Jaw Surgery Services at Jaw Joint Science Institute: Pioneers of Innovative Solutions for Jaw and Brain Health

Close-up on a Woman Holding Ice Pack Up To Her Jaw in Pain

At the Jaw Joint Science Institute, we are dedicated to developing innovative solutions for jaw health and neurological disorders. With over 20 years of pioneering work by Dr. Edward D. Williams, our institute serves as a beacon of hope for patients suffering from chronic jaw conditions, concussions, and traumatic brain injuries (TBIs). We offer highly advanced jaw surgery treatments that not only repair structural damage but also incorporate contemporary scientific understanding of the connection between the temporomandibular joint (TMJ) and head injuries.


Understanding the Critical Link Between Jaw Function and Brain Health

Traditional approaches to concussions and TBIs often overlook a crucial factor: the TMJ and jaw in the production and maintenance of brain injury. Dr. Williams' revolutionary research illustrates how forces through the lower jaw and TMJ are key reasons for brain trauma. Directly under the temporal lobe, the impact of the jaw can create fractures and dysfunctions that underline many symptoms commonly attributed to concussions and TBIs.

Our sophisticated diagnostic methods, such as 3D computed tomography (3DCT) scanning, enable us to detect subtle temporal bone fractures and complex fractures of the TMJ that conventional imaging and testing may not reveal. These findings have revolutionized the understanding of jaw brain injuries and established a new standard for diagnosis and treatment.


Types of Jaw Surgery Procedures Provided

At Jaw Joint Science Institute, we specialize in very specialized surgical procedures to treat a range of temporomandibular joint (TMJ) and jaw conditions. Each patient is unique, and our experienced surgical team reviews each case individually to determine the best course of action. Our procedures range from minimally invasive to very complex reconstructive surgeries, designed to repair jaw function, alleviate pain, and promote overall wellness.

  1. TMJ Arthroscopy

Arthroscopy is a minimally invasive treatment in which a small fiber-optic tube and miniature instruments are threaded through tiny incisions into the TMJ. Arthroscopy enables us to visualize the inside of the joint directly, diagnose and treat issues without large incisions or disruptive tissue damage.

Most commonly used to repair internal derangements such as displaced discs, adhesions, and inflammation, arthroscopy will relieve symptoms of pain, restricted jaw function, and clicking sounds. Arthroscopy has reduced recovery periods with less post-operation pain because it is less invasive than open surgery.

  1. Open Joint Surgery

Open joint surgery, or arthrotomy, involves surgery where a small incision is created directly over the TMJ to open the entire joint. This operation is commonly indicated in more severe and complex TMJ disorders that cannot be treated as well by arthroscopy. Some of the disorders include excessive joint degeneration, extensive scarring, or trauma.

During an open joint operation, the surgeon can remove defective tissue, and the articular disc can be replaced or rebuilt. The joint can also be resurfaced to reduce friction and inflammation. The method also facilitates direct surgical treatment of ankylosis (fusion of a joint) or correction of structural deformities that prevent jaw function.

  1. Joint Reconstruction and Replacement

Complete replacement or rebuilding of the joint is considered for individuals with severe joint damage resulting from arthritis, injury, or congenital abnormalities. The compromised TMJ components are rebuilt using either the patient's own tissue (autografts) or artificial joint implants.

Reconstruction to restore normal joint anatomy and function. Prosthetic joint replacement involves the use of specially designed artificial parts made from biocompatible materials that mimic natural jaw movement and alleviate chronic pain. This is usually reserved for severe cases where other surgeries and conservative treatment have failed.

  1. Orthognathic (Corrective Jaw) Surgery

While orthognathic surgery is specifically intended to correct bite and jaw structure problems, it also alleviates TMJ symptoms caused by skeletal malalignment. The surgery involves moving the upper jaw (maxilla), the lower jaw (mandible), or both to improve occlusion and jaw function.

Orthognathic surgery is especially beneficial for those patients who have malocclusion, facial asymmetry, or jaw deformities that all create tension and pain in the joint. Orthognathic surgery is often combined with orthodontic treatment to achieve the best functional and cosmetic outcomes.

  1. Other Specialized Procedures

Aside from these basic surgery procedures, the Jaw Joint Science Institute has several specialized procedures that pertain to some TMJ disorders:

  • Disc Repositioning Surgery: To move displaced articular discs that have caused pain and limited jaw movement.
  • Condylotomy: A mandibular condylar treatment aimed at relieving joint tension without intrajoint invasion.
  • Arthrocentesis: An acute, minimally invasive procedure that includes joint lavage (washes the joint) to drain inflammatory byproducts and improve mobility.

Our multi-specialty practice combines the latest surgical methods with state-of-the-art diagnostic equipment, ensuring that every patient receives individualized care tailored to their specific jaw condition. We employ minimally invasive procedures whenever possible, but we also possess the technical capabilities to perform more complex surgeries when necessary, to restore jaw function and health.


Jaw Surgery: A Part of Comprehensive Care

Our jaw surgery is not jaw alignment; it's a severe surgery that's intended to prevent further damage, terminate constant pain, and restore harmonious jaw and brain function.

Our procedures are designed to repair:

  • TMJ fractures resulting from concussions and TBIs
  • Structural deformities that exacerbate neurological symptoms
  • Conditions that result in constant pain and limited jaw movement

The Jaw Joint Science Institute's Revolutionary Healing Protocol

Our treatment regimen begins with a thorough clinical assessment, combined with 3DCT scanning, which provides a comprehensive evaluation of the jaw and skull anatomy. The level of such diagnostic precision is essential for identifying the presence or absence of fractures and other TMJ pathologies that are accountable for brain injury signs and manifestations.

It is opioid-free and non-invasive, following contemporary ethical principles in being safe while inducing natural healing.

Patients experience miraculous changes, restoring quality of life and relieving symptoms, including:

  • Chronic headaches and migraines
  • Mental confusion and cognitive deficits
  • Mood swings and depression
  • Hearing loss and impaired sensory processing
  • Sleep disorders and exhaustion
  • Physical pain in the jaw and facial areas

The J-RES Device: Prevention and Performance Enhancement

In addition to surgical interventions, the Jaw Joint Science Institute has also developed the novel J-RES device, which is similar to a mouthguard that protects against TMJ fractures, concussions, and TBI dangers. Unlike traditional helmets that protect only the skull, the J-RES protects the jaw by repositioning it to avoid trauma to the delicate TMJ area.

The J-RES device possesses some key benefits over injury protection:

  • Enhances physical strength training and endurance
  • Facilitates quicker recovery in physical rehab
  • Prevents upper airway occlusion, reducing sleep apnea symptoms
  • Allows natural breathing, speech, and hydration when in use
  • Improves helmet stability and reduces injurious recoil forces on impact

Conditions That Could Be Affected by Jaw Surgery in Our Institute

Those that come to our center typically have a variety of disabling symptoms related to jaw dysfunction and head injury, including but not limited to:

  • Frequency of migraine and headache
  • Lack of balance and dizziness
  • Difficulty concentrating and memory problems
  • Personality and behavioral changes
  • Pain, grinding, clicking, or popping in the face or jaw
  • Symptoms of post-traumatic stress
  • Sensitivity to light and sound
  • Sleep disturbances
  • Nausea and sinus-type headache

Symptoms and Signs That Indicate the Need for Jaw Surgery

If you experience any of the following symptoms, you may be a candidate for surgery. We strongly recommend expert assessment if the following persist:

  • Chronic jaw pain: Jaw joint pain that becomes chronic, especially in and around the ears or jaw.
  • Difficulty opening or closing the mouth: Limited motion or a "locked" jaw that will not move out of its locked position, open, or closed.
  • Jaw asymmetry: Obvious conditions such as an underbite, overbite, or crossbite that affect chewing or facial symmetry.
  • Incorrect bite or chewing difficulty: Teeth not coming together as they should, uneven forces while chewing, or uneven wear on certain teeth.
  • Clicking, popping, or grinding: Noisy motion of the joint while the jaw is in function that is sometimes painful or stiff.
  • Recurring headaches or pain in the face: Pain and tension in and about the temples, forehead, and cheeks that are associated with jaw dysfunction.
  • Neck, shoulder, or ear aching: Referral pain caused by stress or displacement of the joint.
  • Post-traumatic jaw disorders: Symptoms develop after an injury or accident to the face or jaw.
  • Developmental or congenital jaw deformities: Defects in structure at birth or that have accumulated over time, which impair function or appearance.

The Surgical Process: What Patients Can Expect

From the consultative visit to the post-operative visit, each step is designed with the patient's comfort, safety, and ultimate success in mind.

  • Initial Evaluation and Imaging: Our patients undergo an extensive clinical assessment and 3D CT imaging to create precise models of their jaw and skull anatomy, enabling personalized surgical planning.
  • Surgical Planning: Our surgeons develop a tailored plan to reconstruct TMJ fractures or structural deformities with minimal invasiveness, utilizing 3D models and simulation.
  • Surgery: Under hospital supervision, our jaw surgery involves stabilizing the joint, correcting fractures, and re-establishing functional anatomy. It is tailored to individual needs, timeframe, and specifics.
  • Recovery: Post-operative care is focused on non-opioid pain management, aimed rehabilitation, and regular follow-ups to monitor healing and functional recovery.

We aim to achieve a seamless recovery that enables patients to return to their normal activities with greater comfort and functionality.


Post-Surgical Rehabilitation and Treatment

Recovering from jaw surgery is a crucial process that requires careful attention to ensure optimal healing and long-term success. At the Jaw Joint Science Institute, we provide comprehensive post-surgical care tailored to each patient's specific surgery and condition.

  • Pain Management

Mild or moderate discomfort is usually experienced within the first few days following surgery. Pain is typically managed with medications, ice, and anti-inflammatory medication to reduce swelling and improve comfort. 

  • Physical Therapy

Once healing has initiated, patients can be taught jaw exercises or referred to a physical therapist for joint mobility exercises, stiffness reduction, and the prevention of muscle atrophy. Successively gentler and slower movements are established based on the type of surgery performed.

  • Dietary Recommendations

Soft foods or liquids are the cornerstone of initial recovery to avoid jaw strain. Yogurt, smoothies, vegetable purees, and soups are recommended. Patients are slowly weaned onto a regular diet under surveillance as healing continues.

  • Follow-Up Care

Routine follow-up is planned to monitor healing, adjust medication, and ensure the joint functions normally. Imaging and clinical studies may be utilized to monitor recovery parameters.


Why Choose Jaw Joint Science Institute?

Our institute is distinctive because:

  • Twenty years of revolutionary research on the TMJ's contribution to concussions and TBIs.
  • State-of-the-art diagnostic technology, like 3DCT scanning, for precise diagnosis of jaw and skull fractures.
  • Comprehensive multidisciplinary treatment including surgery, rehabilitation, and preventive technology.
  • Proven, non-surgical treatment protocols excluding opioids and encouraging natural recovery.
  • Innovation and evolution of the J-RES device, a new standard for the prevention of jaw-related brain injury.
  • Expert, professional-level guidance of Dr. Edward D. Williams, a respected pioneer in jaw and brain injury science.

Insurance and Funding Options

We want you to know that jaw surgery is an investment in your health. Jaw Joint Science Institute ensures most major medical insurance and negotiates with your carrier to most efficiently coordinate benefits and billing. For those who are not comprehensively covered, we offer flexible payment plans to make treatment as affordable and manageable as possible. Our financial counselors are available to discuss your options and guide you through the process in an informative and open way.

Take the First Step towards Recovery

No longer let concussion symptoms and signs or chronic jaw pain dictate your life. The Jaw Joint Science Institute offers evidence-based surgical and non-surgical treatment with a gentle touch. Our multidisciplinary team is available to help you regain your health and function.

Call today and make your appointment. We will develop a customized plan to rehabilitate your jaw and protect your brain in the years to come.

OFFICE HOURS


Monday
9:30am - 4:00pm


Tuesday
9:30am - 4:00pm


Wednesday
9:30am - 4:00pm


Thursday
9:30am - 4:00pm


Friday
9:30am - 12:00pm


Saturday & Sunday
Closed

Jaw Joint Science Institute™

7700 Crittenden St
Philadelphia, PA 19118
(Located in Market Square at Chestnut Hill)

P: (215) 242-3141

F: (215) 242-4212