Long-term evaluation of discectomy of the temporomandibular joint

Takaku, Susumu; Toyoda, Toshihisa

doi:10.1016/0278-2391(94)90486-3

Cited by 65 publications

(26 citation statements)

References 7 publications

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“…43, 44 Radiographic changes in these long-term studies indicate evidence of osteophytes and flattening of articular surfaces in such joints. 43–45 Though the mechanism is poorly understood, some authors conclude such changes are indicators of adaptive change rather than degenerative disorders. 43–45 In some patients, however, OA-like changes continue to exacerbate, necessitating the development of autologous and alloplastic disc substitutes.…”

Section: Clinical Managementmentioning

confidence: 99%

“…43–45 Though the mechanism is poorly understood, some authors conclude such changes are indicators of adaptive change rather than degenerative disorders. 43–45 In some patients, however, OA-like changes continue to exacerbate, necessitating the development of autologous and alloplastic disc substitutes. Such substitutes, including subcutaneous fat grafts and alloplasts, are aimed at providing a protective cushion for the articulating surfaces of the joint during rotation and translation.…”

Section: Clinical Managementmentioning

confidence: 99%

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Temporomandibular Disorders: A Review of Etiology, Clinical Management, and Tissue Engineering Strategies

Murphy¹,

MacBarb²,

Wong³

et al. 2013

Int J Oral Maxillofac Implants

300

238

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Epidemiology reports state temporomandibular joint disorders (TMD) affect up to 25% of the population, yet their etiology and progression are poorly understood. As a result, treatment options are limited and fail to meet the long-term demands of the relatively young patient population. TMD are a class of degenerative musculoskeletal conditions associated with morphological and functional deformities. In up to 70% of cases, TMD are accompanied by malpositioning of the TMJ disc, termed “internal derangement.” Though onset is not well characterized, correlations between internal derangement and osteoarthritic change have been identified. Due to the complex and unique nature of each TMD case, diagnosis requires patient-specific analysis accompanied by various diagnostic modalities. Likewise, treatment requires customized plans to address the specific characteristics of each patient’s disease. In the mechanically demanding and biochemically active environment of the TMJ, therapeutic approaches capable of restoring joint functionality while responding to changes in the joint have become a necessity. Capable of integration and adaptation in the TMJ, one such approach, tissue engineering, carries significant potential in the development of repair and replacement tissues. The following review presents a synopsis of etiology, current treatment methods, and the future of tissue engineering for repairing and/or replacing diseased joint components, specifically the mandibular condyle and TMJ disc. Preceding the current trends in tissue engineering is an analysis of native tissue characterization, toward identifying tissue engineering objectives and validation metrics for restoring healthy and functional structures of the TMJ.

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Section: Clinical Managementmentioning

confidence: 99%

Section: Clinical Managementmentioning

confidence: 99%

Temporomandibular Disorders: A Review of Etiology, Clinical Management, and Tissue Engineering Strategies

Murphy¹,

MacBarb²,

Wong³

et al. 2013

Int J Oral Maxillofac Implants

300

238

View full text Add to dashboard Cite

show abstract

“…As seen in short-term and long-term follow-up studies 26,29 , discectomy almost always results in bony changes such as flattening of the condyle and tubercle, osteophytes on the condyle, and erosion of the condyle. After plication surgery, relapse of disc displacement occurs early in the postsurgical period.…”

Section: Discussionmentioning

confidence: 98%

Disc-repositioning surgery of the temporomandibular joint using bioresorbable screws

Sembronio

Robiony

Politi

2006

International Journal of Oral and Maxillofacial Surgery

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“…14 The usual indication of this technique is pain and restricted range of motion that does not respond to conservative therapy. Although several studies have reported a high success rate, 12,15 discectomy remains a controversial method of treating TMJ pain and dysfunction, because some investigators have reported negative radiographic findings related to degenerative changes of the condyle. 16 Since the introduction of arthroscopic surgery of the TMJ, many publications have documented beneficial results with low morbidity.…”

mentioning

confidence: 98%

Temporomandibular Joint Disc Perforation: Long-Term Results After Operative Arthroscopy

Muñoz-Guerra¹,

Rodríguez-Campo²,

Hernández³

et al. 2013

Journal of Oral and Maxillofacial Surgery

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Long-term evaluation of discectomy of the temporomandibular joint

Cited by 65 publications

References 7 publications

Temporomandibular Disorders: A Review of Etiology, Clinical Management, and Tissue Engineering Strategies

Temporomandibular Disorders: A Review of Etiology, Clinical Management, and Tissue Engineering Strategies

Disc-repositioning surgery of the temporomandibular joint using bioresorbable screws

Temporomandibular Joint Disc Perforation: Long-Term Results After Operative Arthroscopy

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