Arthroscopy of the Inferior Compartment of the Temporomandibular Joint: A New Perspective

González-García, Raúl; Moreno-Sánchez, Manuel; Moreno-García, Carlos; Román-Romero, Leticia; Monje, Florencio

doi:10.1007/s12663-017-1023-x

Cited by 11 publications

(10 citation statements)

References 18 publications

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“…The specific intra-articular location of depositing the injected substance is presumed to be determinative due to the different motor functions of individual TMJ compartments [ 37 , 38 ]. The full assessment of the complexity of these movements is still pending, but it is assumed that hinge or rotational movements take place below the articular disc, and translation or gliding movements above it [ 37 , 38 , 39 ]. Mastication capacity, resulting from a combination of the movements described above, translates into an overall assessment of the quality of life [ 7 , 40 ].…”

Section: Introductionmentioning

confidence: 99%

“…Mastication capacity, resulting from a combination of the movements described above, translates into an overall assessment of the quality of life [ 7 , 40 ]. Based on subdiscal arthroscopy, the role of the inferior compartment for the proper functioning of the TMJ and the hitherto underestimated role of abnormalities below the articular disc in the etiopathogenesis of internal disarrangement are regarded to be greater than previously thought [ 39 ].…”

Section: Introductionmentioning

confidence: 99%

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Intra-Articular Injections into the Inferior versus Superior Compartment of the Temporomandibular Joint: A Systematic Review and Meta-Analysis

Chęciński¹,

Chęcińska

Turosz

et al. 2023

JCM

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This systematic review and meta-analysis aimed to validate the hypothesis that intra-articular injections into the inferior temporomandibular joint compartment are more efficient than analogous superior compartment interventions. Publications reporting differences between the above-mentioned techniques in the domains of revealing articular pain, decreasing the Helkimo index, and abolishing mandibular mobility limitation were included. Medical databases covered by the Bielefeld Academic Search Engine, Google Scholar, PubMed, ResearchGate, and Scopus engines were searched. The risk of bias was assessed using dedicated Cochrane tools (RoB2, ROBINS-I). The results were visualized with tables, charts, and a funnel plot. Six reports describing five studies with a total of 342 patients were identified. Of these, four trials on a total of 337 patients were qualified for quantitative synthesis. Each eligible report was at moderate risk of bias. From 19% to 51% improvement in articular pain, 12–20% lower Helkimo index, and 5–17% higher maximum mouth opening were observed. The evidence was limited by the small number of eligible studies, discrepancies regarding the substances used, possible biases, and the differences in observation times and scheduled follow-up visits. Despite the above, the advantage of inferior over superior compartment temporomandibular joint intra-articular injections is unequivocal and encourages further research in this direction.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intra-Articular Injections into the Inferior versus Superior Compartment of the Temporomandibular Joint: A Systematic Review and Meta-Analysis

Chęciński¹,

Chęcińska

Turosz

et al. 2023

JCM

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“…In addition, there is evidence from a cadaver study [7] of a greater prevalence of morphological changes in the inferior surface of the disk of the TMJ. Although recently reported in 1 patient [8], arthroscopy of the lower joint compartment is extreme demanding due to possible damage to the cartilage of the condyle during puncturing of the compartment. In general, an open procedure of the TMJ will more easily allow access to the lower compartment to correct bony deformity of the condyle or remove hyperplastic synovium.…”

Section: Discussionmentioning

confidence: 99%

The Value of SPECT CT in Patient Management of Osteoarthritis of the Temporomandibular Joint

Bonte

Muylle

Matthews

2018

JDMS

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A 30 year old female patient presented in 2009 with severe bilateral temporomandibular joint (TMJ) pain, restricted mouth opening and tenderness over the masseter muscles. She was initially diagnosed with Wilkes Stage IV of the right and left TMJ. A diagnostic arthroscopy performed bilaterally failed to releave her pain. She was diagnosed with an isolated spondyloarthropathy of TMJ based on a positive test for HLA B. Further medicamentous treatment was unsuccesfull over subsequent months and years. CBCT of the TMJ showed discrete sclerosis of the right TMJ. Based on an additional SPECT-CT with 99 Tcm hydroxymetylene diphosphonate with significant increased uptake of the tracer in the right TMJ, the right TMJ was considered as end stage disease and a right total joint replacement (TJR) using a Zimmer Biomet custom made prosthesis was performed. A left TJR was performed 3 years.

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“…With this technique a variety of surgical procedures can be accomplished such as lysing (removal of adhesions), lavage, obtaining tissue for biopsy, and, it is reported, correcting the position of the disc. 62,63…”

Section: Treatment Of Pathological Sequelaementioning

confidence: 99%

Temporomandibular Joint Osteoarthrosis: A Review of Clinical Aspects and Management

Al-Ani¹

2021

Prim Dent J

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The symptoms of TMJ Osteoarthrosis/Osteoarthritis(TMJ OA) are characteristic and in most cases specific to the disorder. There is, however, an overlap of symptoms with other TMDs. Treatment of TMJ OA is generally directed towards management of the symptoms as the temporomandibular joint does retain the capacity throughout life to repair and remodel. Non-conservative and invasive treatment is only rarely necessary. It should be remembered that the mandibular condyle retains the capacity to repair and remodel throughout life and patients should be encouraged to bear this in mind. Conservative measures are usually sufficient to treat symptoms and a period of time should be allowed to elapse before undertaking a more aggressive treatment plan, which, in the overwhelming majority of patients, will not be necessary. This disorder should be approached on the terms of ‘a quality of life issue’ and treatment should be directed towards patient needs.

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Arthroscopy of the Inferior Compartment of the Temporomandibular Joint: A New Perspective

Abstract: 4/5.

Cited by 11 publications

References 18 publications

Intra-Articular Injections into the Inferior versus Superior Compartment of the Temporomandibular Joint: A Systematic Review and Meta-Analysis

Intra-Articular Injections into the Inferior versus Superior Compartment of the Temporomandibular Joint: A Systematic Review and Meta-Analysis

The Value of SPECT CT in Patient Management of Osteoarthritis of the Temporomandibular Joint

Temporomandibular Joint Osteoarthrosis: A Review of Clinical Aspects and Management

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