alexa A Temporomandibular Joint Ankylosis with Periarticular Tissue Calcification Long Followed up Case
ISSN: 2167-7921

Journal of Arthritis
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Research Article

A Temporomandibular Joint Ankylosis with Periarticular Tissue Calcification Long Followed up Case

Akiko Matsumoto1*, Tadashi Sasai2 and Ken Matsumoto1
1Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Osaka, Japan
2Department of Oral and Maxillofacial Radiology, Osaka University Graduate School of Dentistry, Osaka, Japan
Corresponding Author : Matsumoto A
Department of Oral and MaxillofacialSurgery
Osaka University Graduate School of Dentistry
1-8 Yamadaoka, Suita, Osaka 565-0871, Japan
Tel:+81-6-6879-2941
Fax: +81-6-6879-2170
E-mail:[email protected]
Received February 03, 2015; Accepted April 14, 2015; Published April 24, 2015
Citation: Matsumoto A, Sasai T, Matsumoto K (2015) A Temporomandibular Joint Ankylosis with Periarticular Tissue Calcification Long Followed up Case. J Arthritis 4:150. doi:10.4172/2167-7921.1000150
Copyright: © 2015 Matsumoto A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Temporomandibular joint (TMJ) ankylosis is defined as bony or fibrous adhesion of the anatomic joint components accompanied with the mouth opening limitation. However, effective treatment method has not been still established. A 63-year-old man without dentofacial deformity visited our hospital with a complaint of limitation of mouth opening due to periarticular bone formation. His joints were possible of hinge movement; maximal incisal opening (MIO) was 17 mm. He refused surgical treatment. So he was treated mobilization therapy of TMJ when he visited our clinic and instructed to perform mouth-opening exercise by himself to prevent the progression of bony ankylosis. By successful of physical therapy, 6 months after, MIO was 28 mm. Limitation of mouth opening was not bothering him so much. After 9 years, periarticular tissue calcification was slightly progressive. But his joints of hinge movement were still remained. MIO was 25 mm. This case, physical therapy could be effective to prevent the progression from fibrous ankylosis of temporomandibular joint to the bony ankylosis.

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