I need some information on anyone who has had a bilateral sagital split osteotomy. I have had TMJ for 12 years and have worn a splint for most of that time, not including the 2 years that I wore braces. I underwent an Intraoral Vertical Ramus Osteotomy 2 years ago. The result was 100% failure. I had a perfect bite before surgery and now only 2 teeth touch. I have severe malalignment to the right. It has caused my cervical vertabra to rotate out of alignment. I now have a herniated disc at C5-6 which doesn't help the situation, I am in chronic pain. To top it off, my bone is now dying. My Maxillofacial Surgeon states that he can fix it but he will not touch me for 6 months. He wants to repeat an MRI to see if my bone has gone into remission. He wants to do a BSSO with bone-plates and transfer some cartilage. This man is very conservation and has a wonderful reputation. The last speacialist that I saw wanted to do a total joint replacement. The only thing that really bothers me is why wait for a MRI and not order a bone scan which would show active bone loss??? I wish someone with some medical knowledge could answer this. I an unable to get a second opinion due to my insurance and severity of the case. If anyone has any suggestions for me....I am all ears. I know I need to have a surgery to fix this but is the BSSO the way to go??
Thanks a lot,