scholarly journals Recovery of Post-Traumatic Temporomandibular Joint after Mandibular Fracture Immobilization: A Literature Review

2021 ◽  
Vol 11 (21) ◽  
pp. 10239
Author(s):  
Carmen Gabriela Stelea ◽  
Doriana Agop-Forna ◽  
Raluca Dragomir ◽  
Codrina Ancuţa ◽  
Roland Törok ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Real Life ◽  
Mandibular Fracture ◽  
Temporomandibular Joint Disorders ◽  
Treatment Modalities ◽  
Mandibular Fractures ◽  
Traumatic Injuries ◽  
Joint Fractures ◽  
Post Traumatic ◽  
Mandible Fractures

Considered as one of the most common traumatic injuries of the maxillofacial region, mandibular fractures remain among the complex causes of temporomandibular joint disorders (TMDs). Due to the complexity of the temporomandibular joint, the management of TMDs represents a challenge in real-life practice; although many treatment modalities have already been proposed, ranging from conservative options to open surgical procedures, a consensus is still lacking in many aspects. Furthermore, despite continuous improvement of the management of mandible fractures, the duration of immobilization and temporary disability is not reduced, and the incidence of complications remains high. The aim of the present study is to (i) review anatomophysiological components of temporomandibular joint; (ii) review concepts of temporomandibular joint fractures; and (iii) describe methods of the recovery of the temporomandibular joint after mandibular fracture immobilization.

scholarly journals The Device of Ethylene Vinyl Acetate Sheet for Trismus Caused by Bilateral Mandible Fractures

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Yoshiaki Ihara ◽  
Yuka Nakamichi ◽  
Yuichi Tashimo ◽  
Shinji Nozue ◽  
Kota Hayashi ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Vinyl Acetate ◽  
Mouth Opening ◽  
Ethylene Vinyl Acetate ◽  
Temporomandibular Joint Disorders ◽  
Mandibular Fractures ◽  
Training Device ◽  
Custom Made ◽  
Maxillofacial Fractures ◽  
Mandible Fractures

Trismus is commonly caused by temporomandibular joint disorders and maxillofacial fractures. We report the case of a 62-year-old woman with trismus and difficulty in mastication caused by bilateral mandibular fractures. She had a maximal interincisal opening distance (MID) of 22 mm. Mouth-opening training was administered using a novel dental mouth-training device custom-made using ethylene vinyl acetate sheets and according to the dentition and extent of mouth-opening of the patient. After 2 months of training, the MID increased to 42 mm. With adequate training, this device is effective in treating trismus due to scarring.

scholarly journals Low-level laser therapy in temporomandibular joint disorders: a systematic review

2021 ◽  
Vol 14 (2) ◽  
pp. 148-164
Author(s):  
Syed Ansar Ahmad ◽  
◽  
Shamimul Hasan ◽  
Shazina Saeed ◽  
Ateeba Khan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Temporomandibular Joint ◽  
Laser Therapy ◽  
Temporomandibular Joint Disorders ◽  
Low Level Laser Therapy ◽  
Therapeutic Modality ◽  
Treatment Modalities ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser

Temporomandibular joint disorders (TMDs) encompass a wide array of ailments affecting the temporomandibular joint (TMJ), muscles of mastication, and the allied structural framework. Myofascial pain, internal derangement of the joint, and degenerative joint diseases constitute the majority of TMDs. TMDs usually have a multifactorial etiology, and treatment modalities range from conservative therapies to surgical interventions. Low-level laser therapy (LLLT) has evolved as an efficient non-invasive therapeutic modality in TMDs. Previously conducted systematic reviews and meta-analyses have shown variable results regarding the efficiency of LLLT in TMJ disorder patients. Hence, this systematic review was carried out as an attempt to evaluate the efficacy of LLLT in the treatment of temporomandibular joint disorder patients.

scholarly journals Different Treatments in Patients with Temporomandibular Joint Disorders: A Comparative Randomized Study

Medicina ◽  
2020 ◽  
Vol 56 (3) ◽  
pp. 113
Author(s):  
Bruno Macedo De Sousa ◽  
Nansi López-Valverde ◽  
Antonio López-Valverde ◽  
Francisco Caramelo ◽  
Javier Flores Fraile ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Platelet Rich Plasma ◽  
Randomized Study ◽  
Mouth Opening ◽  
Sodium Hyaluronate ◽  
Temporomandibular Joint Disorders ◽  
Treatment Modalities ◽  
Plasma Injection ◽  
Maximum Pain

Background and Objectives: Temporomandibular joint disorders (TMJDs) are associated with pain and reduced jaw mobility. The aim of this study was to compare the outcome of patients with TMJ arthralgia when submitted to four different treatment modalities, in some cases using intra-articular injections of substances with anti-inflammatory properties and in others, a more conservative approach consisting only of a bite splint. Materials and Methods: The sample was made up of 80 patients, randomly distributed into 4 groups of 20 patients each. Each patient was given a nocturnal bite splint. One of the groups was treated with the bite splint only, while each patient in the other 3 was injected with betamethasone, sodium hyaluronate, or platelet-rich plasma in addition to using the bite splint. Two variables were assessed, namely pain intensity between 0 to 10 according to the visual analogue scale and maximum pain-free mouth opening in mm. The patients were evaluated at four different points: at the beginning of the treatment, as well as one week, one month and six months after initiation. Results: The results showed that maximum pain-free mouth opening improved in all the groups that made up the sample, with either a reduction in pain severity or with no pain. However, the group injected with platelet-rich plasma yielded the best results after six months, while patients treated with sodium hyaluronate or betamethasone obtained the best results at the end of the first week. Conclusions: We concluded that all the treatments used caused a reduction in pain and increased pain-free mouth opening. The splint combined with the platelet-rich plasma injection achieved long-term success.

Temporomandibular Joint Disorders—Current Concepts

1995 ◽  
Vol 112 (5) ◽  
pp. P94-P94
Author(s):  
Lou Gallia
Keyword(s):  
Natural History ◽  
Temporomandibular Joint ◽  
Temporomandibular Joint Disorders ◽  
Treatment Modalities ◽  
Educational Objectives ◽  
History Of

Educational objectives: To understand the natural history of temporomandibular joint disorders, to be able to diagnose these disorders, and to provide initial diagnostic and treatment modalities.

scholarly journals Effect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disorders

2019 ◽  
Vol 41 (1) ◽  
Author(s):  
Chang-Woo Kim ◽  
Sung-Jae Lee ◽  
Euy-Hyun Kim ◽  
Dong-Keon Lee ◽  
Mong-Hun Kang ◽  
...  
Keyword(s):  
Pain Relief ◽  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Temporomandibular Joint Disorders ◽  
Treatment Modalities ◽  
Disc Displacement ◽  
Significant Difference ◽  
Joint Disorder ◽  
Average Pain ◽  
Closed Lock

Abstract Background We evaluated the improvement of pain and the increase in mouth opening after temporomandibular joint arthrocentesis and the possible association with various factors such as previous splint treatment, medication, and diagnosis. Results We studied 57 temporomandibular joint disorder patients who underwent arthrocentesis at Korea University Anam Hospital. These patients (24 males and 33 females, aged between 15 and 76 years) underwent arthrocentesis that was performed by one surgeon. The degree of mouth opening (assessed using the maximum mouth opening: MMO) and pain (assessed using the visual analog scale: VAS) were assessed pre- and post-arthrocentesis. The study also investigated whether treatment modalities other than arthrocentesis (medication and appliance therapy) were performed. Statistical analysis revealed that there was a significant difference in mouth opening and pain after temporomandibular joint arthrocentesis. Preoperative appliance therapy affected the results of arthrocentesis, but it was not statistically significant. With regard to pain relief, preoperative diagnosis did not show a significant difference. However, with regard to maximum mouth opening, patients with disc displacement without reduction with limited mouth opening (closed lock) showed the highest recovery (11.13 mm). Conclusion The average of MMO increase after arthrocentesis was 9.10 mm, and patients with disc displacement without reduction with locking (closed lock) showed most recovery in maximum mouth opening and it was statistically significant. The average pain relief of patients after arthrocentesis was 3.03 in the VAS scale, and patients using anterior repositioning splint (ARS) preoperatively showed the most pain relief.

scholarly journals Mandibular Fractures: Pre-Operative Panoramic Radiography and Duplication Sign Patterns

2021 ◽  
Vol 5 (5) ◽  
pp. 57-66
Author(s):  
Oleksandr Nosyr ◽  
Serhii Khrulenko
Keyword(s):  
Cortical Bone ◽  
Management Strategy ◽  
Panoramic Radiography ◽  
Mandibular Fracture ◽  
Fracture Line ◽  
Mandibular Fractures ◽  
Panoramic Radiographs ◽  
Sign Patterns ◽  
Precise Diagnosis ◽  
Mandible Fractures

The purpose of this essay is to present the multiple patterns of the duplication sign at the mandibular fracture line/gap visualized at the panoramic radiography as two-line fracture gap or pseudocomminuted fracture. We retrospectively reviewed the orthopantomography of patients with mandible fractures and presented nine patients with 12 duplication signs (also known as lambda course fracture line). On panoramic radiographs the fracture line/gap with duplication sign is visualized as two-line cortical bone discontinuity with or without dislocation due to the fact that the fracture gap runs asymmetrically on the external and internal cortical plates of the jaw. Knowledge of duplication sign patterns, artifacts is also crucial for the precise diagnosis and choice of correct management strategy.

scholarly journals Atrophic mandibular fracture treatment: prototyping as a tool in surgical planning

2020 ◽  
Vol 9 (9) ◽  
pp. e796997986
Author(s):  
Reginaldo Fernandes da Silva ◽  
Rebeca Valeska Soares Pereira ◽  
Joana de Ângelis Alves Silva ◽  
Gustavo José de Luna Campos ◽  
Mário César Furtado da Costa ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Clinical Case ◽  
Mandibular Fracture ◽  
Facial Trauma ◽  
Mandibular Fractures ◽  
Surgical Time ◽  
3D Technology ◽  
Mandible Fracture ◽  
Intraoperative Period ◽  
Mandible Fractures

Introduction: Atrophic mandibular fractures are injuries found in old age due to facial trauma. Its treatment is a challenge, even for experienced surgeons, due to the different approaches that can be taken from clinical decisions. Taking into consideration the limitations that the age presented by most of the affected patients brigs, there are devices that stand out by seeking benefits in terms of predictability and time gain in the intraoperative period. The additive manufacturing is a valuable resource in the surgical planning and rehabilitation of these patients. Objective: To expose a clinical case that demonstrates the success in the use of surgical planning through a prototype printed in 3D technology. Clinical case: Elderly woman, 75 years old, victim of a fall from her own height who had a bilateral atrophic mandible fracture due to facial trauma. The surgical procedure was planned using a prototype printed in 3D technology providing predictability and reduced surgical time. The patient evolved in the postoperative period without complaints, with function immediately restores and without signs of infection or plate exposure. Conclusions: Atrophic mandible fractures are still related to a challenging treatment, therefore, adequate surgical planning and the use of auxiliary strategies such as 3D prototyping provide greater predictability of results, as well as time gain during the intraoperative.

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