PRINCIPLES OF SURGICAL TREATMENT IN TEMPOROMANDIBULAR DISORDERS

Çiğdem Karadağ

Private Physician, Private Practice of Physical Plastic, Aesthetic and Reconstructive Surgery, İstanbul, Türkiye

Karadağ Ç. Principles of Surgical Treatment in Temporomandibular Disorders. In: Coşar SN, Afşar Sİ editors. Temporomandibular Disorders and Principles of Rehabilitation. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.143-151.

ABSTRACT

Temporomandibular joint (TMJ) disorders impact a significant percentage of both children and adults globally. While most cases can be managed with conservative treatments, surgery might be necessary in severe or persistent cases. Recent advancements in the understanding and the treatment of TMJ disorders, particularly in TMJ surgery, have greatly improved the ability to effectively manage and treat affected patients. There are several types of TMJ surgeries, each tailored to address specific conditions and symptoms. These include arthrocentesis, arthroscopy, joint debridement, disc repositioning, modified condylotomy and, in more severe cases, total joint replacement. The selection of the appropriate procedure depends on the underlying pathology, the severity of the symptoms, and the patient’s overall health, ensuring that the most effective and least invasive approach is chosen for optimal outcomes.

Keywords: Temporomandibular joint disorders; TMJ; Surgery; Arthrocentesis; Arthroscopy; Arthroplasty

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