TMJ Disc Removal

@article{Hagandora2012TMJDR,
  title={TMJ Disc Removal},
  author={Catherine K. Hagandora and AJ Almarza},
  journal={Journal of Dental Research},
  year={2012},
  volume={91},
  pages={745 - 752}
}
The debate continues surrounding the use of disc removal (discectomy) as the primary surgical treatment for patients suffering from severe temporomandibular joint disorders. Furthermore, the effectiveness of pre-clinical animal models for predicting the response of the joint to discectomy in humans remains uncertain. This review compares the results of animal models with the most recent clinical findings while also focusing on investigations that use imaging as an assessment tool. After a… 

Figures from this paper

Histological findings in TMJ treated with high condilectomy for internal derangement.

Pre-surgical radiographic and clinical features as predictors for TMJ discectomy prognosis.

There is a significant higher risk for combined outcome failure for the diagnosis SA involving the TMJ compared with DDwR and Predictors of importance based on CBCT findings related to the objective outcome failure were extensive bone apposition on the temporal joint component and condylar subchondral pseudocysts for the subjective outcome failure.

Inductive Remodeling of Extracellular Matrix Scaffolds in the Temporomandibular Joint of Pigs.

The use of an acellular scaffold composed of extracellular matrix derived from small intestinal submucosa as a regenerative template for the TMJ disc in a porcine model is investigated to suggest that it fills a medical need for which there are currently no effective treatments and may represent a clinically relevant "off-the-shelf" implant for reconstruction of the TMj disc.

Articular cartilage degeneration in the contralateral non-surgical temporomandibular joint in mice with a unilateral partial discectomy.

  • W. CohenJ. ServaisI. PolurYefu LiLin Xu
  • Medicine, Biology
    Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology
  • 2014
The result indicated that OA-like changes in one TMJ by partial discectomy could initiate early-onset articular cartilage degeneration in the contralateral non-surgical TMJ in mice.

Preclinical Animal Models for Temporomandibular Joint Tissue Engineering.

Although no species provides the gold standard for all preclinical TMJ tissue engineering approaches, the goat and sheep have emerged as the leading options, with the minipig as the choice when cost is less of a limitation; and with the dog and farm pig serving as acceptable alternatives.

Potential Indications for Tissue Engineering in Temporomandibular Joint Surgery.

  • J. R. SalashR. Hossameldin M. Detamore
  • Medicine, Biology
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
  • 2016

Scaffold-Based Temporomandibular Joint Tissue Regeneration in Experimental Animal Models: A Systematic Review.

The overall preclinical evidence indicates that addition of chondrogenic and/or osteogenic cells to biomaterial scaffolds enhances the potential for TMJ tissue regeneration.

Morphometric analysis of temporomandibular joint elements.

A mechanical evaluation of polyvinyl alcohol hydrogels for temporomandibular joint disc replacement

The temporomandibular joint (TMJ) is a bilateral ginglymoarthroidal joint containing a fibrocartilaginous disc which distributes compressive stress and reduces friction on the articulating surfaces

References

SHOWING 1-10 OF 61 REFERENCES

Temporomandibular joint discectomy for treatment of unilateral internal derangements--a 5 year follow-up evaluation.

This study verified that discectomies can reduce pain on chewing, however, pain at rest was not significantly changed and functional pain was reduced and mandible opening ability increased although a full range of motion was not restored.

The use of dermis grafts after discectomy for internal derangement of the temporomandibular joint.

  • G. Dimitroulis
  • Medicine
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
  • 2005

Influence of discoplasty and discectomy of the temporomandibular joint on elimination of pain and restricted mouth opening.

Both discoplasty and discectomy are effective methods for surgical treatment of patients suffering from severe temporomandibular pain and limited mouth opening and are shown to be reserved only for patients without severe changes of the disc.

Discectomy of the temporomandibular joint: an experimental study in monkeys.

  • T. BjørnlandH. Haanaes
  • Medicine
    Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
  • 1999

Discectomy as an effective treatment for painful temporomandibular joint internal derangement: a 5-year clinical and radiographic follow-up.

  • L. ErikssonP. Westesson
  • Medicine
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
  • 2001
The results of this long-term follow-up after unilateral discectomy support the use of this operation in patients with painful internal derangement who show no improvement after prior nonsurgical treatment.

On surgical intervention in the temporomandibular joint.

  • G. Widmark
  • Medicine
    Swedish dental journal. Supplement
  • 1997
It was shown in study VI that patients with dislocated fractures of the condylar neck can be successfully treated with open surgical reduction when the dislocation is large and associated with symptoms and limited function.

Synovial chondromatosis in the inferior compartment of the temporomandibular joint: different stages with different treatments.

Radiographic morphology in the temporomandibular joint after diskectomy.

The postsurgical radiographic changes are the normal out come of diskectomy and do not have clinical significance even though they resemble degenerative joint disease.

Diskectomy in temporomandibular joints with internal derangement: a follow-up study.

...