A stepped approach for the management of symptomatic internal derangement of the temporomandibular joint

Efeoğlu, Candan; Çalış, Aylin Sipahi; Koca, Hüseyin; Yüksel, Esra

doi:10.1186/s40463-018-0282-y

Cited by 12 publications

(9 citation statements)

References 28 publications

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“…performed arthrocentesis with or without lavage in a series of patients in 2018. [ 10 ] The authors in that study used subjective measures as means of their assessment, including: spontaneous pain, pain on function, difficulty on chewing, perceived disability of jaw movements, and they concluded a statistically significant reduction in the reported symptoms by the subjects of their sample for the aforementioned variables (p-value = 0.001). According to Currie et al .…”

Section: Discussionmentioning

confidence: 99%

Internal derangement of temporomandibular joint

Arab

Alfaqeeh

Danino

2021

Journal of Family Medicine and Primary Care

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Introduction: Umbrella shaped Perforated Screws (UPS) were developed for the use of orthopedic surgery to facilitate anchoring and fixation of the tissue to bone. We here present a retrospective study of Temporomandibular joint Internal derangement (ID) with fixation using this type of screws. Materials & Methods: We conducted a retrospective study including patients treated for ID using UPS to reposition the articular disc. The study included patients treated between 1998 and 2005. Patients were selected in concordance with clinical symptoms and signs of severity. All patients had an MRI (open/closed mouth) to confirm the diagnosis. Wilkes classification of temporomandibular disease (TMD) was adopted in the selection criteria. Results: Hundred and five patients were included, 92 female and 13 males with average age of 37.56. Dentists or general physicians mainly addressed these patients to our unit. The mean time from symptoms initiating to first consultation was 3.77 years, while the mean timing of surgery after initial consultation was 9.38 months. Patients have presented with various symptoms before the surgery including pain, limitation in eating habits and clicking. 77% of the patients had no or minimal pain post surgery. Hundred and one patients had good eating habits after surgery. Only 34 patients had persistent clicking despite surgery. We had neither infection nor hematoma as complication. Major complication to this technique is frontal paresis (14 patients), which was explained to all patients preoperatively. This paresis recovered in less than 2 months in all patients. We had 89.5% of the patients satisfied with their results. Conclusion: UPS are useful in the field of plastic surgery. This novel technique has the advantage of not compromising the vascular supply of the TMJ articular surface. This technique provides a simple, fast and efficient technique for posterior aponeurosis flap fixation. Our overall satisfactory rate was comparable to other studies.

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Section: Discussionmentioning

confidence: 99%

Internal derangement of temporomandibular joint

Arab

Alfaqeeh

Danino

2021

Journal of Family Medicine and Primary Care

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“…O DI da ATM é uma patologia decorrente da desordenação da posição do disco articular em relação ao côndilo e à eminência articular 8,9 . Achados na literatura mostram uma maior frequência do acometimento no gênero feminino 2,8,10 , sendo 30 anos considerada a idade média para busca do atendimento 3 .…”

Section: Revisãounclassified

O uso da artroscopia para diagnóstico e tratamento dos distúrbios internos da articulação temporomandibular

Almeida

Leite

Hassam

et al. 2021

Rev. da Fac. de Odontologia, UPF

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Os desarranjos internos da articulação temporomandibular (ATM) são disfunções frequentes associadas aimportantes repercussões funcionais e dolorosas, como limitação de abertura bucal e ruídos articulares, quepodem provocar prejuízos à qualidade de vida do ser humano. Possuem etiologia multifatorial e são maisfrequentemente tratados conservadoramente através de fisioterapia, placas oclusais, psicoterapia, apoio farmacológico, apenas com o insucesso da terapia não cirúrgica é que as modalidades cirúrgicas são indicadas, em somente 2% a 5% dos casos. Dentre elas, a artroscopia se destaca como uma opção minimamente invasiva, com elevados índices de sucesso e baixas taxas de complicações, sendo um instrumento de alta sensibilidade que possibilita a visualização de diversas patologias intra-articulares, o diagnóstico e o tratamento desses distúrbios. Objetivo: revisar a literatura acerca das principais indicações da artroscopia no tratamento dos distúrbios internos da ATM, suas vantagens sobre as demais técnicas cirúrgicas e suas complicações. Considerações finais: a artroscopia é uma ferramenta eficiente e segura para o diagnóstico e o tratamento de diversos distúrbios internos da ATM em pacientes de diversas faixas etárias, destacando-se por seus altos índices de sucesso, menor tempo de internação e suas baixíssimas taxas de mortalidade.

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“…are examples of the invasive modalities. Arthrocentesis and arthroscopy are the examples of the third in-between group which is the minimally invasive modality [1,[3][4][5][6][7][8][9][10][11][12][13] . Arthrocentesis either followed with intra-articular injections, or not has gained a large deal of interest [7,10,[14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

“…Arthrocentesis and arthroscopy are the examples of the third in-between group which is the minimally invasive modality [1,[3][4][5][6][7][8][9][10][11][12][13] . Arthrocentesis either followed with intra-articular injections, or not has gained a large deal of interest [7,10,[14][15][16] . Arthrocentesis has its therapeutic effect by releasing adhesions, releasing intraarticular negative pressure, and washing out inflammatory mediators such as cytokines; thereby it relieves pain and improves joint function [17][18][19][20][21][22] .…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Effect of the Injectable PRF in comparison with the hyaluronic acid as an Intra-articular Medication Following Arthrocentesis in the Treatment of Internal Derangement

Khalifah

2022

OMX

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Background: Internal derangement (ID) is the most common cause for TMDs. Various invasive, minimally invasive, and non-invasive treatment modalities have been attempted. Arthrocentesis as a minimally invasive maneuver either if followed with various intra-articular medications or not has been attempted to treat ID. Hyaluronic acid (HA) has been used as an intraarticular medication due to its lubricant effect that improves joint movement and mechanically reduces friction pain. However, the i-PRF had both anti-inflammatory action to reduce the level of the cytokines; aided by the regenerative capacity to the torn and degenerated tissues of the joint including the synovial tissue. Purpose: The current study aimed at comparing both factors. Materials and Methods: Forty TMJs from thirty patients were randomly divided into two equal groups. In group I, arthrocentesis was followed by intra-articular injection of AH; however, in group II, arthrocentesis was followed i-PRF injection. Results: In general, group II patients recorded better results with respect to clicking, pain, and movement limitation. Superior results of i-PRF might be the result of the regenerative capability that not only reduced the existing inflammatory mediators; but also replaced the degenerated cytokines-releasing tissues by healthy synovial fluid-releasing tissues provides endogenous sustained source of HA. Conclusion: Although both treatments are acceptable, i-PRF was a rather recommended treatment.

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A stepped approach for the management of symptomatic internal derangement of the temporomandibular joint

Cited by 12 publications

References 28 publications

Internal derangement of temporomandibular joint

Internal derangement of temporomandibular joint

O uso da artroscopia para diagnóstico e tratamento dos distúrbios internos da articulação temporomandibular

Evaluating the Effect of the Injectable PRF in comparison with the hyaluronic acid as an Intra-articular Medication Following Arthrocentesis in the Treatment of Internal Derangement

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