alexa Current Management of Temporomandibular Joint (TMJ) Disease
ISSN: 2167-7921

Journal of Arthritis
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Review Article

Current Management of Temporomandibular Joint (TMJ) Disease

Sidebottom AJ1*, Shahme Farook2 and Cascarini L3
1Department of Oral and Maxillofacial Surgery, Queen’s Medical Centre, Derby Rd, Nottingham, NG72UH, UK
2Department of Oral and Maxillofacial Surgery, Northwick Park Hospital, Watford Road, Harrow, Middlesex, HA1 3UJ, UK
3Department of Head and Neck Surgery, Guy’s Hospital, Great Maze Pond, London SE1 9RT, UK
Corresponding Author : Dr. Sidebottom AJ
Department of Oral and Maxillofacial Surgery
Queen’s Medical Centre, Derby Rd, Nottingham, NG7 2UH, UK
Tel: 441159249924 extn: 65895
E-mail: [email protected]
Received April 22, 2014; Accepted July 22, 2014; Published July 30, 2014
Citation: Sidebottom AJ, Farook S, Cascarini L (2014) Current Management of Temporomandibular Joint (TMJ) Disease. J Arthritis 3:138. doi:
Copyright: © 2014 Sidebottom AJ, 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) disorder (TMD) is a collection of medical and dental conditions affecting the joint and muscles of mastication, as well as contiguous tissue components. This leads to pain and altered oral function and can lead to a poor quality of life. The majority of the population can be affected to some degree. Management of TMD is often simple in the first instance, but may involve complex decision making. This article summarizes the current investigative and treatment options available. Magnetic Resonance Imaging is the recommended radiological investigation of choice for soft tissue assessment whilst TMJ arthroscopy supersedes most other invasive treatments available in relation management of symptoms and more accurate diagnosis. Should arthroscopy fail to achieve satisfactory resolution of symptoms a standardised treatment pathway based on arthroscopic findings involves appropriate assessment, possible open surgery or even TMJ replacement. This latter procedure is governed by NICE guidelines and delivers an excellent short and medium term outcome up to 20 years.

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