapies should be fully exhausted before surgery is considered.
Patients with TMJ disease involving the muscle may benefit from injections of medication (Botox or steroids) into the affected muscle or the addition of stronger medications. These options should be discussed with your treating doctor or a Penn oral and maxillofacial surgeon.
Those with an advanced disease affecting the TMJ bone or cartilage may benefit from one of the following surgical procedures. Any surgical procedure has the potential for complications. Your physician will review the risks and benefits as well as the treatment options with you.