A prospective study of 138 arthroscopies of the temporomandibular joint

Silva, Paulo Alexandre da; Lopes, Maria Teresa de Fatima Fernandes; Freire, Fernando Silva

doi:10.1016/j.bjorl.2014.08.021

Cited by 20 publications

(19 citation statements)

References 38 publications

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“…On the current survey 93.9% disagreed with the statement "arthroscopic surgery is almost completely effective in repositioning the disk in patients with internal derangements", and 96.7% disagreed with the statement "an extensive history of previous treatment failures in a TMD patient is usually an indication for surgery" while on the original survey 100% of the respondents among the group of experts disagreed with both statements. The literature regarding arthroscopic surgery success in repositioning disk (30)(31)(32)(33), and regarding the indication for surgery in TMD patients (33,34) is not conclusive.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Beliefs Regarding TMD: Has Anything Changed After 20 Years?

et al. 2016

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Background: Due to the variety of factors involved in TMDs it is not surprising to see a wide range of treatment modalities being suggested for TMD patients. However, one determinant of treatment for TMD that is often overlooked is the practitioner's knowledge and beliefs about the syndrome itself. Objectives: To evaluate changes in experts' knowledge and beliefs regarding Temporomandibular Disorders (TMD) since the administration of the first such survey by Le Resche, Truelove and Dworkin in 1993. Patients and Methods: A survey invitation was emailed to 62 dentists and 19 psychologists, all determined to be experts in the orofacial pain/TMD field. All dentists selected to be part of this survey were members of the American Academy of Orofacial Pain. Psychologists were selected based on their publications in this field. The Le Resche et al. questionnaire was used with the following adaptations: four new statements were inserted; one statement was removed; and a 6-point Likert agreement scale for each statement was used instead of the original 11-point scale. Reminder emails were sent at one week and one month to maximize the response rate. Changes in responses to each item from the original survey were assessed using z-test. Results: Thirty-four dentists but only three psychologists responded to the survey. Therefore only responses from dentists were used in the analysis. Overall there was a high level of agreement between the original sample and the current sample. Of the 34 original items there was very clear consensus on 24. There was consensus on two new items in the survey on the need for a tomogram and splint therapy. Conclusions: Twenty years after the original survey, the knowledge and beliefs regarding TMDs among experts in this field have not changed significantly.

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Section: Discussionmentioning

confidence: 99%

Knowledge and Beliefs Regarding TMD: Has Anything Changed After 20 Years?

et al. 2016

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“…If you're pregnant, have had TMJ problems in the past, and suspect that they are beginning to resurface, see your dentist before it gets worse. A custom-itted night guard, a routine of jaw exercises, and some general relaxation techniques may just be what you need to relieve the symptoms and allow you enjoy the rest of your pregnancy [13,14]. On occasion is there is a need to move teeth or do other dental work to manage a jaw related problem.…”

Section: What Is Tmj Treatment?mentioning

confidence: 99%

TMD and pregnancy?

Bayramova¹

2017

Clin J Obstet Gynecol

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Pregnancy is a happy stage in life of every woman, but at the same time it is a rather diffi cult period, since pregnancy represents a serious strain on the body. In the body of a woman during this period there are signifi cant physiological changes that ensure the correct development of the fetus, prepare the body for the upcoming delivery. In this diffi cult period, the burden on all organs and systems of the woman's body is signifi cantly increased. Especially often suffer joints; there is a risk of permanent pain, the development of diseases or exacerbation of existing diseases. One of the most common problems is Temporomandibular Dysfunction or Disorder (TMD) which many women face, but still hasn't been explained. Review ReviewOften the term TMJ is being used instead of TMD. In actuality, using the phrase "You have TMJ" is inaccurate. TMJ is neither a disease nor syndrome. It is the joint in front of your ear that allows the jaw to move. TMJ=Temporomandibular Joint TMD=Temporomandibular Dysfunction or DisorderThe temporomandibular joint (TMJ) is formed by the articulation of the mandible and the temporal bone of the cranium. It is located anteriorly to the tragus of the ear, on the lateral aspect of the face. The temporomandibular joint (TMJ) acts like a sliding hinge, connecting your jawbone to your skull. You have one joint on each side of your jaw [1]. TMJ disorders-a type of temporomandibular disorder or TMD-can cause pain in your jaw joint and in the muscles that control jaw movement (Figure 1).TMD is a failure of coordinated joint activity due to impaired occlusion of teeth, the location of the TMJ and muscle function. Occurs in 25-30% of the population, in women 3-5 times more often than men. The peak incidence falls on the age of 20-40 years which is the reproductive period for women. The pathophysiology of TMD is the

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“…Os desarranjos internos (DI) da ATM são transtornos dos componentes intra-articulares, como disco articular, sinóvia, líquido sinovial e fibrocartilagem, que limitam as funções da ATM. Os DI apresentam etiologia multifatorial 2 , sendo seu tratamento geralmente conservador, utilizando principalmente placas oclusais e anti-inflamatórios, apenas com um insucesso clínico, as modalidades cirúrgicas são indicadas [3][4][5] .…”

Section: Introductionunclassified

“…Em 1975, Ohnishi foi o primeiro cirurgião a usar um artroscópio na ATM, quando estudou seus movimentos e a anatomia artroscópica. Nas últimas décadas, novos estudos sobre a artroscopia da ATM, com descrições e desenvolvimento de várias técnicas, acarretaram o entendimento das alterações internas vistas artroscopicamente e a construção progressiva de novas formas de tratamento 3 .…”

Section: Introductionunclassified

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O uso da artroscopia para diagnóstico e tratamento dos distúrbios internos da articulação temporomandibular

Almeida

Leite

Hassam

et al. 2021

Rev. da Fac. de Odontologia, UPF

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Os desarranjos internos da articulação temporomandibular (ATM) são disfunções frequentes associadas aimportantes repercussões funcionais e dolorosas, como limitação de abertura bucal e ruídos articulares, quepodem provocar prejuízos à qualidade de vida do ser humano. Possuem etiologia multifatorial e são maisfrequentemente tratados conservadoramente através de fisioterapia, placas oclusais, psicoterapia, apoio farmacológico, apenas com o insucesso da terapia não cirúrgica é que as modalidades cirúrgicas são indicadas, em somente 2% a 5% dos casos. Dentre elas, a artroscopia se destaca como uma opção minimamente invasiva, com elevados índices de sucesso e baixas taxas de complicações, sendo um instrumento de alta sensibilidade que possibilita a visualização de diversas patologias intra-articulares, o diagnóstico e o tratamento desses distúrbios. Objetivo: revisar a literatura acerca das principais indicações da artroscopia no tratamento dos distúrbios internos da ATM, suas vantagens sobre as demais técnicas cirúrgicas e suas complicações. Considerações finais: a artroscopia é uma ferramenta eficiente e segura para o diagnóstico e o tratamento de diversos distúrbios internos da ATM em pacientes de diversas faixas etárias, destacando-se por seus altos índices de sucesso, menor tempo de internação e suas baixíssimas taxas de mortalidade.

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A prospective study of 138 arthroscopies of the temporomandibular joint

Abstract: In this study the ALL exhibited a high rate of success with low morbidity in internal derangements of the TMJ.

Cited by 20 publications

References 38 publications

Knowledge and Beliefs Regarding TMD: Has Anything Changed After 20 Years?

Knowledge and Beliefs Regarding TMD: Has Anything Changed After 20 Years?

TMD and pregnancy?

O uso da artroscopia para diagnóstico e tratamento dos distúrbios internos da articulação temporomandibular

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