Patient: More than a year, now the opening is only 2 fingers big, the bite is weak, especially the upper front teeth, there is pressure pain in the left subauricular joint is currently receiving acupuncture and infrared radiation treatment, not only no effect, but also feel more serious I heard that the effect of closed needle is also not very good, please ask the local oral joint specialist hospital, general hospital can treat? How can I get better results and less pain, and can I be cured? Laboratory and examination results: I took an oral panoramic film, but the oral surgeon only said that the joint surface was not smooth and there was a possibility of osteoporosis. The last hospital: Hangzhou Stomatological Hospital Implant Center Gu Zhiyuan: The symptoms are like irreducible anterior displacement of the joint disc, which is difficult to cure, but there should be no problem to relieve the symptoms. Patient: Dr. Gu, I have been confirmed in Wuhan University Stomatological Hospital, temporomandibular joint damage (there is a small piece of wear and tear), has received a course of treatment (3 times) of sodium glass acid injection, the bite than before slightly better, but the strength is not ideal, and there is a slight pain in the upper part of the throat when chewing. I am unable to eat a lot of food in my life, especially meat and animal food with a little bit of coarse fiber and chewy food, and I can only open my mouth a little bit more than two fingers. My primary care doctor said that I am basically recovered and only need to be rechecked in 3 months. Is this the best you can do for this disease? Will the damaged joints never grow back and that’s all there is to eating? Zhiyuan Gu, Hangzhou Dental Hospital Implant Center: It is difficult to restore the damaged joint to its original shape, but the symptoms may still be reduced. Patient: Please tell me, what should I do? Or what is a better treatment option? Is it true that the vitreous acid injection can only temporarily alleviate the symptoms and the possibility of continued deterioration or say onset is high? And thank you very much for your prompt response to my question and understanding the patient’s psychological stress! Thank you! Gu Zhiyuan, Implant Center of Hangzhou Stomatological Hospital: Sodium vitreous injection is not only a temporary treatment, but also a treatment. The possibility of continued deterioration or onset exists, and the possibility of cure also exists. Pay attention to chewing bilaterally by yourself, don’t chew hard objects, don’t open your mouth widely, and if you grind your teeth at night, it is easy to relapse. Patient: Hello, I have communicated with you about my condition before, thank you very much! I was originally a left temporomandibular joint wear, after a course (3 times) of sodium glass injection treatment, after three open mouth about 3CM. now more than three months, but recently found that the left side (the original damaged joint) when chewing or talking, the joint has a grinding sound, and there is a tendency to open the mouth smaller, and the strength is not as strong as before. What worries me more is that the right side, which was not a problem, has recently become a little less flexible and even a little painful. I would like to ask if the vitreous acid sodium has failed and the left side is having problems again, and if it will wear out again. Does the right side, which was fine, have the same problem? Is there a big negative effect of sodium vitrate injection? Is it okay for me to continue the treatment with sodium vitreous acid injection like this? Zhiyuan Gu, Hangzhou Dental Hospital Implant Center: You can continue the injection, but the opinion of the treating physician is the main concern. Patient: Hello, thank you! Because I am busy at work and the doctor and patient are in two places, the cost and time of medical treatment is high, can I have any accurate and effective way to determine the problem of the joint again by myself? Will the rubbing sound in the left joint, which is like the rubbing between teeth, or more like, the rubbing between bones, continue to damage the joint? Zhiyuan Gu, Implant Center of Hangzhou Dental Hospital: The friction between the bones will continue to damage the joint, but the body’s tissues will also repair themselves. Zhiyuan Gu, Implant Center of Hangzhou Stomatological Hospital: You can continue to inject, but the opinion of the treating physician will prevail.