Evolution of the Modern Surgical Management of Temporomandibular Disorders

  • MA PogrelEmail author
  • Robert Hensher


One of the authors (MAP) was fortunate enough to be a trainee to a very prominent British oral and maxillofacial surgeon many years ago. This gentleman was the only person who claimed to be able to cure all of his patients with temporomandibular joint problems. His technique was that if any patient complained of temporomandibular joint problems, he wired their jaws together for 6 weeks. At the end of 6 weeks, he released the fixation and asked how they were feeling. If they said everything felt okay, he counted them as a cure, and if they still complained of temporomandibular joint problems, he put them into intramaxillary fixation for another 6 weeks. At the end of the second 6 weeks, he asked them again, and only the occasional recalcitrant patient had to undergo three 6-week courses of intramaxillary fixation before they admitted that they were cured!

Unfortunately, we will never know how successful this treatment was. There is no doubt that a period of complete rest for a joint can be very helpful, and even curative, for a number of conditions, and this almost certainly applies to temporomandibular joints, but it is probably something short of 100%. Sometimes the success of the treatment depends on the personality of the treater.


Temporomandibular History Joint replacement 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial SurgeryUniversity of CaliforniaSan FranciscoUSA
  2. 2.King Edward VII HospitalLondonUK

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