The patient: the left side of the joint disc perforation, the right side of the irreducible joint disc displacement. 2003 onset has been in the mouth light hospital treatment, in addition to opening the mouth when the right side of some popping, there is no discomfort, no pain, open mouth degree is normal Please Dr. Gu, I such a case can receive jaw angle surgery, my jaw angle is a little wide, I have always wanted to do jaw angle surgery, but also dare not take it lightly I’d like to have it done. Hangzhou Stomatological Hospital Implant Center Gu Zhiyuan: jaw angle surgery does not affect the temporomandibular joint much, the surgery should be able to do. Patient: Thank you Dr. Gu for your reply! I am more worried that my case may be serious with perforation. I wonder what issues should be paid attention to during the surgery if it is done. Thanks again!!! Hangzhou Stomatological Hospital Implant Center Gu Zhiyuan: There is nothing special medicine to pay attention to, do not open your mouth wide for a long time. Patient: But if you undergo the surgery, the procedure is long, don’t you have to open your mouth too? I have consulted with other doctors, some of them think that the surgery is acceptable, some suggest to be cautious, I am also very conflicted. But I want to have the surgery, but I’m worried about the risks. Thank you! Gu Zhiyuan, Hangzhou Stomatological Hospital Implant Center: The procedure does not always involve opening the mouth wide. Patient: Dr. Gu, I have consulted the specialist who has been looking at my joints in our oral hospital here, and he said that the muscles (such as the bite muscle, right?) have to be stripped during the surgery, and that the muscles are free after the surgery and have to be reorganized, which is likely to aggravate the pain in the joint area. I wonder if this is still acceptable for surgery? Thank you!!! Zhiyuan Gu, Hangzhou Dental Hospital Implant Center: It just may aggravate the painful symptoms in the joint area, and will not aggravate the disease itself. Patient: Dr. Gu, thank you for your reply! The question is, my current situation is that there is no pain in the joint, just a sound when I open my mouth. If the joint hurts after surgery, isn’t that an aggravation of the disease? Thank you!!! Gu Zhiyuan, Implant Center of Hangzhou Dental Hospital: It is hard to predict whether the disease is aggravated or not. Aggravation, it is difficult to predict. Patient: Dr. Gu, in that case, I am still not suitable for this surgery, right? The risk to be taken seems to be great. Zhiyuan Gu, Hangzhou Stomatological Hospital Implant Center: The problem of the joint is not the main problem, and the risk is not very big. Patient: Thank you, Dr. Gu! Patient: Thank you, Dr. Gu! Patient: Dr. Gu, I would like to ask you about TMJ. I have been chewing with my right side for a long time, which has caused the right side of the joint disc to be displaced anteriorly. I rarely eat with my left side, so how come the left side is more serious than the right side? Is a perforated joint disc a serious condition? Will there be any negative consequences? My joint now has no pain except for the opening popping (which happens every time I open my mouth), and the opening is normal. If I didn’t have that popping, I might have forgotten about the joint disease. However, it is true that in winter, if I get cold, I will feel some pain in my joints, and my face will feel a little wooden, but once I get to a warm place, it will be fine again. The implant center of Hangzhou Stomatological Hospital, Gu Zhiyuan: The perforation of the joint disk is more serious in terms of TMJ disorder, but there are no serious consequences. Arthrosis often has pain when it is cold. Patient: Thank you Dr. Gu for your answer! I was chewing with my right side for a long time, which caused anterior displacement of the articular disc on the right side. But the left side is perforated when the disease is found. I seldom eat with the left side, how come the left side is more serious than the right side? Zhiyuan Gu, Implant Center of Hangzhou Dental Hospital: Less use does not necessarily mean less damage.