Surgery for temporomandibular joint dysfunction information
Surgery for temporomandibular joint dysfunction
Specialty
Oral and Maxillofacial Surgeon
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Attempts in the last decade to develop surgical treatments based on MRI and CAT scans now receive less attention. These techniques are reserved for the most difficult cases where other therapeutic modalities have failed. The American Society of Maxillofacial Surgeons recommends a conservative/non-surgical approach first. Only 20% of patients need to proceed to surgery.[citation needed]
Examples of surgical procedures that are used in TMD, some more commonly than others, include arthrocentesis, arthroscopy, meniscectomy, disc repositioning, condylotomy or joint replacement. Invasive surgical procedures in TMD may cause symptoms to worsen.[1] Menisectomy, also termed discectomy refers to the surgical removal of the articular disc. This is rarely carried out in TMD, it may have some benefits for pain, but dysfunction may persist and overall there it leads to degeneration or remodeling of the TMJ.[2]
^Guo C, Shi Z, Revington P (2009). Guo C (ed.). "Arthrocentesis and lavage for treating temporomandibular joint disorders". The Cochrane Database of Systematic Reviews (4): CD004973. doi:10.1002/14651858.CD004973.pub2. PMID 19821335. (Retracted, see doi:10.1002/14651858.cd004973.pub3. If this is an intentional citation to a retracted paper, please replace {{retracted|...}} with {{retracted|...|intentional=yes}}.)
^Hagandora CK, Almarza AJ (August 2012). "TMJ disc removal: comparison between pre-clinical studies and clinical findings". Journal of Dental Research. 91 (8): 745–52. doi:10.1177/0022034512453324. PMID 22744995. S2CID 46145202.
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