PREVIEW · BUILT FOR CLIENT REVIEW · NOT FOR PUBLIC USE
Dr. HazemMaxillofacial Surgery
All specialties
Jaw joint

TMJ Treatment

From conservative splints to arthroscopic and open joint surgery.

Related case studies
Clinical MRI of the temporomandibular joint displayed on a workstation
Jaw joint

Investment range

EGP 8,000 – EGP 80,000

Total duration

Variable — splint trial 8–12 weeks before escalation

Hospital stay

Day case for arthroscopy, 1–2 nights for open surgery

Recovery

Same-day for splints, 2–4 weeks for arthroscopy

Splint therapy from EGP 8,000. Arthroscopy EGP 35,000–55,000. Open joint surgery from EGP 65,000.

Overview

What this surgery actually does.

The temporomandibular joint is the most-used joint in the body. When it fails — clicking, locking, pain on chewing, headaches at the temples — patients often spend years cycling through dentists, neurologists and physiotherapists without resolution.

Our protocol begins conservatively. The majority of patients respond to a properly designed occlusal splint, jaw physiotherapy and where indicated, image-guided joint injections (PRP, hyaluronic acid). For patients who do not respond, we offer arthrocentesis and arthroscopy, both performed in theatre under sedation.

Open joint surgery — discoplasty, eminoplasty, total joint replacement — is reserved for the small minority of cases where the joint is structurally damaged. We have a particular interest in post-traumatic ankylosis and have re-mobilised joints fused for over a decade.

  • 82%

    Symptom resolution with conservative care

  • 12 mm

    Mean opening gain post-arthroscopy

  • 0

    Implant failures in 6 years of joint replacement

Candidacy

Who this is for, and who it isn't.

A truthful filter — not a sales pitch. If you don't fit, we will say so.

  • Persistent jaw joint pain despite over-the-counter analgesia
  • Audible clicking, popping or locking on opening
  • Limited mouth opening (under 35 mm inter-incisal)
  • Post-traumatic joint dysfunction or ankylosis
  • Failed splint therapy under another provider
Pathway

From first message to final review.

  1. Step 01

    Diagnostic work-up

    MRI of both joints in open and closed positions. Examination of bite, posture and parafunctional habits.

  2. Step 02

    Conservative phase

    Custom occlusal splint, structured physiotherapy, lifestyle modification. 8–12 week trial.

  3. Step 03

    Image-guided injection

    PRP or hyaluronic acid into the upper joint space, performed in clinic under local. Series of 1–3 sessions.

  4. Step 04

    Arthroscopy

    Day-case keyhole surgery to lyse adhesions and re-position the disc. 35-minute theatre time.

  5. Step 05

    Open joint surgery (if required)

    Reserved for structural pathology. Includes discoplasty, eminoplasty or alloplastic joint replacement.

Questions answered

The things people actually ask.

Probably not. Around eight in ten of our TMJ patients improve without ever entering an operating theatre. We escalate only when the conservative pathway has been honestly tried.

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