Ankylosis of temporomandibular joint in children

Das, Usha Mohan; Keerthi, R; Ashwin, D. P.; Venkatasubramanian, R; Reddy, Deepthi; Shiggaon, Natasha

doi:10.4103/0970-4388.55338

Cited by 17 publications

(12 citation statements)

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“…A variety of techniques for the treatment of TMJ ankylosis have been described including intraoral coronoidectomy, ramus osteotomy, high condylectomy, forceful opening of the jaw under general anesthesia, autogenous costochondral graft (CCG), and free vascularized whole-joint transplants [6]. Based on the diagnosis and age of the patient, it was decided to do a forceful mouth opening under general anesthesia, and the patient was further instructed to do aggressive physiotherapy following Kaban's seventh protocol.…”

Section: Discussionmentioning

confidence: 99%

Anchoretic Infection

Gokkulakrishnan¹,

Sharma

Kumaran³

et al. 2012

Case Reports in Dentistry

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Active and passive mouth opening exercises are a very common practice in oral and maxillofacial surgery especially for various conditions causing limited mouth opening like space infections, trauma, and ankylosis. But most of the practitioners do not follow basic principles while advocating these active mouth opening exercises and also take it for granted that it would benefit the patient in the long run. Because of this, the mouth opening physiotherapy by itself can at times lead to unwanted complications. We report a case wherein due to active physiotherapy, the patient had complications leading to persistent temporal space infection which required surgical intervention and hospitalization. This could have been because of hematoma formation during physiotherapy which got infected due to anchoretic infection of unknown etiology and resulted in temporal space infection. Hence, our conclusion is that whenever mouth opening exercises are initiated, it should be done gradually under good antibiotic coverage to avoid any untoward complications and for optimum results. According to the current English literature, such a complication has not been documented before.

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Section: Discussionmentioning

confidence: 99%

Anchoretic Infection

Gokkulakrishnan¹,

Sharma

Kumaran³

et al. 2012

Case Reports in Dentistry

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“…28 Cleft lip and palate, 29 hemifacial microsomia, 30 juvenile idiopathic arthritis, 31 Treacher Collins syndrome, 32 Albright syndrome, 33 Apert syndrome, Crouzon syndrome, 34 and craniosynostosis 35 are the common hereditary factors that lead to facial asymmetry and OC. Environmental factors affecting facial asymmetry and OC include facial trauma and fractures (prenatal and postnatal), 36 jaw cysts, and facial tumors as well as their surgical treatment, 37 teratogens, 38 hormonal disorders (such as gigantism or acromegaly), 39 Romberg syndrome, 40 posture, 41 temporomandibular joint (TMJ) ankylosis, 42 muscular disorders, 43 abnormal mouth breathing, habits such as finger or lip sucking, longterm bottle or pacifier use, pencil biting and nail biting, 44 tooth extraction and carries, 45 and incorrect use of force during orthodontic treatment or when using midline elastics. 46…”

Section: Etiologic Factors In Asymmetry and Occlusal Cantmentioning

confidence: 99%

Occlusal Cant: Etiology, Evaluation, and Management

Şenışık¹,

Hasipek²

2014

Turkish Journal of Orthodontics

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Occlusal cant is an important factor affecting smile esthetics.The dynamic display zone includes lateral, vertical, and anteroposterior aspects, as well as the cant of the occlusal plane. Smile design and mechanotherapy must take into account an esthetic plane of occlusion. The purpose of this review is to describe occlusal cant, examine its diagnosis, and explain the treatment alternatives for this condition.

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“…Temporomandibular joint ankylosis is a disorder that results in restriction of the mouth opening due to fibrous or bony union between the condylar head and glenoid fossa. 1 Trauma is recognized as the most important cause of TMJ ankylosis (57–63%) in children, while other etiological factors are infections, rheumatoid arthritis, hypoparathyroidism, psoriasis and burns. 2 It is the most ignored as well as undermanaged problems in children.…”

Section: Introductionmentioning

confidence: 99%

“… 2 It is the most ignored as well as undermanaged problems in children. 1 Temporomandibular joint ankylosis in children can have a remarkable outcome on physical and psychological well-being due to restricted mouth opening, inability to chew food, compromised aesthetics, poor oral hygiene with resultant dental caries etc. 1 , 2 …”

Section: Introductionmentioning

confidence: 99%

Dental Rehabilitation Following Surgical Management of Temporomandibular Joint Ankylosis: An Interdisciplinary Approach

Patidar

Fry

Sogi

et al. 2020

International Journal of Clinical Pediatric Dentistry

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Temporomandibular joint ankylosis (TMJ) is a condition affecting mastication, speech, appearance, and oral hygiene to a major extent. The disease is manifested by restriction to complete failure of the TMJ movement due to fibrous or bony union between the condylar head and glenoid fossa. This case report describes a case of a 13-year-old girl with inability to open the mouth along with fractured and discolored anterior teeth due to trauma. Patient was diagnosed as unilateral bony TMJ ankylosis left side and managed by surgical procedure interpositional arthroplasty followed by physiotherapy. Following satisfactory mouth opening, the required dental rehabilitation procedures were done. Combined efforts of pediatric dentists and oral and maxillofacial surgeon with a detailed history, clinical and radiographic assessment helps in correct diagnosis and providing immediate surgical intervention along with the management of associated dental complications in order to reestablish physical and psychological health of the child patient. How to cite this article Patidar D, Fry RR, Sogi S, et al. Dental Rehabilitation Following Surgical Management of Temporomandibular Joint Ankylosis: An Interdisciplinary Approach. Int J Clin Pediatr Dent 2020;13(2):203–205.

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Ankylosis of temporomandibular joint in children

Abstract: A detailed history, clinical and functional examination, radiographic examination facilitating correct diagnosis followed by immediate surgical intervention, and physiotherapy can help us to restore physical, psychological, and emotional health of the child patient.

Cited by 17 publications

References 0 publications

Anchoretic Infection

Anchoretic Infection

Occlusal Cant: Etiology, Evaluation, and Management

Dental Rehabilitation Following Surgical Management of Temporomandibular Joint Ankylosis: An Interdisciplinary Approach

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