Skip to main content
SpringerLink
Log in

Surgical Management of Temporomandibular Joint Problems

  • Chapter
TMD and Orthodontics

  • 2032 Accesses

Abstract

It is generally recommended that medical management should be the first-line approach to treating most diseases and disorders of the temporomandibular joint (TMJ). However, surgery can play a role when medical means of management are either not indicated or when such treatments have failed. Although orthodontists are usually not directly involved in these forms of therapy, they do encounter patients with a wide variety of temporomandibular disorders (TMDs) in their practices and so it is important for them to understand what surgical treatments are available, when they are indicated, and what they are designed to accomplish. This chapter will focus on two major areas of concern to the orthodontist: surgical versus non-surgical management of internal derangements of the TMJ and the use of orthognathic surgery as a treatment for TMDs.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kirk Jr WS, Calabrese DK. Clinical evaluation of physical therapy in the management of internal derangement of the temporomandibular joint. J Oral Maxillofac Surg. 1989;47:113–9.

    Article  PubMed  Google Scholar 

  2. Nicolakis P, Erdogmus B, Kopt A, Ebenbichler G, Kollmizer J, Piehslinger E, et al. Effectiveness of exercise therapy in patients with internal derangement of the temporomandibular joint. J Oral Rehabil. 2001;28:1156–64.

    Article  Google Scholar 

  3. Kurita K, Westesson P-L, Yuasa H, Toyama J, Machida J, Ogi N. Natural course of untreated symptomatic temporomandibular joint disc displacement without reduction. J Dent Res. 1998;77:361–5.

    Article  PubMed  Google Scholar 

  4. Manfredini D, Favero L, Gregorini F, et al. Natural course of temporomandibular disorders with low pain-related impairment: a 2-to-3-year follow-up study. J Oral Rehabil. 2013;40:436–42.

    Article  PubMed  Google Scholar 

  5. Nitzan DW, Dolwick MF, Martinez GA. Temporomandibular joint arthrocentesis. A simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg. 1991;49:1163.

    Article  PubMed  Google Scholar 

  6. Kropmans TJ, Dijkstra PU, Stegenga B, De Bont LGM. Therapeutic outcome assessment in permanent temporomandibular joint disc displacement. J Oral Rehabil. 1999;26:357–63.

    Article  PubMed  Google Scholar 

  7. Goudot P, Jaquinet AR, Hugonnet S, Haefliger W, Richter M. Improvement of pain and function after arthroscopy and arthrocentesis of the temporomandibular joint: a comparative study. J Craniomaxillofac Surg. 2000;28:39–43.

    Article  PubMed  Google Scholar 

  8. Sanroman JF. Closed lock (MRI fixed disc): a comparison of arthrocentesis and arthroscopy. Int J Oral Maxillofac Surg. 2004;33:344–8.

    Article  PubMed  Google Scholar 

  9. Hobeich JB, Salamejh ZA, Ismail E, Sadig WM, Hokayem NE, Almas K. Arthroscopy versus arthrocentesis. A retrospective study of disc displacement management without reduction. Saudi Med J. 2007;28:1541–4.

    PubMed  Google Scholar 

  10. Freihofer DM, Petresevic D. Late results after advancing the mandible by sagittal splitting of the rami. J Maxillofac Surg. 1975;3:230–7.

    Google Scholar 

  11. Hackney FL, Van Sickels JE, Nummikoski PV. Condylar displacement and temporomandibular joint dysfunction following bilateral sagittal split osteotomy and rigid fixation. J Oral Maxillofac Surg. 1989;47:223–7.

    Article  PubMed  Google Scholar 

  12. De Clercq C, Neyt L, Mommaerts M, Abeloos J. Orthognathic surgery: patients’ subjective findings with focus on the temporomandibular joint. J Craniomaxillofac Surg. 1998;26:29–34.

    Article  PubMed  Google Scholar 

  13. Dervis E, Tuncer E. Long-term evaluations of temporomandibular disorders in patients undergoing orthognathic surgery compared with a control group. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:554–60.

    Article  PubMed  Google Scholar 

  14. Karabouta J, Martis C. The TMJ dysfunction syndrome before and after sagittal split osteotomy of the rami. J Oral Maxillofac Surg. 1985;13:185–8.

    Google Scholar 

  15. White CS, Dolwick MF. Prevalence and variance of temporomandibular dysfunction in orthognathic surgery patients. Int J Adult Orthodon Orthognath Surg. 1992;7:7–14.

    PubMed  Google Scholar 

  16. Panula K, Somppi M, Finne K, Oikarinen K. Effects of orthognathic surgery on temporomandibular joint dysfunction: a controlled prospective 4-year follow-up study. Int J Oral Maxillofac Surg. 2000;29:183–97.

    Article  PubMed  Google Scholar 

  17. Westermark A, Shayeghi F, Thor A. Temporomandibular dysfunction in 1,516 patients before and after orthognathic surgery. Int J Adult Orthodon Orthognath Surg. 2001;16:145–51.

    PubMed  Google Scholar 

  18. Dujoncquoy J-P, Ferri J, Raoul G, Kleinheinz J. Temporomandibular joint dysfunction and orthognathic surgery. Head Face Med. 2010;6:27. Published online 17 Nov 2010. doi:10.1186/1746-160X-6-27.

  19. Aoyama S, Kino K, Kobayashi J, Yoshimasu H, Amagasa T. Clinical evaluation of the temporomandibular joint following orthognathic surgery-multiple logistic regression analysis. J Med Dent Sci. 2005;52:109–14.

    PubMed  Google Scholar 

  20. Oland J, Jensen J, Melsen B. Factors of importance for the functional outcome in orthognathic surgery patients: a prospective study of 118 patients. J Oral Maxillofac Surg. 2010;68:2221–31.

    Article  PubMed  Google Scholar 

  21. Wolford LM, Reiche-Fischel O, Mehra P. Changes in temporomandibular joint dysfunction after orthognathic surgery. J Oral Maxillofac Surg. 2003;61:655–60.

    Article  PubMed  Google Scholar 

  22. Ellis III E. Condylar positioning devices for orthognathic surgery: are they necessary? J Oral Maxillofac Surg. 1994;52:536–52.

    Article  PubMed  Google Scholar 

  23. Hall HD, Navarro EZ, Gibbs SJ. Prospective study of modified condylotomy for treatment of nonreducing disk displacement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89:147–58.

    Article  PubMed  Google Scholar 

  24. Gerressen M, Zadeh MD, Stockbink G, Riediger D, Ghassemi A. The functional long-term results after bilateral sagittal split osteotomy (BSSO) with and without a condylar positioning device. J Oral Maxillofac Surg. 2006;64:1624–30.

    Article  PubMed  Google Scholar 

  25. Costa F, Robiony M, Toro C, Sembronio S, Polini F, Politi M. Condylar positioning devices for orthognathic surgery: a literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106:179–90.

    Article  PubMed  Google Scholar 

  26. Upton LG, Scott RF, Hayward JR. Major maxillomandibular malrelations and temporomandibular joint pain-dysfunction. J Prosthet Dent. 1984;51:686–90.

    Article  PubMed  Google Scholar 

  27. Link JJ, Nickerson JW. Temporomandibular joint internal derangements in the orthognathic surgery population. In J Adult Orthodon Orthognath Surg. 1992;7:151–9.

    Google Scholar 

  28. Schneider S, Witt E. The functional findings before and after a combined orthodontic and oral surgical treatment of Angle Class III patients. Fortschr Kieferorthop. 1991;52:51–9.

    Article  PubMed  Google Scholar 

  29. Lindenmeyer A, Sutcliffe P, Eghtessad M, Goulden R, Speculand B, Harris M. Oral and maxillofacial surgery and chronic painful temporomandibular disorders – a systemic review. J Oral Maxillofac Surg. 2010;68:2755–64.

    Article  PubMed  Google Scholar 

  30. Al-Riiyami S, Cunningham SJ, Moles DR. Orthognathic treatment and temporomandibular disorders: a systematic review. Part 2. Signs and symptoms and meta-analysis. Am J Orthod Dentofacial Orthop. 2009;136:626.e1–e16.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University, School of Dentistry, Richmond, VA, USA

    D. M. Laskin DDS, MS

Authors
  1. D. M. Laskin DDS, MS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to D. M. Laskin DDS, MS .

Editor information

Editors and Affiliations

  1. Department of Orthodontics, School of Dentistry, University of Western Australia, Nedlands, West Australia, Australia

    Sanjivan Kandasamy

  2. University of Illinois College of Dentistry, Chicago, Illinois, USA

    Charles S. Greene

  3. Greensburg, Pennsylvania, USA

    Donald J. Rinchuse

  4. Seton Hill University, Greensburg, Pennsylvania, USA

    John W. Stockstill

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Laskin, D.M. (2015). Surgical Management of Temporomandibular Joint Problems. In: Kandasamy, S., Greene, C., Rinchuse, D., Stockstill, J. (eds) TMD and Orthodontics. Springer, Cham. https://doi.org/10.1007/978-3-319-19782-1_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-19782-1_9

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19781-4

  • Online ISBN: 978-3-319-19782-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation