ABSTRACT
Temporomandibular joint (TMJ) disorder is a term that encompasses a number of overlapping conditions, such as closed lock. Closed lock of the TMJ is considered a consequence of a nonreducing deformed disc acting as an obstacle to the sliding condylar head that usually causes a decrease in the maximum mouth opening and acute pain. The management of the TMJ is still controversial. Thus, arthrocentesis of the TMJ is a valuable modification of the traditional method of arthroscopic lavage, which consists of washing the joint in order to remove chemical inflammatory mediators and intra-articular adhesions, changing intra-articular pressure. TMJ disorder has always presented as a therapeutic challenge to maxillofacial surgeons. Therefore, this paper aimed to describe a clinical report of a closed lock of the left TMJ in a 19-year-old female subject who was successfully treated by arthrocentesis procedure.
Subject(s)
Arthroscopy/methods , Paracentesis/methods , Temporomandibular Joint Disorders/surgery , Temporomandibular Joint Dysfunction Syndrome/surgery , Temporomandibular Joint/surgery , Female , Humans , Postoperative Care/methods , Radiography, Panoramic , Temporomandibular Joint/diagnostic imaging , Temporomandibular Joint Disorders/diagnostic imaging , Temporomandibular Joint Dysfunction Syndrome/diagnostic imaging , Therapeutic Irrigation/methods , Tissue Adhesions , Young AdultABSTRACT
The authors report the treatment of TMJ dysfunction in 656 consecutive patients, using simple relative TMJ rest, with immediate cures in more than 80 (per cent) of the patients. The anatomophysiology of the TMJ and mainly the pain mechanism are discussed. The authors studied the occurrence of TMJ dysfuntion without pain in the population and observed that treatments is not necessary in 35 (per cent) of the cases. More severe cases require surgery 4 (per cent). The major steps of surgical treatment and final results are described.
Subject(s)
Humans , Male , Female , Adult , Temporomandibular Joint/anatomy & histology , Temporomandibular Joint/surgery , Temporomandibular Joint/physiology , Craniomandibular Disorders , Facial Pain , Temporomandibular Joint Dysfunction Syndrome/surgery , Diagnostic Techniques, Surgical/standardsABSTRACT
Este estudo foi realizado com o objetivo de avaliar os resultados funcionais da osteotomia vertical do ramo em pacientes submetidos a recuo mandibular. A amostra foi composta por 20 pacientes, sendo que 14 apresentaram sinais e/ou sintomas de disfunçäo temporomandibular no pré-operatório. Observou-se, no pós-operatório, reduçäo importante na abertura máxima de boca, que foi atribuída à fisioterapia inadequada. Os movimentos de protrusiva e o n§ de contactos oclusais se mantiveram estáveis, tendo havido ganho na amplitude dos movimentos de lateralidade. Houve remissäo dos sinais e/ou sintomas articulares em 13 dos 14 pacientes afetados e, nenhum dos 6 pacientes assintomáticos desenvolveu patologia articular em razäo do procedimento. A intervençäo cirúrgica foi considerada funcionalmente satisfatória
Subject(s)
Humans , Female , Adolescent , Adult , Orthodontics, Corrective , Osteotomy , Outcome Assessment, Health Care , Temporomandibular Joint Dysfunction Syndrome/surgery , Temporomandibular Joint Dysfunction Syndrome/therapy , Temporomandibular Joint , Temporomandibular Joint Disorders/surgery , Temporomandibular Joint Disorders/therapySubject(s)
Arthritis, Rheumatoid/drug therapy , Chondromatosis, Synovial/history , Chondromatosis, Synovial/surgery , Mandibular Condyle/pathology , Osteoarthritis/history , Osteoarthritis/surgery , Branchial Region/surgery , Temporomandibular Joint Disorders/surgery , Temporomandibular Joint Disorders/therapy , Ankylosis/history , Tooth Avulsion/history , Postoperative Care/methods , Temporomandibular Joint Disc/surgery , Temporomandibular Joint Disc/pathology , Temporomandibular Joint Disc , Jaw Fractures/history , Osteotomy , Temporomandibular Joint Dysfunction Syndrome/surgery , Temporomandibular Joint Dysfunction Syndrome/history , Temporomandibular Joint Dysfunction Syndrome/therapyABSTRACT
Se presenta una revisión de la anatomía de la articulación temporomandibular así como el tratamiento invasivo o no de las alteraciones que en ella se presentan
Subject(s)
Temporomandibular Joint/anatomy & histology , Temporomandibular Joint/pathology , Temporomandibular Joint Dysfunction Syndrome/surgery , Temporomandibular Joint Dysfunction Syndrome/therapy , Analgesics/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Arthroscopy , Joint Dislocations/surgery , Joint Dislocations/therapy , Stress, PsychologicalABSTRACT
Dos complicaciones posquirúrgicas de la cirugía ortognática, la recidiva esquelética y los problemas de la ATM, tienen un factor etiológico común en los cambios espaciales del cóndilo mandibular. Los estudios no han valorado los cambios condilares en tres dimensiones. Se tomaron ocho pacientes a quienes se les realizaron las siguientes pruebas pre y posquirúrgicas: radiografías (submentalvertex, tomografía lateral y coronal con eje corregido), pantografía y análisis clínico de la ATM. Se encontró una gran asociación entre los cambios condilares y los problemas posquirúrgicos de la ATM; se valoraron los cambios condilares en los tres planos del espacio en diferentes tipos de cirugía. Ningún movimiento condilar es bueno o malo en sí, sino que su papel depende de las condiciones articulares prequirúrgicas del paciente. Existe asociación entre la rotación horizontal negativa del cóndilo y dolor, cuando el valor final era mayor de 21 grados. Las articulaciones derechas fueron más afectadas