Over 300 operations for TMJ successfully performed at Govt Dental College since 2005

Source: The Hitavada      Date: 17 May 2017 10:53:06

Staff Reporter,


More than 300 operations for Temporomandibular Joint (TMJ), a joint that connects the lower jaw to the skull, were performed by doctors in the department of Oral and Maxillofacial surgeries at Government Dental College, Raipur since 2005. The hospital was started in State capital
on 2003.

Dr Biju Pappachan Professor Department of Oral and Maxillofacial Surgery informed that the department is mainly concerned with surgeries of face mouth and jaws. Includes-Trauma surgeries, facial deformity correction, Tumour and cancer surgeries of face and oral cavity, infections in face and Jaws, Reconstructive surgeries of face and oral cavity, Temporomandibular joint (TMJ) surgeries, cleft of lip , palate and craniofacial anomalies.

The particular surgery for Temporomandibular joint Ankylosis (TMJ Ankylosis) includes step by step procedures to correct the entire affliction Osteoarthrectomy to release the fusion of joint to skull thereby opening mouth which is closed sometimes since birth. Making joint functional by using part of jaw bone or artificial substitute. Lengthening jaw by distraction osteogenesis -lengthening of jaw.

Osteotomy and improvement of jaw contour by orthomorphic surgeries.
The department of maxillofacial surgery has been involved in treating various types of injuries, deformities, Cancer and other afflictions of oral cavity and face. Every week two days (Monday and Thursday) are fixed for the Dental surgeries at Neurosurgery operation theatre at Dr BR Ambedkar Memorial Hospital, Raipur.

Among these afflictions deformity of face and Temporomandibular Joint Ankylosis has been a common problem. This is a condition where jaw bone joins with the skull, patient cannot open mouth and since its present from birth, the jaw on that side doesn’t grow. Since 2005 more than 300 cases have been treated at Government Dental College. Some of the patients are happy as they have not only got mouth opened but they have got functional joint with deformity of face corrected.

Dr Biju Pappachan and Dr B Mishra, Professor Department of Oral and Maxillofacial Surgery have led their team in performing these surgeries. Dr Biju has even presented use of part of jaw bone to reconstruct the joint functionally which was presented and appreciated at International conference of oral and Maxillofacial surgery, held at Bengaluru in 2009. This department and surgeons have worked silently. When asked Dr Biju was quick to react
“Work silently, let success make the noise”.

Best part of the treatment is that in private hospitals it takes around Rs 2 lakh for TMJ Ankylosis but at Government Dental College the facility comes free for Smart card holders as it costs about Rs 28-30 thousand only, which is within reach of a poor or middle class person.