53206 - TMJ Manipulation

The need for manipulation of the temporomandibular joint (TMJ) performed in the operating theatre arises when a patient experiences TMJ dysfunction—such as locking, stiffness, or dislocation—that cannot be resolved with conservative measures like physical therapy or splints, requiring manual repositioning or mobilization under anesthesia in a hospital operating theatre to restore joint movement and alleviate pain, excluding association with other O3-O9 procedures. This standalone procedure is indicated for acute or chronic TMJ issues manageable without open surgery, critical in the maxillofacial region where joint function affects chewing, speaking, and overall jaw comfort.

Specific conditions necessitating this intervention include:

• Acute locking: A sudden TMJ lock from muscle spasm or disc displacement might prevent mouth closing or opening, needing manipulation under anesthesia to unlock it safely.
• Chronic stiffness: Persistent joint immobility from arthritis or fibrosis could restrict jaw range, requiring forceful mobilization to break adhesions and improve motion.
• Dislocation: A partially dislocated condyle not requiring open reduction might be repositioned through manipulation, avoiding more invasive surgery.
• Pain relief: Severe TMJ pain unresponsive to non-invasive treatments could benefit from manipulation to reset joint dynamics and reduce discomfort.

For example, a patient with a locked jaw from clenching during sleep might undergo this procedure in the operating theatre to gently mobilize the joint under anesthesia, ensuring muscle relaxation and a controlled environment. In an aged care setting, an elderly patient with chronic TMJ stiffness from osteoarthritis could need this to improve chewing ability, performed with care due to their frailty and potential joint fragility. By manipulating the TMJ under anesthesia, this service restores joint mobility, alleviates pain, and enhances jaw function, making it a valuable non-surgical option for managing TMJ dysfunction within the maxillofacial framework.

Restores TMJ mobility, relieves pain, and improves jaw function without surgery.

Recovery of 1-2 weeks with mild jaw soreness and restricted opening; hospital stay typically short.