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TMJ anterior disc displacement anchorage surgery: a retrospective study based on a suture-free titanium screw strategy

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Abstract

Objective

To evaluate the feasibility and effectiveness of using a suture-free titanium screw in repositioning anterior disc displacement without reduction (ADDwoR) of the temporomandibular joint (TMJ).

Methods

A consecutive sample of twelve patients (fifteen joints) was included in this study. All patients were diagnosed with ADDwoR and showed limited mouth opening or temporomandibular joint pain symptoms. Suture-free titanium screw was placed in the condyle directly following the disc repositioning. Pre- and postoperative evaluation parameters include operation time, the visual analogue scale for pain (VAS), lateral excursion movements (LEM), maximum interincisal opening (MIO), and disc length and position on MRI. In addition, the mandibular condyle height was also measured. Statistical significance was considered when p < 0.05.

Results

The unilateral operation time was 58.54 ± 5.43 min; during the 6-month period after the operation, the VAS values decreased from 87 ± 6.34 to 14.08 ± 6.65. The MIO increased from 30.07 ± 4.73 to 39.89 ± 1.69 mm (p = 0.01). The TMJ disc length was prolonged from 8.23 ± 1.12 to 11.51 ± 1.29 mm. The condyles showed significant remodeling, and the height of the condyle increased from 18.24 ± 4.12 increase to 19.6 ± 4.31 mm. The LEM was increased from 5.27 ± 0.51 to 6.36 ± 0.62 mm. The MRI images showed the stability of the disc in position during the opening and closing of the mouth. The TMJ disc position was stable during the follow-up period.

Conclusion

Anteriorly displaced articular disc can be repositioned by a suture-free titanium screw strategy. This technique is an alternative method to address ADDwoR.

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Data availability

The authors confirm that the data supporting the findings of the study are available within the article and that the datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.

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Funding

This research was received from the National Natural Science Foundation of China (82071139) and the Key R&D Program of Sichuan Provincial Department of Science and Technology No. 23ZDYF2130 (to SZ) funding.

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Authors and Affiliations

  1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China

    Peng Wang, Yao Liu, Ruiye Bi, Nan Jiang, Wael Telha, Pinyin Cao & Songsong Zhu

  2. Department of Orthognathic and TMJ Surgery, No. 14, 3Rd Section of Ren Min Nan Rd, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China

    Songsong Zhu

Authors
  1. Peng Wang
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  2. Yao Liu
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  4. Nan Jiang
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  5. Wael Telha
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  6. Pinyin Cao
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  7. Songsong Zhu
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Contributions

Conceptualization and Validation, Songsong Zhu; Resources, Songsong Zhu, Yao Liu, and Ruiye Bi; Writing—Original draft preparation, Peng Wang; Review and editing, Ruiye Bi, Nan Jiang, Wael Telha, and Pinyin Cao; Supervision, Songsong Zhu. All authors have read and agreed to the published version of the manuscript.

Corresponding author

Correspondence to Songsong Zhu.

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Institutional review board statement

The study was approved by the Institutional Ethics Committee of Sichuan University (Approval No. WCHSIRB-CT-2022–375). The research was conducted following the World Medical Association’s Code of Ethics (Declaration of Helsinki) for experiments on humans.

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The authors declare no competing interests.

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Wang, P., Liu, Y., Bi, R. et al. TMJ anterior disc displacement anchorage surgery: a retrospective study based on a suture-free titanium screw strategy. Clin Oral Invest 27, 4579–4584 (2023). https://doi.org/10.1007/s00784-023-05083-2

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