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24 April 2011

Management of temporomandibular ankylosis – compromise or individualization – a literature review

Katarzyna Sporniak-Tutak, Joanna Janiszewska-Olszowska, Robert Kowalczyk

DOI: 10.12659/MSM.881755

Med Sci Monit 2011; 17(5): RA111-116

Abstract

ABSTRACT: Temporomandibular joint ankylosis is defined as bony or fibrous adhesion of the anatomic joint components accompanied by a limitation in opening the mouth, causing difficulties with mastication, speaking and oral hygiene as well as inadvertently influencing mandibular growth. Surgical treatment procedures include arthroplasty of the joint cavity with or without a reconstruction and a coronoidectomy, an autogenous costochondral rib graft, distraction osteogenesis and intensive mouth-opening exercise, corrective orthognathic surgery or alloplastic joint prostheses. The authors of this study would like to provide the reader with an evidence-based review of the literature in order to determine the most efficient way to manage TMJ ankylosis and re-ankylosis. The authors have concluded that in order to achieve a satisfactory and durable effective treatment, an individualized approach is necessary in each case.

Keywords: Temporomandibular Joint Disorders - therapy, Individualized Medicine, Ankylosis - therapy

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750