scholarly journals The Use of Double- Needle Canula Method for Temporomandibular Joint Arthrocentesis: Clinical Report

2007 ◽  
Vol 01 (03) ◽  
pp. 179-182 ◽  
Author(s):  
Alper Alkan ◽  
Burcu Baş
Keyword(s):  
Temporomandibular Joint ◽  
Saline Solution ◽  
Mouth Opening ◽  
Joint Space ◽  
Clinical Report ◽  
Resonance Imaging ◽  
Anterior Disc Displacement ◽  
Simple Alternative ◽  
Maximal Mouth Opening ◽  
The Right

ABSTRACTObjective: The purpose of this study is to demonstrate a temporomandibular lavage instrument with double needles in a single canula that make the procedure easier for surgeons.Materials and methods: 38 year old woman was referred to our department with pain on the right temporomandibular joint (TMJ) region and restricted mouth opening. Magnetic resonance imaging reveals anterior disc displacement without reduction of the right TMJ. TMJ lysis and lavage was performed with double needle canula method.Results: The upper joint space was successfully lavaged with 50 mL of 0.9% saline solution. Maximal mouth opening and lateral jaw movement increased and jaw functions improved immediately after the procedure.Conclusion: It is recommended as a simple alternative to classical arthrocentesis with two needles that it is easy to use and enables to perform lysis and lavage with a single puncture. (Eur J Dent 2007;1:179-182)

scholarly journals A comparative study of the effects of the anterior disc displacement with reduction and without reduction on the components of the temporomandibular joint by using magnetic resonance imaging – A Retrospective study

2021 ◽  
pp. 73-85
Author(s):  
Shunmugavelu KARTHIK ◽  
◽  
Dimple M VASWANI ◽  
Shanmugam ARASU ◽  
Raghavelu Narendran MUGUNDAN ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Temporomandibular Joint ◽  
Joint Space ◽  
Disc Displacement ◽  
Resonance Imaging ◽  
Range Of Movement ◽  
Anterior Disc Displacement ◽  
Closed Position ◽  
Disc Displacement With Reduction

Background: Internal derangement of the temporomandibular joint (TMJ) results in anterior disc displacement with reduction (ADDR), the disc is ante- riorly displaced in the closed position whereas in the opened position the disc returns to its normal location. In anterior disc displacement without reduction (AD- DWR), the disc is anteriorly displaced in the closed po- sition but does not return to its original location in the opened position. Here we studied and compared the effects of the ADDR and the ADDWR on the components of the TMJ by using the magnetic resonance imaging technique (MRI). Methods and materials: From the archival MRI records, 214 joints from 107 patients were included. The selec- tion criteria for the patients complaints as TMJ pain, clicking, limited mouth opening, headache, jaw tenderness and difficulty in eating. MRI records with sequences Proton Density (PD), PD FAT SAT and T2* gradient in the closed position and T2* gradient echo in the opened position. Data analysis and frequency distribution of explanatory variables by disc position in the open state was performed using chi-square test Results: Statistically significant differences were observed between the variables such as the joint space (closed position), disc morphology (closed position) and range of movement (opened position) among the ADDR and the ADDWR. In ADDWR, 20.3% demonstrated narrowed joint space and 1.6% with widened joint space, while in ADDR, 2.5% of joints had narrowed joint space and 0% widened joint space. Same was observed with abnormal disc morphology and rang of movement. Conclusion: The disc deformity is more in ADDWR compared to ADDR which can be seen as an alteration in the signal intensity. The malaligned disc could lead to the narrowing of the joint space and decreased range of movement in the ADDWR affected individuals.

scholarly journals Temporomandibular joint disk adhesion: evidence from magnetic resonance images

2014 ◽  
Vol 62 (2) ◽  
pp. 169-172 ◽  
Author(s):  
Daniela Pita de MELO ◽  
Luciana Soares de Andrade Freitas OLIVEIRA ◽  
Ana Clara Alves de CARVALHO ◽  
Anne Caroline Costa OENNING ◽  
Amanda Katarinny Goes GONZAGA ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Temporomandibular Joint ◽  
Magnetic Resonance Images ◽  
Resonance Imaging ◽  
Mandibular Movement ◽  
Morphological Alterations ◽  
Disk Displacement ◽  
Anterior Disc Displacement ◽  
The Right

This case report has the aim to present an adhesion of the temporomadibular disc to the articular eminence, diagnosed on magnetic resonance imaging images. A 37-year-old female patient with TMJ (temporomandibular joint) disk adhesion on the left side and complaining of bilateral otalgia over the last 2 years is reported in the present article. The patient did not complain of articular pain or clicking, or any other noises of any nature. Clinical observation showed that the patient had restricted jaw opening, with mandibular deviation the left side without correction during mandibular movement. Our diagnostic impression was of partial anterior disk displacement with reduction of the right side disc; and partial anterior disk displacement with reduction and disc disk adhesion with hypo-mobility of the condyle, on the left temporomandibular joint. The peculiarity of this reported case is the fact that besides the bilateral partial anterior disc displacement, there was also found an adhesion of the disc on the left side. In conclusion, the magnetic resonance imaging exam of the temporomandibular joint can be considered an exam of choice for the evaluation of disc positioning and its morphological alterations.

Effectiveness of Combining Manual Therapy and Acupuncture on Temporomandibular Joint Dysfunction: A Retrospective Study

2007 ◽  
Vol 35 (02) ◽  
pp. 203-208 ◽  
Author(s):  
Byung-Cheul Shin ◽  
Chung-Hyo Ha ◽  
Yung-Sun Song ◽  
Myeong Soo Lee
Keyword(s):  
Retrospective Study ◽  
Temporomandibular Joint ◽  
Manual Therapy ◽  
Randomized Clinical Trials ◽  
Combined Treatment ◽  
Mouth Opening ◽  
Temporomandibular Joint Dysfunction ◽  
Future Studies ◽  
Before And After ◽  
Maximal Mouth Opening

This retrospective study investigated the effects of combining manual therapy and acupuncture on the pain and maximal mouth opening (MMO), which were associated with temporomandibular joint dysfunction (TMD). The 49 TMD patients (15 men, 34 women; mean age = 30.47 years, SD = 13.52 years) were treated with a combination of acupuncture and manual therapy two or three times a week at the hospital. The pain and maximal mouth opening were assessed before and after 1 and 4 weeks of treatment. The combination therapy produced significant changes in pain levels ( p < 0.001) and mouth opening ( p < 0.001). All pairwise non-parametric comparison showed a significant improvement in pain ( p < 0.05 for all pairs) and MMO ( p < 0.05 for all pairs). These findings suggest that combining manual therapy and acupuncture decreases the pain level and increases the MMO of TMD patients. However, future studies should further investigate the efficacy of combined treatment on TMD with more rigorous randomized clinical trials.

scholarly journals Experience of using an integrated approach in the diagnosis of temporomandibular joint dysfunction

2022 ◽  
pp. 98-100
Author(s):  
A. A. Sultanov ◽  
Y. Y. Pervov ◽  
A. K. Yatsenko ◽  
M. A. Sultanova ◽  
D. O. Drozdova
Keyword(s):  
Physical Examination ◽  
Temporomandibular Joint ◽  
Orthodontic Treatment ◽  
Clinical Case ◽  
Mouth Opening ◽  
Integrated Approach ◽  
Masticatory Muscles ◽  
Temporomandibular Joint Dysfunction ◽  
The Right ◽  
Masseter Muscles

The article presents a clinical case of the diagnostics and treatment of the temporomandibular joint dysfunction (TMJ) in patient after orthodontic treatment. The hypertonia of masticatory muscles, limit of mouth opening and deviation of the jawbone to the right were observed during physical examination. Adhesion of the disk to the articular tubercle of the right temporal bone was detected on MRI. Hyperrotation of the articular head and the deviation of the jawbone to the right were observed on the charts during axiography. Disappearing of the feeling of heaviness in the right TMJ, free mouth opening, absence of deviation symptom, and the reduction of the rigidity of the masseter muscles were observed on the basis of diagnostic examinations after treatment. Presented clinical experience lets us make a conclusion that it is necessary to prescribe taking axiography and MRI during diagnosing and treating temporomandibular joint dysfunction.

scholarly journals Ultrasonography: A step forward in temporomandibular joint imaging. A preliminary descriptive study

2019 ◽  
Vol 9 (2) ◽  
Author(s):  
Surej Kumar L.K. ◽  
Georgie P. Zachariah ◽  
Sumesh Chandran
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Imaging Modality ◽  
Mouth Opening ◽  
Diagnostic Technique ◽  
High Specificity ◽  
Cost Effective ◽  
Joint Space ◽  
Dynamic Relationship ◽  
Disc Position

Ultrasonography (USG) is a cost-effective and noninvasive imaging modality commonly employed for imaging the abdominal region and extremities. Currently, with the availability of higher frequency probes and higher resolution devices, USG imaging of the temporomandibular joint (TMJ) looks promising. The aim is to evaluate and demonstrate the role of USG as an imaging modality of TMJ by visualizing the static and dynamic relationship of the joint, assessment of joint space and eliciting reproducibility at both open and closed mouth positions. 30 volunteers were selected based on the inclusion criteria in line with the research diagnostic criteria/temporomandibular disorders guidelines. High-resolution USG (≥12 MHz) of the right TMJ (chosen for uniformity) was done in the left decubitus position on (n=30) volunteers. The joint disc movement was directly visualized during opening and closing motions. The vertical joint space was assessed using the firmware and accurate reproducibility was checked. At the closed mouth position, the measured values ranged from 0.2 mm to 0.7 mm with a median of 0.05 cm and a mean of 0.4±0.15 mm. At the position of maximal mouth opening, the measured values ranged from 0.9 mm to 1.5 mm with a median of 1.1 mm and a mean of 1.1±0.17 mm. USG enables visualization of the dynamic relationship between joint structures, with particular importance to the condyle and disc position. The articular disc appears on the USG as a thin layer of hyperechogenicity surrounded by a hypoechoic halo, located between 2 hyperechoic lines viz, the condyle and the articular eminence. We recommend ultrasonographic imaging as a noninvasive diagnostic technique with relatively high specificity for patients with temporomandibular disorders.

scholarly journals THE EFFICACY OF HIGH CONDYLECTOMY IN INTERNAL DERANGMENT OF THE TEMPOROMANDIBULAR JOINT

2020 ◽  
Vol 4 (10) ◽  
Author(s):  
Vikas Sarowa ◽  
Vishnu Dayal Vyas ◽  
D.K. Gupta ◽  
Anjali Dave Tiwari
Keyword(s):  
Temporomandibular Joint ◽  
Small Sample Size ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Small Sample ◽  
Internal Derangement ◽  
Age Group ◽  
Maxillofacial Region ◽  
Anterior Disc Displacement

Background: Temporomandibular joint (TMJ) is a giglymoarthroidal Joint; it is the only mobile joint in the entire maxillofacial region and is a part of craniomandibular articulation. Methods: All the patients with internal derangement of temporomandibular joint having  anterior disc displacement without reduction with complaints of pain and limited opening of mouth, of all age group  reporting to the Department of Oral & Maxillofacial Surgery, GDC Jaipur were included in the study. Results: At one month follow up out of 20 patients 13 patients were not satisfied and at 6 month follow up 2 patients were not satisfied at all. Conclusion: We conclude that surgical treatment for internal derangement of the TMJ is required; this technique is effective to improve pain and mouth opening without complications. Although this study has a short follow up period and small sample size. Keywords: Mandible, Maxilla, TMJ.

scholarly journals An additional lysis procedure during arthrocentesis of the temporomandibular joint

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Keon-Mo Lee ◽  
Wan-Hee Jang ◽  
Myoung-Sang You ◽  
Bu-Kyu Lee
Keyword(s):  
Temporomandibular Joint ◽  
Arthroscopic Surgery ◽  
Mouth Opening ◽  
Invasive Procedure ◽  
Joint Space ◽  
Temporomandibular Joint Disorders ◽  
Invasive Procedures ◽  
The Mean ◽  
Mechanical Lysis ◽  
Over Time

Abstract Background Arthrocentesis of the temporomandibular joint (TMJ) is an easy, highly efficient, minimally invasive procedure for treating temporomandibular joint disorders (TMDs). However, in some cases of mouth opening limitation (MOL), routine arthrocentesis is ineffective due to severe fibrotic adhesion in the superior joint space of the TMJ. In this condition, mechanical lysis of the adhesions might be needed to resolve the MOL, as well as other symptoms, such as chronic pain. Currently, this can be achieved by arthroscopic surgery or open TMJ surgery. The objective of this study was to introduce and evaluate our trial of the adhesion lysis procedure during arthrocentesis of the TMJ using normal 18-gauge needles. Results In this study, 40 patients with MOL due to disc derangement underwent conventional arthrocentesis at first and then physical detachment was conducted using the same needle. The change in maximum mouth opening (MMO) and the pain at the TMJ were recorded before, during, and after treatment according to our protocol. The mean increase in MMO after conventional arthrocentesis was 6.6 ± 4.2mm. The mean increase in MMO after the detachment procedure with the same needle was 4.2 ± 2.0 mm. The MMO in ten patients was significantly increased after the detachment procedure than after arthrocentesis alone. In all cases, the pain intensity in the TMJ significantly decreased over time, whereas the MMO increased over time. No adverse effect was observed in all joints during our observation periods. Conclusion We confirmed that our simple lysis procedure with the same needle of the arthrocentesis of the TMJ could not only improve the MMO more than after a conventional arthrocentesis but also resolve severe adhesion of the joint space that was ineffective by conventional arthrocentesis. Although this additional lysis procedure is simple, it might reduce the number of cases of more invasive procedures such as arthroscopic surgery or open TMJ surgery.

scholarly journals Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Katheleen Miranda ◽  
André Sander Carneiro ◽  
Jennifer Tsi Gerber ◽  
Suyany Gabriely Weiss ◽  
Leandro Eduardo Klüppel ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Treatment Plan ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Lateral Deviation ◽  
Tmj Ankylosis ◽  
History Of ◽  
The Right

Introduction. The bifid mandibular condyle (BMC) is an unusual temporomandibular joint (TMJ) disorder with controversial etiology. The association of this entity with ankylosis is rare. Objective. The objective of the present study is to report a case of BMC with associated TMJ ankylosis in a patient with no history of trauma and/or infection. Case Report. A 17-year-old male patient sought care reporting pain on the right TMJ region and mastication difficulty due to a severe limitation of mouth opening. In the clinic and imaging examinations, a 15 mm mouth opening and BMC associated with ankylotic mass of the right TMJ were observed, besides a facial asymmetry with chin deviation to the right. The proposed treatment plan was condylectomy on the right side, bilateral coronectomy, and genioplasty, so the chin lateral deviation could be corrected, under general anesthesia. The patient remains under clinical and imaging follow-up of two years with functional stability and no signs of relapse of the ankylosis. Conclusion. The association of BMC with ankylosis is an atypical entity which must be diagnosed and treated early to prevent aesthetic and functional damages to the patient.

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