TMJ Disorder Management
TMJ विकारको व्यवस्थापन
Click on the titles below for more details
Understanding TMJ Disorders
TMJ विकार बुझ्दै
The temporomandibular joint (TMJ) acts like a sliding hinge connecting your jawbone to your skull. Disorders can cause pain in your jaw joint and muscles controlling jaw movement.
Non-Surgical Treatment Options
शल्यक्रिया बाहेकको उपचार
Anti-Inflammatory Medication
औषधि उपचार
Short-term NSAIDs (e.g., ibuprofen) help reduce pain and inflammation. Muscle relaxants may be prescribed for severe cases.
Bite Plate/Splint Therapy
बाइट प्लेट/स्प्लिन्ट थेरापी
Custom oral appliances that reduce clenching and muscle strain. Worn primarily at night to prevent teeth grinding (bruxism).
Stress Management
तनाव व्यवस्थापन
Counseling to address contributing habits and emotional stressors. May include relaxation techniques and behavioral therapy.
Surgical Treatments (When Necessary)
शल्यक्रियात्मक उपचार (आवश्यक परेमा)
Arthrocentesis
आर्थ्रोसेन्टेसिस
A minimally invasive procedure where sterile fluid is injected to flush out inflammatory byproducts. Performed under local anesthesia with 1-2 small needles.
Arthroscopy
आर्थ्रोस्कोपी
A camera-assisted keyhole surgery to diagnose and treat internal TMJ problems. Small incisions allow direct visualization and repair of joint structures.
Why Choose OraMax for TMJ Treatment?
TMJ उपचारका लागि OraMax किन रोज्ने?
- Accurate Diagnosis with CBCT Imaging
- Conservative-first Philosophy
- Minimally Invasive Surgical Options
- Personalized, Compassionate Care
🦷 Experiencing jaw pain or difficulty opening your mouth?
Book a TMJ Consultation TodayAvailable in Chitwan, Bharatpur and Kathmandu
TMJ Splint Therapy
TMJ Splint Therapy in Nepal
Custom Dental Appliances for Jaw Pain & TMJ Disorders
Dr. Krishna Regmi | Oral & Maxillofacial Surgeon
📞 9855064961 | 📍 Chitwan, Nepal
What is TMJ Splint Therapy?
TMJ splint therapy involves wearing a custom-made oral appliance to treat temporomandibular joint disorders and related symptoms. These dental devices are scientifically proven to:
- Protect TMJ discs from excessive forces
- Relieve jaw pain and muscle tension
- Prevent teeth grinding (bruxism) damage
- Create a stable, balanced bite
When is Splint Therapy Recommended?
- TMJ pain or tenderness
- Limited jaw opening
- Facial muscle pain (myofascial pain)
- Teeth grinding or clenching (bruxism)
- TMJ disc displacement
- Degenerative joint disease
- Post-surgical TMJ protection
Our TMJ Splint Solutions
Anterior Repositioning Splint (Most Effective for TMJ Disorders)
Best for: Disc displacement, degenerative joint disease, TMJ arthritis
- Gently repositions lower jaw forward
- Relieves pressure on TMJ discs
- Helps recapture displaced discs
- Does not permanently alter bite
- Worn 24/7 during treatment phase
Stabilization Splint (Michigan Splint)
Best for: Bruxism protection and muscle relaxation
- Flat biting surface covering all upper teeth
- Minimizes changes to jaw relationship
- Reduces muscle activity during sleep
- Primarily worn at night
Anterior Bite Plane
Best for: Severe clenching cases
- Covers only front teeth
- Prevents back teeth from contacting
- Typically worn only at night
Splint Comparison Guide
| Splint Type | Primary Use | Wearing Schedule | Treatment Duration |
|---|---|---|---|
| Anterior Repositioning | TMJ disc problems | 24/7 initially | 3-6 months |
| Stabilization | Bruxism protection | Nighttime only | Long-term |
| Anterior Bite Plane | Severe clenching | Nighttime only | Varies |
Why Choose Dr. Krishna Regmi for TMJ Splints?
- 5+ Years Experience: Specialized in TMJ disorders
- Precision Diagnosis: Identifies the root cause of your symptoms
- Custom Fabrication: Each splint is lab-made from dental impressions
- Follow-up Care: Regular adjustments for optimal results
- Evidence-Based: Uses only scientifically validated splint designs
- Holistic Approach: Combines splints with other therapies when needed
What to Expect During Treatment
- Comprehensive Evaluation: Clinical exam and diagnostic tests
- Precision Impressions: Digital or traditional molds of your teeth
- Custom Fabrication: Dental lab creates your splint (1-2 weeks)
- Fitting Appointment: Adjustments for perfect fit and comfort
- Follow-up Visits: Monitor progress and make adjustments
- Maintenance Phase: Gradual reduction in splint use when appropriate
Ready for TMJ Relief?
Schedule your splint therapy consultation today
📞 Call: 9855064961
📍 Chitwan, Nepal | Emergency appointments available
TMJ Surgery
TMJ Surgery
“Surgical treatments are controversial, often irreversible, and should be avoided where possible. There have been no long-term clinical trials to study the safety and effectiveness of surgical treatments for TMJ disorders. Nor are there standards to identify people who would most likely benefit from surgery. Failure to respond to conservative treatments, for example, does not automatically mean that surgery is necessary. If surgery is recommended, be sure to have the doctor explain to you, in words you can understand, the reason for the treatment, the risks involved, and other types of treatment that may be available.” (National Institutes of Health brochure on TMJ Disorders)
TMJ Surgery Options in Nepal
Dr. Krishna Regmi | Oral & Maxillofacial Surgeon
Specialized surgical care for severe TMJ disorders in Chitwan
Understanding TMJ Surgery
When non-surgical treatments like medications, splints, and physical therapy don't provide relief for severe TMJ disorders, surgical options may be considered. Dr. Krishna Regmi offers the full spectrum of evidence-based TMJ surgical procedures in Chitwan, Nepal.
Surgical Procedures We Offer
Arthrocentesis (Least Invasive)
Best for: Early stage TMJ disorders with disc displacement
- Performed under local anesthesia with sedation
- Two needles inserted into the joint space
- Joint flushed with sterile solution to remove inflammatory byproducts
- Often combined with joint manipulation
- Recovery time: 2-3 days
Arthroscopy (Minimally Invasive)
Best for: Moderate TMJ disorders with adhesions or mild degeneration
- Small camera (arthroscope) inserted to visualize joint
- Can remove scar tissue and smooth bone surfaces
- Sometimes includes disc repositioning
- Performed under general anesthesia
- Recovery time: 1-2 weeks
Open Joint Surgery (Arthrotomy)
For severe cases: Advanced degeneration, ankylosis, or tumors
- Direct access to joint through small incision
- Options include disc repair, disc removal, or joint reshaping
- May use autogenous tissue grafts
- Significant recovery period (3-8 weeks)
Total Joint Replacement
Last resort option: For completely destroyed joints
- FDA-approved prosthetic joints only
- Complex procedure requiring hospitalization
- Long-term follow-up essential
- Discuss all risks thoroughly with Dr. Regmi
Surgical Options Comparison
| Procedure | Invasiveness | Anesthesia | Recovery Time | Success Rate |
|---|---|---|---|---|
| Arthrocentesis | Least | Local + Sedation | 2-3 days | 70-80% |
| Arthroscopy | Minimal | General | 1-2 weeks | 60-75% |
| Arthrotomy | Moderate | General | 3-8 weeks | 50-70% |
| Joint Replacement | Most | General | 8-12 weeks | Varies |
Preparing for TMJ Surgery
Pre-Surgical Checklist
- Complete all recommended diagnostic imaging
- Discuss anesthesia concerns (especially if limited jaw opening)
- Arrange for post-operative care and assistance
- Prepare soft foods and nutritional supplements
- Obtain prescriptions in advance
- Plan for adequate recovery time
What to Expect After Surgery
- Most pain occurs in first 3-5 days (managed with medication)
- Swelling peaks at 48 hours, then gradually improves
- Jaw exercises often begin 1-2 weeks post-op
- Follow-up appointments crucial for monitoring progress
- Full recovery may take several months for complex procedures
Why Choose Dr. Krishna Regmi for TMJ Surgery?
- Specialized Training: Advanced surgical techniques for TMJ disorders
- Conservative Approach: Recommends surgery only when absolutely necessary
- Comprehensive Care: From diagnosis through full recovery
- Modern Facility: Equipped for advanced TMJ procedures
- Patient-Centered: Clear explanations and realistic expectations
Considering TMJ Surgery?
Schedule a consultation with Dr. Krishna Regmi to discuss your options
📞 Call: 9855064961
📍 Chitwan, Nepal | Emergency consultations available
Trigeminal Neuralgia
Trigeminal Neuralgia Treatment & Surgery in Nepal
Expert Care by Dr. Krishna Regmi
Oral & Maxillofacial Surgeon | Facial Pain Specialist
📞 9855064961 | 📍 Chitwan, Nepal
What is Trigeminal Neuralgia?
Trigeminal Neuralgia (TN) is considered one of the most painful conditions affecting the face. It causes sudden, severe, electric-shock-like pain typically on one side of the face.
- Light touch or washing the face
- Chewing or talking
- Brushing teeth
- Exposure to breeze
- Applying makeup
Recognizing Trigeminal Neuralgia Symptoms
Sudden, severe bursts lasting seconds to minutes
Specific facial areas that initiate pain
May occur multiple times daily
Burning or aching between attacks
Advanced Treatment Options
Medication Management
First-line treatment: Anti-seizure medications like carbamazepine or gabapentin to calm nerve signals.
We carefully monitor dosage and side effects for optimal relief.
Nerve Block Injections
For immediate relief: Precise anesthetic injections to temporarily block pain signals.
Can provide weeks to months of relief when medications aren't enough.
Surgical Solutions
When conservative treatments fail: Dr. Regmi specializes in:
- Peripheral Neurectomy: Removing affected nerve branches
- Microvascular Decompression Referral: For qualified candidates needing neurosurgery
- Radiofrequency Ablation: Minimally invasive nerve treatment
Why Choose Dr. Krishna Regmi?
- Specialized Expertise: 15+ years treating facial nerve disorders
- Precision Diagnosis: Advanced imaging and clinical evaluation
- Personalized Care: Tailored treatment plans for each patient
- Surgical Excellence: High success rates with minimal complications
- Holistic Approach: Addressing both physical and emotional impacts
- Continuity of Care: Long-term follow-up for sustained relief
Treatment Process
- Comprehensive Evaluation: Detailed history and diagnostic tests
- Treatment Planning: Customized approach based on your condition
- Staged Intervention: Starting with most conservative options first
- Surgical Coordination: Seamless referral if advanced surgery needed
- Recovery Support: Pain management and rehabilitation
Don't Suffer Another Day
Take the first step toward pain-free living
📞 Call Now: 9855064961
📍 Chitwan, Nepal | Emergency consultations available