Review Article
Volume 12 Issue 6 - 2021
Current Concepts in the Surgical Management for Temporomandibular Joint Osteoarthritis
Edvitar Leibur*, Oksana Ivask and Ülle Voog-Oras
Institute of Dentistry, Department of Maxillofacial Surgery, Tartu University Clinicum, Tartu, Estonia
*Corresponding Author: Edvitar Leibur, Institute of Dentistry, Department of Maxillofacial Surgery, Tartu University Clinicum, Tartu, Estonia.
Received: April 23, 2021; Published: May 29, 2021




Abstract

The aim of this paper was to give an overview of our experience about the treatment methods and results we have used in the TMJ osteoarthritis patients treatment. The stages of TMJ disorders are usually classified according to Wilkes [1]. Correct diagnosis is important for successful treatment and decision must be based on clinical symptoms and radiological findings, including the history and ohter diagnostic data as synovial fluid (SF) components, blood analysis etc. Usually SF aspirates are obtained during arthrocentesis or immediately before arthroscopy and used for determination the levels of intracellular inflammatory and pain mediators. In case of episodes of pain, opening reciprocal clicking, locking in the TMJ a conservative therapy with drugs, occlusal splints is indicated (Wilkes stages I-II). In stages III-V surgical procedures as arthocentesis, arthroscopy or arthrotomy are indicated.

 

Keywords: Temporomandibular Joint Osteoarthritis; Surgical Treatment

References

  1. Aebi M., et al. “Stabilization of the lower thoracic and lumbar spine with the internal spinal skeletal fixation system: indications, techniques, and first results of treatment”. Spine6 (1987): 544-551.
  2. Bortoletto A., et al. “Avaliação do tratamento cirúrgico das fraturas da coluna toracolombar com material de terceira geração tipo fixador interno”. Revista Brasileira de Ortopedia 3 (2011): 299-304.
  3. Cruz CP. “Anterior approach versus posterior approach in cirurgical treatment of thoracic and lumbar fractures”. Coluna/Columna 5 (2006): 72-76.
  4. Dobran M., et al. “Treatment of unstable thoracolumbar junction fractures: short-segment pedicle fixation with inclusion of the fracture level versus long-segment instrumentation”. Acta Neurochir 158 (2016): 1883-1889.
  5. Falavigna A and Teles AR. “Avaliação clínica e funcional no pré-operatório de doenças degenerativas da coluna vertebral”. Coluna/Columna3 (2009): 245-253.
  6. Heggeness MH and Doherty BJ. “The trabecular anatomy of thoracolumbar vertebrae: implications for burst fractures”. Journal of Anatomy 2 (1997): 309-312.
  7. Hübner AR., et al. “Análise comparativa de técnicas de fixação para fraturas da coluna toracolombar”. Coluna/Columna4 (2011): 275-278.
  8. Knight RQ., et al. “Comparison of operative versus nonoperative treatment of lumbar burst fractures”. Clinical Orthopaedics and Related Research 293 (1993): 112-121.
  9. Knop C., et al. “Late results of thoracolumbar fractures after posterior instrumentation and transpedicular bone grafting”. Spine1 (2001): 88-99.
  10. Kuklo TR., et al. “Measurement of thoracic and lumbar fracture kyphosis: evaluation of intraobserver, interobserver, and technique variability”. Spine1 (2001): 61-66.
  11. Lukás R., et al. “Surgical treatment of thoracolumbar spine fractures”. Coluna/Columna1 (2006): 84-89.
  12. Marin AG., et al. “Fixação percutânea no tratamento de fraturas toracolombares: resultados preliminaries”. Coluna/Columna2 (2013): 146-148.
  13. McLain RF. “The biomechanics of long versus short fixation for thoracolumbar spine fractures”. Spine11 (2006): 70-79.
  14. Muratore M., et al. “Surgical treatment of traumatic thoracolumbar fractures: a retrospective review of 101 cases”. Musculoskeletal Surgery (2020).
  15. Schouten R., et al. “Health-related quality-of-life outcomes after thoracic (T1-T10) fractures”. Spine Journal 8 (2014): 1635-1642.
  16. Siebenga J., et al. “Treatment of traumatic thoracolumbar spine fractures: a multicenter prospective randomized study of operative versus nonsurgical treatment”. Spine25 (2006): 2881-2890.
  17. Sodhi HBS., et al. “Factors predicting long-term outcome after short-segment posterior fixation for traumatic thoracolumbar fractures”. Surgical Neurology International 8 (2017): 233.
  18. Vaccaro AR., et al. “A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status”. Spine 20 (2005): 2325-2333.
  19. Vigatto R., et al. “Development of a Brazilian Portuguese version of the Oswestry Disability Index: cross-cultural adaptation, reliability, and validity”. Spine4 (2007): 481-486.
Citation: Edvitar Leibur., et al. “Current Concepts in the Surgical Management for Temporomandibular Joint Osteoarthritis”. EC Orthopaedics 12.6 (2021): 60-66.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


December Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the November issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before December 20, 2022.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.