Surgical treatment of the painful temporomandibular joint

Henny, Fred A.

doi:10.14219/jada.archive.1969.0236

Cited by 27 publications

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“…Intra-articular injection of steroids has been used when conservative procedures have failed (2,15), or in combination with occlusal correction (5). High condyiectomy has been performed in otherwise intractable patients (6,15). For a review of the literature see KREUTZIGER & MAHAN (9).…”

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confidence: 99%

Treatment of temporomandibular arthropathy

Rasmussen

1982

European J Oral Sciences

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– The favourable spontaneous course of TMA indicates a conservative approach to treatment. One‐half of the present 119 patients were either not treated by physiatric measures only. One‐third of the patients were treated by pivotation, whereby TMJ pain was relieved within an average of 2 months. Pivotation seemed to prolong the spontaneous course of TMA. Steriods were injected intraarticularly in one‐fifth of the patients, whereby TMJ pain was relieved within an average of 5 d. There were, however, symptoms other than pain that tended to persist after steroid injection. The various treatments did not result in any lasting differences in mandibular mobility. Pivotation and steroid injection seemed to result in a higher frequency of irregularity of the mandibular condyle as seen in transpharyngeal radiographs.

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confidence: 99%

Treatment of temporomandibular arthropathy

Rasmussen

1982

European J Oral Sciences

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“…Oral and maxillofacial surgeons and other clinicians have found the temporomandibular joint to be a challenge. Studies indicate that the procedure of high condylectomy is a valuable surgical technique for management of long-standing painful disorders of the mandibular condyle which have failed to respond to conservative treatment (Henny & Baldridge, 1957;Henny, 1969;Cherry & Frew, 1977;Marciani et al, 1988). It is also used in the treatment of intra-articular ankylosis, a chronic progressive destruction of the joint which results in the obliteration of the capsular space and union of the two articular surfaces.…”

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confidence: 99%

Functional stress modification after high condylectomy surgery

Alexandridis

Caputo

Εliades

1991

J of Oral Rehabilitation

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Surgical removal of the head of the condyles inevitably leads to radical redistribution of loads applied to the mandible. The nature of this redistribution can have important implications on the surgical approach and subsequent reconstructive procedures. The purpose of this investigation was to visualize photoelastically the functionally delivered stresses after high condylectomy surgery. Three identical models of a dentate human mandible were constructed from a photoelastic material. One mandible simulated a unilateral and the other simulated a bilateral high condylectomy. The third mandible had both condyles intact and served as basis for comparisons. Silicone implants were placed on the sectioned condylar heads. The condyles, with the silicone implants, were fitted into simulated fossae and the mandibles were loaded unilaterally and bilaterally. The resulting stresses were observed and photographed in the field of a circular polariscope. Substantial differences in load-generated stresses were observed as a result of both unilateral and bilateral condylectomies, compared to the normal case. The most severe stress conditions occurred with the unilateral condylectomy, where stresses associated with torsion were most evident.

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Correction of temporomandibular joint ankylosis resulting from earlier surgery

MacIntosh

1996

Management of Temporomandibular Joint Degenerative Diseases

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Surgical treatment of the painful temporomandibular joint

Cited by 27 publications

References 1 publication

Treatment of temporomandibular arthropathy

Treatment of temporomandibular arthropathy

Functional stress modification after high condylectomy surgery

Correction of temporomandibular joint ankylosis resulting from earlier surgery

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