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Disc repositioning: does it really work?

João Roberto Gonçalves1, Daniel Serra Cassano1, Luciano Rezende1

  • 1Department of Pediatric Dentistry, Faculdade de Odontologia de Araraquara, Universidade Estadual Paulista - UNESP Araraquara School of Dentistry, Araraquara, Brazil.

Oral and Maxillofacial Surgery Clinics of North America
|December 9, 2014
PubMed
Summary

Temporomandibular joint (TMJ) articular disc repositioning shows evidence of efficacy, with no data refuting its effectiveness. The procedure is supported by limited evidence, despite ongoing professional debate and clinical preference variations.

Keywords:
3D quantitative findingsClinical outcomesDisc repositioningLateral cephalometryMitek mini anchorSurgical technique and possible pitfallsTreatment alternatives

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Area of Science:

  • Dental Science
  • Orthodontics
  • Oral Surgery

Background:

  • The temporomandibular joint (TMJ) is crucial for jaw function.
  • Articular disc displacement is a common TMJ disorder.
  • Current evidence on TMJ articular disc repositioning efficacy is limited but suggests positive outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of temporomandibular joint (TMJ) articular disc repositioning.
  • To address the controversy surrounding TMJ articular disc repositioning procedures.

Main Methods:

  • Review of existing literature on TMJ articular disc repositioning.
  • Analysis of clinical evidence supporting or refuting the procedure's success.

Main Results:

  • Limited evidence supports the effectiveness of TMJ articular disc repositioning.
  • No evidence currently exists to demonstrate that TMJ articular disc repositioning is ineffective.
  • Opposition to the procedure often stems from clinical preference rather than empirical data.

Conclusions:

  • TMJ articular disc repositioning is a viable procedure supported by available evidence.
  • Further research is needed to strengthen the evidence base for TMJ articular disc repositioning.
  • Clinical decisions regarding TMJ articular disc repositioning should consider the existing evidence alongside patient-specific factors.