Temporomandibular disorders: no role for dental occlusion in the pathophysiology

shutterstock_128569418

This review of the association between temporomandibular disorders and dental occlusion included 25 observational studies. No consistent association was found.

[read the full story...]

Temporomandibular lavage for temporomandibular disorders

shutterstock_128576303

This review of TMJ lavage for temporomandibular disorders only included 5 small RCTs a majority of which were at high risk of bias. While the findings suggest a benefit from lavage this should be interpreted cautiously because of the limited quality of the available evidence.

[read the full story...]

Temporomandibular joint arthrocentesis with hyaluronic acid- evidence limited.

shutterstock_128569418

This review of intra-articular injections of hyaluronic acid (HA) for temporomandibular disorder only identified 8 small studies of limited quality providing no consensus that HA injections were better than other agents.

[read the full story...]

Temporomandibular disorders: open or arthroscopic surgery?

shutterstock_130093640

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.

[read the full story...]

Chin cup treatment for class III maloclussions: little evidence to assess impact on temporomandibular joint

shutterstock_180420626

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.

[read the full story...]

Temporomandibular joint replacement

shutterstock_128569418

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…]