Surgical Treatment of Internal Derangements of the Temporomandibular Joint: A Long-term Study

Internal derangement of temporomandibular joint: Umbrella perforated screw technique

“…These patients were diagnosed based on their symptoms, signs and radiological evidence of ID in accordance to the diagnostic criteria of Wilkes-Bronstein Classification of TMD. [ 4 ] Only 105 patients were available for follow-up. Reason to include patients only in 1998-2005 was that adequate follow up was only possible during this period, and the principle surgeon has changed the country of residence and practice.…”

“…Perhaps the only detailed surgical indication in the literature was described by Wilkes in 1991 which included repetitive symptomatic episodes, evidence of clinical and radiological progression and positive radiological study of stage 2 through 5 of internal derangement. [ 4 ] Dimitroulis concluded that careful case selection[ 13 14 ] is the most essential ingredient for successful outcome. Internal derangement is the most common cause of serious TMJ pain and dysfunction and that can be treated surgically.…”

“…Wilkes described the different five stages of internal derangement. [ 4 ] According to American society of temporomandibular joint surgeons surgical consultation should be offered within 2-3 weeks to patients with documented internal derangement and in whom symptoms persists despite a trail of non-surgical modalities. [ 2 ] These surgical modalities include nevertheless; arthrocentesis, arthroscopy, condylotomy and arthrotomy.…”

Infiltration of Plasma Rich in Growth Factors for the Treatment of Temporomandibular Joint Disorders: A Comprehensive Review

“…Most studies (80%) show that the use of plasma rich in growth factors (PRGF) was effective and safe as a treatment for joint disorders, whether in the knee, temporomandibular joint, ankle, hip, lumbar facet joint or shoulder, although there are few studies showing the in a coordinated manner their proliferation and differentiation, a quality of great importance since by means of platelet concentrates we can guide cellular proliferation of articular cartilage, in order to regenerate the tissue as a consequence of degenerative disorders of the joint, in addition to serving as viscosupplementation and maintaining the homeostasis of the articular capsule, maintaining a balance between the articular surfaces; This translates into a decrease in joint symptomatology and prevents further morphological alteration of the joints [8][9][10][11][12].…”

Hyaluronic Acid and Platelet-Rich Plasma Mixture Versus Hyaluronic Acid and Corticosteroid in the Treatment of Temporomandibular Joint Internal Derangement: A Comparative Randomized Study

“…Patients were diagnosed according to the original version of the research diagnostic criteria for temporomandibular disorders (RDC/TMDs) [ 24 ]. All included patients had a chief complaint of TMJ pain, clicking sound, with or without limited mouth opening (early/intermediate stage according to Wilkes classification) [ 25 , 26 ], and patients unresponsive to conservative treatment modalities such as soft diet, moist heat application, analgesics, anti-inflammatory drugs, and splint therapy for TMJ dysfunction. Patients with a history of TMJ surgery, polyarthritis or other rheumatic diseases, neurologic disorders, and patients with medical devices claustrophobia were excluded.…”