This review looked at surgical approaches for the management of internal derangement of the temporomandibular joint. Seven studies were identified of which 3 were randomised trials. Benefits for some outcomes were found with both open and arthroscopic surgery. However the available evidence is limited.
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This new review of low-level laser therapy (LLLT) includes more trials ( 14) that two earlier reviews of this topic. While no improvements in pain were seen with LLT functional improvements were seen. Although 14 studies were included they only 454 patients have been included in studies to date.
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Low level laser therapy have been used of musculoskeletal problems and this review looked it is use in temporomandibular disorders. 6 small studies were included and this suggested a small statistical benefit for pain reduction.
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This review focuses on the effect of chin cup therapy used for treating class III malocclusion on the TMJ.On 8 low quality studies could be included and they suggest suggests that chin cup therapy affects the condylar growth pattern but constitutes no risk factor for TMD.
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The review compares the effectiveness of arthroscopy and arthrocentesis for temporomandibular joint disorders that do not respond non-surgical approaches. Analysis suggests that arthrocentesis is slightly better but only a small number of small studies are available.
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Juvenile idiopathic arthritis (JIA), also known as juvenile chronic arthritis and juvenile rheumatoid arthritis affects a range of joints. The temporomandibular joint (TMJ) can be the first and only affected joint. In the UK about 1 and 2 in every 10,000 children develop JIA each year. The prevalence of TMJ involvement in JIA patients ranges [read the full story…]
Over the last few days we have been looking at various outcomes from a multicenter trial that compared the outcomes for two different treatment options for the shortened dental arch. The aim of this analysis was to assess the impact of missing posterior support on the risk for temporomandibular disorder (TMD) pain. As outlined previously [read the full story…]
Temporomandibular joint (TMJ) disc displacement without reduction (DDwoR) is thought to occur in 2-8% of patients with temporomandibular disorders. It can cause TMJ pain and restricted opening and is sometimes referred to as ‘closed lock’. A range of treatment have been tried and the aim of this review, was to investigate the effects of different [read the full story…]
Temporomandibular disorders (TMDs) can affect the temporomandibular joint (TMJ) the muscles of mastication or both. A range of factors have been related to TMDs , occlusion, trauma, deep pain stimulus, parafunctional activities and psychological factors, such as anxiety, depression and stress . It has also been suggested that postural problems related to the head and [read the full story…]
Temporomandibular joint disorders (TMD) are normally managed conservatively however it has been estimated that aroung 5% require a surgical interventions (arthrocentesis, arthroscopy, condylotomy, and disc repair or removal (menisectomy). A small subset of patietsn may require Temporomandibular Joint (TMJ) replacement . Indications for replacement include:- bony ankylosis failed previous alloplastic and autogenous joint replacement post-traumatic [read the full story…]
