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At least 55 records · Page 3Linked to original sources
PubMed1998

Loose joint bodies of the temporomandibular joint: a case report.

Osteochondral loose bodies are an uncommon finding in the temporomandibular joint (TMJ), but occur relatively frequently in large joints such as the knee, elbow, hip, wrist, and ankle. Loose joint bodies can be divided in three groups: 1) synovial chondromatosis; 2) osteochondral fracture fragments and; 3) cases of degenerative arthritis or avascular necrosis. The most common clinical features of loose joint bodies are pain, swelling, joint noise and impaired joint movements. A case of loose joint bodies of the temporomandibular joint is presented. The pantomograph and lateral cephalograph revealed several irregularly shaped, variably sized radiopaque structures in the region of the right temporomandibular joint. CT and MR scans confirmed the initial diagnosis. The dimensions of the loose joint bodies varied from 1-2 to 5-6 mm. In this patient, the loose joint bodies may have been secondary to osteoarthritis, may have preceded and caused the degenerative changes, or may be only a coincidental finding.

Chondromatosis, Synovial↗
PubMed1987

Semiquantitative SPECT imaging for assessment of bone reactions in internal derangements of the temporomandibular joint.

The temporomandibular joints (TMJs) of 60 patients with arthrographically confirmed internal derangements and 30 volunteers were examined with single photon emission computed tomography (SPECT). Semiquantitative evaluation was done by forming a quotient from the counts of a constantly sized TMJ-ROI relative to the overall counts of the cranium. The TMJ/cranium quotient depended on the age of the subject, with younger patients showing a larger quotient than older ones. Normal joints were separated from the afflicted ones by means of a discriminant analysis. Sensitivity of semiquantitative evaluation was 78% (disc displacements with reduction) and 89% (disc displacements without reduction). Correct visual evaluation was made in 53% of the reducing and 75% of the nonreducing discs. Semiquantitative SPECT of the TMJs provides important information on the extent of osseous changes in afflicted joints and is suitable for follow-up of splint therapy. It may also be helpful as a screening method in detecting clinically normal joints before arthrography is carried out and in assessing the presumptive response to treatment with a splint.

Adolescent↗
PubMed1987

Gout and pseudogout of the temporomandibular joint.

The temporomandibular joint is rarely affected by gout or pseudogout. The following article presents two case reports that demonstrate gout and pseudogout of the temporomandibular joint. The surgical treatment and diagnostic criteria for these entities are presented and discussed.

Adult↗
PubMed1987

Prosthetic replacement of the condylar head for temporomandibular joint disease.

Temporomandibular joint replacement was performed in 8 adults who had intraarticular ankylosis, 6 who had end-stage osteoarthritis, and 12 who had rheumatoid arthritis. Three methods of replacement were used; an ulnar head prosthesis (8 patients), an interpositional implant (11 patients), and a Proplast-coated metallic prosthesis (7 patients). The mean age of the 26 patients (19 women and 7 men) at surgery was 38 years (range 17 to 58 years), and the mean follow-up was 36 months (range 3 to 84 months). Relief of pain was experienced by 23 patients, and maintenance or improvement of incisal opening was experienced by 21. Prosthetic replacement of the condylar head for end-stage disease is highly successful in the patients for whom it is indicated.

Adolescent↗
PubMed1992

Measurement of the heat of reaction transmitted intracranially during polymerization of methylmethacrylate cranial bone cement used in stabilization of the fossa component of an alloplastic temporomandibular joint prosthesis.

Temporomandibular joint alloplastic fossa replacements have always been difficult to stabilize because of the variability of the anatomy in the area both in normal and especially in pathologic states. Total joint reconstruction and stabilization in orthopedic surgery have been aided by the use of methylmethacrylate, which is used both as a cementing substance and as a filler material when there are voids between the implant and the basilar bone. The concept of the use of a filler material to aid in the stabilization of the alloplastic temporomandibular joint fossa is attractive, but of concern because of the exothermic reaction this material undergoes as it sets in proximity to the middle cranial fossa. This study was designed to measure the temperature gradient that exists in such a procedure when used with cadaver specimens. The results indicate that the heat of reaction was not significantly transmitted intracranially in the cadavers studied. However, I recommend care in the use of this material for this purpose with patients.

Bone Cements↗
PubMed1992

A transcranial radiographic examination of the temporal portion of the temporomandibular joint.

The temporomandibular joints of 20 human cadaver heads were examined by means of photography (gross anatomic images) and radiography (lateral oblique transcranial images), using the angle created by a line parallel to the Frankfurt horizontal and a line coinciding with the posterior slope of the most lateral (outermost) portion of the articular tubercle. This lateral eminence angle, made visible through an attached metal wire and a straight stick pin and pertaining to the outermost (zygomatic) portion of the eminentia, was about 45 degrees on both enlarged photographs and enlarged radiographs. There were no significant differences between the photographic and radiographic lateral eminence angles on the right and left sides. A more medially placed angle, yet pertaining to the lateral - and supposedly functional (protrusion) - portion of the glenoid fossa, was about 56 degrees on the right side and 51 degrees on the left side of the radiographic images. There were significant differences between the ipsilateral radiographic lateral and medial eminence angles. A separate decision-making analysis concluded that lateral oblique transcranial radiography is an effective, reliable, and inexpensive method for detection of bony changes in the lateral portions of the temporomandibular joints.

Cartilage, Articular↗
PubMedDate not supplied

Temporomandibular joint replacement.

Temporomandibular joint replacement is a small area in maxillofacial surgery but of great importance. The treatment of severe temporomandibular disease with prosthetic joints can produce enormous benefit to patients and the current status of this technique is discussed here.

Biocompatible Materials↗
PubMed1990

[CT morphology and function of the temporomandibular joint following conservative functional treatment of temporomandibular joint fractures].

In 8 adult and 13 adolescent individuals who had undergone conservative treatment for condylar fractures 4.2 and 4.5 years earlier, respectively computed tomography was performed. In addition, joint mobility was examined clinically in 18 of these patients. The results of the radiological examination allow discrimination between high-grade and low-grade remodeling and excessive bone formation. With one exception, high-grade remodeling was invariably observed after childhood fractures. In the adult patients new bone formation was rarely observed. Correlation between the morphologic appearance and joint mobility was detectable only in cases of severely limited function. In the presence of less severe functional lesions, the size of the insertion area of the lateral pterygoid muscle might indicate the degree of functional rehabilitation. The radiological procedure is discussed.

Adolescent↗
PubMed2001

Fibrous adhesions in the joint compartment of the temporomandibular joint associated with experimental opposite drawing mandibular ramus in rabbit.

The purpose of this study was to develop a rabbit model of fibrous adhesions in the joint compartment of the temporomandibular joint (TMJ) without surgical invasion into the joint compartment. A unilaterally elastic force of about 120 grams was applied from the anterior edge of masseteric tuberosity to the posterior part of the zygomatic arch between the masseteric fascia layer and the subcutaneous layer in 14 rabbits. The blocks of nondrawing side TMJ were removed after four weeks. Fibrous adhesions were observed in 13 rabbits except for one rabbit that lost over 30% of its body weight. In eight of the rabbits, the adhesions were detected in both joint compartments. This animal model for fibrous adhesion of the TMJ will be useful in understanding the pathogenesis of adhesion in human TMJs.

Animals↗
PubMed1976

[The synovial membrane of the temporomandibular joint. Histological and morphometric studies on 106 temporomandibular joints].

Thickness of synovial lining cell layers, cytological appearance of synovial cells, the grade of fibrosis, the distance between subsynovial blood vessels and synovial surface, possible inflammatory infiltrations etc. have been controlled in synovial preparates of 106 mandibular joints. The age dependent fibrosis of the synovial tissue has been demonstrated.

Adult↗
PubMed2003

Association of metalloproteinases, tissue inhibitors of matrix metalloproteinases, and proteoglycans with development, aging, and osteoarthritis processes in mouse temporomandibular joint.

The temporomandibular joint (TMJ) is an important growth and articulation center in the craniofacial complex. In aging it develops spontaneous degenerative osteoarthritic (OA) lesions. Metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPS) play key roles in extracellular matrix remodeling and degradation. Gelatinase activities and immunohistochemical localization of MMP-2, -3, -8, -9, and -13 and TIMP-1 and -2 were examined in mandibular condyle cartilage of neonatal mice up to 18 months old. The most intense immunostaining for all enzymes and TIMPs and the peak of gelatinase activities were found in animals in the stages of early growth (1 week to 3 months) followed by a decrease during maturation and aging. However, clusters of positively immunoreactive chondrocytes were detected in cartilages of old animals displaying OA lesions. Positive safranin-O staining, indicative of sulfated proteoglycans (PGs), was prominent in the TMJ of newborn mice up to 3 months old followed by reduction during maturation and aging, except in regions displaying OA lesions. Temporal codistribution of PGs, MMPs, and TIMPs during skeletal maturation reflected an active growth phase, whereas their reduction coincided with the more quiescent articulating and maintenance phase in the joint cartilage. Osteoarthritic lesions were associated with both increased PG synthesis and MMP immunoreactivity, indicating limited repair activity during initial stages of osteoarthritis.

Aging↗
PubMed1978

An approach to the management of temporomandibular joint dysfunction.

Temporomandibular joint dysfunction may result from a number of causes. Perhaps the commonest is muscular hyperactivity of central origin. Consequently, the dentist has to widen his investigations to take into account the life style of the patient and to deal with the expression of mental stress as muscular tension.

Health Education, Dental↗