Functional and prosthetic TMJ surgery
Seance of wednesday 06 november 2024 (Chirurgie Maxillo Faciale)
DOI number : 10.26299/ermb-4c83/emem.2024.29.02
Abstract
The temporomandibular joint is an even, symmetrical diarthrosis that joins the mandibular fossa of the temporal bone to the condyle of the mandible via a fibrocartilaginous disc. It allows numerous orofacial functions. It is affected in a variety of ways, some of which are specific, such as mandibular hyperplasia or temporomandibular joint ankylosis.
When treatment is required, the most conservative therapies are preferred, with the most invasive treatments reserved for those who fail, with the aim of improving orofacial function, controlling pain and enhancing the patients' quality of life.
The range of surgical possibilities extends from arthroscopy to prosthetic surgery, via open functional surgery. In some cases, orthodontic-surgical treatment may be required to correct orthognathic sequelae. In the most complex cases, computer-assisted surgical planning should be considered.
When treatment is required, the most conservative therapies are preferred, with the most invasive treatments reserved for those who fail, with the aim of improving orofacial function, controlling pain and enhancing the patients' quality of life.
The range of surgical possibilities extends from arthroscopy to prosthetic surgery, via open functional surgery. In some cases, orthodontic-surgical treatment may be required to correct orthognathic sequelae. In the most complex cases, computer-assisted surgical planning should be considered.