TMJ ankylosis and secondary deformities: An orthodontics approach
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 4
Abstract
Treatment of patients with TMJ ankylosis and secondary deformities is a challenging problem. Although various techniques, including arthroplasties, orthognathic surgery, autogenous bone graft, have been described for the management of patients with this condition, an appropriate treatment protocol has not been established. The purpose of this paper is to describe a 2-stage treatment protocol, comprising TMJ reconstruction as the initial surgery, and correction of secondary deformities as the second surgery followed by orthodontic correction for facial asymmetry for the management of TMJ ankylosis with secondary deformities. Several studies in the past, have shown that the 2-stage treatment protocol described not only restores oral function but also improves the patient's esthetic appearance and Satisfactory occlusion was achieved with the help of orthodontic treatment. Hence, we believe that it is a good approach for management of TMJ ankylosis with secondary deformities and facial asymmetry in patients with TMJ ankylosis. In this paper, six cases who visited our institution with TMJ ankylosis and secondary deformities underwent TMJ reconstruction as the initial surgery, followed by correction of secondary deformities as the second surgery later essential orthodontic correction is to be evaluated. Clinical outcome assessed based on oral function, radiography, and photography.
Authors and Affiliations
Imran Pathan
Keywords
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