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Temporomandibular Disorders: Surgical Implications and Management.
Peter Henein1, Vincent B Ziccardi1
1Department of Oral and Maxillofacial Surgery, Rutgers School of Dental Medicine, 110 Bergen Street, Room B854, Newark, NJ 07103-2400, USA.
Dental Clinics of North America
|March 25, 2023
Summary
Temporomandibular disorders (TMD) cause pain and limit function. Minimally invasive surgeries like arthrocentesis and arthroscopy can alleviate symptoms, while total joint replacement is an option for severe cases.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Medicine
- Orthodontics
Background:
- Temporomandibular disorders (TMD) significantly impact patient quality of life.
- Pain and restricted jaw function are hallmark symptoms of TMD.
- General dentists are often the first point of contact for patients with TMD.
Purpose of the Study:
- To outline the diagnostic and management strategies for temporomandibular disorders.
- To review current surgical interventions for TMD, ranging from minimally invasive to reconstructive procedures.
Main Methods:
- Evaluation and diagnosis are critical for tailoring management plans.
- Minimally invasive surgical options include arthrocentesis and arthroscopy.
- Open joint surgery (arthroplasty) and total joint replacement are reserved for advanced cases.
Main Results:
- Minimally invasive procedures can reduce inflammation, pain, and improve joint function.
- Arthroplasty addresses internal derangements by reshaping joint components.
- Total joint replacement offers a solution for patients with severely compromised jaw function.
Conclusions:
- A tiered approach to TMD management, starting with diagnosis, is essential.
- Surgical interventions offer effective solutions for refractory TMD symptoms.
- Treatment choice depends on the severity of the disorder and functional limitation.
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