2.  Dr. Anup Muduli is an oral and maxillofacial
surgeon in private practice at Ramapo Oral
& Maxillofacial Surgery. Dr. Anup Muduli
also works on staff at Valley Hospital,
Chilton Memorial, and Saint Joseph’s
Regional Medical Center, where he treats
severe temporomandibular joint disorders
and performs other maxillofacial and oral
surgeries.

3.  Patients suffering from pain, tenderness, or
a clicking or locking in the jaw joint may be
diagnosed with a temporomandibular joint
(TMJ) disorder. Although in many cases
these disorders can be treated with
nonsurgical solutions, surgery may be
required in severe cases. TMJ disorders with
severe, chronic, or debilitating pain may be
associated with degenerative or
rheumatoid arthritis, or could be caused by
anterior disc displacement.

4.  When surgery is required, there are three
common options: arthroscopy, open joint
surgery, or arthrocentesis. For disc suturing,
scar tissue removal, or inflammation,
arthroscopy is commonly selected. Open
joint surgery is used when doctors need to
access deteriorated bone structures or
tumors. Oral surgeons opt for arthrocentesis
to alter the positioning of the joint hinge
disc, in order to dislodge tissue that is fused
together.