Title

Management of temporo-mandibular joint ankylosis using different surgical approaches

Authors

Bibhu Prasad Mishra¹, Satyajit Sahu², Arup Ratan Das³, Asutosh Pradhan⁴, Priyankesh^5,* & Shekhar Gupta⁶

Affiliation

¹Department of Oral and Maxillofacial Surgery, Hi-tech Dental College and Hospital, Bhubaneshwar, Odisha, India; ²Department of Oral and Maxillofacial Surgery, Hi-tech Dental College and Hospital, Bhubaneswar, Odisha, India; ³Department of Oral and Maxillofacial Surgery Hi-tech Dental College and Hospital Bhubaneswar, Odisha, India; ⁴Department of Oral and Maxillofacial Surgery, Hi-tech Dental College and Hospital, Bhubaneshwar, Odisha, India; ⁵Department of Dentistry, Manipal Tata Medical College, Manipal Academy of Higher Education, Karnataka, India; ⁶Department of Prosthodontic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia;

Email

Bibhu Prasad Mishra - E-mail: infodrprasad@gmail.com; Phone: +91 9437849136

Satyajit Sahu - E-mail: drsatyajitsahu.23@gmail.com; Phone: +91 9438810023

Arup Ratan Das - E-mail: arupratan95@gmail.com; Phone: +91 7008432172

Asutosh Pradhan - E-mail: asupupulutosh@gmail.com; Phone: +91 9337421032

Priyankesh - E-mail: drpriyankesh@gmail.com; Phone: +91 87974 48287

Shekhar Gupta - E-mail: drshekhar786@gmail.com; Phone: +96 6534639374

Article Type

Research Article

Date

Received December 1, 2023; Revised December 31, 2023; Accepted December 31, 2023, Published December 31, 2023

Comparison of gap arthroplasty (GAP), interpositional arthroplasty (IAP) and distraction osteogenesis (DO) simultaneous with interpositional arthroplasty (DO+IAP) in management of TMJ ankylosis is of interest to dentists. The study comprised 36 individuals with TMJ ankylosis, 16 of whom were female and 20 of whom were male. Both prior to and following surgery, the maximum inter-incisal opening (MIO) and facial pattern were noted. The postoperative MIO was 33.23 ± 1.23mm, 35.24 ± 1.11mm and 38.24 ± 1.34mm in GAP, IAP and DO+IAP respectively. Data is statistically significant with high MIO observed in DO+ IAP technique and low MIO in GAP technique (p < 0.005). In addition to lengthening the mandible, concurrently processed interpositional arthroplasty alongside DO for TMJ ankylosis corrects gross asymmetry of the face, occlusal mal-alignment, midline change, and creates room for previously un-erupted teeth to emerge.

Keywords

Surgical approaches, TMJ ankylosis, distraction osteogenesis gap arthroplasty, interpositional arthroplasty

Citation

Mishra et al. Bioinformation 19(13): 1359-1364 (2023)

Edited by

Vini Mehta & Hiroj Bagde

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.