Condylar disk plication for temporomandibular joint internal derangement treatment: surgical technique and results

Med Oral Patol Oral Cir Bucal. 2005 Jul 1:10 Suppl 2:E133-8.
[Article in English, Spanish]

Abstract

Objective: To report six cases submitted to the TMJ condylar disk plication technique.

Study design: All patients presented a limitation of mandibular movements, severe pain and failure of previous clinical treatment. A definitive diagnosis of irreducible anterior disk displacement was made by MRI (Magnetic Resonance Imaging). Clinical evaluation consisted of the following: measurement of maximal mouth opening, movement to the left and right and protusion; presence of deviation during mouth opening; clicking during mouth opening or closing; presence of pain and personal satisfaction following surgery.

Results: While all patients had preoperative pain, only one had severe pain; in the others, the pain was less intense at the end of the period of follow-up. Stomatognatic function was improved and has been maintained since the conclusion of this study.

Conclusions: On the basis of the follow-up of these patients, the proposed technique proved to be effective for disk stabilization, leading to a decrease in pain and an improvement in mandibular movements.

MeSH terms

  • Adult
  • Arthroplasty / methods*
  • Facial Pain / etiology
  • Facial Pain / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Joint Dislocations / surgery
  • Range of Motion, Articular
  • Temporomandibular Joint Disc / surgery*
  • Temporomandibular Joint Disorders / complications
  • Temporomandibular Joint Disorders / surgery*