Surgery. If your jaw pain does not resolve with more-conservative treatments and if it appears to be caused by a structural problem within the joint, your doctor or dentist may suggest surgery to repair or replace the joint. The National Institute of Dental and Craniofacial Research considers TMJ surgery to be controversial and recommends that it be avoided whenever possible.
http://www.mayoclinic.org/diseases-conditions/tmj/basics/treatment/con-20043566
If your TMJ disorder has caused problems with how your teeth fit together, you may need treatment such as bite adjustment (equilibration), orthodontics with or without jaw reconstruction, or restorative dental work. Surgical options such as arthroscopy and open joint repair restructuring are sometimes needed but are reserved for severe cases. Your Doctor does not consider TMJ surgery unless the jaw can’t open, is dislocated and nonreducible, has severe degeneration, or the patient has undergone appliance treatment unsuccessfully.
http://www.semoms.com/oral-surgery-procedures/tmj-disorders.html
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