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Surgical treatment for temporomandibular joint problems.

D A Keith1

  • 1Massachusetts General Hospital, Boston.

Current Opinion in Dentistry
|August 1, 1991
PubMed
Summary

Surgical treatments for temporomandibular joint disorders are reviewed. The literature covers arthroscopy, ankylosis treatment, and disk replacement options using various materials.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics
  • Biomaterials Science

Background:

  • Temporomandibular joint (TMJ) disorders encompass a range of pathologies affecting joint function.
  • Surgical intervention is considered for specific TMJ conditions when conservative management fails.
  • Current literature explores various surgical approaches and materials for TMJ reconstruction.

Purpose of the Study:

  • To review the current literature on surgical interventions for temporomandibular joint disorders.
  • To discuss the efficacy of arthroscopic procedures for TMJ pathology.
  • To examine treatment strategies for TMJ ankylosis and disk replacement.

Main Methods:

  • Literature review of surgical techniques for temporomandibular joint disorders.
  • Analysis of studies on arthroscopy, ankylosis management, and TMJ disk reconstruction.
  • Evaluation of the use of implants, autogenous, and allogenic materials in TMJ surgery.

Main Results:

  • Arthroscopy demonstrates efficacy in managing specific TMJ pathologies.
  • Ankylosis presents a complex surgical challenge with various treatment modalities.
  • Diverse materials, including implants and biological grafts, are utilized for TMJ disk replacement.

Conclusions:

  • Surgical management of temporomandibular joint disorders is indicated for select cases.
  • Arthroscopy, ankylosis treatment, and disk replacement are key areas of surgical focus.
  • Material selection for TMJ reconstruction impacts surgical outcomes.

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