Meet Christian Brantley. He was born with a rare condition that severely limited how wide he could open his jaw, making everyday activities like eating, speaking, and brushing his teeth incredibly difficult.
“My mouth was basically locked shut; I couldn’t eat properly, talking was hard, and taking care of my teeth was a challenge, too. The whole experience of not being able to open your mouth…it’s hard to explain; you really have to live it to understand,” says Christian.
From early childhood, Christian faced limitations caused by trismus-pseudocamptodactyly syndrome, a condition that caused severe fusion between his lower jaw (mandible) and the base of the skull.
Despite multiple surgeries, none provided lasting relief. From the age of three, he could only open his mouth a few millimeters, yet Christian held onto the hope that one day he would be able to live without limitations.
Finding Hope at CCOFS in Raleigh, NC
Christian’s journey eventually led him to Dr. Roger Moreira, an oral and maxillofacial surgeon at Carolinas Center for Oral & Facial Surgery, following a referral from his pediatric dentist, who recognized the complexity of his condition. From the first consultation with Dr. Moreira, Christian felt confident he was in the right hands.
After a thorough evaluation, Dr. Moreira confirmed the severity of the fusion and determined that total joint replacement was the only viable long-term solution.
“We are able to offer patients a meaningful option for care at all stages of TMJ dysfunction,” says Dr. Moreira. “Our practice is highly specialized in complex TMJ disorders and is considered a leading resource for advanced TMJ surgery in North Carolina and along the East Coast.”
With nearly 25 years of experience and over 500 temporomandibular joint replacement surgeries performed, Dr. Moreira focuses on treating patients with severe joint disease, chronic pain, and long histories of unsuccessful TMJ treatments. His expertise allows patients to safely regain jaw function and restore confidence in everyday life.
From the first appointment, Christian knew he had found the right TMJ surgeon. “Dr. Moreira was heaven-sent,” he says, reflecting on the reassurance and care he received throughout his TMJ treatment.
Understanding TMJ Surgery
What is TMJ Surgery?
TMJ surgery is an advanced treatment option for patients with severe jaw limitations, joint damage, or functional problems that cannot be resolved through conservative care.
The temporomandibular joints connect the lower jaw to the skull and are essential for eating, speaking, and facial movement. When these joints are damaged or fused, even simple tasks can become extremely challenging and painful.
In advanced cases, surgery focuses on restoring mobility and function, rather than simply managing symptoms.
Total Joint Replacement for Severe TMJ Disorders
For Christian, total joint replacement was necessary. This procedure involves removing the severely fused or damaged joint and replacing it with a custom-made prosthetic designed to replicate natural movement of the jaw.
The surgery restored essential jaw function, allowing him to eat comfortably, speak clearly, maintain oral health, and fully enjoy daily life.
At Carolinas Center for Oral & Facial Surgery, our team of board-certified oral and maxillofacial surgeons includes TMJ specialists who’ve dedicated their careers to treating even the most complex TMJ disorders.
Each patient receives an individualized TMJ treatment plan, with careful coordination from consultation through surgery and recovery, to help restore jaw movement, relieve pain, and improve quality of life.
Life After TMJ Surgery: Confidence & Freedom Restored
Following surgery, Christian experienced life-changing improvements both physically and emotionally. Everyday activities and social interactions became easier and more enjoyable.
Foods he had never been able to enjoy were suddenly possible. Even small milestones, like stretching his jaw wider, became monumental victories that reinforced his confidence and independence.
Lessons From Christian’s TMJ Surgery
Christian’s experience offers valuable insights for patients facing complex TMJ or jaw issues:
Support During Recovery makes a meaningful difference, especially during the first days.
Small Improvements Add Up Over Time: Every incremental gain in jaw mobility contributes to significant overall progress.
Trusting Your Surgical Team Eases Uncertainty: The expertise of your oral surgeon and surgical team makes the process smooth and effective.
Patience is Essential: Swelling, numbness, and soreness are temporary, and the results are well worth it.
Enjoy the Newfound Freedom: Regaining function and comfort transforms both daily life and self-confidence.
Why Carolinas Center for Oral & Facial Surgery Was the Right Choice
Christian credits Dr. Moreira and the team in Raleigh for their expertise, compassion, and for providing a permanent solution to a lifelong condition.
“It’s been such a blessing to not have to worry about not being able to open my mouth anymore,” he says. “I can finally move on with life and enjoy the simple convenience of everyday activities.”
Christian’s story highlights the value of specialized surgical care when conservative TMJ treatments are no longer effective.
Through careful diagnosis, detailed surgical planning, and consistent follow-up, Carolinas Center for Oral & Facial Surgery provides patients with clear answers and reliable solutions for severe TMJ disorders.
If you are struggling with jaw pain or limited movement, schedule a consultation with Carolinas Center for Oral & Facial Surgery and take the first step toward lasting relief.