MyMedR

Temporomandibular Joint Ankylosis Leading to Obstructive Sleep Apnea

Shaeran TAT, Samsudin AR

J Craniofac Surg, 2019 Jun 28.

PMID: 31261319 DOI: 10.1097/SCS.0000000000005689

Temporomandibular joint ankylosis in children commonly lead to difficulty in feeding, poor oral hygiene, retrognathic mandible and obstructive sleep apnea. Surgical release of the ankylosis has always been the standard treatment. The authors report a 12 year old boy with unilateral temporomandibular joint ankylosis and obstructive sleep apnea underwent surgical release of the ankylosis with successful gain in mouth opening. However, he continued to suffer from obstructive sleep apnea as confirmed by post-operative polysomnography. Orthognathic surgery for mandibular advancement is not favorable due to his young age and mandibular distraction osteogenesis was not a choice. A mandibular advancement device similar to orthodontic myofunctional appliance was the preferred choice in the post-operative period while waiting for definitive retrognathia surgical treatment after skeletal maturity. Surgical release of temporomandibular joint ankylosis corrects the oral problem but does not adequately address the narrow pharyngeal airway space. Assessment of pharyngeal airway with a high suspicion of obstructive sleep apnea is mandatory in the management of TMJ ankylosis.

Matched MeSH terms: Temporomandibular Joint; Temporomandibular Joint Disorders

Quality Assessment of Systematic Reviews of Temporomandibular Joint Ankylosis Surgical Treatment Outcomes

Kattimani VS, Jairaj A, Govindan NO, Mathai P, Sahu S, Patley A, et al.

J Contemp Dent Pract, 2020 Mar 01;21(3):337-349.

PMID: 32434984

AIM: Temporomandibular joint ankylosis (TMJA) management involves many surgical treatment modalities depending on the experience of the operator. A lot of literature has been published on various treatment modalities. Many systematic reviews (SRs) were published without any published prior protocol. So, the study aimed to evaluate the quality of SRs with meta-analysis of TMJA management.

MATERIALS AND METHODS: Systematic reviews with meta-analysis were included for the quality assessment using AMSTAR (assessment of multiple SRs) and Glenny et al. checklist by two independent teams. The search was limited to the Medline database archival (from January 1980 to December 2018).

RESULTS: The primary search identified 1,507 related articles. After activation of different filters, abstracts screening, and cross-referencing, finally, a total of six studies were assessed to make the overview up-to-date.

CONCLUSION: The articles scored 8 to 11 with AMSTAR and 7 to 13 with the Glenny et al. checklist. None of the published reviews received maximum scores. The methodology and heterogeneity are essential factors to assess the quality of the published literature.

CLINICAL SIGNIFICANCE: None of the included meta-analysis was registered or published protocol with Prospero or Cochrane before publication for better validity of the studies. The authors are advised to follow reporting criteria so that in the future it is possible to provide the standards of care for TMJA with the highest quality of evidence.

Matched MeSH terms: Temporomandibular Joint

Knowledge of dental pathology in everyday medical diagnosis

Cugadasan V

Med J Malaysia, 1977 Jun;31(4):353-4.

PMID: 927246

Matched MeSH terms: Temporomandibular Joint Dysfunction Syndrome/diagnosis

Fulltext The expert says............. IOTN as a tool in prioritizing orthodontic treatment

Rohaya Megat Abdul Wahab

Malaysian Dental Journal, 2007;28(1):32-33.

MyJurnal

Deviations from normal occlusion are known as malocclusion. Orthodontics treatment usually is the choice of management of irregularities and abnormalities of their relation to the surrounding structures i.e malocclusions. Patient or parent commonly seeks orthodontic treatment for aesthetic reasons rather than functional problems such as temporomandibular joint dysfunction. With greater demand for orthodontic treatment due to greater awareness of the people towards dental health, good orthodontic treatment outcome would be expected. Good orthodontic treatment outcome usually related to good clinical management of the patients. (Copied from article).

Matched MeSH terms: Temporomandibular Joint; Temporomandibular Joint Dysfunction Syndrome

Fulltext Temporomandibular joint ankylosis in a child: an unusual case with delayed surgical intervention

Yew CC, Rahman SA, Alam MK

BMC Pediatr, 2015;15:169.

PMID: 26546159 DOI: 10.1186/s12887-015-0495-4

The Temporomandibular Joint (TMJ) ankylosis in child is rare and yet the causes still remain unclear. This condition that affects the feeding and possible airway obstruction do not only worry the parents, but also possesses as a great challenge to the surgeons. Furthermore, it interferes with the facial skeletal and dento-alveolar development in the on growing child.

Matched MeSH terms: Temporomandibular Joint/physiopathology; Temporomandibular Joint/radiography; Temporomandibular Joint/surgery*; Temporomandibular Joint Disorders/physiopathology; Temporomandibular Joint Disorders/radiography; Temporomandibular Joint Disorders/surgery*

Fulltext Migraine masquerading as temporomandibular disorders: a case report

Shoji Y, Cohen HV

Journal of Clinical and Health Sciences, 2018;3(1):43-46.

MyJurnal

Migraine is a common disabling primary headache disorder. Ipsilateral radiation of pain to orofacial regions, including teeth, jaws and temporomandibular joints, although not a common complaint, could occur. The area of involvement may obscure the diagnosis and lead to unnecessary dental treatment. A case is presented in which a patient initially sought dental care for left jaw pain that radiated to her left maxillary teeth and temple region and she was also experiencing discomfort in the left masticatory musculature. Subsequently a medical consult diagnosed migraine headache without aura and fortunately unnecessary dental treatment was not done. The key issue here is the complexity of the Trigeminal nerve when the dentist is assessing a patient for dental or other orofacial pain complaints and dental pathology has been ruled out. Equally as important is the dentist taking thorough medical history since a patient may not tell a dentist about a “headache” because the pain is in the teeth and/or jaws. And, perhaps most important is the final differential diagnosis whether made by the dentist or medical care provider.

Matched MeSH terms: Temporomandibular Joint Disorders*

Temporomandibular Joint Disorders: Is there a Need for Additional Subspeciality in Dentistry?

Arshad S, Awang RA, Malik S

J Coll Physicians Surg Pak, 2021 Aug;31(8):1004.

PMID: 34320727 DOI: 10.29271/jcpsp.2021.08.1004

Null.

Matched MeSH terms: Temporomandibular Joint

Fulltext A prospective study on response to treatment of patients with Temporomandibular disorder: a clinical study

Kashmoola, Muhannad Ali, Nazih Shaaban Mustafa, Robiah Mohamed, Siti Nabilah Mohamed Talmizi

International Medical Journal Malaysia, 2017;16(21):20-20.

MyJurnal

Temporomandibular joint dysfunction (TMD) is regarded as multifactorial in origin
and this may influence the diagnosis and treatment plan. Early detection of TMD with suitable
management may provide good response. This study was to relate demographic factors, signs and
symptoms, diagnosis, stage of detection and treatment modalities on review outcome. (Copied from article).

Matched MeSH terms: Temporomandibular Joint; Temporomandibular Joint Disorders; Temporomandibular Joint Dysfunction Syndrome

Displaying publications 21 - 28 of 28 in total