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Condylar disk plication for temporomandibular joint internal derangement treatment: surgical technique and results
Belmiro Cavalcanti do Egito Vasconcelos1, Gabriela Granja Porto, Ricardo Viana Bessa-Nogueira
1Facultad de Odontología de Pernambuco, Universidade de Pernambuco, Brazil. belmiroc@terra.com.br
Objective:
To report six cases submitted to the TMJ condylar disk plication technique.
Study Design:
All patients presented a limitation of mandibular movements, severe pain and failure of previous clinical treatment. A definitive diagnosis of irreducible anterior disk displacement was made by MRI (Magnetic Resonance Imaging). Clinical evaluation consisted of the following: measurement of maximal mouth opening, movement to the left and right and protusion; presence of deviation during mouth opening; clicking during mouth opening or closing; presence of pain and personal satisfaction following surgery.
Results:
While all patients had preoperative pain, only one had severe pain; in the others, the pain was less intense at the end of the period of follow-up. Stomatognatic function was improved and has been maintained since the conclusion of this study.
Conclusions:
On the basis of the follow-up of these patients, the proposed technique proved to be effective for disk stabilization, leading to a decrease in pain and an improvement in mandibular movements.
