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Temporomandibular Joint Pain Measurement by Bite Force and Von Frey Filament Assays in Mice
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Current thinking in temporomandibular joint management.

Andrew J Sidebottom1

  • 1Maxillofacial Unit, Queen's Medical Centre, Nottingham NG7 2UH, United Kingdom. ajsidebottom@doctors.org.uk

The British Journal of Oral & Maxillofacial Surgery
|January 22, 2009
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Management of temporomandibular joint (TMJ) disorders has shifted towards less invasive options. Advances like arthroscopy and non-surgical pain management have reduced the need for open joint surgery.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthopedic Surgery
  • Pain Management

Background:

  • Temporomandibular joint (TMJ) disorder management has evolved from generalist care to subspecialist surgical interest.
  • A growing number of surgeons specialize in TMJ joint replacement surgery.
  • Non-surgical options are increasingly used for patients previously managed with surgery for TMJ pain.

Purpose of the Study:

  • To review the evolution of TMJ disorder management in secondary care.
  • To highlight advancements in surgical and non-surgical treatment modalities.
  • To discuss the impact of new techniques on surgical indications.

Main Methods:

  • Review of historical trends in TMJ disorder management.
  • Analysis of the impact of arthroscopy, arthrocentesis, and non-surgical pain regimens.
  • Comparison of alloplastic joint replacement with costochondral grafting.

Main Results:

  • Arthroscopy and arthrocentesis have reduced the need for open joint surgery for TMJ disorders.
  • Non-surgical options like botulinum toxin and tricyclic medication decrease the necessity for invasive procedures.
  • Alloplastic joint replacement offers a safer alternative with predictable outcomes for degenerative and ankylotic TMJ conditions, especially in adults.

Conclusions:

  • TMJ disorder management has significantly advanced, emphasizing less invasive approaches.
  • Arthroscopy and arthrocentesis are now primary treatments for acute TMJ issues.
  • Alloplastic joint replacement is preferred for adult degenerative TMJ conditions, while costochondral grafting remains suitable for pediatric cases.