Introduction Anterior disc displacement is one of the most frequent temporomandibular joint (TMJ) disorders, which often results in clicking, joint pain, a limited range of motion and masticatory difficulties.Methodology Four subjects (with a total number of six joints) who had significant pain and dysfunction that did not respond to non-surgical therapy, went into arthroscopic disc repositioning using wire fixation for 3 weeks then it was removed, and the patient continued on occlusal splints.Results After six months postoperatively, there was a significant increase in the MIO (Maximum incisal opening) and an insignificant decrease in the pain perception in the VAS (visual analogue scale) Conclusion The study concluded that arthroscopic temporomandibular joint disc repositioning is an effective minimally invasive procedure for the treatment of some temporomandibular joint internal derangements refractory to conventional conservative therapy in regards to clinical outcomes
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