Rehabilitation in the treatment of mandibular condyle fractures

Rzewuska, Anna; Kijak, Edward; Halczy-Kowalik, L

doi:10.17219/dmp/128092

Cited by 3 publications

(3 citation statements)

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“…20 Among others, Hugger et al proved the ultrasonographic JMA effectiveness in 2001 clinical trial claiming its 0.1mm precision, and implying the benefits of using the device in clinical practice. [21][22][23][24] At the International Dental Show (IDS 2019) in Cologne the new version of the device was presented, namely oJMA, which is based on optical technology making the elements lighter and smaller. The goal of development was to optimize the product for CAD/CAM appliances and to improve precision in motion detection, circa.…”

Section: Review Of Contemporary Jaw Motion Tracking Systemsmentioning

confidence: 99%

Jaw motion tracking systems – literature review

Jakubowska¹,

Szerszeń²,

Kostrzewa-Janicka³

2023

Prosthodontics

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Mandibular movement analysis is an integral part of the diagnosis and therapeutic processes in the fields of prosthodontics, orthodontics, or maxillofacial surgery and for many years has remained a subject of studies. For the stomatognathic system to work physiologically, during mastication, swallowing, and speaking, stability and proper dynamics of movement are crucial. The TMJ's intricate anatomy and biomechanics require complete harmony in order to be healthy and functional. A major implication might result from any problem or malfunction that impacts even one of the system's components, eventually triggering the onset of a temporomandibular disorder. Six degrees of freedom (6 DOF) -three translational and three rotational, which correspond to all conceivable motion axes of a rigid body in a three-dimensional space -are used to biomechanically describe the mandibular kinematics. Pure rotation or translation in TMJ function is a rare occurrence. For many years, in the field of traditional prosthodontics workflow, instrumentation in the form of mechanical articulators and face bows has been used. However, due to the articulator's basic design and, in some cases, the inability to

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Section: Review Of Contemporary Jaw Motion Tracking Systemsmentioning

confidence: 99%

Jaw motion tracking systems – literature review

Jakubowska¹,

Szerszeń²,

Kostrzewa-Janicka³

2023

Prosthodontics

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“…A escolha de um método de tratamento depende do tipo de fratura, do deslocamento da cabeça do côndilo após a lesão, da possibilidade de reconstrução do contato dentário nas arcadas opostas em oclusão habitual e da avaliação dos benefícios e possíveis implicações da redução fechada e do tratamento cirúrgico (Rzewuska et al, 2021).…”

Section: Introductionunclassified

Avaliação e conduta bucomaxilofacial em casos de fraturas do côndilo mandibular

Gomes,

Costa,

Nascimento

et al. 2023

RSD

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As fraturas condilares apresentam uma incidência significativa dentre as fraturas faciais. O côndilo faz parte da estrutura da articulação temporomandibular (ATM), que é responsável pelos movimentos mandibulares, mastigação e fonação. Logo, em casos de fraturas, é necessário que o profissional faça uma avaliação adequada através de achados clínicos e exames de imagem, como a tomografia computadorizada, que permite verificar a localização e extensão da fratura. Com isso, será possível realizar um correto diagnóstico e plano de tratamento. Nesse sentido, o presente trabalho tem como objetivo abordar os métodos de avaliação e os princípios de tratamento das fraturas do côndilo mandibular, de modo a se ter um prognóstico favorável. Para desenvolver o presente artigo, pesquisas foram feitas nas bases de dados Google Acadêmico e SciELO a fim de revisar a literatura, com obras de 2012 a 2022 na língua portuguesa e inglesa. Esta revisão permitiu conferir que uma avaliação detalhada da fratura é fundamental para a escolha da conduta terapêutica. Além disso, pôde-se concluir que tanto o tratamento conservador como o cirúrgico são efetivos quando indicados de forma correta pelo cirurgião.

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“…The first choice for treatment was conservative ways such as exercises, occlusal splint therapy etc. However, when comes to the late stage of the disease, the alloplastic temporomandibular joint replacement (TJR) would be a more effective therapy [ 2 , 3 ]. Alloplastic TJR is an important treatment for advanced diseases of TMJ such as tumor, osteoarthritis and ankylosis.…”

Section: Introductionmentioning

confidence: 99%

Heterotopic ossification after alloplastic temporomandibular joint replacement: a case cohort study

Ding

Lü

Zhao

et al. 2022

BMC Musculoskelet Disord

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Background Heterotopic ossification (HO) is one of the serious complications leading to the failure of alloplastic temporomandibular joint replacement (TJR). However, there was few research on its exact incidence and occurrence. Severe HO might result in pain and limited mouth opening after surgery. Therefore, it is necessary to clarify its clinical and imaging manifestations. The purpose of this study was to study the occurrence and classify HO after the alloplastic TJR. Method Patients who underwent standard TJR (Zimmer Biomet stock prostheses or Chinese stock prostheses) with fat graft and at least 1-year-follow-up were included. HO was classified into 4 types according to postoperative computed tomography (CT) scans. Type and occurrence in different TMJ disease were compared. Joint space within 1 week after operation was measured and compared between HO and non-HO TJRs. Maximum incisal opening (MIO), pain, and quality of life (QoL) were recorded and their relevance with HO was analyzed statistically. Result 81cases with 101 joints were included in the study. The mean follow-up time was 22.9 months (12 ~ 56 months). Among the 48 joints, 27 (56.3%) were type I (bone islands); 16 (33.3%) were type II (bone spurs from the mandibular ramus); 3 (6.3%) were type III (bone spurs from the fossa); and 2 (4.2%) were type IV (bone spurs from both the mandibular ramus and fossa). In HO patients, joint space in type IV was smaller than the other 3 types. Pain scores in HO were significantly greater than non-HO patients before and after operations (p < 0.05). 1 patient in Type IV HO developed ankylosis and had prosthesis revision which accounted for 2.1% in HO patients and 1.0% in all TJR patients. Conclusion HO after alloplastic TJR with fat graft was not severe except for type IV, which was easy to cause ankylosis. Preserving sufficient TJR space was important for ankylosis prevention.

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Rehabilitation in the treatment of mandibular condyle fractures

Cited by 3 publications

References 0 publications

Jaw motion tracking systems – literature review

Jaw motion tracking systems – literature review

Avaliação e conduta bucomaxilofacial em casos de fraturas do côndilo mandibular

Heterotopic ossification after alloplastic temporomandibular joint replacement: a case cohort study

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