Abstract
Temporomandibular joint disorders have a negative effect on a wide portion of the population. An important part of these disorders involve internal derangement problems. Main causes of internal derangements can be classified as acute macrotrauma, chronic microtrauma, or developmental and acquired defects. Treatment of patients with temporomandibular joint internal derangement typically begins with nonsurgical treatment modalities. Bite appliance therapy, diet modifications, nonsteroidal anti-inflammatory medications, muscle relaxants, moist heat or ice, and physical therapy have been found to be effective. Surgical treatment is employed only after failure of initial nonsurgical treatment. The goal of surgical treatment of temporomandibular joint internal derangement is to regain adequate nutrition and masticatory functions. In this seminar; the treatment modalities, long term results and complications of open surgical treatment of temporomandibular joint internal derangements are reviewed.
Keywords: Temporamandibular joint, internal derangement, open surgery.
ÖZET
Temporomandibuler eklem hastalıkları toplumun büyük kısmını olumsuz etkilemektedir. Bu hastalıkların önemli bir bölümünü temporomandibuler eklemin iç düzensizlikleri oluşturmaktadır. İç düzensizliğin sebepleri şiddetli makro travma, kronik mikro travma veya gelişimsel ve kazanılmış bozukluklar olarak sınıflandırılabilir. Temporomandibuler eklem iç düzensizliği olan hastaların tedavisi tipik olarak cerrahi olmayan tedavi şekilleriyle başlar. Isırma apareyi ile tedavi, diyet düzenlemeleri, steroid yapıda olmayan antiinflamatuar ilaçlar, kas gevşeticiler, nemli ısı veya buz ve fizik tedavinin etkili olduğu bulunmuştur. Cerrahi müdahale ancak cerrahi olmayan tedaviler başarısız olduktan sonra uygulanır. Temporomandibuler eklem hastalıklarının cerrahi tedavisinin amacı yeterli çiğneme ve beslenme fonksiyonlarının hastaya yeniden kazandırılmasıdır. Bu seminerde, temporomandibuler eklem iç düzensizliklerinin açık cerrahi ile tedavisinde kullanılan yöntemleri, uzun dönem sonuçları ve komplikasyonları sunulmuştur.
References
- Laskin DM, Greene CS, Hylander WL. TMDs An Evidence-Based Approach to Diagnosis and Treatment. Singapore: Quintessence Publishing Co, Inc, 2006 Bell WE. Temporomandibular disorders: classification, diagnosis and management. 2nd Ed. Chicago (IL): Yearbook Medical Publishers, 1986: 16–6
- Quinn PD. Color Atlas of Temporomandiular Joint Surgery. United States of America: Mosby, Inc, 1998
- Miloro M, Ed. Oral and Maxillofacial Surgery 2nd. Ed. Hamilton Londan: BC Decker Inc, 2004
- Dolwick MF. Intra-articular disc displacement Part I: its questionable role in temporomandibular joint pathology. J Oral Maxillofac Surg 1995;53:1069–1072.
- Kaplan AS, Assael LA. Temporomandibular Disorders. United States of America: W.B. Saunders Company, 1991
- Dolwick MF. Disc Preservation Surgery for the Treatment of Internal Derangements of the Temporomandibular Joint J Oral Maxillofac Surg 2001 59:1047-1050
- Campbell W. Clinical and radiological investigations of the mandibular joints. Br J Radiol 1961;38:401–421.
- Vasconcelos BCE, Bessa- Nogueira RV, Silva LCF. Prospective Study of Facial Nerve Function After Surgical Procedures for the Treatment of Temporomandibular Pathology J Oral Maxillofac Surg 2007;65:972-978.
- Agerberg C, Lundberg M. Changes in the temporomandibular joint after surgical treatment. A radiologic followup study. Oral Surg 1971;32:865–75.
- Kondoh T, Hamada Y, Kamei K, Seto K. Simple disc reshaping surgery for internal derangement of the temporomandibular joint: 5year follow-up results. J Oral Maxillofac Surg 2003;61:41–48.
- Bjİrnland T, Larheim T. Discectomy of the Temporomandibular Joint: 3Year Follow-Up as a Predictor of the 10-Year Outcome J Oral Maxillofac Surg 2003;61:55-60.
Abstract
Temporomandibuler eklem hastalıklarıtoplumun büyük kısmını olumsuz etkilemektedir.Bu hastalıkların önemli bir bölümünütemporomandibuler eklemin iç düzensizliklerioluşturmaktadır. İç düzensizliğin sebepleri şiddetlimakro travma, kronik mikro travma veya gelişimselve kazanılmış bozukluklar olarak sınıflandırılabilir.Temporomandibuler eklem iç düzensizliği olanhastaların tedavisi tipik olarak cerrahi olmayantedavi şekilleriyle başlar. Isırma apareyi ile tedavi,diyet düzenlemeleri, steroid yapıda olmayanantiinflamatuar ilaçlar, kas gevşeticiler, nemli ısıveya buz ve fizik tedavinin etkili olduğubulunmuştur. Cerrahi müdahale ancak cerrahiolmayan tedaviler başarısız olduktan sonra uygulanır.Temporomandibuler eklem hastalıklarının cerrahi tedavisinin amacı yeterliçiğneme ve beslenme fonksiyonlarının hastayayeniden kazandırılmasıdır.Bu seminerde,temporomandibuler eklem iç düzensizliklerinin açıkcerrahi ile tedavisinde kullanılan yöntemleri, uzundönem sonuçları ve komplikasyonları sunulmuştur.
References
- Laskin DM, Greene CS, Hylander WL. TMDs An Evidence-Based Approach to Diagnosis and Treatment. Singapore: Quintessence Publishing Co, Inc, 2006 Bell WE. Temporomandibular disorders: classification, diagnosis and management. 2nd Ed. Chicago (IL): Yearbook Medical Publishers, 1986: 16–6
- Quinn PD. Color Atlas of Temporomandiular Joint Surgery. United States of America: Mosby, Inc, 1998
- Miloro M, Ed. Oral and Maxillofacial Surgery 2nd. Ed. Hamilton Londan: BC Decker Inc, 2004
- Dolwick MF. Intra-articular disc displacement Part I: its questionable role in temporomandibular joint pathology. J Oral Maxillofac Surg 1995;53:1069–1072.
- Kaplan AS, Assael LA. Temporomandibular Disorders. United States of America: W.B. Saunders Company, 1991
- Dolwick MF. Disc Preservation Surgery for the Treatment of Internal Derangements of the Temporomandibular Joint J Oral Maxillofac Surg 2001 59:1047-1050
- Campbell W. Clinical and radiological investigations of the mandibular joints. Br J Radiol 1961;38:401–421.
- Vasconcelos BCE, Bessa- Nogueira RV, Silva LCF. Prospective Study of Facial Nerve Function After Surgical Procedures for the Treatment of Temporomandibular Pathology J Oral Maxillofac Surg 2007;65:972-978.
- Agerberg C, Lundberg M. Changes in the temporomandibular joint after surgical treatment. A radiologic followup study. Oral Surg 1971;32:865–75.
- Kondoh T, Hamada Y, Kamei K, Seto K. Simple disc reshaping surgery for internal derangement of the temporomandibular joint: 5year follow-up results. J Oral Maxillofac Surg 2003;61:41–48.
- Bjİrnland T, Larheim T. Discectomy of the Temporomandibular Joint: 3Year Follow-Up as a Predictor of the 10-Year Outcome J Oral Maxillofac Surg 2003;61:55-60.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Review |
| Authors | |
| Publication Date | May 1, 2013 |
| Submission Date | July 1, 2011 |
| Published in Issue | Year 2013Volume: 16 Issue: 2 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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