Temporomandibular Joint Dysfunction After Mandibular Fracture in Children

Abstract

This is one of the largest series of pediatric C/SC fractures reported in the recent literature. Findings are significant for increased severity of TMJ dysfunction in females and higher incidence of closed reduction in patients with bilateral C/SC fracture.

Is the extraction of third molars a risk factor for the temporomandibular disorders? A systematic review

“…There are numerous factors that may cause or exacerbate TMD and the attempt to isolate a single, universal cause of TMD has not been successful. Recent studies conclude that TMDs have a multifactorial etiology [23][24][25][26][27]. Trauma can cause injury, such as tissue rupture and damage to the TMJs and adjacent structures, and it is considered a starting factor in TMD, as well as may be associated with the appearance of late exhibition of this disease [27,28].…”

“…Recent studies conclude that TMDs have a multifactorial etiology [23][24][25][26][27]. Trauma can cause injury, such as tissue rupture and damage to the TMJs and adjacent structures, and it is considered a starting factor in TMD, as well as may be associated with the appearance of late exhibition of this disease [27,28]. This systematic review found a weak (or possible) association between third molar extraction and future risk of TMD development, correlated with some other factors.…”

“…In effect, TMD is considered up to four times more frequent among females. This sex also tends to seek treatment for TMD three times more often than males [23][24][25][26][27].…”

Assessment of temporomandibular joint dysfunction in condylar fracture of the mandible using the Helkimo index

“…[ 5 ] showed similar results, but Leuin et al . [ 6 ] reported a majority in their series having moderate symptoms. The most important indicator of TMJ dysfunction is the clinical dysfunction index and most comparisons are based on this categorisation.…”

Repair of a Pediatric Bilateral Condylar and Symphyseal Fracture Using a Transfacial Steinman Pin

“…6,17 The major risk associated with disruption of secondary teeth is deformity or complete loss of dentition into adulthood. 8,15,16,19,20 Children demonstrate a rapid rate of fracture repair, with adherence between fracture segments occurring as soon as 3 to 4 days after an initial injury. 6,17 Deciduous teeth also tend to be poor substrates for arch bar attachment; thus, less reliable forms of maxillomandibular fixation are used as an alternative such as circummandibular wires.…”