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MINERVA STOMATOLOGICA

Rivista di Odontostomatologia e Chirurgia Maxillo-Facciale


Official Journal of the Italian Society of Odontostomatology and Maxillofacial Surgery
Indexed/Abstracted in: CAB, EMBASE, Index to Dental Literature, PubMed/MEDLINE, Scopus, Emerging Sources Citation Index


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Minerva Stomatologica 2017 Jun 09

DOI: 10.23736/S0026-4970.17.04065-1

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Arthroscopic eminoplasty: a new choice of treatment for TMJ internal derangement

Blas GARCIA MEDINA 1, Paolo CARIATI 2 , Pablo GALVEZ 1, Almudena CABELLO SERRANO 1, Miguel GARCIA MARTIN 3

1 Maxillofacial Surgeon, Hospital Virgen de las Nieves, Granada, Spain; 2 Maxillofacial Surgery Resident, Hospital Virgen de las Nieves, Granada, Spain; 3 Dental Student, University of Granada, Granada, Spain


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BACKGROUND: Temporomandibular joint (TMJ) internal derangement is a common disabling disorder that is often underestimated by society. The main goal of our study is to show the clinic improvement experienced by patients that underwent arthroscopic eminoplasty as a treatment for TMJ in our center.
METHODS: 19 patients (1 male, 18 females) agreed to participate voluntarily in our study. These patients presented signs and symptoms of TMJ internal derangement and pathological MRI images, and underwent arthroscopic eminoplasty in our center. A patient database was created to record Wilkes stages, type of surgical intervention, complications, and preoperative and postoperative pain and mouth opening.
RESULTS: Our data showed that TMJ pain (measured six months before surgery) was higher (M = 7.44, SD= 1.44; t(18) = 8.37, p < .01) than the pain registered eighteen months after surgery (M =3.10, SD= 2.40). Moreover, postoperative mouth opening (M = 33,6 SD= 7.92) was greater than preoperative mouth opening.
CONCLUSIONS: The results indicate that this technique is effective in reducing pain and increasing mouth opening with minimal postoperative morbidity. Specifically, this technique minimizes the stress suffered by the joint disc at the narrowest points of joint space and increases articular stability.


KEY WORDS: Temporomandibular internal derangement - Arthroscopic eminoplasty - Joint stability - Plowing forces - TMJ disc

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Garcia Medina B, Cariati P, Galvez P, Cabello Serrano A, Garcia Martin M. Arthroscopic eminoplasty: a new choice of treatment for TMJ internal derangement. Minerva Stomatol 2017 Jun 09. DOI: 10.23736/S0026-4970.17.04065-1

Corresponding author e-mail

poaolocariati1@gmail.com