Senior Oral and Maxillofacial Surgery Resident Confidence in Performing Invasive Temporomandibular Joint Procedures

Momin, M.R.; Miloro, Michael; Mercuri, Louis G.; Munaretto, Alexander M.; Markiewicz, Michael R.

doi:10.1016/j.joms.2017.06.037

Cited by 10 publications

(9 citation statements)

References 12 publications

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“…66 A survey of senior OMF residents in the US showed that only ∼3.5% of these cases involve TMJ arthroscopic or open joint procedures. 67 Most TMJ-specific treatments performed by residents were injection based. 67 At programs lacking OMF residencies, TMDs may be covered by plastic surgery or otorhinolaryngology residencies, but TMDs are not a focus.…”

Section: Current Clinical Practicesmentioning

confidence: 99%

“… 67 Most TMJ-specific treatments performed by residents were injection based. 67 At programs lacking OMF residencies, TMDs may be covered by plastic surgery or otorhinolaryngology residencies, but TMDs are not a focus. In general, orthopedic surgery residents log 200–600 cases in the final year, 68 , 69 and in 2019, knee-specific arthroscopy and open joint surgery accounted for ∼16%.…”

Section: Current Clinical Practicesmentioning

confidence: 99%

“…As discussed above, orthopedic surgery residents gain exceptional experience in open joint surgeries and arthroscopy of the knee (∼16% of cases) 70 compared to the equivalent for the TMJ (∼3.5%) for OMF residents. 67 Development of reliable diagnostic modalities and clear treatment algorithms to address specific pathology will increase TMJ surgery case volume for OMF residents, thus better equipping future surgeons for implementing new therapeutics. An additional option would be to develop a TMJ-specific surgical fellowship for OMF residents modeled after fellowships for orthopedic surgeons.…”

Section: Future Directionsmentioning

confidence: 99%

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Knee orthopedics as a template for the temporomandibular joint

Bielajew

Donahue

Espinosa

et al. 2021

Cell Reports Medicine

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Although the knee joint and temporomandibular joint (TMJ) experience similar incidence of cartilage ailments, the knee orthopedics field has greater funding and more effective end-stage treatment options. Translational research has resulted in the development of tissue-engineered products for knee cartilage repair, but the same is not true for TMJ cartilages. Here, we examine the anatomy and pathology of the joints, compare current treatments and products for cartilage afflictions, and explore ways to accelerate the TMJ field. We examine disparities, such as a 6-fold higher article count and 2,000-fold higher total joint replacement frequency in the knee compared to the TMJ, despite similarities in osteoarthritis incidence. Using knee orthopedics as a template, basic and translational research will drive the development and implementation of clinical products for the TMJ. With more funding opportunities, training programs, and federal guidance, millions of people afflicted with TMJ disorders could benefit from novel, life-changing therapeutics.

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Section: Current Clinical Practicesmentioning

confidence: 99%

Section: Current Clinical Practicesmentioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%

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Knee orthopedics as a template for the temporomandibular joint

Bielajew

Donahue

Espinosa

et al. 2021

Cell Reports Medicine

View full text Add to dashboard Cite

show abstract

“…While it is not reasonable to expect every graduate of an oral and maxillofacial surgery residency to have an interest in every aspect of the specialty, those with an interest in the management of temporomandibular joint disorders should be provided with some exposure and experience with non-invasive as well as invasive TMJ management options during training. Development of TMJ fellowships should be considered for those interested in developing competency in this area of the specially [16][17][18] .…”

Section: Surgeon Interest Education and Competencymentioning

confidence: 99%

Temporomandibular joint replacement devices - dark past to challenging future

Mercuri¹

2019

SDS

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“…In order to assess the confidence level of US trainees in the performance of arthrocentesis and arthroscopy and TMJR upon completion of residency, Momin et al conducted a follow-up to the Lotesto survey. The results revealed that the confidence level of responders correlated directly with their exposure to and experience with a TMJ related procedure during residency (6).…”

mentioning

confidence: 96%

Alloplastic temporomandibular joint replacement—what does the future hold?

Mercuri¹

2020

Front Oral Maxillofac Med

Self Cite

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If you always do what you always did, you'll always get what you've always got."-Henry Ford "Continuous improvement is better than delayed perfection."-Mark Twain "We cannot become what we want to be by remaining what we are."-Max DePree "Perfection is not attainable. But if we chase perfection, we can catch excellence."-Vince LombardiFor years, autogenous costochondral bone was considered the "gold standard" for temporomandibular joint (TMJ) reconstruction. Commercial or "stock" alloplastic temporomandibular joint replacement (TMJR) devices were restricted to the management of ankylosis, reconstruction after ablative surgery, trauma, or end-stage joint disease cases. However, the anatomical architectural aberrations and local pathologic reactions created by the failure of materials like Proplast-Teflon and silicone rubber TMJ implants led to the development of patient fitted or "custom" TMJR devices in 1990 (1).Since that time, the US Food and Drug Administration (FDA) has approved both custom and improved stock TMJR systems that employ orthopedic alloplastic joint replacement biomechanical concepts and material embodiments that have proven over decades to be not

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Senior Oral and Maxillofacial Surgery Resident Confidence in Performing Invasive Temporomandibular Joint Procedures

Cited by 10 publications

References 12 publications

Knee orthopedics as a template for the temporomandibular joint

Knee orthopedics as a template for the temporomandibular joint

Temporomandibular joint replacement devices - dark past to challenging future

Alloplastic temporomandibular joint replacement—what does the future hold?

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