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Management of surgical failures.
Peter D Quinn1, Helen Giannakopoulos, Lee Carrasco
1Department of Oral and Maxillofacial Surgery, University of Pennsylvania Medical Center, 3400 Spruce Street, 5 White, Philadelphia, PA 19104, USA. peter.quinn@uphs.upenn.edu
Oral and Maxillofacial Surgery Clinics of North America
|December 20, 2007
Summary
Surgery for temporomandibular joint disorders is reserved for specific intracapsular conditions unresponsive to non-surgical treatments. Future research may lead to less invasive options, but current surgical knowledge guides judicious application.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Biomedical Engineering
Background:
- Temporomandibular joint (TMJ) disorders encompass a range of conditions affecting the jaw joint.
- Intracapsular pathologies within the TMJ may necessitate surgical intervention when conservative treatments fail.
Purpose of the Study:
- To define the appropriate role of surgical intervention in managing temporomandibular joint disorders.
- To highlight the importance of accurate diagnosis for guiding surgical decisions.
- To anticipate future advancements in TMJ treatment modalities.
Main Methods:
- Review of current surgical knowledge and diagnostic criteria for TMJ disorders.
- Analysis of indications for surgical intervention in intracapsular TMJ pathology.
- Discussion of potential future therapeutic advancements.
Main Results:
- Surgical intervention is indicated for a select group of TMJ patients with specific intracapsular issues.
- Nonsurgical modalities are the primary treatment approach for most TMJ disorders.
- Understanding of molecular, biochemical, and genetic factors is key to future treatment innovations.
Conclusions:
- Judicious surgical application, based on current knowledge, is essential for TMJ disorder management.
- Future research promises less invasive techniques, potentially reducing the need for open arthroplasty.
- Accurate diagnosis remains paramount in determining the suitability of surgical intervention for TMJ disorders.
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