Journal of Oral Science
Online ISSN : 1880-4926
Print ISSN : 1343-4934
ISSN-L : 1343-4934
Releasing severe adhesions around the eminence and the synovial portion of the TMJ : A clinical study of combined treatment using hydraulic lavage, arthroscopic surgery and rehabilitative therapy
Minoru HoriMasahiro OkaueDaisuke HaradaMasaru OnoToshiyuki GotoYusuke TadaDaisuke KamogawaMitsuhiko MatsumotoHiroshi Tanaka
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1999 Volume 41 Issue 2 Pages 61-66

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Abstract

This paper evaluates the effects of treatment with a pumping technique and arthroscopic lysis and lavage, followed by rehabilitative training, on condylar head mobility of the temporomandibular joint (TMJ). We studied 32 TMJs in 19 patients suffering from chronic closed lock with severe adhesion. The results were compared between cases with adhesions concentrated in two areas : mostly in the posterior and/or the anterior synovial portion of the upper TMJ compartment (11 joints) and mostly around the eminence (21 joints). The results showed a statistically significant improvement in condylar head movement for both groups between the initial and final stages of treatment. However, the results also suggested that patients with adhesion concentrated around the eminence are less likely to recover condylar head mobility to the same extent as those in the other group. (J. Oral Sci. 41, 61-66, 1999)

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© Nihon University School of Dentistry
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