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Oral Surgery/TMD non reducing disc

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Question
My teenage daughter has had clicking and popping for 2 years.  Recently while sleeping with a nighttime splint, she  woke up in pain as her jaw had dislocated on one side.  It has not relocated with conservative treatment .  Now she cannot open her mouth wide, and when she does the jaw is not straight.  She was originally told this would resolve on its own .  I should also mention the clicking all began along with severe headaches 6 months after she had braces put on to correct overbite and deep bite.   I have been told she has a class 2 malocclusion .  What should be our next step in treating this?

Answer
She should be seen by an experienced orthognathic surgeon.  There is a condition that may occur on females between ages of 12-16 and then disappears. This causes problems in the TMJ area and the bite (class II).  She may then be referred to an orthodontist to prepare her for jaw surgery.  

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Majid Jamali, D.M.D. Fellowship trained in corrective jaw surgery

Expertise

Diplomate, American Board of Oral & Maxillofacial Surgery Full scope Oral & Maxillofacial Surgery, Orthognathic Surgery, Genioplasty and Anesthesiology I have completed an additional two years of fellowships in orthognathic surgery and anesthesiology field.

Experience

Faculty at numerous hospitals

Organizations
AAOMS ADA ASDA NYSDS

Publications
New York Dental Society Journal

Education/Credentials
Tufts University: Dental School SUNY Down-State Medical Center: OMFS residency Robertwood Johnson Medical Center: Anesthesiology fellowship Lenox Hill hospital: Orthognathic fellowship

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