[TMJ arthroscopy. A review]

Rev Stomatol Chir Maxillofac Chir Orale. 2016 Sep;117(4):273-9. doi: 10.1016/j.revsto.2016.07.010. Epub 2016 Aug 11.
[Article in French]

Abstract

Introduction: Temporomandibular joint (TMJ) dysfunction associates pain, limited mouth opening and joint noise. Failures of conservative treatments may lead to arthroscopy. The aim of our study was to evaluate the current interest of arthroscopy in the treatment of TMJ dysfunction.

Material and methods: Using the keywords "TMJ" and "Arthroscopy", 1668 articles were found in the Sciencedirect database. We selected 17 papers published between September 2012 and May 2016. Six questions were asked: (1) what treatment should be given to patients suffering from TMJ dysfunction? (2) What treatment should be performed for TMJ disorders when conservative treatments failed? (3) Does Wilkes staging change the surgical indication? (4) What has to be done in case of arthroscopy failure? (5) Can disc position be improved after surgery? (6) Should the disc position be improved?

Results and discussion: (1) Conservative treatment should always be considered in first intention (2) In case of conservative treatment failures, surgery can be proposed, beginning with the less invasive one (3) Whatever the Wilkes stage, treatment should begin by the less invasive one (4) In case of arthroscopy failure, TMJ arthrotomy can be indicated (5) Disc position may be improved in the long term but it is complex to obtain (only one paper) (6) there is no evidence that disk has to be repositioned.

Keywords: Arthroscopie; Arthroscopy; Articulation; Joint; TMJ; Temporo-mandibulaire; Temporomandibular.

Publication types

  • Review

MeSH terms

  • Arthroscopy* / methods
  • Arthroscopy* / statistics & numerical data
  • Humans
  • Pain Measurement
  • Range of Motion, Articular / physiology
  • Temporomandibular Joint / pathology
  • Temporomandibular Joint / physiopathology
  • Temporomandibular Joint / surgery*
  • Temporomandibular Joint Disorders / surgery*
  • Treatment Outcome